ReviewDigital health
Adoption of electronic health records by nurses in Africa: A scoping review.
Review in Digital health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
3 citing papers in PubMed.
- Implementation strategies to promote e-Tracker use in the childhood immunization program in Rwanda - a mixed methods study.Frontiers in health services · 2026Article
- A blueprint for integrating nursing informatics into undergraduate nursing programs: A multiple-case study in Australia and South Africa.International journal of nursing sciences · 2026Article
- Digital health in clinical pharmacy practice: transforming precision medicine and pharmacometrics in Africa.Frontiers in pharmacology · 2026Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Electronic health records (EHRs) are essential to modern nursing practice, enhancing patient care and safety. However, their adoption among nurses in Africa remains limited. Thus, this study aims to map evidence about nurses' adoption of EHRs in Africa. Source of Evidence: Guided by the Levac framework, this review thoroughly analysed scholarly publications. Searches were conducted across six databases - CINAHL, Emcare, Medline, PsychINFO, Scopus and Web of Science - covering publications from 2014 to 2024. A manual search was conducted using Google and Google Scholar. A total of 12 studies met the inclusion criteria. The majority of studies were quantitative ( Results: The findings highlighted the suboptimal adoption of EHRs by nurses across Africa. Studies from Nigeria revealed minimal usage of EHRs despite the availability of infrastructure, while those from South Africa showed inconsistent progress. Kenya faced adoption barriers due to funding and infrastructure gaps, especially in rural areas. Eight studies emphasised the importance of standardised digital tools for nursing efficiency and patient care, yet reliance on paper records persisted. Key barriers included insufficient training, workflow disruptions, outdated technology, connectivity issues and resistance to change. Effective strategies involved targeted computer skill training, robust policies and organisational support, with usability optimisation crucial for boosting confidence and adoption. Conclusion: The integration of EHRs among African nurses is still in its early stages, with a significant reliance on paper-based systems. Developing tailored training programs and exploring sustainable implementation strategies are essential for success.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.