Factors Influencing the Utilization and Adoption of Electronic Health Records among Nurses in Jordanian Hospitals
Authors: M. Alkasasbeh, Amjed 
Published: February 2025

Background: The utilization of electronic-health-record (EHR) systems within the nursing
profession plays a crucial role in maintaining patient privacy and confidentiality, ensuring
the provision of high-quality and accurate documentation, enhancing communication, and
reducing the overall cost of care. By examining the various factors that influence nurses'
adoption and utilization of EHRs and evaluating the effectiveness of this technology, we
can reduce any potential negative impacts on patients and healthcare staff. Purpose: This
study aimed to explore and analyze the various factors influencing the utilization and
adoption of electronic health records (EHRs) among nurses in Jordanian hospitals.
Methods: In this study, a cross-sectional correlation descriptive design was utilized. The
researchers employed a convenience sampling technique to select a total of 373 nurses who
regularly use electronic health records (EHRs) in their work settings. The data for the study
was collected from two major healthcare sectors in Jordan, specifically military hospitals
and governmental hospitals. A structured electronic survey was administered to gather the
necessary information. Results: Out of 373 nurses, 216 (57.9%) were from military
hospitals, and 157 (42.1%) were from governmental hospitals. The sample included 201
females (53.9%) and 172 males (46.1%). The study found that system quality, information
quality, and self-efficacy are positively correlated with EHR usage. System quality was a
significant predictor of EHR usage (β = 0.41, p = 0.043). Nurses in the military sector used
EHRs more than those in governmental hospitals (t = 1.97, p = 0.05). Nurses with bachelor's
degree exhibited higher electronic health record (EHR) usage compared to nurses with
other academic levels (F = 7.98, p < 0.001). Nurses on 12-hour night shifts also had a higher
EHR usage than nurses in morning shifts (F= 3.50, p < 0.05). Furthermore, the duration of
EHR use was positively correlated with system quality, information quality, self-efficacy,
and work settings, while age and gender had no significant impacts on EHR usage.
Conclusion: Several factors were found to be significant concerning the system itself, such
as system quality and information quality. Additionally, self-efficacy was found to have a
positive correlation with EHR usage. Nurses play a crucial role in identifying these factors.
It is important to identify these factors to guide hospital administrations in improving their
policies, specifically in terms of enhancing training and promoting the use of electronic
health records (EHRs) by nurses during patient care. Implications for Nursing: The
findings highlight the importance of system quality, self-efficacy, and educational level in
promoting effective EHR use. To enhance EHR adoption, healthcare organizations should
focus on improving system quality and providing targeted training, particularly for nurses
with lower education levels. Additionally, addressing shift-specific challenges, such as
those faced by night shift nurses, could further optimize EHR usage. These insights can
guide hospital managements in refining policies and supporting nurses, ultimately
improving patient care and operational efficiency.