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Health Informatics Journal
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Are we ready for the Electronic Patient Record? Attitudes and perceptions of staff from two NHS trust hospitals

Marilyn N. Kirshbaum

School of Nursing and Midwifery, University of Sheffield, Samuel Fox House, Northern General Hospital, Herries Road, Sheffield S5 7AU, UK, Tel: 44 (0)114 226 6854, Fax: 44 (0)114 271 4944m.kirshbaum{at}sheffield.ac.uk

In light of plans to implement an electronic patient record (EPR), preparations for radical organizational change were recognized as being critical to success. The aim of the study was to determine hospital staff’s experience of and attitudes toward computer use and the EPR. A cross-sectional design using the Computer and EPR Attitude Survey was administered to 878 health service employees in two acute hospitals; 479 completed questionnaires were returned, representing a 54 per cent response rate. The majority of respondents demonstrated positive attitudes toward the use of computers and the EPR, although only 298 (62%) wrote that they knew what ‘EPR’ actually stood for. Nurses consistently recorded the greatest agreement with negative statements: ‘I avoid using computers whenever I can,’ ‘Using a computer is more trouble than it is worth,’ and ‘I sometimes feel intimidated by the thought of using a computer.’ Recommendations centre on responsive and prompt actions, e.g. informative workshops and targeted skills training.

Key Words: attitudes • electronic patient record • health service employees • survey

Health Informatics Journal, Vol. 10, No. 4, 265-276 (2004)
DOI: 10.1177/1460458204048509


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