CURRENT STATUS OF INTEGRATION AND EFFECTIVENESS OF ELECTRONIC MEDICAL RECORD USE AMONG CLINICAL NURSES AT MILITARY HOSPITAL 175
DOI:
https://doi.org/10.59354/ydth175.2025.435Từ khóa:
Electronic Medical Records, nursing, integration level, usage effectiveness, Military Hospital 175Tóm tắt
Background: Electronic Medical Records (EMR) are an inevitable trend in digital transformation in healthcare. The implementation of EMR in nursing practice at Military Hospital 175, which began in June 2025, still faces many challenges. Therefore, it is necessary to assess the level of integration and the effectiveness of EMR use to propose solutions to optimize its implementation and utilization.
Objective: To evaluate the level of integration and the effectiveness of EMR use among clinical nurses at Military Hospital 175.
Subjects and Methods: A cross-sectional descriptive study was conducted on 328 nurses, midwives, and technicians from clinical departments. Data were collected via a self-administered questionnaire covering 11 factor groups based on the PLS-SEM model. The reliability of the scale was assessed using Cronbach’s Alpha coefficient (0.95). Descriptive statistics, Chi-square tests, and logistic regression analyses were used to identify associated factors.
Results: Among participants, 78% were female, 62.8% had a university degree, 95.4% had basic computer skills, most had 1–5 years of work experience (35.4%), and the majority were clinical care nurses (75.6%). The proportion of participants with a high level of EMR integration was 36.6%, and those with high utilization effectiveness accounted for 41.5%. Logistic regression analysis revealed that two factors were significantly associated with EMR integration levels: technology-induced stress (OR=1.87, 95% CI: 1.001–2.74) and EMR usage habits (OR=2.95, 95% CI: 2.3–3.6). Two factors influenced usage effectiveness: interdependence (OR=2.4, 95% CI: 1.7 3.1) and EMR usage habits (OR=2.8, 95% CI: 2.1–3.4).
Conclusion: The level of integration and effectiveness of EMR use among nurses at Military Hospital 175 was moderately good. Nurses could use EMR for most routine tasks; however, limitations remain in fully exploiting all features, speed of operation, and confidence when using the system. Enhancing training, improving infrastructure, and fostering regular EMR usage habits were necessary to improve application effectiveness.
Tài liệu tham khảo
1. Chen RF, Hsiao JL. Health Professionals’ Perspectives on Electronic Medical Record Infusion and Individual Performance: Model Development and Questionnaire Survey Study. JMIR Med Inform. 2021 Nov 30;9(11):e32180. doi: 10.2196/32180. PMID: 34851297; PMCID: PMC8672292.
2. World Health Organization (2021). Global strategy on digital health 2020-2025. World Health Organization. https://iris.who.int/handle/10665/344249. License: CC BY-NC-SA 3.0 IGO.
3. Ministry of Health. Guidelines for implementing electronic medical records on June 6, 2025. Circular No. 13/2025/TT-BYT. https://thuvienphapluat.vn/ van-ban/The-thao-Y-te/Thong-tu-13-2025-TT-BYT-huong-dan-trien-khai-ho-so-benh an-dien-tu-660113.aspx
4. Chaudhry B, Wang J, Wu S, Maglione M, Mojica W, Roth E, Morton SC, Shekelle PG. Systematic review: impact of health information technology on quality, efficiency, and costs of medical care. Ann Intern Med. 2006 May 16;144(10):742-52. doi: 10.7326/0003-4819-144-10-200605160-00125. Epub 2006 Apr 11. PMID: 16702590.
5. Yamane T. Statistics, an introductory analysis. 2nd ed.New York: Harper and Row. 1967.
6. Nguyen, N. B., Le, T. D. T., Thi My Lan và Pham, D. Q. (2024) “Current status and challenges in implementing electronic medical records in healthcare management at Can Tho City General Hospital in 2023”, Vietnam Journal of Medicine, 541(1). doi: 10.51298/vmj.v541i1.10641.
7. La Torre G, De Leonardis V, Chiappetta M. Technostress: How does it affect the productivity and life of an individual?Results of an observational study. Public Health 2020 Dec;189:60-65. [doi: 10.1016/j.puhe.2020.09.013] [Medline: 33166856].
8. Abu Raddaha, A. H. (2018). Nurses’ perceptions about and confidence in using an electronic medical record system. Proceedings of Singapore Healthcare. https://doi.org/10.1177/2010105817732585
9. Maawati F, Iswanti DI, Saifudin IMMY, Dedi B. Nurses’ Perception towards Electronic Medical Records System: An Integrative Review of Barriers and Facilitators. Iran J Public Health. 2025 Jan;54(1):62-73. doi: 10.18502/ijph.v54i1.17575. PMID: 39902365; PMCID: PMC11787828.
10. Ramoo V, Kamaruddin A, Wan Nawawi WNF, Che CC, Kavitha R. Nurses’ Perception and Satisfaction Toward Electronic Medical Record System. Florence Nightingale J Nurs. 2023 Feb;31(1):2-10. doi: 10.5152/FNJN.2022.22061. PMID: 36751711; PMCID: PMC10081040.
11. Setyadi, D., & Nadjib, M. . (2023). The Effect of Electronic Medical Records on Service Quality and Patient Satisfaction: A Literature Review. Journal Research of Social Science, Economics, and Management, 2(12), 2780–2791. https:// doi.org/10.59141/jrssem.v2i12.500
12. Do Danh Thang, Nguyen Van Hoat, Nguyen Hong Viet, Nguyen Van Son, & Nguyen Van San. (2023). Current Status and Effectiveness of Implementing Electronic Medical Records at Military Hospital 110. Published in “Journal of Military Medicine, (366), 5. https://doi.org/10.59459/1859-1655/JMM.297
