Healthcare Workers’ Knowledge, Attitudes, and Practices Towards Electronic Medical Records in Ogun State, Nigeria

Abstract 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. Competing Interest Statement The authors have declared no competing interest. Funding Statement This study did not receive any funding Author Declarations I confirm all relevant ethical guidelines have been followed, and any necessary IRB and/or ethics committee approvals have been obtained. Yes The details of the IRB/oversight body that provided approval or exemption for the research described are given below: Approval was obtained from the Ogun State Hospital Management Board Ethical Review Committee. Participation was voluntary, with informed consent and confidentiality assured. I confirm that all necessary patient/participant consent has been obtained and the appropriate institutional forms have been archived, and that any patient/participant/sample identifiers included were not known to anyone (e.g., hospital staff, patients or participants themselves) outside the research group so cannot be used to identify individuals. Yes I understand that all clinical trials and any other prospective interventional studies must be registered with an ICMJE-approved registry, such as ClinicalTrials.gov. I confirm that any such study reported in the manuscript has been registered and the trial registration ID is provided (note: if posting a prospective study registered retrospectively, please provide a statement in the trial ID field explaining why the study was not registered in advance). Yes I have followed all appropriate research reporting guidelines, such as any relevant EQUATOR Network research reporting checklist(s) and other pertinent material, if applicable. Yes Data Availability All data produced in the present study are available upon reasonable request to the authors