Determinants of Electronic Medical Records Utilization among Nurses in Nigerian Navy Healthcare Facilities in Lagos

Abstract

Abstract Background: Electronic medical records (EMRs) are essential for improving healthcare delivery, yet their adoption remains suboptimal in many Nigerian healthcare facilities. This study examines the determinants influencing EMR utilization among nurses in Nigerian Navy healthcare facilities, identifying key barriers and facilitators of adoption. Materials and Methods: A web-based descriptive cross-sectional study was conducted among 108 nurses in three Nigerian Navy healthcare facilities in Lagos: Nigerian Navy Reference Hospital Ojo, Naval Medical Centre, Victoria Island, and Obisesan Naval Medical Centre, Lagos. A total enumeration sampling technique was used, meaning all eligible participants were included without sampling. Data were collected using a structured questionnaire via Google Forms and analyzed using SPSS version 26. Descriptive statistics summarized demographic characteristics, attitudes, utilization levels, and barriers, while Chi-square tests were used to test hypotheses where applicable. Results: Nurses demonstrated a generally positive attitude toward EMRs, with 84.2% reporting high utilization. However, barriers such as inadequate training (43.4%), frequent technical difficulties (46.1%), and resistance to change (42.1%) were identified. Facilitators included leadership support (69.7%), peer mentorship (81.6%), and structured training programs (90.8%). A significant positive correlation was found between nurses’ attitudes and EMR utilization ( r = 0.608, P < 0.001). Conclusion: While EMRs are widely recognized as beneficial, technical challenges, insufficient training, and workload concerns limit their full adoption. Addressing these barriers through structured training, improved technical support, and leadership-driven incentives is crucial for optimizing EMR utilization and enhancing healthcare efficiency in military settings.