Technical factors influencing electronic health records adoption by nurses at Moi Teaching and Referral Hospital, Kenya

Abstract

This study explored how technical factors influence Electronic Health Records (EHR) adoption by nurses at Moi Teaching and Referral Hospital (MTRH), Eldoret, Kenya. Descriptive cross-sectional research design was used. Data were collated through a questionnaire. Simple random sampling method was deployed to select 279 out of 926 nurses from the various Directorates. All the filled surveys were coded into IBM SPSS 21.0 statistical software. Descriptive statistics, including means, standard deviation, skewness and kurtosis were employed to analyze the various variables. Correlation and linear regression analysis were utilized to determine how Information and Communication Technology (ICT) infrastructure, internet access and physical security influence the adoption of EHRs. The significance level was at p < 0.05 for every statistical set. The findings were presented using tables and figures. The findings reveal that nurses agreed that MTRH premises are highly secured (M = 4.219, SD = 0.7386). The study found a positive, strong and statistically meaningful link between the technical factors and EHR adoption (correlation analysis, r (279) = 0.543, p < 0.05; linear regression analysis, F (1,277) = 116.036, p < 0.01). Therefore, to overcome the technical barriers, public-private partnerships should be encouraged for more investments in ICT infrastructure development at MTRH.