Barriers to Adoption of Electronic Health Record Systems from the Perspective of Nurses

Abstract

This study report aimed to investigate the barriers to implementation of electronic health record systems from the perspective of nurses. The research data comprised responses from nurses working in a university hospital. Our data collection instruments were the Participant Information Form and EHR Nurse Opinion Questionnaire, which were developed by the researchers. Data analysis was presented as summary statistics, including mean values of variables, standard deviation, frequency, and percentages. A total of 160 nurses participated in the study. The mean age of participants was 30.94 ± 0.59 years, and 77.5% were university graduates. Barriers to adoption of the electronic health record system included high number of patients (82.8%), limited time (79%), lack of knowledge and skills for effective use of the system (22.9%), lack of user-friendly interface and inability to create a common language within the team (17.8%), and attachment to the traditional method (17.2%). Although most nurses thought that the electronic health record system offered some advantages, they reported that factors such as large numbers of patients, limited time, and lack of user-friendly interface hindered its adoption. Innovative strategies should be explored to develop user-friendly designs for electronic health records and to produce solutions for nursing shortages to increase the time allocated for patient care.

Implementasi of technology acceptance model (TAM) in electronic documentation of nursing care: phenomenology explorative

“…The obstacles experienced by nurses in using electronic documentation are problems with the system, including difficulties in accessing the system (poor internet connection, EMR system down, takes a long time to open medical records), which have an impact on services in the form of delays in (Erny Kristiana et al) work, not ready to face system changes, limited resources, imperfect system integration, noncompliance of nurses in documenting nursing care in electronic medical records. The results of this study are in line with the results of several previous studies, which show that limited resources and time, non-optimal procedures, limited access to information, and inadequate training/technical support are obstacles to using electronic documentation (Arikan et al, 2021;Gesulga et al, 2017;Mahalli, 2015;Murphy et al, 2019;Tsai et al, 2020). Human resources (user resistance and lack of skills) and process resources (concerns about return on investment and lack of administrative and political support) are key barriers to overcome (Gesulga et al, 2017).…”

Digitizing nursing: A theoretical and holistic exploration to understand the adoption and use of digital technologies by nurses

“…For example, in a recent survey of wound care clinicians, predominantly nurses, in the United Kingdom (UK) almost none used contemporary smartphone technology in their practice despite 99% of study participants having access to smartphones and 58% having access to more than one device (Wynn & Clark, 2022a, 2022b). Similar findings have been noted in relation to the adoption of electronic health records (Arikan et al, 2021) despite being a key focus of contemporary digitalization efforts which have repeatedly failed to materialize for over 20 years (Burke, 2002; Rumball‐Smith et al, 2020). This may be due, in part, to resistance to an ever‐shifting technological landscape.…”

The Impact of Digital Hospitals on Patient and Clinician Experience: Systematic Review and Qualitative Evidence Synthesis

“…Of the 41 studies that included the EMR user perspective, 19 (46%) reported a usability metric, and 11 (58%) of these reported a positive sentiment [ 50 , 54 , 68 , 70 , 71 , 72 , 76 , 82 , 83 , 89 , 99 ]. Survey components that investigated usability used outcomes such as “ease of use,” “user friendly,” and “technical quality.”…”

“…A total of 30% (14/41) of the studies discussed the experience of adapting existing workflows to integrate the new digital interface and transitioning to a digital environment on the wards [ 47 , 50 , 56 , 60 , 64 , 66 , 70 , 71 , 75 , 77 , 93 , 98 , 99 , 101 ]. Generally, the adaptation outcome had a negative sentiment from EMR users.…”

“…Data accessibility in digital hospitals was reported in 39% (18/41) of the quantitative studies [ 49 , 50 , 53 , 54 , 66 , 68 , 70 , 71 , 75 , 76 , 80 , 82 , 83 , 87 , 93 , 98 , 99 , 104 ]. Much of the sentiment was positive as clinicians agreed that the EMR allowed users to access information when and where they needed it.…”