Examining the incentives and barriers in nurses' use of the Electronic Health Record (EHR) in Hong Kong

Pao Yue-kong Library Electronic Theses Database

Examining the incentives and barriers in nurses' use of the Electronic Health Record (EHR) in Hong Kong

 

Author: Choy, Ming-kin
Title: Examining the incentives and barriers in nurses' use of the Electronic Health Record (EHR) in Hong Kong
Degree: M.Sc.
Year: 2010
Subject: Hong Kong Polytechnic University -- Dissertations
Medical records -- Use studies -- China -- Hong Kong
Department: School of Nursing
Pages: x, 89 leaves : ill. ; 30 cm.
InnoPac Record: http://library.polyu.edu.hk/record=b2352670
URI: http://theses.lib.polyu.edu.hk/handle/200/5634
Abstract: Background: The Hong Kong Government is developing a comprehensive EHR for the public and private health care sector, to enhance the quality of the health care service. Nurses' views on computerization are the determining factors for the effectiveness of EHR as nurses are the largest group of potential EHR users. However, no specific study has been carried out to date to examine the incentives and barriers in the nurses' use of EHR in Hong Kong. Aim: To identify the important incentives/barriers affecting Hong Kong nurses' use of the Electronic Health Record (EHR) and to examine the relationship between their demographic data and incentives/barriers affecting their use of EHR in Hong Kong. Design and Methods: A survey was conducted from August to December 2009, with 224 nurses (response rate = 90%) completing a self-report questionnaire with convenience sampling. Ten incentives and ten barriers in the use of EHR were listed in the questionnaire and the subjects chose to agree or disagree in each question. The importance of incentives/barriers is prioritized by the percentage of nurses that agreed with the Incentives/barriers. Exploratory factor analysis and internal consistency were performed to confirm the construct validity and reliability properties of the construct. Multiple regression and logistic regression were used to determine the relationship between demographic data and incentives/ barriers in nurses' use of EHR. Results: The top 5 incentives and the top 5 barriers were identified. Construct (Barrier 1) was extracted from factor analysis and supported by internal consistency test, whereas no significant relationship between demographic data and the construct in nurses' use of EHR was identified. Gender and type of unit were found to be related to B8 (Lack of training), and experience was found to be related to B10 (Language barrier). Conclusion: Based on the findings of this study, the effective use of EHR could be promoted and the barriers discouraging EHR use could be overcome through a combined strategy of EHR design, nurse training and ward management.

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