KATHMANDU UNIVERSITY

SCHOOL OF MEDICAL SCIENCES

Dhulikhel, Kavre

Informed Consent for research study

This informed consent form is for nurses working in Dhulikhel Hospital who are willing to
participate in the research study on “Attitude of Nurses toward the use of Electronic Health
Records”.

Name of the principle investigator: Mrs. Satya Shrestha

Email address: satyaasth@gmail.com

Name of the researcher: Jenisha Sapkota
Email address: jennie13sapkota@gmail.com

Name of the Organization: Kathmandu University School of Medical Sciences

Dhulikhel, Kavre

This informed consent has 2 parts.

Part 1: Information sheet that contains important information about the study and what to expect
if you decide to participate.

Part 2: Informed consent for signature if you choose to participate.

Please feel free to take your time to read the information clearly and ask questions before making
your decisions.

1
INFORMATION SHEET

I am Jenisha Sapkota, BSc. in Nursing 15th batch student at Kathmandu University School of
Medical Sciences. I am doing my research on “Attitude of nurses toward the use of electronic
health records”.

Purpose of the study: In the 21st century, we have started storing patient information in
digitalized electronic health recording format. Nurses have to interact with electronic health
records software like Mediflow on a daily basis. I want to assess the attitude that nurses hold
towards use of electronic health records. I believe you can help us to gain more insight in this
topic by answering how you feel about the electronic health records.

Procedure: You will have to fill out a 20 items questionnaire. It will only take around 10
minutes of time.

Risks: The study doesn’t pose any threats. If you feel like you may share your personal or
confidential information by chance, you don’t have to answer them.

Benefits: There will be no direct benefit to you but your response will help us to find out more
on the attitude of nurses towards the use of electronic health records.

Principle of Autonomy: Your participation in this research is entirely voluntary.

Right to refuse and withdraw: You can refuse to take part in this study or withdraw at any time
if you want.

Confidentiality and anonymity: Your information will be kept confidential and won’t be
shared for any other purpose. Any information about you will have numbers instead of names
and your information will be stored securely.

If you have any questions, you can contact me at jennie13sapkota@gmail.com.

This proposal has been reviewed and approved by Kathmandu University School of Medical
Sciences- Institutional Review Committee.

2
 CONSENT SHEET

I have read above mentioned information. I have had the opportunity to ask questions about it and any
questions I have been asked have been answered to my satisfaction. I consent voluntarily to be a
participant in this study.

Signature of Participant ___________________ Date ___________________________

Researcher’s signature ___________________________ Date ___________________________

(Day/Month/ Year)

3
Part I: Demographic Data
Instruction: Please write down or tick (√) in the box that corresponds to your response.

1. Age in completed years:

2. Level of nursing education

Bachelor of Science in Nursing (BSc)

Bachelor of Nursing Science (BNS)
Proficiency Level Certificate (PCL)
Bachelor in Midwifery (B. mid)

3. Working unit

4. Job position

5. How many years of working experience do you have in nursing?

6. Do you have access to computers at your workplace?

Yes

No

7. Do you use electronic health records (e.g. Mediflow) at your workplace?

Yes

No

If so, how many years of experience do you have with electronic health records
( e.g. Midas, Mediflow or any other EHRs) ?

Months Years

8. Have you ever attended training related to electronic health records?

Yes

No

9. Have you been introduced on how to use electronic health records?

Yes

No

4
 Part II
Nurses' Attitudes toward Computerization
Questionnaire
Copyright to Dr. James H. Stronge, 1985

Instructions
The following questions address the use of computers for electronic health records
(EHRs).
It should not take longer than 10 minutes to complete this questionnaire. Do not omit any
item. Read each statement carefully, and then select one of the five responses. Give your
first reaction and response to the statement. Please tick in the appropriate box of your
response.

SA = Strongly Agree A = Agree U = Uncertain D = Disagree SD = Strongly Disagree

S. Attitude statement Strongly Agree Uncertain Disagre Strongly

N Agree e Disagree
(SA) (A) (U) (SD)
(D)

1 The use of computers for electronic health records

increases the nurses’ workload.
2 The use of electronic health records in computers
decreases communication between hospital
departments.
3 Electronic health records will allow the nurse more
time for the professional tasks for which she is
trained.
4 The cost of health care increases because of
electronic health records.
5 There are lesser benefits of using electronic health
records compared to the time spent in using it.
6 The use of electronic health records violates the
patient privacy.
7 Only one person at a time can use a computer
terminal; therefore, staff efficiency is inhibited.
8 Computerization of nursing data offers nurses a
remarkable opportunity to improve patient care.
9 Electronic health records contain too much
personal data to be used in an area as open as a
nursing station.
10 Nurses will have less time for quality patient care if
they use electronic health records.
11 It would be better in nurses would never have to
. use electronic health records.

5
S. Attitude statement Strongly Agree Uncertain Disagre Strongly
N Agree e Disagree
(SA) (A) (U) (SD)
(D)

12 Computers should only be used in the financial

department.
13 Electronic health records make nurses' jobs easier.
14 Paperwork for nurses has been greatly reduced by
the use of electronic health records.
15 Orientation for new employees takes longer
because of electronic health records and, therefore,
unnecessary work delays occur.
16 Nursing information is not useful for electronic
health records.
17 Using computers for electronic health records save
work steps and allow the nursing staff to become
more efficient.
18 The more computers in an institution, the less the
number of jobs for employees.
19 Using electronic health records will allow nurses
more time to give patient care.

20 Nurses will face more legal issues if they use

electronic health records.

THANK YOU FOR TAKING YOUR TIME.