Designing an EMR Planning Process Based on Staff Attitudes Toward and Opinions About Computers in Healthcare (original) (raw)

An Exploration of Nurses' Perceptions of the Usefulness and Easiness of Using EMRs

Journal of Public Health Sciences

EMRs play an essential role in documenting clinical information. Nurses are integral to the success of an EMR implementation, as they are the largest group of employees in a hospital and provide patient care. A major factor in the success of EMR implementation is nurses' acceptance of the system. This study is designed to measure nurses' willingness to use EMRs in clinical practice, determine factors influencing nurses' acceptance of EMR documentation in clinical practice, and gain an understanding of the nurses' perspective on EMRs to encourage the adoption and implementation of EMRs in other health facilities in Saudi Arabia. This study included nurses from Hail General Hospital, Maternity and Children Hospital, King Khalid Hospital, and Hail General Hospital. Study results indicate that perceived usefulness and ease of use are strongly correlated, resulting in nurses' greater acceptance of EMRs. According to the study results, nurses are willing to use EMRs. O...

Evaluation of EMR Implementation in a Private Hospital from User's Perspective

PsycEXTRA Dataset

Implementation of an electronic medical record system increases efficiency of health services, quality of care and patient satisfaction. Successful implementation depends on multiple factors; one of which is users' response to EMR. This study aimed to assess physicians and nurses' views on the use, quality and user satisfaction with EMR at a tertiary care center in Karachi, Pakistan. Since its inception the Hospital is accredited for being Pakistan's first paperless hospital. A cross-sectional survey was conducted using a self-administered questionnaire to evaluate use, quality and user satisfaction with EMR. The questionnaire assessed: 1) computer related experience; 2) perceptions regarding EMR use; 3) quality of EMR system and 4) level of satisfaction with EMR system. The response rate was 75% nurses and 61% physicians. It was found that 80% of the respondents used EMR to obtain results of patients' investigations and test reports. 81.6% respondents were of the opinion that the EMR System provides the needed information about patients and reported their satisfaction with the accuracy of the system. Concerning user satisfaction with EMR, 94.6% of EMR users believed that EMR is a useful system and 90.8% agreed on its significance for the better care of the patients. Type of respondents emerged as a significant correlate with overall users' satisfaction (p < 0.05). 90% respondents emphasized on a user-friendly EMR system and adequate training on its usage. Besides respondents, gender and computer related experience have also significantly correlated with various aspects of use, quality and user satisfaction with EMR (p < 0.05). We were unable to correlate age with satisfaction with an EMR. EMR implementation positively effects workflow and practice efficiency in a hospital. This study provides a systematic evaluation o f v ar i o us d i m e n s i o n s of EMR and its correlates which is essential to understand reasons and barriers for success, and methods to increase success in EMR implementation. Hospital management should ensure the availability of technical expertise along with adequate training of HMIS staff.

Opinions, perceptions and attitudes toward an electronic health record system among practicing nurses

Journal of Nursing Education and Practice, 2017

Background: Despite worldwide expanding implementation of electronic health record (EHR) systems, healthcare professionals conducted limited number of studies to explore factors that might facilitate or jeopardize using these systems. This study underscores the impact of nurses' opinions, perceptions, and computer competencies on their attitudes toward using an EHR system. Methods: With randomized sampling, a cross-sectional exploratory design was used. The sample consisted of 169 nurses who worked at a public teaching hospital in Oman. They completed self-administered questionnaire. Several standardized valid and reliable instruments were utilized. Results: Seventy-four percent of our study nurses had high positive attitudes toward the EHR system. The least ranked perception scores (60.4%) were linked to perceiving that suggestions made by nurses about the system would be taken into account. Nurses who reported that the hospital sought for suggestions for customization of the system [OR: 2.54 (95% CI: 1.09, 5.88), p = .03], who found the system as an easy-to-use clinical information system [OR: 6.53 (95% CI: 1.72, 24.75), p = .01], who reported the presence of good relationship with the system's managing personnel [OR: 3.59 (95% CI: 1.13, 11.36), p = .03] and who reported that the system provided all needed health information [OR: 2.97 (95% CI: 1.16, 7.62), p = .02] were more likely to develop high positive attitudes toward the system. Conclusions: To better develop plans to foster the EHR system's use facilitators and overcome its usage barriers by nursing professionals, more involvement of nurses in system's customization endeavors is highly suggested. When the system did not disrupt workflows, it would decrease clinical errors and expand nursing productivity. In order to maximize the utilization of the system in healthcare delivery, future research work to investigate the effect of the system on other healthcare providers and inter-professional communications is pressingly needed.

Nurses’ Attitudes and Preferences towards usage of Electronic Medical Records

Environment-Behaviour Proceedings Journal

Electronic Medical records document the treatment plan and patient care. This study intends to identify trained nurses' reception toward using EMR in the wards. A non-experimental cross-sectional survey covered the multi-discipline area. A stratified random sampling method in which the population in this research consisted of n= 138 trained nurses. Results found that the trained nurses tended to document the data at the nurse's station compared to the bedside entry. It's also shown that the demographics variable significantly correlated with attitude domains. Hence with the research results, it is envisaged to benefit the nurses and organization and hopefully can become the catalyst for the Ministry of Health in further improving and elevating the system throughout all hospitals in Malaysia. Keywords: Attitude, Electronic medical record, Nurses, Preferences eISSN: 2398-4287 © 2022. The Authors. Published for AMER ABRA cE-Bs by e-International Publishing House, Ltd., UK. ...

Facilitators and Barriers to the Adoption of an Electronic Medical Record System by Intensive Care Nurses

Studies in health technology and informatics, 2021

Introducing new technology, such as an electronic medical record (EMR) into an Intensive Care Unit (ICU), can contribute to nurses' stress and negative consequences for patient safety. The aim of this study was to explore ICU nurses' perceptions of factors expected to influence their adoption of an EMR in their workplace. The objectives were to: 1) measure psychological factors expected to influence ICU nurses' adoption of EMR, and 2) explore perceptions of facilitators and barriers to the implementation of an EMR in their workplace. Using an explanatory sequential mixed method approach, data were collected using surveys and focus groups. ICU nurses reported high scores for motivation, work engagement and wellbeing. Focus group analyses revealed two themes: Hope the EMR will bring a new world and Fear of unintended consequences. Recommendations relate to strategies for education and training, environmental restructuring and enablement. Overall, ICU nurses were optimistic...

Evaluating the Implementation of EMR Systems from the Perspective of Health Professionals

In health informatics, the "updated DeLone and McLean IS success model" is reviewed as a mature model in measuring health information system (HIS) success. This research provided an evaluation model to estimate the implementation of electronic medical records (EMR) systems from a health professional perspective by combined the updated DeLone and McLean IS success model, data quality management model, and EMR systems safety attributes. Based on evidence-based management (EBM), this research could be regarded as an empirical example for further EMR systems research since it not only provided a model to measure the Taiwanese EMR systems in two hospitals by implementing a structure instrument and structure equation modeling (SEM) of quantitative methods, but also introduced how to identify the possible effects in such evaluation research.

Staff expectations for the implementation of an electronic patient record system: A qualitative study

2019

Background Global evidence suggests benefits of introducing electronic patient record (EPR) systems to improve patient care. However, implementing EPR into healthcare organisations is complex and in the United Kingdom (UK), uptake has been slow. More research is needed to explore factors influencing successful implementation. This study explored staff expectations for change and outcome following procurement of an EPR system in a large academic acute NHS trust in the UK. Methods Qualitative interviews were conducted with 14 members of hospital staff who represented a variety of user groups across different specialities within an NHS hospital in England. The four components of Normalisation Process Theory (Coherence, Cognitive participation, Collective action and Reflexive monitoring) provided a theoretical framework to interpret and report study findings. Results Health professionals had a common understanding for the rationale for EPR implementation (Coherence). There was variation...

Just What the Doctor Ordered': A Revised UTAUT for EMR System Adoption and Use by Doctors

2011 44th Hawaii International Conference on System Sciences, 2011

Electronic medical record (EMR) systems can deliver many benefits to healthcare organizations and the patients they serve. However, one of the biggest stumbling blocks in garnering these benefits is the limited adoption and use by doctors. We employ the unified theory of acceptance and use of technology (UTAUT) as the theoretical foundation and adapt the theory to the context of EMR system adoption and use by doctors. Specifically, we suggest that age will be the only significant moderator, and gender, voluntariness and experience will not play significant moderating roles. We tested our model in a longitudinal study over a 7-month period in a hospital implementing a new EMR system. We collected 3 waves of survey data from 141 doctors and used system logs to measure use. While the original UTAUT only predicted about 20% of the variance in intention, the modified UTAUT predicted 44%. Both models were comparable in their prediction of use. In addition to contributing to healthcare IT and UTAUT research, we hope this work will serve as a foundation for future work that integrates UTAUT with other theoretical perspectives.

Best Practices in EMR Implementation: A Systematic Review

2006

Electronic medical records (EMRs) are continuing to evolve as a technology for use in medical practice. As experience with EMR implementations increases, new knowledge is gained on how to make their implementation more successful. Recently, several new conceptual frameworks described in the literature provide a richer understanding of what makes an EMR implementation successful. We attempt to integrate the various frameworks into an over-arching framework that is comprehensive, pragmatic and predictive of success.

Are we ready for the Electronic Patient Record? Attitudes and perceptions of staff from two NHS trust hospitals

Health Informatics Journal, 2004

In light of plans to implement an electronic patient record (EPR), preparations for radical organizational change were recognized as being critical to success. The aim of the study was to determine hospital staff’s experience of and attitudes toward computer use and the EPR. A cross-sectional design using the Computer and EPR Attitude Survey was administered to 878 health service employees in two acute hospitals; 479 completed questionnaires were returned, representing a 54 per cent response rate. The majority of respondents demonstrated positive attitudes toward the use of computers and the EPR, although only 298 (62%) wrote that they knew what ‘EPR’ actually stood for. Nurses consistently recorded the greatest agreement with negative statements: ‘I avoid using computers whenever I can,’ ‘Using a computer is more trouble than it is worth,’ and ‘I sometimes feel intimidated by the thought of using a computer.’ Recommendations centre on responsive and prompt actions, e.g. informative...