Nurses’ characteristics and perceptions toward using the electronic health record system as predictors of clinical nursing performance improvement

Raddaha, Ahmad H. Abu

doi:10.5430/cns.v5n4p32

Cited by 3 publications

(4 citation statements)

References 21 publications

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“…Nurses suggested that the computer system could not fully meet patients' needs. Nurses also suggested their needs as end-users were not taken into account when planning the HIS, thereby failing to take into account the realities of nursing practice, such as the lack of computers in clinical areas [44,45], user-unfriendly interface designs [29,43,46], and system unreliability [38]. Thus, some nurses regarded the system design as inappropriate to nursing practice [43,45].…”

Section: Nurses' Experiences Of Computer Usementioning

confidence: 99%

Caring for Computers: The Hidden Work of Clinical Nurses during the Introduction of Health Information Systems in a Teaching Hospital in Taiwan

Huang

2021

Nursing Reports

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Implementing health information systems for enhancing patient care and management occurs worldwide. Discovering how nurses, as important system end-users, experience technology-reliant clinical practice involved focus groups (n = 25) and in-depth individual interviews with nurses (n = 4) and informatics staff (n = 3) in a major Taiwanese medical center. This qualitative study explores the unintended effects of these systems on nurses’ role and clinical practice. First, nurses’ additional role caring for computer devices supporting patient care involves highly-demanding invisible effort, especially when tackling system malfunctions affecting patients with urgent conditions. Second, nurses are resourceful in developing solutions to protect patients during unexpected technical malfunctions. Third, troubleshooting using telephone technical support as the first resort is problematic. It is argued that computerization requires nurses to care for co-clients: patients and computers. Managing technical malfunctions is an unintended consequence for nurses, reflecting the hidden work required by new technology.

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Section: Nurses' Experiences Of Computer Usementioning

confidence: 99%

Caring for Computers: The Hidden Work of Clinical Nurses during the Introduction of Health Information Systems in a Teaching Hospital in Taiwan

Huang

2021

Nursing Reports

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“…While approximately 41.4% disagreed that EHR needs a lot of mental effort, about 35.4% agreed that EHR does require a lot of mental effort. However, from a study conducted by Dowding et al, 11 findings show that several other factors such as individual nurse's characteristics and organizational culture influence how an EHR can be used effectively to improve outcomes for patients 12 . Also, according to the study, half of the nurses were confident in using EHR, including those who had 6 or more years of experience using the system.…”

Section: Resultsmentioning

confidence: 84%

“…However, from a study conducted by Dowding et al, 11 findings show that several other factors such as individual nurse's characteristics and organizational culture influence how an EHR can be used effectively to improve outcomes for patients. 12 Also, according to the study, half of the nurses were confident in using EHR, including those who had 6 or more years of experience using the system. Also, the majority of nurses believe that EHR would be compatible with their work and would make them perform their job tasks easier.…”

Section: Perception and Barriers To Electronic Health Record Integrationmentioning

confidence: 99%

Perception of Nurses in a Federal and State-Owned Hospital in Nigeria Toward Electronic Health Record Integration

Ojo¹,

Adegbile²

2021

CIN: Computers, Informatics, Nursing

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The electronic health record is a growing concept that facilitates the use of standardized documentation, to improve the quality of care given to patients. This study assesses the perceptions and plausible barriers to the proper integration of the electronic health record among nurses in University College Hospital and Adeoyo Maternity Teaching Hospital, both located in Ibadan, Oyo State, in the Western part of Nigeria. The level of association between variables (age, level of academic qualification, and work experience) and nurses' perceptions of electronic health record was also tested. This was a descriptive cross-sectional study that used a simple random sampling technique to recruit 384 nurses, who completed a well-structured questionnaire. Approximately 57.0% of the respondents held poor perceptions of electronic health record integration. Barriers included poor electricity supply, lack of Internet connectivity, and infeasibility of electronic health record integration. An association between level of academic qualification, work experience, and participant perceptions about electronic health record integration was not found (P = .104; P = .027), whereas age was statistically significant (P = .014). Overall, participant perceptions about the integration of electronic health record were poor. Relevant stakeholders would find this result useful and may be required to pay more attention to electronic health records and put the necessary structures that would adequately address the barriers to the integration of electronic health records and train nurses to incorporate the same.

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“…Moreover, nurses in Jordan have embraced EHRs due to their perceived utility and ease of use [36]. Nurses who said that the EHR system helped them do better in their clinical nursing jobs were more likely to think that the EHR system helped them do better in their clinical nursing careers [37,38]. Additionally, positive insights were expressed by nurses in Australia about adoption of the EMR in their workplace environment as a results of their expectations that EMR may assist them in significant ways, such as timely and legible documentation, and to provide assistance in improving patient safety and care delivery [39].…”

Section: Discussionmentioning

confidence: 99%

Nurses’ Attitudes and Factors Affecting Use of Electronic Health Record in Saudi Arabia

Alrasheeday,

Alshammari,

Alkubati

et al. 2023

Healthcare

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(1) Background: Nurses’ attitudes toward electronic health records (EHRs) is a very valuable issue that needs to be evaluated, understood, and considered one of the main factors that can lead to its improvement or handicap its implementation. This study aimed to assess nurses’ attitudes toward EHRs and associated factors that affect the implementation of EHRs in different hospitals in Saudi Arabia. (2) Methods: A cross-sectional study was utilized to collect data from 297 nurses working in public hospitals and primary healthcare centers in Ha’il Province from January to May 2023. Data were collected using the Nurses’ Attitudes Towards Computerization questionnaire and a sociodemographic and work-related characteristics sheet. (3) Results: Most of the participants’ attitude scores (81.1%, n = 241) were more than or equal to 60, representing positive attitudes, whereas 18.9% (n = 56) of the nurses’ scores were less than 60, which is interpreted as negative attitudes. There was a significant relationship between nurses’ attitudes toward EHRs and a participants’ sex, where males had a more positive attitude than females (p < 0.001). Particularly, young nurses and those who had previous computer experience had a more positive attitude than older nurses and those who had no computer experience (p = 0.044 and < 0.001, respectively). Saudi nurses holding a master’s degree had significantly more positive attitudes toward EHRs than non-Saudi nurses holding a bachelor’s or diploma degree (p = 0.007 and 0.048, respectively). Nurses with less experience (less than five years) in the nursing field had a significantly positive attitude. Multiple linear regression showed that sex (p = 0.038), level of education (p = 0.001), and previous computer experience (p < 0.001) were independent factors of nurses’ knowledge of EHRs. (4) Conclusion: The majority of nurses had positive overall attitudes toward using EHRs. Nurses who are Saudi nationals, male, younger, have previous computer experience, and have less than five years of experience had a more positive attitude toward EHRs than nurses who are non-Saudi, female, older, have no computer experience, have bachelor’s or diploma degree, and have less than five years of experience, respectively. Sex, education level, and previous computer experience were independent factors of nurses’ knowledge of EHRs.

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Nurses’ characteristics and perceptions toward using the electronic health record system as predictors of clinical nursing performance improvement

Cited by 3 publications

References 21 publications

Caring for Computers: The Hidden Work of Clinical Nurses during the Introduction of Health Information Systems in a Teaching Hospital in Taiwan

Caring for Computers: The Hidden Work of Clinical Nurses during the Introduction of Health Information Systems in a Teaching Hospital in Taiwan

Perception of Nurses in a Federal and State-Owned Hospital in Nigeria Toward Electronic Health Record Integration

Nurses’ Attitudes and Factors Affecting Use of Electronic Health Record in Saudi Arabia

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