Abstract
BackgroundThe aim of the study was to explore the viewpoints of healthcare professionals (HCPs) on the adoption and use of eHealth in clinical practice in sub-Saharan Africa (SSA). Information and communication technologies (ICTs) including eHealth provide HCPs the opportunity to provide quality healthcare to their patients while also improving their own clinical practices. Despite this, previous research has identified these technologies have their associated challenges when adopting them for clinical practice. But more research is needed to identify how these eHealth resources influence clinical practice. In addition, there is still little information about adoption and use of these technologies by HCPs inclinical practice in Sub-Saharan Africa.MethodAn exploratory descriptive design was adopted for this study. Thirty-six (36) HCPs (18 nurses and 18 physicians) working in the clinical area in a tertiary health institution in SSA participated in this study. Using Qmethodology, study participants rank-ordered forty-six statementsin relation to their adoption and use of eHealth within their clinical practice.This was analysed using by-person factor analysis and complemented with audio-taped interviews.ResultsThe analysis yielded four factors i.e., distinct viewpoints the HCPs hold about adoption and use of eHealth within their clinical practice. These factors include: “Patient-focused eHealth advocates” who use the eHealth because they are motivated by patients and their families preferences; “Task-focused eHealth advocates” use eHealth because it helps them complete clinical tasks; “Traditionalistic-pragmatists” recognise contributions eHealth makes in clinical practice but separate from their routine clinical activities; and the “Tech-focused eHealth advocates” who use the eHealth because they are motivated by the technology itself.ConclusionThe study shows the equivocal viewpoints that HCPs have about eHealth within their clinical practice. This, in addition to adding to existing literature, will help policymakers/decision makers to consider HCPs views about these technologies prior to implementing an eHealth resource.
Highlights
Information and communication technologies (ICTs) have been identified to have the potential to address many of the challenges that many of the healthcare systems are currently confronting, such as improving information management, access to health services, quality and safety of care and cost containment and the request by patients that clinicians should use ICTs
This study uncovered distinct viewpoints that participants identified as factors influencing their adoption and use of eHealth in their clinical practice
Using Qmethodology healthcare professionals (HCPs) were able to rank-order statements drawn from the issues concerning their interaction with eHealth in their practice, which was subsequently viewed in a holistic way
Summary
Information and communication technologies (ICTs) have been identified to have the potential to address many of the challenges that many of the healthcare systems are currently confronting, such as improving information management, access to health services, quality and safety of care and cost containment and the request by patients that clinicians should use ICTs. with increase computerisation in every sector of activity, ICTs are expected to become resources that are part of healthcare professional (HCP) practice (Gagnon et al, 2012). Buntin et al (2011) argues that though some HCPs may choose to function without healthcare technologies, these technologies has the potential to improve health of individuals’ including the performance of the HCPs. with increase computerisation in every sector of activity, ICTs are expected to become resources that are part of healthcare professional (HCP) practice (Gagnon et al, 2012). This, in addition to adding to existing literature, will help policymakers/decision makers to consider HCPs views about these technologies prior to implementing an eHealth resource
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