Nurses' Level of Computer Literacy and Responses Regarding the Electronic Health Record System in the United Arab Emirates

Abstract

This study aimed to examine the perceived level of computer literacy, and the attitudes and behavioural responses of nurses to the introduction of the electronic health record (EHR) system in a selected hospital in the United Arab Emirates. The drive towards adopting a paperless EHR system by healthcare organisations around the world, demands an adjusted approach toward nursing practices and education. Quantitative data were collected from a convenient sample of 93 nurses in one hospital in the United Arab Emirates. The data were analysed using descriptive and chi-square Fisher’s exact tests. A two-tailed p-value of less than 0.05 was considered statistically significant. A total of 93 nurses participated in the study. Of these, 38 per cent of the participants regarded themselves as proficient in the use of software applications. However, 76 per cent of the participants indicated that they seldom used the reference tools, while 79 per cent of the participants regarded the EHR system as too complex. The chi-square and Fisher's tests indicated a statistically significant dependency between computer literacy, behaviour and attitude. The EHR is a sophisticated and complex product that requires specific information management competencies, adequate preparation or training and appropriate attitudes. The adoption of the EHR can help nurses to accomplish their daily care tasks more efficiently and effectively, provided its functionalities are fully utilised. There is a need to understand the interface between nursing practice and technology. Implementation of the system will only be successful if nurses’ concerns, skills and attitudes receive the necessary attention during all stages of the project.