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Abstract：
OBJECTIVE: This study explored physicians\' and nurses\' attitudes toward an electronic health record (EHR) system and examined the features and factors that clinicians associated with the implementation of EHR systems.
METHODS: A self-administered anonymous questionnaire with high reliability and validity was adopted from existing research to gather clinicians\' attitudes toward the EHR system implemented at King Khalid University Hospital, one of the biggest hospitals in Riyadh, Saudi Arabia.
RESULTS: A total of 438 questionnaire responses were received from the participants; 240 of them were physicians and 198 were nurses. The participants had a mean age of 43.7 years (standard deviation (SD) 17.1), 213 (52.7%) were female and 207 (47.3%) were male. Most participants (424, 96.8%) had one or more years of experience using computers, and a majority (304, 69.4%) had one or more years of experience using EHR systems. Most physicians and nurses (214, 89.5% vs. 174, 87.9%) were satisfied with their hospital\'s EHR system and felt that the system was highly usable and had the potential to improve communication between staff, facilitate easy storage of and access to information and lead to improved health outcomes for patients. The study found positive attitudes among clinicians concerning the quality of training and education around the new system (178, 74.2% of physicians vs. 142, 71.7% of nurses; p > 0.05) and toward leadership during the transition to HER (222, 92.5% vs. 183, 92.4%). On the other hand, a majority of nurses reported that the EHR system took longer to use and increased their workload compared with the previous analogue system (115 (47.9%) vs. 133 (67.2%); p ≤ 0.01 and 46.7% vs. 112 (64.1%)). A large majority of physicians and nurses surveyed (214 (89.2%) vs. 167 (84.3%)) stated that clinicians should be consulted in the design of such systems as a way to maximise the potential benefits of EHR and mitigate extra workload demands.
CONCLUSIONS: Most clinicians expressed overall satisfaction with the EHR system, but there were some areas of dissatisfaction among the respondents, such as increasing workload and stress among nurses. There is scope for further research to continue to explore physicians\' and nurses\' attitudes toward EHRs and for future experimental studies that examine the impact of EHRs on clinician workloads, patient health outcomes and quality of care.
METHODS: A self-administered anonymous questionnaire with high reliability and validity was adopted from existing research to gather clinicians\' attitudes toward the EHR system implemented at King Khalid University Hospital, one of the biggest hospitals in Riyadh, Saudi Arabia.
RESULTS: A total of 438 questionnaire responses were received from the participants; 240 of them were physicians and 198 were nurses. The participants had a mean age of 43.7 years (standard deviation (SD) 17.1), 213 (52.7%) were female and 207 (47.3%) were male. Most participants (424, 96.8%) had one or more years of experience using computers, and a majority (304, 69.4%) had one or more years of experience using EHR systems. Most physicians and nurses (214, 89.5% vs. 174, 87.9%) were satisfied with their hospital\'s EHR system and felt that the system was highly usable and had the potential to improve communication between staff, facilitate easy storage of and access to information and lead to improved health outcomes for patients. The study found positive attitudes among clinicians concerning the quality of training and education around the new system (178, 74.2% of physicians vs. 142, 71.7% of nurses; p > 0.05) and toward leadership during the transition to HER (222, 92.5% vs. 183, 92.4%). On the other hand, a majority of nurses reported that the EHR system took longer to use and increased their workload compared with the previous analogue system (115 (47.9%) vs. 133 (67.2%); p ≤ 0.01 and 46.7% vs. 112 (64.1%)). A large majority of physicians and nurses surveyed (214 (89.2%) vs. 167 (84.3%)) stated that clinicians should be consulted in the design of such systems as a way to maximise the potential benefits of EHR and mitigate extra workload demands.
CONCLUSIONS: Most clinicians expressed overall satisfaction with the EHR system, but there were some areas of dissatisfaction among the respondents, such as increasing workload and stress among nurses. There is scope for further research to continue to explore physicians\' and nurses\' attitudes toward EHRs and for future experimental studies that examine the impact of EHRs on clinician workloads, patient health outcomes and quality of care.
摘要：
目的：本研究探讨了医生和护士对电子健康记录（EHR）系统的态度，并研究了临床医生与实施EHR系统相关的特征和因素。
方法：从现有研究中采用了具有高信度和效度的自我管理匿名问卷，以收集临床医生对哈立德国王大学医院实施的EHR系统的态度，利雅得最大的医院之一,沙特阿拉伯。
结果：参与者共收到438份问卷回复，其中240人是医生，198人是护士。参与者的平均年龄为43.7岁(标准差(SD)17.1)，213（52.7％）为女性，207（47.3％）为男性。大多数参与者(424,96.8%)有一年或一年以上的电脑使用经验,大多数(304,69.4%)有使用EHR系统一年或一年以上的经验.大多数医生和护士（214，89.5%vs.174，87.9％）对他们医院的EHR系统感到满意，并认为该系统具有很高的可用性，并且有可能改善员工之间的沟通，便于方便地存储和获取信息，并改善患者的健康状况。研究发现，临床医生对新系统的培训和教育质量持积极态度(178，74.2%的医生与142，71.7%的护士；p>0.05）和过渡到HER期间的领导力（222，92.5%vs.183，92.4%）。另一方面,大多数护士报告说，与以前的模拟系统相比，EHR系统使用时间更长，工作量也增加了(115(47.9%)133（67.2%）；p≤0.01和46.7%vs.112（64.1%））。接受调查的绝大多数医生和护士(214名(89.2%)与167（84.3％））指出，在设计此类系统时应咨询临床医生，以最大程度地提高EHR的潜在收益并减轻额外的工作量需求。
结论：大多数临床医生对EHR系统表示总体满意，但是受访者中有一些不满意的地方，例如增加护士的工作量和压力。有进一步的研究继续探索医生和护士对EHR的态度，以及未来的实验研究，以检查EHR对临床医生工作量的影响。患者健康结果和护理质量。
方法：从现有研究中采用了具有高信度和效度的自我管理匿名问卷，以收集临床医生对哈立德国王大学医院实施的EHR系统的态度，利雅得最大的医院之一,沙特阿拉伯。
结果：参与者共收到438份问卷回复，其中240人是医生，198人是护士。参与者的平均年龄为43.7岁(标准差(SD)17.1)，213（52.7％）为女性，207（47.3％）为男性。大多数参与者(424,96.8%)有一年或一年以上的电脑使用经验,大多数(304,69.4%)有使用EHR系统一年或一年以上的经验.大多数医生和护士（214，89.5%vs.174，87.9％）对他们医院的EHR系统感到满意，并认为该系统具有很高的可用性，并且有可能改善员工之间的沟通，便于方便地存储和获取信息，并改善患者的健康状况。研究发现，临床医生对新系统的培训和教育质量持积极态度(178，74.2%的医生与142，71.7%的护士；p>0.05）和过渡到HER期间的领导力（222，92.5%vs.183，92.4%）。另一方面,大多数护士报告说，与以前的模拟系统相比，EHR系统使用时间更长，工作量也增加了(115(47.9%)133（67.2%）；p≤0.01和46.7%vs.112（64.1%））。接受调查的绝大多数医生和护士(214名(89.2%)与167（84.3％））指出，在设计此类系统时应咨询临床医生，以最大程度地提高EHR的潜在收益并减轻额外的工作量需求。
结论：大多数临床医生对EHR系统表示总体满意，但是受访者中有一些不满意的地方，例如增加护士的工作量和压力。有进一步的研究继续探索医生和护士对EHR的态度，以及未来的实验研究，以检查EHR对临床医生工作量的影响。患者健康结果和护理质量。
