Responses indicated that change of mindset may be needed on the part of nursing management so that they begin to actively promote ready access to computers as a means of creating greater professionalism and collegiality.
With the positive attitudes expressed by the students, nurse managers need to create a conducive environment to ensure such a positive attitude continues to excel.
The use of electronic health systems is rapidly spreading in low-and middle-income countries (LLMICs). Empirical evidence shows that eHealth systems can improve access, quality, and equitable healthcare delivery, especially for the poor and vulnerable. Studies suggest that a lack of systems thinking leads to inadequate technical infrastructure, lack of interoperability, streamlining of patientand health information sharing. This article assesses the BETTEReHEALTH strategic priority factors from four African countries: Ethiopia, Ghana, Malawi, and Tunisia. The primary data source was eHealth policies from the four countries. A document analysis was conducted, complemented by deductive, qualitative content analysis. The results show these countries have adopted and implemented eHealth policies. They have dedicated governing bodies that aim to strengthen the coordination of eHealth efforts. However, there is a need for more robust government support and regulation in creating a sustainable national eHealth environment.
Intrigued by the outstanding performances of a rural health care facility in relation to data management and use, recognized by the KwaZulu-Natal Ministerial Award in 2017 and 2018, respectively, we draw on an interpretive case study to further our understanding of the role of the healthcare managers in this and the context in which they operated.The performance of the healthcare facility in relation to data management and use could be traced to the cultivation of a "Community of Information Practice" around data management and the leadership style of the healthcare manager and the commitment of the staff. The study highlights the healthcare manager as pivotal in strengthening a data use culture in resource-constrained healthcare settings. This paper presents a practical approach in operationalizing health indicators in resource-constrained settings. This paper contributes to CoP by extending the role of the facilitator beyond the usual role as organizer of meetings to champions of the CoP. The paper concludes that healthcare managers are change agents, who make sense of changes with their colleagues, by sharing knowledge and experiences in a way that allows continuous learning to take place, creating a sustainable context for continuous use of health data.
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