Factors Associated with Nurses' User Resistance to Change of Electronic Health Record (Preprint)

2020 ◽  
Author(s):  
Younghee Cho ◽  
Mihui Kim ◽  
Mona Choi
Keyword(s):  
Electronic Health Record ◽  
Organizational Support ◽  
Resistance To Change ◽  
Ease Of Use ◽  
Perceived Usefulness ◽  
Health Record ◽  
Factors Affecting ◽  
User Resistance ◽  
Factors Associated ◽  
Electronic Health

BACKGROUND Electronic health record (EHR) systems often face user resistance in hospitals, which results in a failure to acquire the full benefits of EHR systems. It is crucial to reduce nurses’ resistance to use the EHR to implement the system successfully. OBJECTIVE This study aimed to investigate the factors associated with nurses’ resistance to use the EHR system. METHODS A descriptive correlational study was conducted on nurses working at four university hospitals implementing a new EHR within 2 years. Path analysis was performed with seven factors affecting user resistance behavior. RESULTS All seven factors were found to be significantly associated with user resistance, whether directly or indirectly. The total effect on user resistance behavior was highest in resistance to change (0.65), followed by perceived usefulness (-0.33), which both have direct but no indirect effects. Conversely, Self-efficacy (-0.25), perceived value (-0.21), colleagues’ opinion (-0.16), perceived ease of use (-0.16), and organizational support (-0.05) were found to have indirect but no direct effects. CONCLUSIONS The study explored the factors affecting nurses’ user resistance behavior after the implementation of a new EHR system. These findings could help hospitals develop better EHR implementation strategies to reduce user resistance behavior among the nursing staff.

scholarly journals Factors associated with nurses' user resistance to change of electronic health record systems

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Younghee Cho ◽  
Mihui Kim ◽  
Mona Choi
Keyword(s):  
Electronic Health Record ◽  
Organizational Support ◽  
Resistance To Change ◽  
Perceived Value ◽  
Ease Of Use ◽  
Perceived Usefulness ◽  
Health Record ◽  
Perceived Ease Of Use ◽  
User Resistance ◽  
Factors Associated

Abstract Background Electronic health record (EHR) systems often face user resistance in hospitals, which results in a failure to acquire their full benefits. To implement the EHR successfully, it is crucial to reduce nurses’ resistance to use the system. This study aimed to investigate the factors associated with nurses’ resistance to use the EHR system. Methods A descriptive correlational study was conducted with nurses working at four university hospitals in Korea using self-administered questionnaires to measure user resistance behavior, resistance to change, perceived usefulness, perceived ease of use, perceived value, colleagues’ opinions, self-efficacy for change, and organizational support for change. Path analysis was performed to examine direct and indirect association with user resistance behavior. Results A total of 223 nurses completed the questionnaires. All seven factors were found to be significantly associated with user resistance, either directly or indirectly. The total effect on user resistance behavior was highest in resistance to change (0.65), followed by perceived usefulness (− 0.33); both had direct but no indirect effects. Conversely, self-efficacy for change (− 0.25), perceived value (− 0.21), colleagues’ opinions (− 0.16), perceived ease of use (− 0.16), and organizational support for change (− 0.05) had indirect but no direct effects. Conclusions The study examined the factors associated with nurses’ user resistance behavior after the implementation of a new EHR system. These findings could help hospitals develop better EHR implementation strategies to reduce user resistance behavior among the nursing staff.

The Adoption of the Electronic Health Record by Physicians

2019 ◽  
Vol 58 (02/03) ◽  
pp. 063-070 ◽  
Author(s):  
Saja A. Al-Rayes ◽  
Arwa Alumran ◽  
Weam AlFayez
Keyword(s):  
Social Influence ◽  
Electronic Health Record ◽  
Technology Acceptance ◽  
Health Care Quality ◽  
Resistance To Change ◽  
Systems Design ◽  
Care Quality ◽  
Perceived Usefulness ◽  
Health Record ◽  
Electronic Health

Abstract Background Health information technology, especially the electronic health record (EHR) systems, improves health care quality and patient safety. Objectives This study's objectives are as follows: first, to explore the adoption of EHR systems among physicians in Saudi Arabia (with King Fahd Military Medical Complex as the location of the pilot study), and second, to identify the factors that influence these physicians' adoption of such systems. Methods This cross-sectional quantitative study is based on a paper survey that was administered to a sample of 213 physicians. The theoretical model is a version of the Technology Acceptance Model (TAM) that features the following additional variables: resistance to change, training, and social influence. Results The sample includes 133 (62%) physicians who used EHRs and 80 (38%) who did not. The main findings show that users and nonusers of the EHR system differ significantly for several factors such as perceived usefulness, perceived ease of use, social influence, and resistance to change. In addition, age, work experience, and medical specialty are significantly associated with physicians' use of the EHR system. Conclusion To increase EHR systems' adoption rate, the following elements should be improved: the systems' design, the social environments, and the physicians' awareness of the systems' benefits. This is the first study to produce a valid and reliable instrument for measuring the factors that influences physicians' use of the EHR system at a Saudi hospital in the Eastern Province. Further studies are needed to measure how these factors influence physicians' use of EHRs in other settings.

scholarly journals Electronic Health Record Acceptance by Physicians: A Single Hospital Experience in Daily Practice

2021 ◽  
Vol 1 (1) ◽  
pp. 6-17
Author(s):  
Andrija Pavlovic ◽  
Nina Rajovic ◽  
Jasmina Pavlovic Stojanovic ◽  
Debora Akinyombo ◽  
Milica Ugljesic ◽  
...  
Keyword(s):  
Health Care ◽  
Logistic Regression ◽  
Electronic Health Record ◽  
Technology Acceptance ◽  
Daily Practice ◽  
Ease Of Use ◽  
Future Research ◽  
Health Record ◽  
Cross Sectional ◽  
Electronic Health

Introduction: Potential benefits of implementing an electronic health record (EHR) to increase the efficiency of health services and improve the quality of health care are often obstructed by the unwillingness of the users themselves to accept and use the available systems. Aim: The aim of this study was to identify factors that influence the acceptance of the use of an EHR by physicians in the daily practice of hospital health care. Material and Methods: The cross-sectional study was conducted among physicians in the General Hospital Pancevo, Serbia. An anonymous questionnaire, developed according to the technology acceptance model (TAM), was used for the assessment of EHR acceptance. The response rate was 91%. Internal consistency was assessed by Cronbach’s alpha coefficient. A logistic regression analysis was used to identify the factors influencing the acceptance of the use of EHR. Results: The study population included 156 physicians. The mean age was 46.4 ± 10.4 years, 58.8% participants were female. Half of the respondents (50.1%) supported the use of EHR in comparison to paper patient records. In multivariate logistic regression modeling of social and technical factors, ease of use, usefulness, and attitudes towards use of EHR as determinants of the EHR acceptance, the following predictors were identified: use of a computer outside of the office for reading daily newspapers (p = 0.005), EHR providing a greater amount of valuable information (p = 0.007), improvement in the productivity by EHR use (p < 0.001), and a statement that using EHR is a good idea (p = 0.014). Overall the percentage of correct classifications in the model was 83.9%. Conclusion: In this research, determinants of the EHR acceptance were assessed in accordance with the TAM, providing an overall good model fit. Future research should attempt to add other constructs to the TAM in order to fully identify all determinants of physician acceptance of EHR in the complex environment of different health systems.

scholarly journals Electronic Health Record Adoption – Maybe It’s not about the Money

2011 ◽  
Vol 02 (04) ◽  
pp. 460-471 ◽  
Author(s):  
A. Skinner ◽  
J. Windle ◽  
L. Grabenbauer
Keyword(s):  
Electronic Health Record ◽  
Patient Care ◽  
Resistance To Change ◽  
Medical Center ◽  
Academic Medical Center ◽  
Care Physician ◽  
Health Record ◽  
Record System ◽  
Intuitive Interfaces ◽  
Electronic Health

SummaryObjective: The slow adoption of electronic health record (EHR) systems has been linked to physician resistance to change and the expense of EHR adoption. This qualitative study was conducted to evaluate benefits, and clarify limitations of two mature, robust, comprehensive EHR Systems by tech-savvy physicians where resistance and expense are not at issue.Methods: Two EHR systems were examined – the paperless VistA / Computerized Patient Record System used at the Veterans‘ Administration, and the General Electric Centricity Enterprise system used at an academic medical center. A series of interviews was conducted with 20 EHR-savvy multi-institutional internal medicine (IM) faculty and house staff. Grounded theory was used to analyze the transcribed data and build themes. The relevance and importance of themes were constructed by examining their frequency, convergence, and intensity.Results: Despite eliminating resistance to both adoption and technology as drivers of acceptance, these two robust EHR’s are still viewed as having an adverse impact on two aspects of patient care, physician workflow and team communication. Both EHR’s had perceived strengths but also significant limitations and neither were able to satisfactorily address all of the physicians’ needs.Conclusion: Difficulties related to physician acceptance reflect real concerns about EHR impact on patient care. Physicians are optimistic about the future benefits of EHR systems, but are frustrated with the non-intuitive interfaces and cumbersome data searches of existing EHRs.

scholarly journals Factors associated with external ventricular drain placement accuracy: data from an electronic health record repository

2013 ◽  
Vol 155 (9) ◽  
pp. 1773-1779 ◽  
Author(s):  
Vaibhav Patil ◽  
Ronilda Lacson ◽  
Kirby G. Vosburgh ◽  
Judith M. Wong ◽  
Luciano Prevedello ◽  
...  
Keyword(s):  
Electronic Health Record ◽  
External Ventricular Drain ◽  
Health Record ◽  
Factors Associated ◽  
Placement Accuracy ◽  
Drain Placement ◽  
Electronic Health ◽  
Accuracy Data

scholarly journals The Perceptions of and Factors Associated With the Adoption of the Electronic Health Record Sharing System Among Patients and Physicians: Cross-Sectional Survey (Preprint)

2019 ◽  
Author(s):  
Martin CS Wong ◽  
Junjie Huang ◽  
Paul SF Chan ◽  
Veeleah Lok ◽  
Colette Leung ◽  
...  
Keyword(s):  
Health Care ◽  
Electronic Health Record ◽  
Service Providers ◽  
Care Delivery ◽  
Health Care Service ◽  
Health Record ◽  
Public And Private ◽  
Major Barrier ◽  
Factors Associated ◽  
Electronic Health

BACKGROUND The electronic health record sharing system (eHRSS) was implemented as a new health care delivery platform to facilitate two-way communication between the public and private sectors in Hong Kong. OBJECTIVE This study aimed to investigate the perceptions of and factors associated with the adoption of eHRSS among patients, the general public, and private physicians. METHODS Telephone interviews were conducted in 2018 by using a simple random sampling strategy from a list of patients who had enrolled in the eHRSS and a territory-wide telephone directory for nonenrolled residents. We completed 2000 surveys (1000 each for enrolled and nonenrolled individuals). Private physicians completed self-administered questionnaires, including 762 valid questionnaires from 454 enrolled physicians and 308 nonenrolled physicians. RESULTS Most participants (707/1000, 70.70%) were satisfied with the overall performance of the eHRSS. Regarding registration status, most nonenrolled patients (647/1000, 64.70%) reported that “no recommendation from their physicians and family members” was the major barrier, whereas more than half of the physicians (536/1000, 53.60%) expressed concerns on “additional workload due to use of eHRSS.” A multivariate regression analysis showed that patients were more likely to register when they reported “other service providers could view the medical records” (adjusted odds ratio [aOR] 6.09, 95% CI 4.87-7.63; <i>P</i>&lt;.001) and “friends’ or family’s recommendation or assistance in registration” (aOR 3.51, 95% CI 2.04-6.03; <i>P</i>=.001). Physicians were more likely to register when they believed that the eHRSS could improve the quality of health care service (aOR 4.70, 95% CI 1.77-12.51; <i>P</i>=.002) and were aware that the eHRSS could reduce duplicated tests and treatments (aOR 4.16, 95% CI 1.73-9.97; <i>P</i>=.001). CONCLUSIONS Increasing the possibility of viewing patients' personal medical record, expanding the sharable data scope for patients, and highlighting the benefits of the system for physicians could be effective to enhance the adoption of the eHRSS.

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