Training, usability, and technical support as predictors of electronic health record–associated workflow efficiency and job satisfaction among nurses: evidence from Palestine

Hamza Ghanayem, Fuad Farajalla and Mousa Farajallah

SAP Primary Care, 2026

Abstract: Introduction: Electronic health records (EHRs) have transformed healthcare documentation, yet their impact on nursing practices in resource-limited settings remains underexplored. In Palestine, where governmental hospitals face infrastructure challenges, EHR adoption may enhance efficiency but also introduce disruptions affecting nurse morale.Aim: To assess the dual role of electronic health information systems in nursing practice: perceived benefits and challenges for workflow and job satisfaction in PalestineMethods: This quantitative cross-sectional study surveyed 190 nurses from medical and surgical wards in eight Palestinian governmental hospitals using a structured questionnaire. Data collection occurred from March to April 2025. The instrument assessed demographics, work environment factors, workflow efficiency (9-item Likert scale), and job satisfaction (adapted Nursing Workplace Satisfaction Questionnaire, 10 items). Sample size was calculated via G*Power for regression analysis (n=190 minimum). Descriptive statistics, normality tests, and multiple linear regression were performed using SPSS version 29, with significance at p<0.05.Results: Response rate was 90.48 %. Nurses (mean age 32.64 years; 51.6 % male) reported moderate workflow efficiency (mean=3.59/5) and job satisfaction (mean=3.57/5). Over 70 % perceived high EHR-related efficiency, with 52.1 % satisfied overall. Regression identified EHR user-friendliness (β=0.261, p<0.001), training (β=0.243, p=0.024), technical support (β=0.184, p=0.005), and age (β=0.223, p=0.037) as predictors of efficiency. Similar factors predicted satisfaction: user-friendliness (β=0.274, p<0.001), training (β=0.274, p=0.020), technical support (β=0.148, p=0.012), and age (β=0.194, p=0.045).Conclusion: EHRs positively influence nursing productivity and moderately boost fulfillment in Palestinian public hospitals, contingent on training and support. Findings inform policy for optimizing digital tools in low-resource contexts to improve care quality and reduce burnout.

Date: 2026
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Persistent link: https://EconPapers.repec.org/RePEc:cwf:pcarti:pc2026169

DOI: 10.62486/pc2026169

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