The Impact of Electronic Health Records on Meaningful Work in Healthcare: A Literature Review

Abstract

Electronic Health Records (EHRs) are transforming how healthcare professionals work by enhancing and constraing their work. These raises questions about how EHRs changes their experience of meaningful work. This literature review utilizes 38 empirical studies to explore how EHRs influence four dimensions of meaningful work: mastery, purpose, connection, and autonomy. EHRs often strain usability, autonomy, and patient relationships due to tensions between technology, institutional goals, and care practices. The findings unveil ongoing tensions between the values embedded in digital infrastructures and the ideals of humanistic care. Clinicians often adapt through workarounds to maintain purpose and agency within rigid systems. The review advocates for participatory and value-sensitive design approaches focusing on professional identity, relational care, and ethical practice. EHRs risk undermining the work that the system aims to support.