No Cover Image

E-Thesis 398 views

Exploring the factors that affect the acceptance and use of Electronic Health Records amongst secondary care staff in Kuwait: A mixed- methods study / NASER ALBAZZAZ

Swansea University Author: NASER ALBAZZAZ

  • E-Thesis – open access under embargo until: 25th October 2025

DOI (Published version): 10.23889/SUthesis.61747

Abstract

Background: Despite investments into healthcare reform and health information technology (HIT), Kuwait has not fully utilised Electronic Health Records (EHR) in the public secondary care sector. As a result, adoption and maturity levels vary. Aims: The present study aimed (1) to evaluate the accepta...

Full description

Published: Swansea 2022
Institution: Swansea University
Degree level: Doctoral
Degree name: Ph.D
Supervisor: Croxall, Jodie ; Healy, Melanie
URI: https://cronfa.swan.ac.uk/Record/cronfa61747
Tags: Add Tag
No Tags, Be the first to tag this record!
first_indexed 2022-11-01T11:11:37Z
last_indexed 2023-01-13T19:22:42Z
id cronfa61747
recordtype RisThesis
fullrecord <?xml version="1.0"?><rfc1807><datestamp>2022-11-01T11:44:33.1813214</datestamp><bib-version>v2</bib-version><id>61747</id><entry>2022-11-01</entry><title>Exploring the factors that affect the acceptance and use of Electronic Health Records amongst secondary care staff in Kuwait: A mixed- methods study</title><swanseaauthors><author><sid>6ed59bf9423af1de37ea2ddcbe39d759</sid><firstname>NASER</firstname><surname>ALBAZZAZ</surname><name>NASER ALBAZZAZ</name><active>true</active><ethesisStudent>false</ethesisStudent></author></swanseaauthors><date>2022-11-01</date><abstract>Background: Despite investments into healthcare reform and health information technology (HIT), Kuwait has not fully utilised Electronic Health Records (EHR) in the public secondary care sector. As a result, adoption and maturity levels vary. Aims: The present study aimed (1) to evaluate the acceptance of EHR in public sec-ondary care hospitals in Kuwait, (2) to explore experiences and perceptions of EHR, (3) to understand barriers to the EHR, (4) to devise potential strategies to enhance user acceptance.Methods: In order to address the aims, the research has adopted a mixed-methods design utilising quantitative and qualitative methods. The quantitative study was conducted as an online survey of 399 Healthcare professionals in six public hospitals in Kuwait. It used the Technology Acceptance Model 2 (TAM 2) questionnaire to collect data. The qualitative study consisted of two phases. Phase one data were collected through semi-structured interviews with thirty healthcare professionals in three public hospitals. Phase two consisted of three semi-structured interviews with health care leadership in non-government secondary care sites that had already im-plemented EHR successfully.Results and findings: The TAM 2 survey found overall negative user attitudes. Per-ceived Ease of Use and Perceived Usefulness both predicted Intention to Use. How-ever, user perceptions demonstrated that HCPs trusted in EHRs to improve quality of care, reduce clinical errors and save time. Furthermore, HCPs experienced a lack of interoperability, information technology (IT) infrastructure, resources, and a lack of organisational cohesion and teamwork as barriers to EHR adoption and use. In addi-tion to that, interviewees expressed concerns about the safety and privacy of patient data. Conclusion: The evidence underscores the importance of strategic managerial investment into EHR adoption and use in Kuwaiti secondary care public hospitals. The study identified a need for better IT infrastructure, more appropriate staff training and monitoring of EHR implementation and use as strategies to enhance user acceptance.</abstract><type>E-Thesis</type><journal/><volume/><journalNumber/><paginationStart/><paginationEnd/><publisher/><placeOfPublication>Swansea</placeOfPublication><isbnPrint/><isbnElectronic/><issnPrint/><issnElectronic/><keywords>Electronic Health Record, Gulf region, Kuwait, Health Care Management, Technology Acceptance</keywords><publishedDay>25</publishedDay><publishedMonth>10</publishedMonth><publishedYear>2022</publishedYear><publishedDate>2022-10-25</publishedDate><doi>10.23889/SUthesis.61747</doi><url/><notes/><college>COLLEGE NANME</college><CollegeCode>COLLEGE CODE</CollegeCode><institution>Swansea University</institution><supervisor>Croxall, Jodie ; Healy, Melanie</supervisor><degreelevel>Doctoral</degreelevel><degreename>Ph.D</degreename><degreesponsorsfunders>Embassy of the state of Kuwait, Military attach&#xE9;&#x2019;s office</degreesponsorsfunders><apcterm/><funders/><projectreference/><lastEdited>2022-11-01T11:44:33.1813214</lastEdited><Created>2022-11-01T11:05:48.6053998</Created><path><level id="1">Faculty of Medicine, Health and Life Sciences</level><level id="2">Swansea University Medical School - Medicine</level></path><authors><author><firstname>NASER</firstname><surname>ALBAZZAZ</surname><order>1</order></author></authors><documents><document><filename>Under embargo</filename><originalFilename>Under embargo</originalFilename><uploaded>2022-11-01T11:28:38.5221653</uploaded><type>Output</type><contentLength>12566278</contentLength><contentType>application/pdf</contentType><version>E-Thesis &#x2013; open access</version><cronfaStatus>true</cronfaStatus><embargoDate>2025-10-25T00:00:00.0000000</embargoDate><documentNotes>Copyright: The author, Naser Albazzaz, 2022.</documentNotes><copyrightCorrect>true</copyrightCorrect><language>eng</language></document></documents><OutputDurs/></rfc1807>
spelling 2022-11-01T11:44:33.1813214 v2 61747 2022-11-01 Exploring the factors that affect the acceptance and use of Electronic Health Records amongst secondary care staff in Kuwait: A mixed- methods study 6ed59bf9423af1de37ea2ddcbe39d759 NASER ALBAZZAZ NASER ALBAZZAZ true false 2022-11-01 Background: Despite investments into healthcare reform and health information technology (HIT), Kuwait has not fully utilised Electronic Health Records (EHR) in the public secondary care sector. As a result, adoption and maturity levels vary. Aims: The present study aimed (1) to evaluate the acceptance of EHR in public sec-ondary care hospitals in Kuwait, (2) to explore experiences and perceptions of EHR, (3) to understand barriers to the EHR, (4) to devise potential strategies to enhance user acceptance.Methods: In order to address the aims, the research has adopted a mixed-methods design utilising quantitative and qualitative methods. The quantitative study was conducted as an online survey of 399 Healthcare professionals in six public hospitals in Kuwait. It used the Technology Acceptance Model 2 (TAM 2) questionnaire to collect data. The qualitative study consisted of two phases. Phase one data were collected through semi-structured interviews with thirty healthcare professionals in three public hospitals. Phase two consisted of three semi-structured interviews with health care leadership in non-government secondary care sites that had already im-plemented EHR successfully.Results and findings: The TAM 2 survey found overall negative user attitudes. Per-ceived Ease of Use and Perceived Usefulness both predicted Intention to Use. How-ever, user perceptions demonstrated that HCPs trusted in EHRs to improve quality of care, reduce clinical errors and save time. Furthermore, HCPs experienced a lack of interoperability, information technology (IT) infrastructure, resources, and a lack of organisational cohesion and teamwork as barriers to EHR adoption and use. In addi-tion to that, interviewees expressed concerns about the safety and privacy of patient data. Conclusion: The evidence underscores the importance of strategic managerial investment into EHR adoption and use in Kuwaiti secondary care public hospitals. The study identified a need for better IT infrastructure, more appropriate staff training and monitoring of EHR implementation and use as strategies to enhance user acceptance. E-Thesis Swansea Electronic Health Record, Gulf region, Kuwait, Health Care Management, Technology Acceptance 25 10 2022 2022-10-25 10.23889/SUthesis.61747 COLLEGE NANME COLLEGE CODE Swansea University Croxall, Jodie ; Healy, Melanie Doctoral Ph.D Embassy of the state of Kuwait, Military attaché’s office 2022-11-01T11:44:33.1813214 2022-11-01T11:05:48.6053998 Faculty of Medicine, Health and Life Sciences Swansea University Medical School - Medicine NASER ALBAZZAZ 1 Under embargo Under embargo 2022-11-01T11:28:38.5221653 Output 12566278 application/pdf E-Thesis – open access true 2025-10-25T00:00:00.0000000 Copyright: The author, Naser Albazzaz, 2022. true eng
title Exploring the factors that affect the acceptance and use of Electronic Health Records amongst secondary care staff in Kuwait: A mixed- methods study
spellingShingle Exploring the factors that affect the acceptance and use of Electronic Health Records amongst secondary care staff in Kuwait: A mixed- methods study
NASER ALBAZZAZ
title_short Exploring the factors that affect the acceptance and use of Electronic Health Records amongst secondary care staff in Kuwait: A mixed- methods study
title_full Exploring the factors that affect the acceptance and use of Electronic Health Records amongst secondary care staff in Kuwait: A mixed- methods study
title_fullStr Exploring the factors that affect the acceptance and use of Electronic Health Records amongst secondary care staff in Kuwait: A mixed- methods study
title_full_unstemmed Exploring the factors that affect the acceptance and use of Electronic Health Records amongst secondary care staff in Kuwait: A mixed- methods study
title_sort Exploring the factors that affect the acceptance and use of Electronic Health Records amongst secondary care staff in Kuwait: A mixed- methods study
author_id_str_mv 6ed59bf9423af1de37ea2ddcbe39d759
author_id_fullname_str_mv 6ed59bf9423af1de37ea2ddcbe39d759_***_NASER ALBAZZAZ
author NASER ALBAZZAZ
author2 NASER ALBAZZAZ
format E-Thesis
publishDate 2022
institution Swansea University
doi_str_mv 10.23889/SUthesis.61747
college_str Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str Swansea University Medical School - Medicine{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}Swansea University Medical School - Medicine
document_store_str 0
active_str 0
description Background: Despite investments into healthcare reform and health information technology (HIT), Kuwait has not fully utilised Electronic Health Records (EHR) in the public secondary care sector. As a result, adoption and maturity levels vary. Aims: The present study aimed (1) to evaluate the acceptance of EHR in public sec-ondary care hospitals in Kuwait, (2) to explore experiences and perceptions of EHR, (3) to understand barriers to the EHR, (4) to devise potential strategies to enhance user acceptance.Methods: In order to address the aims, the research has adopted a mixed-methods design utilising quantitative and qualitative methods. The quantitative study was conducted as an online survey of 399 Healthcare professionals in six public hospitals in Kuwait. It used the Technology Acceptance Model 2 (TAM 2) questionnaire to collect data. The qualitative study consisted of two phases. Phase one data were collected through semi-structured interviews with thirty healthcare professionals in three public hospitals. Phase two consisted of three semi-structured interviews with health care leadership in non-government secondary care sites that had already im-plemented EHR successfully.Results and findings: The TAM 2 survey found overall negative user attitudes. Per-ceived Ease of Use and Perceived Usefulness both predicted Intention to Use. How-ever, user perceptions demonstrated that HCPs trusted in EHRs to improve quality of care, reduce clinical errors and save time. Furthermore, HCPs experienced a lack of interoperability, information technology (IT) infrastructure, resources, and a lack of organisational cohesion and teamwork as barriers to EHR adoption and use. In addi-tion to that, interviewees expressed concerns about the safety and privacy of patient data. Conclusion: The evidence underscores the importance of strategic managerial investment into EHR adoption and use in Kuwaiti secondary care public hospitals. The study identified a need for better IT infrastructure, more appropriate staff training and monitoring of EHR implementation and use as strategies to enhance user acceptance.
published_date 2022-10-25T04:20:48Z
_version_ 1763754375593852928
score 11.012678

Similar Items