Change Process Factors Influencing Electronic Health Records Adoption by Nurses at Moi Teaching and Referral Hospital, Kenya

Linus Kipkorir Chirchir, Dr. Wilson Kipkirui Aruasa, Stanley Kulei Chebon

Abstract
This study determined change process factors affecting the uptake of electronic health records (EHR) by nurses at Moi Teaching and Referral Hospital (MTRH) in Eldoret, Kenya. Descriptive cross-sectional research design was utilised in the inquiry. Data was collected using a structured questionnaire deployed to 279 nurses. Descriptive statistics, correlation and linear regression evaluations were utilised to ascertain the change process factors affecting EHR adoption. Descriptive analysis revealed that most of the nurses agreed that they found MTRH organizational culture supportive of the EHR system (M=4.014, SD=0.9134). Correlation evaluation revealed a positive, strong and statistically significant correlation between the change process factors and the adoption of EHR, r (279) = 0.641, p < 0.05. Linear regression assessment showed that there is a statistical and significant linear connection between change process factors and the adoption of EHR, F (1, 277) = 192.818, p < 0.01 and that change process factors can statistically and significantly affect the adoption of EHR, β3 = 0.571, t (279) = 13.886, p < 0.01. The inquiry concludes that EHR deployment is a transformational activity that needs to be spearheaded by heads in care practice. It is recommended that healthcare organizations should select an EHR system project champion, preferably an experienced nurse during EHR system execution.

Keywords: Change Process Factors; Electronic Health Records; Nurses; Moi Teaching Referral Hospital
DOI: 10.1016/j.procs.2021.01.187
Publication Date: February 22nd 2021
Citation: Chirchir, L. K., Aruasa, W. K., & Chebon, S. K. (2021). Change Process Factors Influencing Electronic Health Records Adoption by Nurses at Moi Teaching and Referral Hospital, Kenya. Procedia Computer Science, 181, 427–433. DOI: 10.1016/j.procs.2021.01.187

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