ORCID ID
Mohammad Alboliteeh : 0000-0001-6065-5541
Abstract
Background: The utilization of electronic health records (EHRs) is crucial. This study aimed to determine the perception of nurses on the utilization and barriers to the use of EHRs.
Methods: This descriptive cross-sectional study on 327 participants was conducted at the government hospitals of Hail City that use EHRs. Data collection was conducted between March and April 2022. The adapted questionnaire was used to collect the data.
Results: Nurses perceived EHRs as useful (5.76 ± 1.71), easy to use (4.74 ± 1.56), and intend to use (5.85 ± 1.81). Sex had no effect on perceived usefulness (p > 0.671), perceived ease of use (p > 0.605), or intention to use (p > 0.880). A significant difference was found in the perceived usefulness based on age (p = 0.045). On training, a significant difference was noted in perceived usefulness (p = 0.039) and intention to use (p = 0.007).
Conclusions: An EHR system is useful and easy to use, and nurses intended to use it. Sex had no effect on perceived usefulness, perceived ease of use, or intention to use. Age showed a significant difference in perceived usefulness. Moreover, training has a significant difference in perceived usefulness and intention to use. Policymakers can use these findings to create a program that targets the needs of nurses so that they can fully utilize EHRs.
References
- Safi S, Thiessen T, Schmailzl KJ. Acceptance and resistance of new digital technologies in medicine: Qualitative study. JMIR Res Protoc. 2018;7:e11072.
- Chen RF, Hsiao JL. An investigation on physicians' acceptance of hospital information systems: A case study. Int J Med Inform. 2012;81:810–20.
- Vitari C, Ologeanu-Taddei R. The intention to use an electronic health record and its antecedents among three different categories of clinical staff. BMC Health Serv Res. 2018;18:194.
- Zhang XY, Zhang P. Recent perspectives of electronic medical record systems. Exp Ther Med. 2016;11:2083–5.
- Menachemi N, Burkhardt J, Shewchuk R, Burke D, Brooks RG. Hospital information technology and positive financial performance: A different approach to finding an ROI. J Healthc Manag. 2006;51:40–58.
- Simon SR, Kaushal R, Cleary PD, Jenter CA, Volk LA, Orav EJ, et al. Physicians and electronic health records: A statewide survey. Arch Intern Med. 2007;167:507–12.
- Al-Adwan AS, Berger H. Exploring physicians' behavioural intention toward the adoption of electronic health records: An empirical study from Jordan. Int J Healthc Technol Manag. 2015;15:89–111.
- Ashraf AR, Thongpapanl N, Auh S. The application of the technology acceptance model under different cultural contexts: The case of online shopping adoption. J Int Mark. 2014;22:68–93.
- Otto P, Nevo D. Electronic health records: A simulation model to measure the adoption rate from policy interventions. J Enterp Inf Manag. 2013;26:165–82.
- Jamoom EW, Patel V, Furukawa MF, King J. EHR adopters vs. non-adopters: Impacts of, barriers to, and federal initiatives for EHR adoption. Healthc (Amst). 2014;2:33–9.
- AlSadrah SA. Electronic medical records and health care promotion in Saudi Arabia. Saudi Med J. 2020;41:583–9.
- Alshammari F, Pasay-an E, Indonto MCL. Competencies in nursing informatics in the Saudi Arabian context: A sequential explanatory study. Philipp J Nurs. 2017;87:45–55.
- Rosenberg K. Comprehensive EHR associated with higher nurse satisfaction. Am J Nurs. 2019;119:69.
- Higgins LW, Shovel JA, Bilderback AL, Lorenz HL, Martin SC, Rogers DJ, et al. Hospital nurses' work activity in a technology-rich environment: A triangulated quality improvement assessment. J Nurs Care Qual. 2017;32:208–17.
- McBride S, Tietze M, Hanley MA, Thomas L. Statewide study to assess nurses' experiences with meaningful use-based electronic health records. Comput Inform Nurs. 2017;35:18–28.
- Schenk EC, Mayer DM, Ward-Barney E, Estill P, Goss L, Shreffler-Grant J. RN perceptions of a newly adopted electronic health record. J Nurs Adm. 2016;46:139–45.
- Topaz M, Ronquillo C, Peltonen LM, Pruinelli L, Sarmiento RF, Badger MK, et al. Nurse informaticians report low satisfaction and multi-level concerns with electronic health records: Results from an international survey. AMIA Annu Symp Proc. 2017;2016:2016–25.
- Carayon P, Smith P, Hundt AS, Kuruchittham V, Li Q. Implementation of an electronic health records system in a small clinic: The viewpoint of clinic staff. Behav Inf Technol. 2009;28:5–20.
- Lorenzi NM. Beyond the gadgets. BMJ. 2004;328:1146–7.
- Davis FD. Perceived usefulness, perceived ease of use, and user acceptance of information technology. MIS Q. 1989;13:319–40.
- Abdekhoda M, Ahmadi M, Gohari M, Noruzi A. The effects of organizational contextual factors on physicians' attitude toward adoption of Electronic Medical Records. J Biomed Inform. 2015;53:174–9.
- Shaker HA, Farooq MU, Dhafar KO. Physicians' perception about electronic medical record system in Makkah Region, Saudi Arabia. Avicenna J Med. 2015;5:1–5.
- Nour El Din MM. Physicians' use of and attitudes toward electronic medical record system implemented at a teaching hospital in Saudi Arabia. J Egypt Public Health Assoc. 2007;82:347–64.
- Tubaishat A. Perceived usefulness and perceived ease of use of electronic health records among nurses: Application of technology acceptance model. Inform Health Soc Care. 2018;43:379–89.
- Shahbahrami A, Moayed Rezaie S, Hafezi M. Effective factors in acceptance of electronic health record from employees point of view. J Guil Uni Med Sci. 2016;24:50–60.
- Laramee AS, Bosek M, Shaner-McRae H, Powers-Phaneuf T. A comparison of nurse attitudes before implementation and 6 and 18 months after implementation of an electronic health record. Comput Inform Nurs. 2012;30:521–30.
- Hillestad R, Bigelow J, Bower A, Girosi F, Meili R, Scoville R, et al. Can electronic medical record systems transform health care? Potential health benefits, savings, and costs. Health Aff (Millwood). 2005;24:1103–17.
- Bowman S. Impact of electronic health record systems on information integrity: Quality and safety implications. Perspect Health Inf Manag. 2013;10:1c.
- Schiff GD, Bates DW. Can electronic clinical documentation help prevent diagnostic errors? N Engl J Med. 2010;362:1066–9.
- Mijin N, Jang H, Choi B, Khongorzul G. Attitude toward the use of electronic medical record systems: Exploring moderating effects of self-image. Inf Dev. 2019;35:67–79.
- Ajami S, Bagheri-Tadi T. Barriers for adopting Electronic Health Records (EHRs) by physicians. Acta Inform Med. 2013;21:129–34.
- Bhattacherjee A, Hikmet N. Physicians' resistance toward healthcare information technology: A theoretical model and empirical test. Eur J Inf Syst. 2007;6:725–37.
Recommended Citation
Alboliteeh M. A Cross-sectional Study of Nurses’ Perception Toward Utilization and Barriers of Electronic Health Record. Makara J Health Res. 2022;26.
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