Primary healthcare nurses' perceptions about their ability to utilise electronic health records
DOI:
https://doi.org/10.14528/snr.2022.56.3.3123Keywords:
nurses, perceived skills, primary health care, electronic health recordsAbstract
Introduction: The implementation, adoption and use of electronic health records remains a global challenge despite the numerous advantages associated with their use. This paper explores primary healthcare nurses' perceptions regarding their skill levels in using EHRs.
Methods: Data were collected using a self-administered questionnaire from a sample of 71 nurses (63% response rate) in selected primary health care (PHC) facilities of the Northern-Tygerberg substructure, Cape Town.
Results: The overall results show that 59 respondents 83%) believed that they were skilled in using EHRs in PHC. Nearly two thirds of all nurses (46 or 64.8%) reported using EHRs for nursing documentation, 45 nurses (63%) reported using EHRs to store, retrieve and transfer data, 44 (62%) reported being able to design a flow chart, 38 (53.5%) reported being able to access databases and 38 (52.1%) reported being able to convert electronic files for various applications. However, 33 nurses (46.5%) were unsure of their computer skills in creating multimedia files. This varied from service department to service department, with 62 respondents (87.3%) in pediatric care and 59 respondents (83.1%) in family planning, adult nursing and HIV management reporting having EHR skills. Enrolled nurses rated their EHR skills significantly lower (58%) than registered nurses (92%) (p = 0.028).
Discussion and conclusion: Although most respondents in this study reported being skilled in using EHRs in PHC, better computer accessibility and continuous training are important ongoing requirements. Further qualitative research is needed to better understand some of the problems and barriers which affect nurses' ability to use EHRs in PHC settings.
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Ajiboye, B. A., Adekoya, A. J., Alawiye, M. K., & Oyedipe, W. J. (2014). Knowledge and utilization of health information and communication technologies (HICTs) by health workers of the North-Eastern health zone of Ogun State, Nigeria. Informatics for Health and Social Care, 39, 104–123. https://doi.org/10.3109/17538157.2013.858044 PMid:24517458
Alwan, K., Awoke, T., & Tilahun, B. (2015). Knowledge and utilization of computers among health professionals in a developing country: A cross-sectional study. Journal of Medical Internet Research Human Factors, 2(1), 4. https://doi.org/10.2196/humanfactors.4184 PMid:27025996; PMCid:PMC4797659
Asah, F. (2020). Computer usage among nurses in rural healthcare facilities in South Africa: Obstacles and challenges. Journal of Nursing Management, 21, 499–510. https://doi.org/10.1111/j.1365-2834.2011.01315.x PMid:23409780
Department of Health (DOH). (2012). National eHealth Strategy, South Africa 2012–2017. Pretoria: Department of Health.
Frogner, B. K., Wu, X., Ku, L., Pittman, P., & Masselink, L. E. (2017). Do years of experience with electronic health records matter for productivity of community health centers. Journal of Ambulatory Care Management, 40(1), 36–37. https://doi.org/10.1097/JAC.0000000000000171 PMid:27902551
Furst, C., Finto, D., Malouf-Todaro, N., Moore, C., Orr, D., Santos, J., & Tipton, P. (2013). Changing times: Enhancing clinical practice through evolving technology. Medical-surgical nursing, 22(2), 131–134.
Holden, R. J., & Karsh, B. T. (2010). The technology acceptance model: Its past and its future in health care. Journal of Biomedical Informatics, 43(1), 159–172. https://doi.org/10.1016/j.jbi.2009.07.002 PMid:19615467; PMCid:PMC2814963
Houser, J. (2016). Nursing Research: Reading, using and creating evidence (4th ed.). Jones and Bartlett.
Jiang, W. W., Chen, W., & Chen, Y. C. (2004). Important computer competencies for the nursing profession. Journal of Nursing Research, 12(3), 213–226. https://doi.org/10.1097/01.jnr.0000387505.98877.6d
Kahouei, M., Zadeh, J. M., & Roghani, P. S. (2015). The evaluation of the compatibility of electronic patient record (EPR) system with nurses' management needs in a developing country. International journal of medical informatics, 84(4), 263–270. https://doi.org/10.1016/j.ijmedinf.2014.12.006 PMid:25618609
Kim, J., Rivera, M., Persing, N., Bundy, D., Psoter, K., Ghazarian, S. ... Solomon, B. (2017). Electronic immunization alerts and spillover effects on other preventive care. Clinical Pediatrics, 56(9), 811–820. https://doi.org/10.1177/0009922817715935 PMid:28720032
Lin, H. C., Hsu, M. H., & Yang, C. W. (2014). The influences of computer system success and informatics competencies on organizational impact in nursing environments. Computers, Informatics, Nursing, 32(2), 90–99. https://doi.org/10.1097/CIN.0000000000000010 PMid:24132084
Masselink, L., & Erikson, C. (2016). Perceptions of electronic health records effects on staffing, workflow, and productivity in community health centers. Retrieved April 23, 2022, from https://hsrc.himmelfarb.gwu.edu/sphhs_policy_workforce_facpubs/8
Mugomeri, E., Chatanga, P., Maibvise, C., & Masitha, M. (2016). Assessment of computer literacy of nurses in Lesotho. Computers, Informatics, Nursing, 34(11), 528–534. https://doi.org/10.1097/CIN.0000000000000269 PMid:27315304
Murua, A., Carrasco, E., Agirre, A., Susperregi, J. M., & Gómez, J. (2017). Upgrading legacy EHR systems to smart EHR systems. In International Conference on Innovation in Medicine and Healthcare (pp. 227–233). Cham: Springer. https://doi.org/10.1007/978-3-319-59397-5_24
Noah, C., & Thomas, L. (2017). Using an electronic health record to standardize documentation in an emergency observation unit. On-Line Journal of Nursing Informatics, 21(1). Retrieved April 23 2022, from http://ojni.org/issues/wp-content/uploads/2020/10/Using-an-Electronic-Health-Record-to-Standardize-Documentation-in-an-Emergency-Observation-Unit-_-HIMSS.pdf
Odekunle, F. F., Odekunle, R. O., & Shankar, S. 2017. Why sub-Saharan Africa lags in electronic health record adoption and possible strategies to increase its adoption in this region. International Journal of Health Sciences, 11(4), 59–63. PMid:29085270; PMCid: PMC5654179
Oliver, R., & Towers, S. (2000). Benchmarking ICT literacy in tertiary learning settings. In Learning to choose: Choosing to learn. Proceedings of the 17th Annual ASCILITE Conference, Lismore (pp. 381–390). Southern Cross University.
O'Mahony, D., Wright, G., Yogeswaran, P., & Govere, F. (2014). Knowledge and attitudes of nurses in community health centres about electronic medical records. Curationis, 37(1), 1–6. https://doi.org/10.4102/curationis.v37i1.1150 PMid:24832678
Rachmani, E., Hsu, C., Chang, P., Fuad, A., Nurjanah, N., Shidik, G. ... Lin, M. (2020). Development and validation of an instrument for measuring competencies on public health informatics of primary health care worker (PHIC4PHC) in Indonesia. Primary Health Care Research & Development, 21, E22. https://doi.org/10.1017/S1463423620000018
Sadoughi, F., Azadi, T., & Azadi, T. (2017). Barriers to using electronic evidence-based literature in nursing practice: A systematized review. Health Information & Libraries Journal, 34(3), 187–199. https://doi.org/10.1111/hir.12186 PMid:28726344
Thomas, S. (2016). An analysis of the adoption of electronic health records in primary healthcare (Doctoral dissertation). University of Pretoria, Pretoria.
Tubaishat, A. (2017). Perceived usefulness and perceived ease of use of electronic health records among nurses: Application of technology acceptance model. Informatics for Health and Social Care, 43(4), 379–389. https://doi.org/10.1080/17538157.2017.1363761 PMid:28920708
World Health Organization (WHO). (2008). Primary health care: Now more than ever. Geneva World Health Organization. Retrieved April 23, 2022 from https://reliefweb.int/report/world/world-health-report-2008-primary-health-care-nowmore-ever?gclid=CjwKCAjw9suYBhBIEiwA7iMhNCCZbFjDNMCHX5xLA-1AmwqEyfhjHX3bs9ADYw1rwoh4GEsy_ebN9RoChfIQAvD_BwE
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