Table 4.

Overview of rationales for the work system component person(s) and related included studies.

Rationales	Description	Studies
Declarative knowledge	Not knowing how to use (a part of) the EHRa to accomplish a task	[20,33,34,39,43,44]
Procedural knowledge	Knowing how but not being proficient enough to use a part of the EHR to accomplish a task	[20,28,34,39,44]
Memory aid	Writing patient data down on paper (eg, keywords) or adding visual elements to parts of text in a progress note (eg, boldfacing, italicizing, or underlining) to remind oneself	[20,34,39,43,45-47]
Awareness	Storing patient data that are perceived important by the EHR user for other colleagues or patients to be noticed (frequently in a data field other than the intended field in the EHR)	[20,39,40,48]
Social norms	Formal or informal, collaborative, and cultural understandings among health care professionals leading to the creation and dissemination of workarounds (eg, mimicking workarounds devised by colleagues to accomplish a task or working around the system upon as friendly requested or enforced by a fellow clinician)	[20,29-31,45,49,50]
Trust (new)	Having insufficient trust in the (new) EHR system or its capabilities, lack of perceived usefulness, or insufficient confidence in the (completeness) of data	[20,33-39]

^aEHR: electronic health record.