Assignment Prompt & Instructions
[>Accounting homework help](https://www.sweetstudy.com/fields/business-finance-accounting)
## Writing Task: Solution
**files (2)**
– ## Week3WritingTaskSolution.docx
– ## Week2ProblemSection1correctins.pdf
**## Week3WritingTaskSolution.docx**
This week, you will write the section of your paper that presents a solution to your problem. This section of your paper should include the following:
**1. Transition from Problem to Solution (100–150 words) No heading for this section on your paper.**
· Briefly restate the focused problem
· Clarify which contributing factor your solution addresses
· Establish
why this solution is necessary
**2. Proposed Solution (400–500 words)**
This section must:
· Clearly define the intervention, reform, or practice change
· Explain how it would operate in practice
· Integrate at least 3 scholarly sources
· Demonstrate how the solution directly addresses the identified cause
Avoid vague language such as:
· “Raise awareness”
· “Improve education”
· “Increase funding” (without specifying how these items would be accomplished)
Include specificity:
· Who implements it?
· Where does it occur?
· Over what time frame?
**3. Feasibility Analysis (150–200 words)**
Students must evaluate:
· Practical implementation barriers
· Required resources
· Institutional or professional constraints
· Why the solution remains viable despite challenges
**4. Counterargument (150–200 words)**
Students must:
· Present a credible critique grounded in research (a source documenting the opposing or alternate view must be cited)
· Explain why reasonable professionals might oppose the solution
· Respond with evidence-based rebuttal (source must be cited)
The counterargument must reflect actual scholarly concern, not hypothetical resistance.
**5. Unintended Consequence (100–150 words)**
Students must:
· Identify one realistic, unintended consequence
· Assess its seriousness
· Clarify whether mitigation is possible or how awareness of this potential issue might be addressed
**6.Reference Page**
· A minimum of 4 academic sources must be cited in your paper and listed on the reference page
· Use correct APA format for each reference, including a permalink for sources
**REQUIREMENTS**
·
**Writing must be an original submission written by the student**
·
**Third-person academic writing**
·
**Cite your source with direct quotes and correct in-text citations**
·
**Include an APA-formatted reference page with permalinks**
·
**You may use this blank APA template**
**## Week2ProblemSection1correctins.pdf**
1
Problem Section
EHR Workflow Inefficiency and Clinical Burnout: A Problem Analysis
Leidylin Guerrero
Keiser University
ENC4313-Research Writing
Diane McMurry, Ph.D.
20 June 2026
2
EHR Workflow Inefficiency and Clinical Burnout: A Problem Analysis
The electronic health record (EHR) was intended to facilitate care coordination and
access to information, but it has inadvertently created a paradox that it is one of the leading
causes of clinician burnout. Hospital and outpatient nurses, doctors, and advanced practice
providers report that a lot of their time is spent on paperwork instead of patient care. The study
by Wu et al. (2024) reveals that the number of healthcare professionals experiencing burnout due
to EHR use is 40.4% in the pooled prevalence of burnout across 37 studies, with a total of more
than 66,000 participants. Based on these statistical data, there is evidence regarding the
magnitude of the problem. In the field of nursing informatics, this issue is a pressing one. The
discipline has a unique ability to study and optimize the relationship between clinicians, data,
and technology. However, with the growing pressure of workforce shortages, it's no longer
viable to ignore EHR-related burnout. The focus of the paper is to establish the main causes and
offer an effective strategy towards addressing the most implementable aspect of the issue.
Contributing Factors Analysis
The EHR’s inefficiency in workflow is caused by clinical burnout, and this takes place in
three ways. These include overload in the documentation, usability of the EHR, and the patient-
provider relationship.
Research-Supported Contributing Factors
The key contributory factor is the burden linked to the documentation. Alobayli et al.
(2023) study reveals that time on EHR activities and usability problems play a huge role in the
reported stress and burnout experienced by the clinician. Doctors are spending several hours
completing their paperwork after work. Consequently, it deprives them of their time and leaves
them with an extended workday. The argument above is supported by Wu et al. (2024) whose
Diane McMurry
move the statistical support to the analysis. The intro should present the issue more generally
Diane McMurry
is this true?
Diane McMurry
who does the paperwork? Who uses EHR? Why? Is it required? If so, by whom?
This should be explained in the intro
Diane McMurry
3
findings reveal that healthcare providers involved in the performance of EHR tasks outside their
allotted hours on the documentation were 2.43 times more likely to report that they experienced
burnout than those who did not.
Such burdens are increased as a result of the poor usability of EHRs. Billing and
regulatory compliance systems have been designed instead of the clinical workflow. As a result,
there is a development of interfaces that provide redundant data entry and time-consuming
workarounds. Poor presentation of the clinical information and complex user interfaces result in
cognitive overload, hence burnout (Asgari et al., 2024). If clinicians are unable to work
successfully within systems, they have more to think about during each encounter, which takes
away resources from complex clinical thinking and patient engagement.
The third aspect is the disruption to the EHR documentation that affects the existing
relationship between the provider and patient. The real-time charting during visitation leads to
the division of the attention of the clinician between the client and the screen, thus causing
degradation of the communication quality. For clinicians with a professional identity based on
the therapeutic relationship, such erosion results in moral distress. This condition is associated
with emotional fatigue or exhaustion and burnout.
How These Factors Interact and Contribute to the Problem:
These three contribute to a compounding cycle. The burden caused by the documentation
leads to the extension of the working hours, resulting in poor usability that results in challenging
and longer documentation tasks, and the demands for the chart during clinical encounters and
visitation fractures. Alobayli et al. (2023) study shows high stress in the hospital setting that
worsens EHR workload, leading to burnout. Wu et al. (2024) found that the higher the clinicians'
exposure to EHR-related tasks, particularly outside work hours, the greater the risk of burnout.
Diane McMurry
this is good support; however, if there are those who are not spending additional hours, has there been a study there? What do they do differently?
Diane McMurry
awkward wording
Diane McMurry
source?
Diane McMurry
is the stress specific to using EHR? What about other causes of stress in the hospital
4
These all coalesce in a vicious circle, with inefficient systems requiring longer to complete,
creating less time for quality patient care, more patient frustration, and increased patient
turnover.
Focused Problem Claim
The Primary and the Most Suitable Leading/Contributing Factor.
The issue of excessive documentation as a burden is the most fundamental and actionable
amongst the three factors that were focused on. It is quantifiable, directly linked to time lost, and
is more responsive to measures or solutions. Research work by Wu et al. (2024) reveals the
documentation reduction approaches that include the use of scribes and AI-assisted dictation.
The mitigation of the documentation burden can occur at the level of the documentation, without
the need to overhaul entire EHR platforms. This is important in providing relief to clinicians in
both outpatient and hospital settings.
Scope Limitations
This paper does not examine other factors that contribute to burnout, such as staffing
shortages, reimbursement structures, or organizational factors such as culture. It does not assess
individual EHR vendors or technologies other than in relation to documentation burden. The
analysis is restricted to ambulatory care, specifically hospital and outpatient care, in the nursing
and physician workforce in the United States.
Setting up the Forthcoming Solution.
This analysis has set excessive documentation burden as the core and actionable issue for
solution development, giving it a solution-driven focus and grounding. It is specific enough to be
dealt with in the context of targeted intervention and large enough and consequential enough to
warrant meaningful organizational investment. A solution section follows, drawing upon this
Diane McMurry
incomplete sentence–but this appears to be working towards a solution. Stay focused on proving the problem.
5
solid base and examining evidence-based approaches that can alleviate the burden of EHR
documentation, free up clinician time for meaningful patient care, and provide a viable solution
to one of the most pressing workforce issues in today's health care environment.
6
References
Alobayli, F. Y., O’Connor, S., Holloway, A., & Cresswell, K. (2023). Electronic Health Record
Stress and Burnout Among Clinicians in Hospital Settings: A Systematic Review.
DIGITAL HEALTH, 9(9). https://doi.org/10.1177/20552076231220241
Asgari, E., Kaur, J., Nuredini, G., Balloch, J., Taylor, A. M., Sebire, N., Robinson, R., Peters, C.,
Sridharan, S., & Pimenta, D. (2024). Impact of Electronic Health Record Use on
Cognitive Load and Burnout Among Clinicians: Narrative Review. JMIR Medical
Informatics, 12(1), e55499. https://doi.org/10.2196/55499
Wu, Y., Wu, M., Wang, C., Lin, J., Liu, J., & Liu, S. (2024). Evaluating the Prevalence of
Burnout Among Health Care Professionals Related to Electronic Health Record Use:
Systematic Review and Meta-Analysis. JMIR Medical Informatics, 12(1), e54811.
https://doi.org/10.2196/54811
Diane McMurry
use correct apa format
– References
**## Week2ProblemSection1correctins.pdf**
1
Problem Section
EHR Workflow Inefficiency and Clinical Burnout: A Problem Analysis
Leidylin Guerrero
Keiser University
ENC4313-Research Writing
Diane McMurry, Ph.D.
20 June 2026
2
EHR Workflow Inefficiency and Clinical Burnout: A Problem Analysis
The electronic health record (EHR) was intended to facilitate care coordination and
access to information, but it has inadvertently created a paradox that it is one of the leading
causes of clinician burnout. Hospital and outpatient nurses, doctors, and advanced practice
providers report that a lot of their time is spent on paperwork instead of patient care. The study
by Wu et al. (2024) reveals that the number of healthcare professionals experiencing burnout due
to EHR use is 40.4% in the pooled prevalence of burnout across 37 studies, with a total of more
than 66,000 participants. Based on these statistical data, there is evidence regarding the
magnitude of the problem. In the field of nursing informatics, this issue is a pressing one. The
discipline has a unique ability to study and optimize the relationship between clinicians, data,
and technology. However, with the growing pressure of workforce shortages, it's no longer
viable to ignore EHR-related burnout. The focus of the paper is to establish the main causes and
offer an effective strategy towards addressing the most implementable aspect of the issue.
Contributing Factors Analysis
The EHR’s inefficiency in workflow is caused by clinical burnout, and this takes place in
three ways. These include overload in the documentation, usability of the EHR, and the patient-
provider relationship.
Research-Supported Contributing Factors
The key contributory factor is the burden linked to the documentation. Alobayli et al.
(2023) study reveals that time on EHR activities and usability problems play a huge role in the
reported stress and burnout experienced by the clinician. Doctors are spending several hours
completing their paperwork after work. Consequently, it deprives them of their time and leaves
them with an extended workday. The argument above is supported by Wu et al. (2024) whose
Diane McMurry
move the statistical support to the analysis. The intro should present the issue more generally
Diane McMurry
is this true?
Diane McMurry
who does the paperwork? Who uses EHR? Why? Is it required? If so, by whom?
This should be explained in the intro
Diane McMurry
3
findings reveal that healthcare providers involved in the performance of EHR tasks outside their
allotted hours on the documentation were 2.43 times more likely to report that they experienced
burnout than those who did not.
Such burdens are increased as a result of the poor usability of EHRs. Billing and
regulatory compliance systems have been designed instead of the clinical workflow. As a result,
there is a development of interfaces that provide redundant data entry and time-consuming
workarounds. Poor presentation of the clinical information and complex user interfaces result in
cognitive overload, hence burnout (Asgari et al., 2024). If clinicians are unable to work
successfully within systems, they have more to think about during each encounter, which takes
away resources from complex clinical thinking and patient engagement.
The third aspect is the disruption to the EHR documentation that affects the existing
relationship between the provider and patient. The real-time charting during visitation leads to
the division of the attention of the clinician between the client and the screen, thus causing
degradation of the communication quality. For clinicians with a professional identity based on
the therapeutic relationship, such erosion results in moral distress. This condition is associated
with emotional fatigue or exhaustion and burnout.
How These Factors Interact and Contribute to the Problem:
These three contribute to a compounding cycle. The burden caused by the documentation
leads to the extension of the working hours, resulting in poor usability that results in challenging
and longer documentation tasks, and the demands for the chart during clinical encounters and
visitation fractures. Alobayli et al. (2023) study shows high stress in the hospital setting that
worsens EHR workload, leading to burnout. Wu et al. (2024) found that the higher the clinicians'
exposure to EHR-related tasks, particularly outside work hours, the greater the risk of burnout.
Diane McMurry
this is good support; however, if there are those who are not spending additional hours, has there been a study there? What do they do differently?
Diane McMurry
awkward wording
Diane McMurry
source?
Diane McMurry
is the stress specific to using EHR? What about other causes of stress in the hospital
4
These all coalesce in a vicious circle, with inefficient systems requiring longer to complete,
creating less time for quality patient care, more patient frustration, and increased patient
turnover.
Focused Problem Claim
The Primary and the Most Suitable Leading/Contributing Factor.
The issue of excessive documentation as a burden is the most fundamental and actionable
amongst the three factors that were focused on. It is quantifiable, directly linked to time lost, and
is more responsive to measures or solutions. Research work by Wu et al. (2024) reveals the
documentation reduction approaches that include the use of scribes and AI-assisted dictation.
The mitigation of the documentation burden can occur at the level of the documentation, without
the need to overhaul entire EHR platforms. This is important in providing relief to clinicians in
both outpatient and hospital settings.
Scope Limitations
This paper does not examine other factors that contribute to burnout, such as staffing
shortages, reimbursement structures, or organizational factors such as culture. It does not assess
individual EHR vendors or technologies other than in relation to documentation burden. The
analysis is restricted to ambulatory care, specifically hospital and outpatient care, in the nursing
and physician workforce in the United States.
Setting up the Forthcoming Solution.
This analysis has set excessive documentation burden as the core and actionable issue for
solution development, giving it a solution-driven focus and grounding. It is specific enough to be
dealt with in the context of targeted intervention and large enough and consequential enough to
warrant meaningful organizational investment. A solution section follows, drawing upon this
Diane McMurry
incomplete sentence–but this appears to be working towards a solution. Stay focused on proving the problem.
5
solid base and examining evidence-based approaches that can alleviate the burden of EHR
documentation, free up clinician time for meaningful patient care, and provide a viable solution
to one of the most pressing workforce issues in today's health care environment.
6
References
Alobayli, F. Y., O’Connor, S., Holloway, A., & Cresswell, K. (2023). Electronic Health Record
Stress and Burnout Among Clinicians in Hospital Settings: A Systematic Review.
DIGITAL HEALTH, 9(9). https://doi.org/10.1177/20552076231220241
Asgari, E., Kaur, J., Nuredini, G., Balloch, J., Taylor, A. M., Sebire, N., Robinson, R., Peters, C.,
Sridharan, S., & Pimenta, D. (2024). Impact of Electronic Health Record Use on
Cognitive Load and Burnout Among Clinicians: Narrative Review. JMIR Medical
Informatics, 12(1), e55499. https://doi.org/10.2196/55499
Wu, Y., Wu, M., Wang, C., Lin, J., Liu, J., & Liu, S. (2024). Evaluating the Prevalence of
Burnout Among Health Care Professionals Related to Electronic Health Record Use:
Systematic Review and Meta-Analysis. JMIR Medical Informatics, 12(1), e54811.
https://doi.org/10.2196/54811
Diane McMurry
use correct apa format
– References
**## Week3WritingTaskSolution.docx**
This week, you will write the section of your paper that presents a solution to your problem. This section of your paper should include the following:
**1. Transition from Problem to Solution (100–150 words) No heading for this section on your paper.**
· Briefly restate the focused problem
· Clarify which contributing factor your solution addresses
· Establish
why this solution is necessary
**2. Proposed Solution (400–500 words)**
This section must:
· Clearly define the intervention, reform, or practice change
· Explain how it would operate in practice
· Integrate at least 3 scholarly sources
· Demonstrate how the solution directly addresses the identified cause
Avoid vague language such as:
· “Raise awareness”
· “Improve education”
· “Increase funding” (without specifying how these items would be accomplished)
Include specificity:
· Who implements it?
· Where does it occur?
· Over what time frame?
**3. Feasibility Analysis (150–200 words)**
Students must evaluate:
· Practical implementation barriers
· Required resources
· Institutional or professional constraints
· Why the solution remains viable despite challenges
**4. Counterargument (150–200 words)**
Students must:
· Present a credible critique grounded in research (a source documenting the opposing or alternate view must be cited)
· Explain why reasonable professionals might oppose the solution
· Respond with evidence-based rebuttal (source must be cited)
The counterargument must reflect actual scholarly concern, not hypothetical resistance.
**5. Unintended Consequence (100–150 words)**
Students must:
· Identify one realistic, unintended consequence
· Assess its seriousness
· Clarify whether mitigation is possible or how awareness of this potential issue might be addressed
**6.Reference Page**
· A minimum of 4 academic sources must be cited in your paper and listed on the reference page
· Use correct APA format for each reference, including a permalink for sources
**REQUIREMENTS**
·
**Writing must be an original submission written by the student**
·
**Third-person academic writing**
·
**Cite your source with direct quotes and correct in-text citations**
·
**Include an APA-formatted reference page with permalinks**
·
**You may use this blank APA template**
**## Week2ProblemSection1correctins.pdf**
1
Problem Section
EHR Workflow Inefficiency and Clinical Burnout: A Problem Analysis
Leidylin Guerrero
Keiser University
ENC4313-Research Writing
Diane McMurry, Ph.D.
20 June 2026
2
EHR Workflow Inefficiency and Clinical Burnout: A Problem Analysis
The electronic health record (EHR) was intended to facilitate care coordination and
access to information, but it has inadvertently created a paradox that it is one of the leading
causes of clinician burnout. Hospital and outpatient nurses, doctors, and advanced practice
providers report that a lot of their time is spent on paperwork instead of patient care. The study
by Wu et al. (2024) reveals that the number of healthcare professionals experiencing burnout due
to EHR use is 40.4% in the pooled prevalence of burnout across 37 studies, with a total of more
than 66,000 participants. Based on these statistical data, there is evidence regarding the
magnitude of the problem. In the field of nursing informatics, this issue is a pressing one. The
discipline has a unique ability to study and optimize the relationship between clinicians, data,
and technology. However, with the growing pressure of workforce shortages, it's no longer
viable to ignore EHR-related burnout. The focus of the paper is to establish the main causes and
offer an effective strategy towards addressing the most implementable aspect of the issue.
Contributing Factors Analysis
The EHR’s inefficiency in workflow is caused by clinical burnout, and this takes place in
three ways. These include overload in the documentation, usability of the EHR, and the patient-
provider relationship.
Research-Supported Contributing Factors
The key contributory factor is the burden linked to the documentation. Alobayli et al.
(2023) study reveals that time on EHR activities and usability problems play a huge role in the
reported stress and burnout experienced by the clinician. Doctors are spending several hours
completing their paperwork after work. Consequently, it deprives them of their time and leaves
them with an extended workday. The argument above is supported by Wu et al. (2024) whose
Diane McMurry
move the statistical support to the analysis. The intro should present the issue more generally
Diane McMurry
is this true?
Diane McMurry
who does the paperwork? Who uses EHR? Why? Is it required? If so, by whom?
This should be explained in the intro
Diane McMurry
3
findings reveal that healthcare providers involved in the performance of EHR tasks outside their
allotted hours on the documentation were 2.43 times more likely to report that they experienced
burnout than those who did not.
Such burdens are increased as a result of the poor usability of EHRs. Billing and
regulatory compliance systems have been designed instead of the clinical workflow. As a result,
there is a development of interfaces that provide redundant data entry and time-consuming
workarounds. Poor presentation of the clinical information and complex user interfaces result in
cognitive overload, hence burnout (Asgari et al., 2024). If clinicians are unable to work
successfully within systems, they have more to think about during each encounter, which takes
away resources from complex clinical thinking and patient engagement.
The third aspect is the disruption to the EHR documentation that affects the existing
relationship between the provider and patient. The real-time charting during visitation leads to
the division of the attention of the clinician between the client and the screen, thus causing
degradation of the communication quality. For clinicians with a professional identity based on
the therapeutic relationship, such erosion results in moral distress. This condition is associated
with emotional fatigue or exhaustion and burnout.
How These Factors Interact and Contribute to the Problem:
These three contribute to a compounding cycle. The burden caused by the documentation
leads to the extension of the working hours, resulting in poor usability that results in challenging
and longer documentation tasks, and the demands for the chart during clinical encounters and
visitation fractures. Alobayli et al. (2023) study shows high stress in the hospital setting that
worsens EHR workload, leading to burnout. Wu et al. (2024) found that the higher the clinicians'
exposure to EHR-related tasks, particularly outside work hours, the greater the risk of burnout.
Diane McMurry
this is good support; however, if there are those who are not spending additional hours, has there been a study there? What do they do differently?
Diane McMurry
awkward wording
Diane McMurry
source?
Diane McMurry
is the stress specific to using EHR? What about other causes of stress in the hospital
4
These all coalesce in a vicious circle, with inefficient systems requiring longer to complete,
creating less time for quality patient care, more patient frustration, and increased patient
turnover.
Focused Problem Claim
The Primary and the Most Suitable Leading/Contributing Factor.
The issue of excessive documentation as a burden is the most fundamental and actionable
amongst the three factors that were focused on. It is quantifiable, directly linked to time lost, and
is more responsive to measures or solutions. Research work by Wu et al. (2024) reveals the
documentation reduction approaches that include the use of scribes and AI-assisted dictation.
The mitigation of the documentation burden can occur at the level of the documentation, without
the need to overhaul entire EHR platforms. This is important in providing relief to clinicians in
both outpatient and hospital settings.
Scope Limitations
This paper does not examine other factors that contribute to burnout, such as staffing
shortages, reimbursement structures, or organizational factors such as culture. It does not assess
individual EHR vendors or technologies other than in relation to documentation burden. The
analysis is restricted to ambulatory care, specifically hospital and outpatient care, in the nursing
and physician workforce in the United States.
Setting up the Forthcoming Solution.
This analysis has set excessive documentation burden as the core and actionable issue for
solution development, giving it a solution-driven focus and grounding. It is specific enough to be
dealt with in the context of targeted intervention and large enough and consequential enough to
warrant meaningful organizational investment. A solution section follows, drawing upon this
Diane McMurry
incomplete sentence–but this appears to be working towards a solution. Stay focused on proving the problem.
5
solid base and examining evidence-based approaches that can alleviate the burden of EHR
documentation, free up clinician time for meaningful patient care, and provide a viable solution
to one of the most pressing workforce issues in today's health care environment.
6
References
Alobayli, F. Y., O’Connor, S., Holloway, A., & Cresswell, K. (2023). Electronic Health Record
Stress and Burnout Among Clinicians in Hospital Settings: A Systematic Review.
DIGITAL HEALTH, 9(9). https://doi.org/10.1177/20552076231220241
Asgari, E., Kaur, J., Nuredini, G., Balloch, J., Taylor, A. M., Sebire, N., Robinson, R., Peters, C.,
Sridharan, S., & Pimenta, D. (2024). Impact of Electronic Health Record Use on
Cognitive Load and Burnout Among Clinicians: Narrative Review. JMIR Medical
Informatics, 12(1), e55499. https://doi.org/10.2196/55499
Wu, Y., Wu, M., Wang, C., Lin, J., Liu, J., & Liu, S. (2024). Evaluating the Prevalence of
Burnout Among Health Care Professionals Related to Electronic Health Record Use:
Systematic Review and Meta-Analysis. JMIR Medical Informatics, 12(1), e54811.
https://doi.org/10.2196/54811
Diane McMurry
use correct apa format
– References
**## Week3WritingTaskSolution.docx**
This week, you will write the section of your paper that presents a solution to your problem. This section of your paper should include the following:
**1. Transition from Problem to Solution (100–150 words) No heading for this section on your paper.**
· Briefly restate the focused problem
· Clarify which contributing factor your solution addresses
· Establish
why this solution is necessary
**2. Proposed Solution (400–500 words)**
This section must:
· Clearly define the intervention, reform, or practice change
· Explain how it would operate in practice
· Integrate at least 3 scholarly sources
· Demonstrate how the solution directly addresses the identified cause
Avoid vague language such as:
· “Raise awareness”
· “Improve education”
· “Increase funding” (without specifying how these items would be accomplished)
Include specificity:
· Who implements it?
· Where does it occur?
· Over what time frame?
**3. Feasibility Analysis (150–200 words)**
Students must evaluate:
· Practical implementation barriers
· Required resources
· Institutional or professional constraints
· Why the solution remains viable despite challenges
**4. Counterargument (150–200 words)**
Students must:
· Present a credible critique grounded in research (a source documenting the opposing or alternate view must be cited)
· Explain why reasonable professionals might oppose the solution
· Respond with evidence-based rebuttal (source must be cited)
The counterargument must reflect actual scholarly concern, not hypothetical resistance.
**5. Unintended Consequence (100–150 words)**
Students must:
· Identify one realistic, unintended consequence
· Assess its seriousness
· Clarify whether mitigation is possible or how awareness of this potential issue might be addressed
**6.Reference Page**
· A minimum of 4 academic sources must be cited in your paper and listed on the reference page
· Use correct APA format for each reference, including a permalink for sources
**REQUIREMENTS**
·
**Writing must be an original submission written by the student**
·
**Third-person academic writing**
·
**Cite your source with direct quotes and correct in-text citations**
·
**Include an APA-formatted reference page with permalinks**
·
**You may use this blank APA template**
**## Week2ProblemSection1correctins.pdf**
1
Problem Section
EHR Workflow Inefficiency and Clinical Burnout: A Problem Analysis
Leidylin Guerrero
Keiser University
ENC4313-Research Writing
Diane McMurry, Ph.D.
20 June 2026
2
EHR Workflow Inefficiency and Clinical Burnout: A Problem Analysis
The electronic health record (EHR) was intended to facilitate care coordination and
access to information, but it has inadvertently created a paradox that it is one of the leading
causes of clinician burnout. Hospital and outpatient nurses, doctors, and advanced practice
providers report that a lot of their time is spent on paperwork instead of patient care. The study
by Wu et al. (2024) reveals that the number of healthcare professionals experiencing burnout due
to EHR use is 40.4% in the pooled prevalence of burnout across 37 studies, with a total of more
than 66,000 participants. Based on these statistical data, there is evidence regarding the
magnitude of the problem. In the field of nursing informatics, this issue is a pressing one. The
discipline has a unique ability to study and optimize the relationship between clinicians, data,
and technology. However, with the growing pressure of workforce shortages, it's no longer
viable to ignore EHR-related burnout. The focus of the paper is to establish the main causes and
offer an effective strategy towards addressing the most implementable aspect of the issue.
Contributing Factors Analysis
The EHR’s inefficiency in workflow is caused by clinical burnout, and this takes place in
three ways. These include overload in the documentation, usability of the EHR, and the patient-
provider relationship.
Research-Supported Contributing Factors
The key contributory factor is the burden linked to the documentation. Alobayli et al.
(2023) study reveals that time on EHR activities and usability problems play a huge role in the
reported stress and burnout experienced by the clinician. Doctors are spending several hours
completing their paperwork after work. Consequently, it deprives them of their time and leaves
them with an extended workday. The argument above is supported by Wu et al. (2024) whose
Diane McMurry
move the statistical support to the analysis. The intro should present the issue more generally
Diane McMurry
is this true?
Diane McMurry
who does the paperwork? Who uses EHR? Why? Is it required? If so, by whom?
This should be explained in the intro
Diane McMurry
3
findings reveal that healthcare providers involved in the performance of EHR tasks outside their
allotted hours on the documentation were 2.43 times more likely to report that they experienced
burnout than those who did not.
Such burdens are increased as a result of the poor usability of EHRs. Billing and
regulatory compliance systems have been designed instead of the clinical workflow. As a result,
there is a development of interfaces that provide redundant data entry and time-consuming
workarounds. Poor presentation of the clinical information and complex user interfaces result in
cognitive overload, hence burnout (Asgari et al., 2024). If clinicians are unable to work
successfully within systems, they have more to think about during each encounter, which takes
away resources from complex clinical thinking and patient engagement.
The third aspect is the disruption to the EHR documentation that affects the existing
relationship between the provider and patient. The real-time charting during visitation leads to
the division of the attention of the clinician between the client and the screen, thus causing
degradation of the communication quality. For clinicians with a professional identity based on
the therapeutic relationship, such erosion results in moral distress. This condition is associated
with emotional fatigue or exhaustion and burnout.
How These Factors Interact and Contribute to the Problem:
These three contribute to a compounding cycle. The burden caused by the documentation
leads to the extension of the working hours, resulting in poor usability that results in challenging
and longer documentation tasks, and the demands for the chart during clinical encounters and
visitation fractures. Alobayli et al. (2023) study shows high stress in the hospital setting that
worsens EHR workload, leading to burnout. Wu et al. (2024) found that the higher the clinicians'
exposure to EHR-related tasks, particularly outside work hours, the greater the risk of burnout.
Diane McMurry
this is good support; however, if there are those who are not spending additional hours, has there been a study there? What do they do differently?
Diane McMurry
awkward wording
Diane McMurry
source?
Diane McMurry
is the stress specific to using EHR? What about other causes of stress in the hospital
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These all coalesce in a vicious circle, with inefficient systems requiring longer to complete,
creating less time for quality patient care, more patient frustration, and increased patient
turnover.
Focused Problem Claim
The Primary and the Most Suitable Leading/Contributing Factor.
The issue of excessive documentation as a burden is the most fundamental and actionable
amongst the three factors that were focused on. It is quantifiable, directly linked to time lost, and
is more responsive to measures or solutions. Research work by Wu et al. (2024) reveals the
documentation reduction approaches that include the use of scribes and AI-assisted dictation.
The mitigation of the documentation burden can occur at the level of the documentation, without
the need to overhaul entire EHR platforms. This is important in providing relief to clinicians in
both outpatient and hospital settings.
Scope Limitations
This paper does not examine other factors that contribute to burnout, such as staffing
shortages, reimbursement structures, or organizational factors such as culture. It does not assess
individual EHR vendors or technologies other than in relation to documentation burden. The
analysis is restricted to ambulatory care, specifically hospital and outpatient care, in the nursing
and physician workforce in the United States.
Setting up the Forthcoming Solution.
This analysis has set excessive documentation burden as the core and actionable issue for
solution development, giving it a solution-driven focus and grounding. It is specific enough to be
dealt with in the context of targeted intervention and large enough and consequential enough to
warrant meaningful organizational investment. A solution section follows, drawing upon this
Diane McMurry
incomplete sentence–but this appears to be working towards a solution. Stay focused on proving the problem.
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solid base and examining evidence-based approaches that can alleviate the burden of EHR
documentation, free up clinician time for meaningful patient care, and provide a viable solution
to one of the most pressing workforce issues in today's health care environment.
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References
Alobayli, F. Y., O’Connor, S., Holloway, A., & Cresswell, K. (2023). Electronic Health Record
Stress and Burnout Among Clinicians in Hospital Settings: A Systematic Review.
DIGITAL HEALTH, 9(9). https://doi.org/10.1177/20552076231220241
Asgari, E., Kaur, J., Nuredini, G., Balloch, J., Taylor, A. M., Sebire, N., Robinson, R., Peters, C.,
Sridharan, S., & Pimenta, D. (2024). Impact of Electronic Health Record Use on
Cognitive Load and Burnout Among Clinicians: Narrative Review. JMIR Medical
Informatics, 12(1), e55499. https://doi.org/10.2196/55499
Wu, Y., Wu, M., Wang, C., Lin, J., Liu, J., & Liu, S. (2024). Evaluating the Prevalence of
Burnout Among Health Care Professionals Related to Electronic Health Record Use:
Systematic Review and Meta-Analysis. JMIR Medical Informatics, 12(1), e54811.
https://doi.org/10.2196/54811
Diane McMurry
use correct apa format
– References