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

Arinze Anthony Onwuegbuna, U. Eze, A. Apakama, Emeka Akujuobi Chianakwalam, Peter Olisa Ogazi, C. Ezeude, B. Ochiogu, A. Udeaja
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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.
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尼日利亚东南部一家三级眼科机构的眼科医护人员对电子病历的认识和态度
在发达国家,电子病历(EMR)已成为病人管理不可或缺的一部分,但在发展中国家仍在逐渐普及。尽管在后 COVID 时代,这种情况正在发生变化,但在尼日利亚,医务工作者对电子病历仍持抵制态度。然而,似乎仍有一些人出于不同的原因(有时是合理的原因)而拒绝接受这种方法。本研究旨在了解尼日利亚东南部一家教学医院的眼科医务工作者对电子病历的认识和态度。这项横断面定量研究于 2023 年 7 月至 9 月在奥尼沙吉尼斯眼科中心征得同意的 18 岁以上连续眼科医护人员中进行。研究采用了一份经过预先测试的半结构式自填问卷。相关信息包括生物数据、对电子病历的认识和态度。这些信息被归纳为简单的频率和百分比。根据知识、态度和实践的 "Blooms "分界线,将知识得分分为 "好 "和 "差 "两组。进行了单变量和双变量分析,并将结果用表格和图表表示,显著性水平为 p<0.05。共有 135 名受访者,平均年龄(32.6 岁 ± 10 SD),男女比例为 1:1.1。结果表明,受访者对电子病历具有良好的认知度和积极的态度(分别为 85.2% 和 73.2%),年轻群体、专业干部和计算机知识水平与受访者对电子病历具有良好的认知度和积极的态度有关。医院/诊所是最常见的电子病历信息来源。这项研究表明,研究对象对电子病历具有良好的认知和积极的态度。研究还表明,年轻群体、专业干部和计算机知识水平也与之相关。
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