SynthesisBMC health services research2026
Electronic health record adaptation and innovation among healthcare professionals in hospitals: an integrative framework based on a systematic review.
Synthesis in BMC health services research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
1 citing paper in PubMed, 1 synthesis or guideline pooled it.
- Electronic health record adaptation and innovation among healthcare professionals in hospitals: an integrative framework based on a systematic review.BMC health services research · 2026Pooled it
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWorldwide, many hospitals have adopted an Electronic Health Record (EHR) and are currently in the post-implementation phase. To exploit EHRs to their full potential, healthcare professionals must continuously engage in adaptive behaviors to cope with (changes and updates in) EHR systems, and explore existing and novel EHR functionalities. This systematic review aimed to (a) identify factors related to EHR adaptation and innovation among healthcare professionals in hospitals, and (b) develop a multidisciplinary integrative framework.
methodsA PRISMA-compliant systematic review was conducted. We searched the databases PubMed, Embase, Scopus, and PsycInfo for the period from 2019 to 2023. After validation of the eligibility criteria by two independent reviewers, the first reviewer performed title and abstract screening, followed by full-text screening. Data extraction was carried out by the first reviewer and risk of bias assessment by two independent reviewers. Subsequently, the first reviewer summarized the collected data using a narrative synthesis approach in collaboration with the other reviewers.
resultsOut of the 3,585 studies emerging from databases and citation searching, 14 studies were included in this study. Regarding EHR adaptation, psychological, work design, technological, and organizational factors were identified. Regarding EHR innovation, predominantly psychological and work design factors were found. Healthcare professionals' knowledge and proficiency, task prioritization, recognition of EHR benefits, and their mindset towards change were relevant psychological/individual factors. Important work design factors were time and information availability, workflow impact, task dynamism, technostress, role clarity, and autonomy. Well-designed and functioning EHR modifications or novel EHR tools were significant technological factors. Identified organizational factors were available resources, an organizational climate of innovation and change, and comprehensive change and human resource management practices accompanying EHR changes.
conclusionsMost of the eligible studies dealt with EHR adaptation, and a few with EHR innovation. Based on the review findings, an integrative framework was developed that entails key factors for EHR adaptation and innovation among healthcare professionals in the post-implementation phase of EHRs. Thereby, this review provides first directions for healthcare organizations to exploit the EHR's full potential. REGISTRATION: The study was registered in Prospero on March 16, 2024 (CRD42024520547; last update: June 30, 2025).
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.