Electronic Personal Health Record Use Among Nurses in the Nursing Informatics Community
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Abstract
An electronic personal health record (ePHR) is a patient-centered tool enabling secure access, management, and sharing of health information with healthcare providers. Despite its potential benefits, there is limited research on the personal adoption of ePHRs among healthcare professionals, particularly nurses. This study focuses on exploring the adoption of ePHRs among nurses in the context of nursing informatics. A sample of nurse members from professional associations was surveyed, with 183 respondents. Multiple logistic regression analysis identified factors associated with ePHR use. Results showed that 72% of nurses were ePHR users, particularly those older (aged 30-50 years), highly educated (72% with master’s or doctoral degrees), and holding positions such as clinical informatics specialists or chief nursing informatics officers. Those whose healthcare providers used electronic health records were significantly more likely to use ePHRs (odds ratio, 5.99; 95% confidence interval, 1.40–25.61). ePHR users exhibited lower concerns about online health information privacy compared to non-users (odds ratio, 0.32; 95% confidence interval, 0.14–0.70), adjusting for demographic factors. These findings highlight the potential for informatics nurses to influence ePHR development and usage. Policy efforts should encourage nursing informatics and other professional nursing groups to lead and adopt ePHRs, fostering patient engagement and improved healthcare outcomes. Having knowledgeable and enthusiastic champions can facilitate ePHR adoption among both healthcare providers and patients.
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