J Med Syst (2015) 39: 67 DOI 10.1007/s10916-015-0250-2
EDUCATION & TRAINING
Validation of a Nurses’ Views on Electronic Medical Record Systems (EMR) Questionnaire in Turkish Health System Mehmet Top 1 & Ali Yilmaz 2 & Erdem Karabulut 3 & Ochieng George Otieno 4 & Melahat Saylam 5 & Sevgi Bakır 5 & Sümbül Top 6
Received: 31 March 2014 / Accepted: 30 April 2015 / Published online: 9 May 2015 # Springer Science+Business Media New York 2015
Abstract Using of EMR in health services and organizations is steadily increasing for quality improvement, cost effectiveness and performance development. However, no validated national and international instruments (scale, questionnaire, index, and inventory) have assessed the effectiveness, satisfaction, health care savings, patient safety and cost minimization of electronic medical and health systems from the viewpoint and perceptions of nurses in Turkish health services. The perceptions of health care professionals especially physicians and nurses can contribute important information that may predict their acceptance of EMR and desired mode of use for EMR, evaluation performance of EMR thus guiding EMR implementation in hospitals. This article is a report of validation of the instrument to measure nurses’ views on the use, quality and user satisfaction with EMR in Turkish health system. Items in the questionnaire were designed and obtained following O.G. Otieno, H. Toyama, M. Asonuma, M. KanaiPak, K. Naitoh’s questionnaire about Use, Quality and User This article is part of the Topical Collection on Education & Training * Mehmet Top [email protected] 1
Faculty of Economics and Administrative Sciences, Department of Health Care Management, Hacettepe University, Ankara, Turkey
2
Faculty of Health Sciences, Department of Health Care Management, Kırıkkalae University, Kırıkkale, Turkey
3
Faculty of Medicine, Department of biostatistics, Hacettepe University, Ankara, Turkey
4
School of Public Health, Department of Health Management and Informatics, Kenyatta University, Nairobi, Kenya
5
Hacettepe University, Ankara, Turkey
6
Faculty of Economics and Administrative Sciences, Department of Public Economics, Süleyman Demirel University, Isparta, Turkey
Satisfaction with EMR systems. Reliability and validity were examined and investigated in terms of responses from 487 nurses from one education hospital in Ankara, Turkey. This study was planned and conducted at a university hospital. The validation process was based on construct validity in this study. The response rate was 74.92 %. Cronbach’s alphas of three factors (use, quality and satisfaction of EMR) ranged from 0.78 to 0.94. Goodness-of-fit indices from the confirmatory factor analysis showed a reasonable model fit. Results of confirmatory factor analysis showed that χ2 statistic indicated significant result (p
EDUCATION & TRAINING
Validation of a Nurses’ Views on Electronic Medical Record Systems (EMR) Questionnaire in Turkish Health System Mehmet Top 1 & Ali Yilmaz 2 & Erdem Karabulut 3 & Ochieng George Otieno 4 & Melahat Saylam 5 & Sevgi Bakır 5 & Sümbül Top 6
Received: 31 March 2014 / Accepted: 30 April 2015 / Published online: 9 May 2015 # Springer Science+Business Media New York 2015
Abstract Using of EMR in health services and organizations is steadily increasing for quality improvement, cost effectiveness and performance development. However, no validated national and international instruments (scale, questionnaire, index, and inventory) have assessed the effectiveness, satisfaction, health care savings, patient safety and cost minimization of electronic medical and health systems from the viewpoint and perceptions of nurses in Turkish health services. The perceptions of health care professionals especially physicians and nurses can contribute important information that may predict their acceptance of EMR and desired mode of use for EMR, evaluation performance of EMR thus guiding EMR implementation in hospitals. This article is a report of validation of the instrument to measure nurses’ views on the use, quality and user satisfaction with EMR in Turkish health system. Items in the questionnaire were designed and obtained following O.G. Otieno, H. Toyama, M. Asonuma, M. KanaiPak, K. Naitoh’s questionnaire about Use, Quality and User This article is part of the Topical Collection on Education & Training * Mehmet Top [email protected] 1
Faculty of Economics and Administrative Sciences, Department of Health Care Management, Hacettepe University, Ankara, Turkey
2
Faculty of Health Sciences, Department of Health Care Management, Kırıkkalae University, Kırıkkale, Turkey
3
Faculty of Medicine, Department of biostatistics, Hacettepe University, Ankara, Turkey
4
School of Public Health, Department of Health Management and Informatics, Kenyatta University, Nairobi, Kenya
5
Hacettepe University, Ankara, Turkey
6
Faculty of Economics and Administrative Sciences, Department of Public Economics, Süleyman Demirel University, Isparta, Turkey
Satisfaction with EMR systems. Reliability and validity were examined and investigated in terms of responses from 487 nurses from one education hospital in Ankara, Turkey. This study was planned and conducted at a university hospital. The validation process was based on construct validity in this study. The response rate was 74.92 %. Cronbach’s alphas of three factors (use, quality and satisfaction of EMR) ranged from 0.78 to 0.94. Goodness-of-fit indices from the confirmatory factor analysis showed a reasonable model fit. Results of confirmatory factor analysis showed that χ2 statistic indicated significant result (p
