Nurses’ Perception towards Electronic Medical Records System: An Integrative Review of Barriers and Facilitators

Abstract

Background: Electronic medical records (EMRs) can minimize mistakes, enhance the comprehensiveness, legibility, and overall comprehension of medical records. However, nurses' limited familiarity with advanced technology lowers their confidence in utilizing EMRs. We aimed to collect and synthesize the most credible evidence on nurses' perception of EMRs, along with the barriers and facilitators that influence their acceptance.
Methods: Searching for relevant studies was carried out across three electronic databases, namely PubMed, Scopus and ProQuest in Dec 2023. Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) was followed in this study report. The selected studies were then analyzed narratively and organized thematically for presentation.
Results: Out of the 4,382 articles identified through comprehensive database searches, only 19 met the criteria for inclusion and reviewed. Through the synthesis of findings, two primary themes emerged, including nurses' perceptions and experiences with EMRs and facilitators & barriers for nurses’ in utilizing EMRs.
Conclusion: Nurses' perspectives are shaped by their computer skills, confidence in their abilities, and training. Despite obstacles such as nurse stress, EMRs present advantages such as enhanced patient care and decreased errors. Augmenting computer competency, delivering training, and guaranteeing support are essential for effective EMRs integration, leading to enhanced healthcare provision and better patient results.