شناسايي عوامل مؤثر بر اضافه بار اطلاعات باليني متخصصان باليني دانشگاه علوم پزشكي اصفهان و ارائه راهكارهاي مديريت آن

Identification of Influential Factors for Information Overload among Clinical practitioners at Isfahan University of Medical Sciences an‎d Development of Management Strategies

علم اطلاعات و دانش شناسي

Information overload in clinical settings is one of the major challenges in the healthcare domain, significantly impacting clinical decision-making processes an‎d the performance of professionals in this field. This phenomenon can lead to reduced focus, increased medical errors, diminished quality of patient care, an‎d decreased job satisfaction among healthcare professionals. Given the rapid growth of medical knowledge an‎d the necessity for accurate an‎d timely information processing, identifying factors contributing to clinical information overload an‎d proposing effective management strategies is both essential an‎d unavoidable. This study aims to identify an‎d prioritize causes an‎d factors influencing clinical information overload among clinical practitioners at Isfahan University of Medical Sciences an‎d to offer managerial solutions to mitigate this issue. The research is applied in nature an‎d employs a mixed-methods design with a sequential exploratory approach, conducted in four phases. In the first phase, a conceptual review of information sources was performed to identify contributing factors, consequences, an‎d various management strategies for information overload Data were extracted from Scopus, Web of Science, PubMed, an‎d Emerald databases. In the second phase, semi-structured interviews with 19 clinical experts were conducted, an‎d qualitative data were analyzed using MAXQDA software to identify factors an‎d management strategies from their perspectives. In the third phase, 77 clinical practitioners participated in a modified Delphi method to prioritize the identified factors. Finally, in the fourth phase, based on the findings from previous stages, a conceptual model for managing clinical information overload was developed. The results revealed that factors influencing clinical information overload include individual factors, informational factors, technological aspects, clinical documentation practices, educational factors, task-related an‎d clinical process factors, as well as managerial an‎d organizational elements. From the perspective of experts, managerial an‎d organizational factors play the most significant role in causing clinical information overload. Proposed managerial solutions were also developed within these seven domains. Adopting a comprehensive approach that includes optimizing information systems, improving documentation processes, enhancing specialized training programs, an‎d formulating effective managerial policies can significantly reduce clinical information overload an‎d improve the quality of healthcare services.

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