KNOWLEDGE, WORKLOAD, ATTITUDE, AND ELECTRONIC HEALTH RECORDS COMPLIANCE AMONG HEALTHCARE PROFESSIONALS

Rita Zahara Ibrahim, Supriyantoro Supriyantoro, Hosizah Hosizah, Ericko Ongko Joyo

Abstract


Electronic health record (EHR) has replaced conventional medical records in Indonesia. Until now, its utilization is still not optimal, and there are still frequent problems with incomplete filling of the EHR form due to individual factors. To examine the association between knowledge and workload with healthcare professionals' (HCPs) compliance in filling out HER, considering the mediating role of attitude. We performed a cross-sectional study on 80 HCPs who worked at the Intensive Care Unit of the National Cardiovascular Centre Harapan Kita. We observe the level of knowledge and workload as independent variables, attitudes as mediating variables, and compliance as the dependent variable. Primary data were obtained by using questionnaires. The association among observed variables was analyzed using path analysis. As a result, we found that knowledge, workload, and attitude simultaneously had a significant association with compliance in EHR filling. Attitude is the most dominant independent variable that directly affected compliance, while knowledge and workload were associated with compliance mediated by attitude. It was concluded that increasing HCPs' compliance in filling out the EHR would be directly associated with a positive attitude of HCPs. A higher level of knowledge and a lighter workload do not directly associate with better compliance, but affect attitude improvement. Thus improving knowledge levels and adjusting the workload will increase EHR filling compliance by mediating positive attitudes among HCPs. 

Keywords


Attitude, Compliance, Electronic Health Records, Knowledge, Workload

Full Text:

PDF

References


Almenyan, A. A., Albuduh, A., & Al-Abbas, F. Effect of Nursing Workload in Intensive Care Units. Cureus. 2021;13(1), e12674. https://doi.org/10.7759/cureus.12674

Tsai, C. H., Eghdam, A., Davoody, N., Wright, G., Flowerday, S., & Koch, S. Effects of Electronic Health Record Implementation and Barriers to Adoption and Use: A Scoping Review and Qualitative Analysis of the Content. Life (Basel, Switzerland). 2020;10(12):327. https://doi.org/10.3390/life10120327

Rahmatiqa, C., Abdillah, N., & Yuniko, F. Factors that cause compliance filling medical records in hospitals. International joutnal of community medicine and public health. 2020;7(10):4180-4184. http://dx.doi.org/10.18203/2394-6040.ijcmph20204393

Limbu, D. K., Piryani, R.M., & Sunny, A.K. Healthcare workers' knowledge, attitude and practices during the COVID-19 pandemic response in a tertiary care hospital of Nepal. PLOS ONE. 2020;15(11): e0242126. https://doi.org/10.1371/journal.pone.0242126

Roupa, Z., Polychronis, G., Latzourakis, E., Nikitara, M., Ghobrial, S., Chrysafi, A., & Noula, M. Assessment of Knowledge and Perceptions of Health Workers Regarding COVID-19: A Cross-Sectional Study from Cyprus. Journal of community health. 2021;46(2):251–258. https://doi.org/10.1007/s10900-020-00949-y

Dunn Lopez, K., Chin, C. L., Leitão Azevedo, R. F., Kaushik, V., Roy, B., Schuh, W., Banks, K., Sousa, V., & Morrow, D. Electronic health record usability and workload changes over time for provider and nursing staff following transition to new EHR. Applied ergonomics. 2021;93:103359. https://doi.org/10.1016/j.apergo.2021.103359

Tian, Z., Tang, C., Akram, F., Khan, M. L., & Chuadhry, M. A. Negative Work Attitudes and Task Performance: Mediating Role of Knowledge Hiding and Moderating Role of Servant Leadership. Frontiers in psychology. 2022;13: 963696. https://doi.org/10.3389/fpsyg.2022.963696

Mkalira Msiska, K. E., Kumitawa, A., & Kumwenda, B. Factors affecting the utilisation of electronic health records system in Malawian central hospitals. Malawi medical journal : the journal of Medical Association of Malawi. 2017;29(3): 247–253.

Upadhyay S, Hu H. A Qualitative Analysis of the Impact of Electronic Health Records (EHR) on Healthcare Quality and Safety: Clinicians’ Lived Experiences. Health Services Insights. 2022;15. doi:10.1177/11786329211070722

Wawrzyniak, C., Marcilly, R., Baclet, N., Hansske, A., & Pelayo, S. EHR Usage Problems: A Preliminary Study. Studies in health technology and informatics. 2019;257:484–488.

Indar, I., & Naiem, F. Faktor yang Berhubungan dengan Kelengkapan Rekam Medis di RSUD H. Padjonga Dg. Ngalle Takalar 2013. Jurnal Administrasi dan Kebijakan Kesehatan Indonesia. 2013;2: 2.

Dewi, K. W. Hubungan antara Pengetahuan Dokter tentang Rekam Medis dengan Kelengkapan Pengisian Data Rekam Medis Dokter yang Bertugas di Bangsal Anak Rsup Dr. Kariadi Semarang Periode 1-31 Agustus 2010. Jurnal Undip, Semarang; 2011.

Harry, S.. Pengaruh Beban Kerja, Komitmen dan Kepuasan Kerja Dokter Spesialis terhadap Performance Rekam Medis di Ruang Rawat Inap Rumah Sakit X Kota Medan Tahun 2018. Repositori Instutis Universitas Sumatera Utara, Tesis Magister; 2019.

Janssen, A., Donnelly, C., Elder, E., Pathmanathan, N., & Shaw, T. EHR implementation in tertiary care: factors influencing adoption of an EHR in a cancer centre. BMC Health Serv Res. 2021; 21: 1, 23.

Hayuningsih, C. Analisis Kepatuhan Dokter dalam Penulisan Diagnosis Kaitannya dengan Klaim BPJS di Unit Rawat Inap RS An-Nisa. Tesis Program Studi Administrasi Rumah Sakit; 2014.

Sofiana. Perencanaan dan Pelaksanaan Dokumentasi Rekam Medis Asuhan Keperawatan Di Ruang Barokah Rumah Sakit PKU Muhammadiyah Gombong. Jurnal Ilmiah Kesehatan Keperawatan. 2015;7:190-197.

Shah SU, Xiu Ling Loo E, En Chua C, Sen Kew G, Demutska A, et al. Association between well-being and compliance with COVID-19 preventive measures by healthcare professionals: A cross-sectional study. PLOS ONE. 2021;16(6): e0252835. https://doi.org/10.1371/journal.pone.0252835.




DOI: http://dx.doi.org/10.7454/arsi.v9i3.7303

Refbacks

  • There are currently no refbacks.