Simulated electronic health documentation: A cross-sectional exploration of factors influencing nursing students’ intention to use

Abstract

The aim of this study was to investigate factors influencing nursing students' intention to use a simulated webapplication 'Integrated Nursing Education System' for practicing electronic health documentation. The crosssectional study was conducted at a Malaysian University that provides undergraduate nursing degree program. A total of 133 undergraduate nursing students in their year 2 to year 4 of the program were recruited. They had accessed the simulated web-application as part of the teaching-learning activities during the academic year 2016/2017. Technology Acceptance Model was used to guide the study. Validated questionnaires were used to measure the students' perceived ease of use, perceived usefulness, attitudes and intention to use the application. Data collection was done at the end of the semester. Data analysis was done using SPSS (19.0) and AMOS (23.0). Perceived usefulness was the most influential factor of the students' intention to use the simulated webapplication. Perceived ease of use influenced their perceived usefulness significantly. Nurse educators should explain the usefulness of the simulated web-application before assigning students to access it to practice electronic health documentation. The availability of a stable internet access and IT support is important to influence students' perceived ease of use and intention to use the application.

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

“…1,[4][5][6] Designed to support and improve patient care, electronic health record (EHR) systems enable collection and storage of a patient's health information on a digital medium, and they have become an integral part of modern healthcare. [7][8][9][10][11] Nurses rely on EHR system for a range of procedures such as drug management, clinical monitoring, clinical decision making, as well as patient care. [12][13][14][15] Such systemized collection of health details in a digital format has a huge potential to improve the efficiency and productivity of healthcare workers, ensuring better quality, safer patient care, and reduced costs.…”

“…They are responsible for several duties, including documentation, implementation, evaluation, and coordination of patient care 1,4–6 . Designed to support and improve patient care, electronic health record (EHR) systems enable collection and storage of a patient's health information on a digital medium, and they have become an integral part of modern healthcare 7–11 . Nurses rely on EHR system for a range of procedures such as drug management, clinical monitoring, clinical decision making, as well as patient care 12–15 .…”

Factors influencing the intention to use the ICD-11 among medical record officers (MROs) and assistant medical record officers (AMROs) in Ministry of Health, Malaysia

“…Previous studies have shown an empirical relationship between perceived ease of use and attitude 52 , 53 . Despite the adequacy of resources and support, difficulty levels of healthcare technology are essential in determining users' attitudes 54 . In line with DTPB and other studies, the following hypothesis is proposed: H5: Perceived ease of use positively influences MROs' and AMROs' attitudes toward ICD-11.…”