RESEARCH ARTICLE


Nurses’ Views on the Use, Quality, and Satisfaction with Electronic Medical Record in the Outpatient Department at a Tertiary Hospital



Mohammad J. Jaber1, Ahmad M. Al-Bashaireh2, *, Ola M. Alqudah1, Omar M. Khraisat2, Khaldoun M. Hamdan2, Hind M. AlTmaizy1, Diana S. Lalithabai1, Rabia S. Allari2
1 King Fahad Medical City, Second Health Cluster in Central Region, Riyadh, KSA
2 Faculty of Nursing, Al-Ahliyya Amman University, Amman, Jordan


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Creative Commons License
© 2021 Jaber et al.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: https://creativecommons.org/licenses/by/4.0/legalcode. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

* Address correspondence to this author at the Faculty of Nursing, Al-Ahliyya Amman University, Amman, Jordan; Tel: +962-5-305-222-11,
Fax: +962-5-305-222-11, E-mails: a.albashaireh@ammnu.edu.jo, aalbashaireh@gmail.com


Abstract

Background:

Many nurses perceive that the Electronic Medical Record (EMR) reduces the workload, improves the quality of documentation, and improves safety and patient care. However, other nurses reported that the system and environment of healthcare might impede EMR documentation at the bedside.

Objective:

The study aimed to describe the nurses' views of the use, quality, and satisfaction with EMR in daily practice in outpatient settings. Furthermore, the relationships among the use, quality, and user’s satisfaction of EMR were assessed in the study.

Methods:

The proposed study employed a cross-sectional, descriptive correlational design. Inclusion criteria were nurses willing to participate in the study, fluent in the English language, and have been working in the Outpatient Department for more than three months until the time of study implementation. A self-reported questionnaire with strong validity and reliability was used to assess nurses’ views of use, quality and satisfaction of EMR.

Results:

The response rate was 77.2% (170 out of 220), 91.2% of the participants were females. Results about the use of EMR have shown positive views ranging from 51.2% to 84.7%, with the lowest scores reported when to write nurse care worksheets (Kardex). For the quality of EMR, the results have shown positive views ranging from 70% to 87.6% with the lowest scores reported related to the EMR system problems and crashes, and for the user’s satisfaction, the results have shown positive views ranging from 76.5% to 87.1%. There were significant positive correlations between the three elements use, quality, and user’s satisfaction of EMR.

Conclusion:

Participants reported positive views in the domain of use, quality, and satisfaction with EMR. Furthermore, positive correlations were reported between the use, quality, and satisfaction domains of EMR.

Keywords: Electronic medical record, Outpatient department, Nurses, Health care, Safety, Patient care.