A Scoping Review of Research Involving Nurses and Electronic Health Records in Middle Eastern Countries

Strudwick, Gillian; Tanimizu, Ai; Saraswathy, Sandhya Nilackal; Yousef, Sara; Nickerson, Veronica; Bloomberg, Lawrence S.

doi:10.23937/2469-5823/1510012

Cited by 3 publications

(3 citation statements)

References 23 publications

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“…The success of an EMR implementation must consider not only the suitability, feasibility and acceptability of the system to nurses as the largest group of end users, but also the potential for impacts of the system on nurses themselves [ 59 , 60 ]. Literature suggests potential for both positive and negative consequences of an EMR implementation for nurses’ motivation, engagement and well-being at work; however, these three concepts have not been investigated in relation to this phenomenon, either concurrently with implementation or over time.…”

Section: Introductionmentioning

confidence: 99%

Nurse Motivation, Engagement and Well-Being before an Electronic Medical Record System Implementation: A Mixed Methods Study

Jedwab

Hutchinson

Manias

et al. 2021

IJERPH

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Implementation of an electronic medical record (EMR) is a significant workplace event for nurses in hospitals. Understanding nurses’ key concerns can inform EMR implementation and ongoing optimisation strategies to increase the likelihood of nurses remaining in the nursing workforce. This concurrent mixed-methods study included surveys from 540 nurses (response rate 15.5%), and interviews with 63 nurses to examine their perceptions of using a new EMR prior to implementation at a single healthcare organisation. Survey findings revealed 32.2% (n = 174) of nurses reported low well-being scores and 28.7% (n = 155) were experiencing burnout symptoms. In contrast, 40.3% (n = 216) of nurses reported high work satisfaction, 62.3% (n = 334) had high intentions of staying in their role, and 34.3% (n = 185) were engaged in their work. Nearly half (n = 250, 46.3%) reported intrinsic motivation towards EMR use. Thematic analysis of focus group interviews revealed two themes, each with three subthemes: (1) Us and Them, detailed the juxtaposition between nurses’ professional role and anticipated changes imposed on them and their work with the EMR implementation; and (2) Stuck in the middle, revealed nurses’ expectations and anticipations about how the EMR may affect the quality of nurse-patient relationships. In conclusion, anticipation of the EMR implementation emerged as a stressor for nursing staff, with some groups of nurses particularly vulnerable to negative consequences to their well-being.

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Section: Introductionmentioning

confidence: 99%

Nurse Motivation, Engagement and Well-Being before an Electronic Medical Record System Implementation: A Mixed Methods Study

Jedwab

Hutchinson

Manias

et al. 2021

IJERPH

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“…Also, Saudi nurses and those holding master's degrees had significantly more positive attitudes toward EHRs than non-Saudi nurses and those holding bachelor's or diploma degrees, which means that nurses' perspectives and attitudes about EHRs are significantly influenced by their nationality and level of education. According to a study by Strudwick et al (2015), countries located in the Middle East saw a surge in the installation and implementation of such technologies, with nurses making up the largest user group. The findings of a study carried out in Taiwan provide further evidence that differences in national culture have a substantial influence on the behavioral intention of nurses to use EHRs [54].…”

Section: Discussionmentioning

confidence: 99%

“…According to a study by Strudwick et al (2015), countries located in the Middle East saw a surge in the installation and implementation of such technologies, with nurses making up the largest user group. The findings of a study carried out in Taiwan provide further evidence that differences in national culture have a substantial influence on the behavioral intention of nurses to use EHRs [54]. Furthermore, in Turkey's primary care settings, healthcare professionals with master's degrees were more likely to favor EHRs [55].…”

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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The evaluation of users’ satisfaction with the Social Security Electronic System in Iran

Khajouei

Farahani

2019

Health Technol.

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A Scoping Review of Research Involving Nurses and Electronic Health Records in Middle Eastern Countries

Cited by 3 publications

References 23 publications

Nurse Motivation, Engagement and Well-Being before an Electronic Medical Record System Implementation: A Mixed Methods Study

Nurse Motivation, Engagement and Well-Being before an Electronic Medical Record System Implementation: A Mixed Methods Study

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

The evaluation of users’ satisfaction with the Social Security Electronic System in Iran

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