Even though electronic medical records systems have numerous benefits and impact in healthcare institutions (Waithera et al, 2017), but most developing countries are still not able to implement it in various health provider settings. With this, there are other obstacles in its way, such as, infrastructure, limitations on various devices, lack of computer skilled professionals as well as the unfamiliarity’s of the health provider to use it, others are the change from paper use to electronic documentation (Ota, 2018; Waithera et al., 2017, Denisco & Baker, 2016; Khalifa, 2013). Another thing that can be said to be an EMR barriers are, its expensiveness nature to develop, its slow processing, and at times not being user-friendly. Further adding to the above is its lack or poor interoperability between the EMR system that prevent other providers to communicate effectively (Fatt, 2016).Whereas an end user like Nurses are mostly or importantly recognized to be the probable users of EMR, and that they play an important role in the implementation and use of EMRs when it comes to their individual computer expertise, attitude and knowledge. Such group of end users of EMR will need to be motivated to use the EMR in improving their performance and provide safe and efficient nursing delivery (Aldosari, et al., 2018, Abell & Alexander, 2015). But with regards to this, most end users have not received any computer training on their job as well as not having any prior experience with any EMR system. The lack of this trainings affect their attitudes and increase their abhorrers to implement EMR in the workplace (Abu Raddaha, 2018).According to (Castillo VH, et al., 2010), communication among users refers to the act of interchanging thoughts, information, opinions, speech or writhing. Therefore, communication among users is of paramount importance that contribute to the user acceptance of the system. This communication among users must be encouraged through social networks to help innovation users to advance social interaction, which goes a long way in helping them to adopt innovations. Some few researchers have demonstrated the possibility of interaction problems between doctors and patients with the use of the EMR. The eye contact of patients is of more complete to be of interpersonal communication, thereby leading to positive or quality healthcare delivery. As said by Ludwick et al, some doctors made mention that they sometimes stop using the EMR for the reason being that, looking for menus and buttons disrupt the clinical encounter.Technical support is also an area suggested by some physicians, even though, technical support facilitates the use, support staff was generally perceived as knowledgeable and that helpful, they were sometimes not available, that is, they are either off hours or on holidays (Ford EW, Menachemi N, Philips MT., 2006). Even though, a broadband connectivity and wireless connectivity facilitates the use of EMR, these were not always available as stated by (Ford, et al, 2006).According to research done on technology acceptance (Venkatesh et al., 2003), users adoption of technological system depends on a number of considerable factors on their perception of its usefulness and the ease of use. This implies that the institutional adoption of the system is a two stage approach involving a formal, institutional decision to adopt as well as by the actual adoption of the system by users (Gallivan, 2001). Although cost is one of the primary barrier to the formal, institutional decision in adopting EMR in healthcare (Jha et al., 2009), barriers to actual adoption will depend on end user’s perception of the use of the system. Some of these barriers are end users perceive systems as reducing the quality of records (Alapetite et al., 2009), increasing drastically the time in entering medication orders (Ash et al., 2003), requiring clinicians to compromise their ethics and values to make the system work (Scott et al., 2005). In concluding, (Brender et al., 2006) said, there is no small set of issues that are enough to make healthcare system successful, rather, success depends on a number of interdependent issues, that includes, technical, institutional and users’ issues.
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