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ASSESSMENT OF KNOWLEDGE AND UTILIZATION OF ELECTRONIC MEDICAL RECORDS AMONG NURSES IN SECONDARY HEALTH CARE FACILITIES IN JIGAWA STATE, NIGERIAASSESSMENT OF KNOWLEDGE AND UTILIZATION OF ELECTRONIC MEDICAL RECORDS AMONG NURSES IN SECONDARY HEALTH CARE FACILITIES IN JIGAWA STATE, NIGERIA

This study was carried out to assess the knowledge and
utilization of electronic medical records among nurses in
Jigawa State secondary healthcare facilities. A crosssectional
descriptive survey design was chosen to guide
the study. A self-structured questionnaire was used for
data collection in which questionnaires were
administered based on the sample size with the help of
research assistants. Two hundred and seventy-five (275)
questionnaires were administered but only two hundred
and sixty four (264) questionnaires were completed and
retrieved given a return rate of (96%). Data analysis was
done based on the completed retrieved questionnaires
using descriptive statistics (frequency distribution tables
and percentages) on excel sheets. The data collected was
pooled together and analysed using Statistical Package
for Social Sciences (SPSS) version 24.0. The
demographic characteristics of the respondents in this
study indicated that majority of the respondents age is
between 31 -40years (33.7%), majority are females
(55.4%), with educational qualification as RN (46.6%),
with General Nursing as area of specialty (74.6%). Also,
majority of respondents have 1-10years experience
(65.2%) This study also shows that the knowledge level
of EMR was very high (71%) and perception level was
positive. (3.2), but the level of utilization of EMR among
respondents was low (1.8). This study further noted that
the factors affecting utilization of EMR among
respondents are poor ICT infrastructure in the hospital
for effective EMR use (96.3%), poor local area network
connectivity in accessing patient information (90.1%),
financial limitations to purchase data bundles (High cost
of subscription) (90.5%) lack of management interest in
EMRs utilization (Absence of policy for EMR use)
(90.5%), inadequate computers and other ICT devices
in the hospital (95.1%),lack of experts for ICT support
and training on EMRs utilization in the hospital
(incompetency of handlers) (91%), Non availability of
EMR facilities in the hospitals (90.5%), lack of
continuous training (92.8%) and Delayed IT support in
times of need (92.1%). It was concluded from the findings of this study revealed that knowledge level is
high, positive perception and level of utilization of EMR
is high in clinical care settings among nurses is a crucial
instrument to enhance communication and improvement
in clinical care practice. Therefore, provision of tangible
solutions to numerous outlined factors affecting
utilization of EMR among nurses by all stakeholders in
healthcare delivery through provision of necessary
resources (human and material) is a major
recommendation forwarded to ensure effective
utilization of the technology to improve general nursing
care practice.

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