Knowledge and Attitude of Eye Care Workers towards Electronic Medical Records in a Tertiary Eye Facility in South-East Nigeria

Arinze Anthony Onwuegbuna

Department of Ophthalmology, Nnamdi Azikiwe University, Awka, Nigeria.

Ugochukwu Anthony Eze *

Department of Ophthalmology, Federal Medical Centre, Asaba, Nigeria and Mahatme Eye Hospital, Nagpur, India.

Akunne Ijeoma Apakama

Department of Ophthalmology, Nnamdi Azikiwe University, Awka, Nigeria.

Emeka Akujuobi Chianakwalam

Department of Ophthalmology, Federal Medical Centre, Umuahia, Nigeria.

Peter Olisa Ogazi

Department of Medical Records, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Nigeria.

Chidiebele Malachy Ezeude

Department of Internal Medicine, Nnamdi Azikiwe University, Awka, Nigeria.

Bernard Chukwunonyerem Ochiogu

Eye Unit, Department of Surgery, Chukwuemeka Odumegwu Ojukwu University, Awka, Nigeria.

Anthonia Chinyelu Udeaja

Eye Unit, Department of Surgery, Chukwuemeka Odumegwu Ojukwu University, Awka, Nigeria.

*Author to whom correspondence should be addressed.


Abstract

Electronic Medical Records (EMR) has been an integral part of patient management in the developed world but still gradually gaining popularity in the developing world. It was met with resistance by health workers in Nigeria though this is changing in the post COVID era. However, there still appears to be some resistance to its acceptance for different and sometimes justifiable reasons. The aim is to determine the knowledge and attitude towards EMR among eye health workers in a teaching hospital in South East Nigeria. This cross-sectional quantitative study was conducted among consenting consecutive eye care workers at Guinness Eye Centre, Onitsha aged≥ 18years from July to September, 2023. A pretested semi structured self-administered questionnaire was used. Information of interest were biodata, knowledge and attitude towards EMR. They were summarized into simple frequencies and percentages. Knowledge scores were grouped into good and poor using the blooms cut off for knowledge attitude and practice. Univariate and bivariate analysis were done and results represented in tables and charts with levels of significance placed at p<0.05. There was a total of 135 respondents; the mean age was 32.6 years ± 10 SD, male to female ratio of 1:1.1. The result showed good knowledge and positive attitude towards EMR (85.2% and 73.2% respectively) with younger age group, professional cadre and computer literacy found to be associated with good knowledge and positive attitude towards EMR in the population. The hospital/ clinic were the most common sources of EMR information. This study showed good knowledge and positive attitude toward EMR in the study population. It also suggested an association with younger age group, professional cadre and computer literacy.

Keywords: Eye care, medical encounter, quality health care, patient management


How to Cite

Onwuegbuna, A. A., Eze , U. A., Apakama, A. I., Chianakwalam, E. A., Ogazi , P. O., Ezeude, C. M., Ochiogu, B. C., & Udeaja , A. C. (2024). Knowledge and Attitude of Eye Care Workers towards Electronic Medical Records in a Tertiary Eye Facility in South-East Nigeria . International Journal of TROPICAL DISEASE & Health, 45(5), 29–39. https://doi.org/10.9734/ijtdh/2024/v45i51531

Downloads

Download data is not yet available.

References

Bali A, Bali D, Iyer N, Iyer M. Management of medical records: facts and figures for surgeons. J Maxillofac Oral Surg. 2011;10 (3):199-202.

Electronic Health Records- A Manual for Developing countries, WHO West Pacifi Region; 2006. Available online fro http://www.who.int/iris/bitstream/handle/10665/207504/9290612177_eng.pdf? sequence=1&is Allowed=y (Accessed on 14th May, 2023).

Gunter TD, Terry NP. The Emergence of national electronic health record architectures in the United States and Australia: Models, Costs, and Questions. J Med Internet Res. 2005;7(1):e3.

4. Singh R, Rustagi N. Electronic medical record: Time to migrate? Perspect Clin Res. 2012;3(4):143-145

Boonstra A, Broekhuis M. Barriers to the acceptance of electronic medical records by physicians from systematic review to taxonomy and interventions. BMC Health Serv Res. 2010;10(1):231.

Nour EiDin MM. Physicians’ use of and attitudes toward electronic medical record system implemented at a teaching hospital in Saudi Arabia. J Egypt Public Health Assoc. 2007;82(5– 6):347–64.

Yehualashet G, Andualem M, Tilahun B. The attitude towards and use of electronic medical record system by health professionals at a Referral Hospital in Northern Ethiopia: Cross-Sectional Study. J Health Inform Afr. 2015;3(1):19–29.

Al Alawi S, Al Dhaheri A, Al Baloushi D, Al Dhaheri M, Prinsloo EAM. Physician user satisfaction with an electronic medical records system in primary healthcare centres in Al Ain: A qualitative study. BMJ Open. 2014;4:e005569.

Chaplin B, Meloni S, Eisen G, Jolayemi T, Banigbe B, Adeola J, et al. Scale-up of networked HIV treatment in Nigeria: Creation of an integrated electronic medical records system. Int J Med Inform. 2015;84:58–68.

Cline GB, Luiz JM. Information technology systems in public sector health facilities in developing countries: The case of South Africa. BMC Med Inform Decis Mak. 2013; 13:13.

Pantuvo JS, Naguib R, Wickramasinghe N. Towards implementing a nationwide electronic health record system in Nigeria. Int J Health care Deliv Reform Initiatives. 2011;3:39–55.

Blaya JA, Fraser HS, Holt B. E-health technologies show promise in developing countries. Health Aff. 2010;29: 244–51.

Castelnuovo B, Kiragga A, Afayo V, Ncube M, Orama R, Magero S, et al. Implementation of provider-based electronic medical records and improvement of the quality of data in a large HIV program in Sub Saharan Africa. PLoS One. 2012;7:e51631.

Monda J, Keipeer J, Were MC. Data integrity module for data quality assurance within an e-health system in sub-Saharan Africa. Telemed J E Health. 2012;18 :5–10.

Simba DO, Mwangu M. Application of ICT in strengthening health information systems in developing countries in the wake of globalisation. Afr Health Sci. 2004; 4:194–8.

Mu'awiyyah BS, Hussein AT, Abdulazeez AO, Istifanus AJ. Knowledge, attitude and perception of healthcare workers on use of electronic medical records in Ahmadu Bello University Teaching Hospital, Zaria, Kaduna State Northwest Nigeria. J Med Bas Sci Res. 2021;2(1):1-12.

Al-Nassar BAY, Abdullah MS, Sheik Osman WR. Health professionals use Electronic Medical Records System (EMR system) in Jordan hospitals. International J Computer Sci Network Security. 2011;11 (8):112–8.

Ndukwe CM, Ezeoha BU. A Hybrid of Electronic Health Record (EHR) System and Health Maintenance Organizations (HMOs): A sure way to improve healthcare system in Nigeria. International Journal of Computer Science and Mathematical Theory. 2018;4(3):14-22.

Sadoughi F, Hemmat M, Valinejadi A, Mohammadi A, Majdabadi HA. Assessment of health information technology knowledge, attitude, and practice among healthcare activists in Tehran Hospitals. International Journal of Computer Science and Network Security. 2017, 17 (1):155-158.

Afolaranmi TO, Hassan ZI, Dawar BL, Wilson BD, Zakari AI, Bello KK, Ofakunrin AOD, Ogbeyi GO. Knowledge of electronic medical records system among frontline health care workers in Jos University teaching hospital, Plateau State Nigeria. Int J Res Med Sci. 2020;8(11): 3837-43.

Abodunrin O, Akande T. Knowledge and perception of e-health and telemedicine among health professionals in Lautech teaching hospital, Osogbo, Nigeria. Int J Heal Res. 2009;2(1):51-8.

Distance Onitsha — Asaba in km, miles, route, directio. (utc.city); 2023. Available:https://utc.city. Accessed on December 27, 2023.

Mohammed E, Andargie G, Meseret S, Girma E. Knowledge and utilization of computer among health workers in Addis Ababa hospitals, Ethiopia: computer literacy in the health sector. BMC Res Notes. 2013;6,106:2-8.

National Alliance for Health Information Technology. Report to the Office of the National Coordinator for health information technology on defining key health information technology terms.

Available:www.nahit.orgimagespdfs HITTermsFinalReport_051508.pdf [accessed May 15, 2023].

Edwards C. nursing leaders serving as a foundation for the electronic medical record. J Trauma Nurs. 2012;19(2):111–4.

Sukums F, Mensah N, Mpembeni R, Kaltschmidt J, Haefeli WE, Blank A. Health workers' knowledge of and attitudes towards computer applications in rural African health facilities. Glob Health Action. 2014;7(1):1- 11.

Mohammed E, Andargie G, Meseret S, Girma E. Knowledge and utilization of computer among health workers in Addis Ababa hospitals, Ethiopia: Computer literacy in the health sector. BMC Res Notes. 2013;6:06:2-8.

Abdulmalek LJ. Doctors Knowledge, Attitude and Practice Towards Electronic Medical Records In The General Hospitals In Benghazi, System. 2007;3(2): 1-4.

Sadoughi F, Hemmat M, Valinejadi A, Mohammadi A, Majdabadi HA. Assessment of health information technology knowledge, attitude, and practice among healthcare activists in Tehran Hospitals. International Journal of Computer Science and Network Security. 2017;17(1):155-158.