Knowledge, attitudes and practice of healthcare workers on the use of health information technology : a mixed method descriptive survey among healthcare workers in Princess Marina Hospital, Gaborone, Botswana
Thesis (MPhil)--Stellenbosch University, 2019.
ENGLISH SUMMARY : Background: To date, studies of Health Information Technology (HIT) in Botswana have focused on the evaluation of development, implementation and utilisation of the District Health Information System (DHIS). However, health professionals are facing many challenges regarding the transition from paper to electronic-based system, as throughout the development and implementation of an integrated HIS at district and national levels. This study aims to assess the knowledge, attitude and practice of HIT among healthcare workers from Princess Marina Hospital in Botswana. Methods: A descriptive survey was carried out on 107 randomly selected healthcare workers using both quantitative and qualitative methods for data collection from November 2017 to March 2018. A piloted self-administered questionnaire was used to assess knowledge, attitudes and practices of healthcare workers regarding health information technology. Quantitative data was analysed and reported using descriptive analysis using the Statistical Package for Social Scientists (SPSS) version 24. Qualitative data was analysed using Nvivo software. Results: Overall, 107/110(97.3% response rate) healthcare workers agreed to participate. 67(62.6%) were doctors, 30(28%) pharmacy staff, 8(7.5%) nurses and 2(1.9%) medical records staff. The majority 81(75.7%) reported not receiving any computer training, 43(40.2%) reported a moderate level of proficiency. The majority did not carry out electronic patient documentation, 48(44.9%) or performed the task manually. With regard to attitude, 65(60.8%) were eager to learn. Conclusion: In general, the staff presented a lower level of knowledge and practice of HIT even though they showed positive attitudes. Provision of in-service training is needed in order to up-skill the health professionals regarding the use of HIT for patient care and management.
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