Older Nurses' Perceptions of an Electronic Medical Record Implementation

Shaluni Tissera, Rebecca Jedwab, Rafael Calvo, Naomi Dobroff, Nicholas Glozier, Alison Hutchinson, Michael Leiter, Elizabeth Manias, Katrina Nankervis, Helen Rawson, Bernice Redley

Research output: Chapter in Book/Report/Conference proceedingConference PaperResearchpeer-review

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In Australia, almost 40% of nurses are aged 50 years and older. These nurses may be vulnerable to leaving the workforce due to challenges experienced during electronic medical record (EMR) implementations. This research explored older nurses' perceptions of factors expected to influence their adoption of an EMR, to inform recommendations to support implementation. The objectives were to: 1) measure psychological factors expected to influence older nurses' adoption of the EMR; and 2) explore older nurses' perceptions of facilitators and barriers to EMR adoption. An explanatory sequential mixed methods design was used to collect survey and focus group data from older nurses, prior to introducing an EMR system. These nurses were highly engaged with their work; 79.3% reported high wellbeing scores. However, their motivation appeared to be predominantly governed by external rather than internal influences. Themes reflecting barriers to EMR and resistance to adoption emerged in the qualitative data.

Original languageEnglish
Title of host publicationNurses and Midwives in the Digital Age
Subtitle of host publicationSelected Papers, Posters and Panels from the 15th International Congress in Nursing Informatics
EditorsMichelle Honey, Charlene Ronquillo, Ting-Ting Lee, Lucy Westbrooke
Place of PublicationAmsterdam Netherlands
PublisherIOS Press
Number of pages6
ISBN (Electronic)9781643682211
ISBN (Print)9781643682204
Publication statusPublished - 2021
EventInternational Congress on Nursing Informatics 2021 - Virtual, Online
Duration: 23 Aug 20212 Sept 2021
Conference number: 15th

Publication series

NameStudies in Health Technology and Informatics
ISSN (Print)0926-9630
ISSN (Electronic)1879-8365


ConferenceInternational Congress on Nursing Informatics 2021
Abbreviated titleNI 2021
CityVirtual, Online
Internet address


  • Electronic medical record
  • electronic medical record adoption
  • electronic medical record implementation
  • older nurses

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