Electronic Medical Records (EMR) and Nurses in Turkish Hospitals

TOP M., Yilmaz A., Gider O.

SYSTEMIC PRACTICE AND ACTION RESEARCH, vol.26, no.3, pp.281-297, 2013 (SSCI) identifier identifier


Electronic medical records (EMR) are generally used by nurses in hospitals. However, studies investigating views on and evaluations of EMR by nurses are limited in Turkey and in other countries around the world. In this study, nurses' views on EMR systems were investigated in terms of "Nursing care management", "Order entry", "Information Management", "Information quality", "Service quality", "Impact of EMR system on clinical care". The purpose of this study was to investigate the views/perceptions on EMR used by nurses working at hospital clinics in Turkey. The research questions were: (a) What are nurses' perceptions on EMR? (b) Were there relationships among nurses' perceptions on EMR? (c) Were there differences among nurses' perceptions on EMR according to hospitals in Turkey. This study is composed of field research conducted using questionnaires. To prepare the data-measuring instrument, the literature on EMR was reviewed. A Likert scale type was used in this questionnaire. The study was planned and conducted on nurses working at inpatient care units at four Turkish hospitals. At the end of this study, the questionnaire had been conducted on 517 nurses. Total response rate is 66.70 %. We found that the Information quality of EMR, impact of EMR system on clinical care and service quality were high level. Information quality has the highest mean score. EMR system is an important system for nurses' hospital has the highest mean score in this study. Nurses feel about impact of EMR system on clinical care that generally 'EMR system's usefulness', 'improving quality of information due to EMR system', 'improving quality of nurses' work', 'improving quality of information due to EMR system'. All of the six subscales of EMR were positively correlated with each other. This study revealed that there are significant differences among the mean scores for six subscales according to the ownership of hospitals. EMR systems were not well integrated into their workflow. In addition, half of all respondents had not been trained in using EMR systems. This study will added to evaluation views and assessments of nurses about EMR literature. The results will assist in determining "Information quality", "Service quality", of EMR, and "Impact of EMR system on clinical for nurses in Turkish health system". This survey suggests that nurses favor the use of an EMR and suggests opportunities for EMR enhancement.