Related Experiment Video
Updated: Sep 29, 2025
Author Spotlight: Workflow for Integrating POCUS Data into EHR for Managing Heart Failure Patients
Published on: July 12, 2024
Development an extended-information success system model (ISSM) based on nurses' point of view for hospital EHRs: a
Zahra Ebnehoseini1, Hamed Tabesh2, Amir Deghatipour3
1Psychiatry and Behavioral Sciences Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
Background:
Understanding the hospital EHR success rate has great benefits for hospitals. The present study aimed to 1-Propose an extended-ISSM framework and a questionnaire in a systematic manner for EHR evaluation based on nurses' perspectives, 2-Determine the EHR success rate, and 3-Explore the effective factors contributing to EHR success.
Methods:
The proposed framework was developed using ISSM, TAM3, TTF, HOT-FIT, and literature review in seven steps. A self-administrated structured 65-items questionnaire was developed with CVI: 90.27% and CVR: 94.34%. Construct validity was conducted using EFA and CFA. Eleven factors were identified, collectively accounting for 71.4% of the total variance. In the EFA step, 15 questions and two questions in EFA were excluded. Finally, 48 items remained in the framework including dimensions of technology, human, organization, ease of use, usefulness, and net benefits. The overall Cronbach's alpha value was 93.4%. In addition, the hospital EHR success rate was determined and categorized. In addition, effective factors on EHR success were explored.
Results:
In total, 86 nurses participated in the study. On average, the "total hospital EHR success rate" was moderate. The total EHR success rates was ranging from 47.09 to 74.96%. The results of the Kruskal-Wallis test showed that there was a significant relationship between "gender" and "self-efficacy" (p-value: 0.042). A reverse relation between "years of experience using computers" and "training" (p-value: 0.012) was observed. "Years of experience using EHR" as well as "education level" (p-value: 0.001) and "ease of use" had a reverse relationship (p-value: 0.034).
Conclusions:
Our findings underscore the EHR success based on nurses' viewpoint in a developing country. Our results provide an instrument for comparison of EHR success rates in various hospitals.
More Related Videos
04:19A Computer-Based Platform for Aiding Clinicians in Eating Disorder Analysis and Diagnosis
Published on: May 10, 2022
07:26Executing Complexity-Increasing Queries in Relational MySQL and NoSQL MongoDB and EXist Size-Growing ISO/EN 13606 Standardized EHR Databases
Published on: March 19, 2018
Related Concept Videos
01:30Methods of Documentation VII: EMR
01:27Nursing Clinical Information System
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
01:30Health Information Technology and Healthcare Information System
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
01:29Data Collection II
01:10Documentation of Nursing Diagnosis
In some settings, data-driven computerized decision support systems are in place, allowing for more accurate nursing diagnoses. The database within one of these systems includes diagnostic labels defining characteristics, activities, and indicators for nursing. A nurse enters...
01:21Methods of Documentation III: PIE