Table 1: Summary of the
Research Findings
|
Authors & Year of Publication |
Country |
Definition of Electronic Health Record |
Participants |
Key Aims |
Methods |
Important results |
1 |
Agharezaei et al., 2014 [18] |
Iran |
Computerized
clinical decision support system (CDSS): An application that provides
information for a safe patient care. It includes evidence-based standards and
guidelines, procedures and protocols, regulations and suggestions for care, drug
references, calculation instruments, and links to the library database as
well as digital and internet references. |
Nurses and
physicians |
To investigate
the influence of CDSS on reducing the incidence of pulmonary embolism and
deep vein thrombosis, followed by a user survey |
Mixed methods: Interviews and
survey |
o
Computer software can assist the medical
staff with patient care o
The CDSS system contributed to the improved
quality of patient care since it sends reminders to physicians and nurses
about prophylaxis measures o
Nurses and physicians found it helpful to
have the computerized system |
2 |
Alasmary et al., 2014 [2] |
Saudi Arabia |
Electronic medical
record (EMR): “An application environment that captures clinical data of
patients individually composed with clinical decision support system,
computerized order entry and clinical documentation applications” |
Nurses and
physicians |
To explore the
relationships between age, occupation, computer literacy, clinical
productivity and user satisfaction with the EMR. |
Quantitative
cross sectional survey |
o
Nurses with higher computer literacy skills
were more satisfied with the system |
3 |
Alghenaimi, 2012 [16] |
Oman |
Al-Shifa: “The e-health application called Al-Shifa is an in-house health information management system
designed by Oman’s Ministry of Health” |
Nurses |
To assess the
usefulness and ease of use of Al-Shifa to support
the transition of care during nursing handoff |
Mixed methods:
Survey, interviews, participant observation and artifact analysis |
o
Older nurses felt the Al-Shifa system was difficult to use at shift hand off o
Nurses who felt the system was more useful
and easy to use, used it more |
4 |
Alquraini et al., 2007 [4] |
Kuwait |
Health
Information System (HIS): No definition provided |
Nurses |
1- To analyze
the background characteristics that influence nurses’ attitudes towards the
use of computerized HIS in Kuwaiti government hospitals 2) To assess
their level of skills in computer use |
Quantitative
cross sectional survey |
o
Respondents generally had positive
attitudes toward computerized HIS. o
Gender, nationality, education levels, and
duration of computer use were statistically significant predictors of
attitudes toward computerized HIS. |
5 |
Bahnassy, 2013 [5] |
Saudi Arabia |
Health
Information System (HIS): No definition provided |
Nurses |
To understand
nurses’ perceptions of the HIS |
Quantitative
cross sectional survey |
o
Nurses spend more time charting on the HIS o
Level of education and years of computer
experience were significant predictors of satisfaction with use of the HIS |
6 |
Darr et al., 2003 [17] |
Israel |
Electronic Medical
Record (EMR): a computerized system that replaces or supplements “the
familiar patient files” |
Nurses and
Physicians |
1-To discover
the features and impacts of EMR usage that are most important to physicians
and nurses 2- To
understand attitudes towards EMR among staff members. |
Qualitative
utilizing interviews |
o
Nurses expressed positive reactions to EMRs
and its effect on their occupation. o
Nurses valued EMRs in that it provided easy
access to clinical and socio-economic information. |
7 |
Kahouei et al., 2015 [1] |
Iran |
Electronic
Patient Record (EPR): Electronic systems that store patient information and
vary in terms of the specific functions |
Supervisors and
head nurses |
To understand
the perceptions of supervisors and head nurses views of the EPR and
understand its impact on nursing management functions |
Quantitative
cross sectional survey |
o
Due to the low quality of the system, head
nurses and supervisors need to seek out additional information o
Head nurses and supervisors had a low level
of computer literacy and 42.4% did not utilize a computer at home o
Head nurses and supervisors with more
computer knowledge and experience had better perceptions of computers at work |
8 |
Moghadam & Fayaz-Bakhsh, 2014
[15] |
Iran |
Hospital
Information System (HIS): a computerized system that collects, saves,
processes, extracts, and links patient care information to management
information |
Nurses,
Physicians and Allied Health Professionals |
To evaluate the
effectiveness of training courses for HIS. |
Qualitative
research utilizing interviews and focus groups |
o
To achieve the ultimate goal of HISs, it is
necessary to create basic changes in the training system, and to get feedback
from hospital personnel |
9 |
Saddik & Al-Mansour, 2014 [12] |
Saudi Arabia |
Computerized
Physician Order Entry (CPOE): allows healthcare providers to electronically enter
orders (laboratory, medication, imaging etc.) for patient care |
Nurses |
To explore the
perception of nurses regarding the CPOE support on nurse physician
communication in the medication order process |
Quantitative
cross sectional survey |
o
Almost all nurses perceived that CPOE
allowed easier accessibility to patients’ medication records and provided
complete and legible drug prescriptions. o
Most nurses agreed that more physician
contact was required with CPOE o
There was an increased need to contact the
physician via the phone with CPOE |
10 |
Secginli et al., 2014 [3] |
Turkey |
Family Medicine
Information System (FMIS): Documentation platform for health professionals |
Nurses,
physicians and midwives |
To assess the
attitudes of health professionals towards the FMIS |
Quantitative
cross sectional survey |
o
The majority of respondents felt the FMIS
saved them time in documenting, decreased their use of paper, provided better
access to data, supports clinical decision making and makes it easy to
transfer data o
Approximately half of respondents felt the
FMIS facilitated communication between health professionals o
Respondents felt that the FMIS takes more time
than paper-based records, increases workload, was difficult to use, decreases
interaction between the health professional and the patient, and has frequent
‘down-times’ |
11 |
Top et al.,
2012 [13] |
Turkey |
Electronic
Medical Record (EMR): Computerized record of clinical, demographic and
management information |
Nurses |
To understand
nurses’ views of the EMR in terms of use, quality and user satisfaction |
Quantitative
cross sectional survey |
o
59% of respondents felt the EMR was not
well integrated into their workflow o
Half of the nurses who responded had not
been trained to use the EMR o
Nurses do not use the EMR often. When they
do use the EMR it is most often to retrieve lab results. o
Nurses who used the system more often, were
more satisfied with the EMR and felt the quality of the information was
better |
12 |
Walston et al., 2010 [14] |
Saudi Arabia |
Information
technology (IT): The technology resources employed as the foundation of both
communications across the organization and the implementation of present and
future business applications. |
Nurses |
To examine the
effects of use of information technology and focus on patient safety and
problem solving on the visibility of patient care errors |
Quantitative
cross sectional survey |
o
The greater use of information technology
to control patient care may reduce the prevalence of errors o
An increased focus on patient safety and problem
solving facilitates an open environment where errors can be more openly
discussed and addressed |