Documentation Burden and Cognitive Burden: How Much is Too Much Information?
Abstract
Padden, Joni DNP, APRN, BC, CPHIMSEditor(s): Carter-Templeton, Heather PhD, RN-BC Author Information
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Both insufficient and excessive cognitive load can impair decision-making performance.
“Yet it must be carefully balanced—both insufficient and excessive cognitive load can impair decision-making performance44–46.”
From When better data meets better design: How EHR data usability and system usability shape physicians' cognitive load (2026) · cites this paper as [45]
Cites
Cognitive load theory, educational research, and instructional design: some food for thought
de Jong, T. (2010) · Instructional Science · doi:10.1007/s11251-009-9110-0 · Cited by 1,180 · cited 2× · see citing works
“Cognitive load is defined as the effort being used by working memory.(4) The cognitive burden of clinicians is formidable given the amount of information available for them to access and may result in unbalanced thought patterns for skilled clinicians.”
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Documentation burden in nursing and its role in clinician burnout syndrome
Gesner, E., Dykes, P. C., Zhang, L., & Gazarian, P. (2022) · Applied Clinical Informatics · doi:10.1055/s-0042-1757157 · Cited by 118 · see citing works
Moy, A. J., Hobensack, M., Marshall, K., Vawdrey, D. K., Kim, E. Y., Cato, K. D., & Rossetti, S. C. (2023) · Journal of the American Medical Informatics Association · doi:10.1093/jamia/ocad038 · Cited by 98 · see citing works
Kang, M.-J., Rossetti, S. C., Knaplund, C., Chang, F. Y., Schnock, K. O., Whalen, K., Gesner, E. J., Garcia, J. P., Cato, K. D., & Dykes, P. C. (2021) · CIN: Computers, Informatics, Nursing · doi:10.1097/cin.0000000000000736 · Cited by 13 · see citing works
Merriweather, Lyytinen, K., Aron, D., & Cauley, M. R. (2026) · npj Digital Medicine · doi:10.1038/s41746-025-02243-4 · Cited by 9 · see citing works
- Authors
- Padden, J.
- Venue
- CIN: Computers, Informatics, Nursing
- Published
- 2019-02
- Volume
- 37
- Issue
- 2
- Pages
- 60-61
- ISSN
- 1538-9774
- 1538-2931
- Cited by
- 12
- References
- 1
- Language
- en
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