Healthcare workers' knowledge, attitudes, and practices regarding electronic medical records in Ogun State, Nigeria

Electronic Medical Records (EMRs) are critical for improving healthcare delivery, yet their adoption in low-resource settings faces multiple challenges. In 2023, Ogun State, Nigeria, introduced EMRs in one tertiary and five secondary hospitals. This study assessed healthcare workers knowledge, attitudes, and practices (KAP) regarding EMRs to identify barriers and enablers for effective implementation. A cross-sectional descriptive study was conducted among 330 healthcare professionals, including doctors, nurses, pharmacists, laboratory scientists, and health records officers. Data were collected using structured questionnaires and key informant interviews and analyzed using descriptive statistics, chi-square tests, logistic regression, and thematic content analysis. Findings revealed moderate knowledge of EMR functions (65%), positive attitudes toward adoption (76%), but low consistent practice, with only 28% fully relying on EMRs due to infrastructural challenges such as power outages (85%), poor internet connectivity (70%), and inadequate training (65%). Facilitators included perceived efficiency, improved patient safety, and government support. The study concludes that while healthcare workers in Ogun State are willing to adopt EMRs, infrastructural and capacity-related barriers hinder full utilization. Targeted interventions focusing on ICT infrastructure, training, and policy support are recommended to enhance adoption and sustainability.