Questionnaire: Framing Critical Success Factors for Evidence-

Based Healthcare Practice: A Study of Public Hospitals in South

Africa

Please select the applicable by placing an X in the box next to it.

SECTION A: GENERAL INFORMATION

1. What is your Gender

Female Male

2. Age Group
20 yrs and below 31 – 35 yrs
21 – 25 yrs 36 – 40 yrs
26 – 30 yrs 41 yrs

3. What is your highest education level?

High School Masters
Certificate Doctorate (PhD)
Diploma Other (please specify)
Bachelors ‘Degree
MBCHB

4. Which of the following hospital/clinic are you currently working?

Steve Biko Academic Hospital Chris Hani Baragwnath
Hospital
George Muhari Academic Charlotte Maxeke Hospital
Hospital

5. What is your position at work?

Medical doctor Nurse
Pharmacist Radiographer
Radiologist Dentist
Physiotherapists Other (please specify)
Medical Lab Technologist

SECTION B: USE OF ELECTRON HEALTH RECORD SYSTEM

Please select the applicable by placing an X in the box next to it.
1. I would rate my computer literacy level as:
Poor Fair
Good Excellent

2. I would prefer to use the following record system

Electronic Health Record Paper Based Heath

Open Rubric
 Record

3. Based on my level of computer literacy, I think my knowledge of using EMR system when implemented
in my
hospital will be:
Poor Fair
Good Excellent

4. Which of the following functions would you propose on an EMR system?

Nurse tasks Pharmacy task
Patient admission task Other (please specify)
Billing and financial task
Administrative task
Laboratory task

SECTION C: CRITICAL SUCCESS FOR EFFECTIVE IMPLEMENATATION OF EVIDENCE-BASED

HEALTHCARE PRACTICE

Please select the most appropriate statement by placing an X in the box.

Consider the following categories:

1 = Strongly disagree 2 = Disagree 3 = Neutral 4 = Agree 5= Strongly Agree.

Updated D&M MODEL CONSTRUCTS

a): Electronic Health System 1 2 3 4 5
Strongly Disagree Neutral Agree Strongly
disagree Agree
1. I’m certain that, the EMR system reports
will be easier to generate.
2. I believe generated reports from EMR
system will be accurate.
3. I believe it will takes short time to
generate a report using EMR system.
4. I will accept as true that, EMR system will
enable faster patient communication and
delivery of care.
5. I believe the EMR system will increase
data security and confidentiality.
6. EMR system will enable the capturing of
demographic and clinical health
information.
b): Reduction in Medical Errors 1 2 3 4 5
Strongly Disagree Neutral Agree Strongly
disagree Agree
1. I’m certain that, using EMR system will
reduce errors found within personal health
records.
2. I believe using EMR system will improve
patient management by reducing medical

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 errors.
3. I believe using EMR system will provide
up-to-date information about the patient.
4. I believe using EMR system will provide
the medical healthcare professionals with
the ability to share patient data.
5. I believe using EMR system will provide
sufficient information about patient’s well-
being.
6. I will accept as true that, using EHR
system will solve the problem of illegible
handwriting of health care providers.
1 2 3 4 5
c): Diagnosis and Treatment of Diseases Strongly Disagree Neutral Agree Strongly
disagree Agree
1. I will accept as true that, using EHR
system have the capabilities to improve
accuracy of patient data, hence fewer
errors.
2. I believe using EHR system will decrease
healthcare professionals’ time per patient
encounter.
3. I’m certain that, using EHR system will
provide rapid access to patient data as
compared to paper based record system.
4. I believe using HER system will improve
accuracy of clinical documentation
5. I believe using EHR system will enable
evidence based decision making from
assigned medical professionals.
6. I believe using EHR system will shorten
patient waiting time.
d): Better Coordination of Patient Care 1 2 3 4 5
Strongly Disagree Neutral Agree Strongly
disagree Agree
1. I’m certain that, using EHR system will
give me useful reminders that will help me
to identify the change of care needs for
my patients in a timely manner.
2. I believe using EHR system will enable
the medical healthcare professionals and
other health care providers to make sound
clinical decisions in a timely manner.
3. I will accept as true that, using EHR
system will enable patients to consult
other medical healthcare professionals
more easily.
4. I believe using EHR system will reduce
unnecessary patient transfers or referrals
to other healthcare providers.
5. I’m certain that, using EHR system will
reduce patient’s cost of health services.
6. I believe using HER system will facilitate
better patient care when it comes to
decision-making.
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e): Information Quality 1 2 3 4 5
Strongly Disagree Neutral Agree Strongly
disagree Agree
1. I believe using EHR system will provide
patient accurate and up-to-date
information
2. I will accept as true that, using EHR
system will provide information from the
system that will be relevant to my work.
3. I’m certain that, using EHR system, the
information I will get from the system will
be accurate.
4. I believe using EHR system it will be easy
to understand patient information derived
from the system.
5. I believe using EHR system, the
information will be presented in a useful
format.
6. I believe using HER system, will enable
medical healthcare to share patients
records that will enhance information
quality.
f): Knowledge Quality 1 2 3 4 5
Strongly Disagree Neutral Agree Strongly
disagree Agree
1. I will accept as true that, using EHR
system, will ensure that the healthcare
professionals have knowledge base
necessary to understand the patient
condition.
2. I’m certain that, using EHR system will
enable the facilitation of better patient
care decision-making.
3. I believe using EHR system will ensure
that scarce expertise are widely
disseminated
4. I believe using EHR system, the sheer
volumes of data will improve the treatment
quality, since it will be easily shared
among medical healthcare professionals.
5. I’m certain that, using EHR system will
accelerate delivery times for patients.
6. I believe using EHR system will
communicate widely and quickly important
information.
g): Service Quality 1 2 3 4 5
Strongly Disagree Neutral Agree Strongly
disagree Agree
1. I believe using EHR system, the support
services for the system will be
dependable.
2. I believe using EHR system, the support
services will give me patient individual
attention.
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3. I believe using EHR system will overall,
the support services meet my needs.
4. I’m certain that, using EHR system will
provide more rapid access to patient data
than paper-based records.
5. I believe using EMR system will be useful
in managing patient care in my practice.
6. I believe using EHR system will improve
service productivity of healthcare
professionals.

TECHNOLOGY ACCEPTANCE MODEL (TAM) CONSTRUCTS

a) Perceived Usefulness 1 2 3 4 5
Strongly Disagree Neutral Agree Strongly
disagree Agree
1. I believe using EHR system would be
useful in my professional activities.
2. I believe using EHR system would help
improve my patient care delivery.
3. I believe the using EHR system would
improve my job performance.
4. I’m certain that, using EHR system will
make health information sharing easier
and more effective.
5. In my hospital, I believe using EHR
system will enable improved coordinated
care between medical healthcare
professionals.
6. In my hospital, I believe using EHR
system will reduce medical errors.
b) Perceived Ease of Use 1 2 3 4 5
Strongly Disagree Neutral Agree Strongly
disagree Agree
1. I believe that EHR system has the
potential to improve healthcare
profession’s diagnostic endeavours.
2. I believe the use of EHR system will make
information dissemination more efficient.
3. I’m certain that, it will be easy for me to
become skilful in using the EMR system.
4. I believe using EHR system will make it
easier to adhere to hospital policies such
as patient care documentation.
5. I believe HER system will increase my
diagnosis accuracy.
6. I believe in a short period of time I will be
an expert in using the EMR system.
TECHNOLOGY, ORGANISATION, ENVIRONMENT (TOE) CONSTRUCTS
a) Technical Context 1 2 3 4 5
Strongly Disagree Neutral Agree Strongly
disagree Agree
1. I believe EMR system will provide
electronic records for patients’ as well as
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 demographic related information

2. I will accept as true that, EMR system will

provide electronic records for patient
assessment /clinical notes.
3. I believe EMR system will provide
electronic records for patient financial and
fee related information.
4. I’m certain that, EMR system will enable
the electronic ordering of laboratory tests.
5. I believe EMR system will provide
electronic ordering of imaging tests (i.e. X-
rays, CT scans, MRI scans, etc.)
6. I believe EMR system will provide practice
administration information systems (i.e.
appointment booking/patient scheduling
systems).
b) Organisation Context 1 2 3 4 5
Strongly Disagree Neutral Agree Strongly
disagree Agree
1. I believe with the support of top
management and the department of
health, HER system can be implemented
in our public hospitals.
2. I believe our top management will make
an effort to convince other healthcare
professionals of the benefits of EHR
system.
3. I believe our top management will
encourage other healthcare professionals
to use EHR system.
4. I’m certain that, our medical healthcare
institution has the technological resources
required to make use of EHR system.
5. I believe that, public hospitals have the
managerial resources to manage and
support the use of EHR system.
6. I believe the department of health has the
financial resources to make use of EHR
system in our public hospitals.
c) Environment Context 1 2 3 4 5
Strongly Disagree Neutral Agree Strongly
disagree Agree
1. I believe some of our healthcare
professionals who are aware of the
benefits of the HER system will be happy
to see its implementation in our public
hospitals.
2. I believe the government should be in the
forefront in driving the use of EHR system
in our public hospitals.
3. I believe government should demonstrate
a strong commitment to promote the use
of EHR system.

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4. I believe there are effective laws (e.g. with
regard to privacy of patient information)
that support EHR system.
5. I will accept as true that, healthcare
professionals should have a strong
influence on the EHR system when
implemented.
6. I believe relationships with our patients
will continue to suffer if we do not
implement EHR system.

EVIDANCE-BASED HEALTHCARE PRACTICE

For each outcome listed below, indicate whether you think the effect of EHR system is: Please
select the most appropriate statement by placing an X in the box.
Consider the following categories:

1 = Strongly disagree 2 = Disagree 3 = Neutral 4 = Agree 5= Strongly Agree.

Effects of EMR System on: 1 2 3 4 5

Strongly Disagree Neutral Agree Strongly
disagree Agree
1. I believe the use of EHR system will enable the
reduction healthcare costs.
2. I believe the use of EHR system will facilitate
the interactions with the medical healthcare
professional team.
3. I accept as true that, the use EHR system will
allow healthcare professionals to have easy
access to patient medical records.
4. I believe the use of EHR system will be efficient
in providing excellent healthcare service.
5. I believe the use of EHR system will result in
the reduction in medical errors.

Thank you for your support