A review of the factors affecting nurses' readiness to implement electronic health records

Electronic Health Record (EHR) is a lifelong electronic collection of information recorded or validated by health care providers with the main objectives of improving the quality of care, providing a useful tool for communication and information sharing. The staff of health centers' readiness is an essential factor in successfully implementing the electronic health record. Among care providers, the role of nurses is vital and valuable. This study aimed to review the factors affecting nurses' readiness to implement electronic health records. Methods: In this narrative review study, using the internal database: Magiran, SID, Iranmedex and foreign: CINAHL, ProQuest, Ovid, PubMed, Scopus, Science Direct, Google Scholar All articles published in Iran during 2010 By 2020, nurses' readiness to implement electronic health records were researched. Results: The search results were access to 39 articles related to the subject, and finally, 13 completely related studies were included in the research. Studies show that human resources' readiness is an influential factor in the successful implementation of electronic health records divided into two categories of individual and organizational factors.Nurses' understanding of the features and benefits of EHR plays an essential role in their readiness. Another influential factor is nurses' computer skills, which are essential for working with electronic health records. In this regard, several studies have examined the skills, knowledge, and attitudes of nurses and other health care providers and found that inadequate and ineffective training of nurses causes stress, burnout, and feelings of inadequacy, so it is recommended to hold practical training courses and they have retrained and involved nurses. Motivation through reward and encouragement was a factor that was important from the nurses' point of view. Information security andconfidentiality in the EHR and people's participation in the design and implementation of the EHR are two factors that have been reported as influential factors in some studies and ineffective in others. Conclusion: Based on the results, nurses, as the largest healthcare providers, have an essential role in implementing electronic health records. Therefore, identifying the factors affecting their readiness for this, including individual factors, can increase nurses' understanding, awareness, and skills in EHR, motivation, and attitude change planning in this regard. Also, in organizational factors, managers and health care policymakers, with their support and providing the necessary infrastructure and equipment and holding appropriate programs, can play a facilitating role.

کلیدواژه ها:

Electronic Health Record ، Preparedness ، Implementation ، Nursing ، Iran