Nurses' perception regarding barriers to use of health information system in the teaching hospital of Abbottabad

Nurses' perception regarding barriers to use of health information system


  • Sheraz Khan Quaid e Azam College of Nursing Sawabi, Pakistan
  • Amir Sultan Saidu Group of Teaching Hospital, Swat, Pakistan
  • Javaria Hanif Quaid e Azam College of Nursing Sawabi, Pakistan
  • Kinza Jamil Quaid e Azam College of Nursing Sawabi, Pakistan
  • Zara Batool Quaid e Azam College of Nursing Sawabi, Pakistan



Health Management Information system, Barriers, Nurses, Implementation


The Health Management Information System (HMIS) was designed to provide information on the status of ongoing health-related events. It has been designed to enhance data management in health care facilities. The effectiveness of this system depends on the appropriate collection, analysis, interpretation, and utilization of data. Objective: This study intended to generate knowledge to bridge this knowledge gap to overcome barriers to using and implementing integrated HIS. Methods: Descriptive cross-sectional design was used in this study. The data were collected in a Teaching hospital in Abbottabad from July 27, to Aug 3, 2022. Five item Likert scale was used to collect data from 206 nurses. Those who have one-year of experience with HMIS were included in this study. Result: More than half 51.9 % (n=107) of the study participants were female. Almost half 49.5% (n=102) of the participants responded with little and very few barriers in the use of health information systems, followed by much and very much by one-fourth of the participants 25.7% (n=53) and moderate 24.8% (n=51). technical (2.98±1.17) had the highest total mean scores followed by legal (2.95±1.19), organizational (2.91±1.15), and personal (2.90±1.16). Conclusions: The study concluded technical barrier as the top most and comprises computer shortage, internet breakdown and improper health information network. The nurses also reported workload due to documentation and access of an unauthorized person to information


Adejumo A. An assessment of data quality in routine health information systems in Oyo State, Nigeria. 2017.

Kaduruwane IR. An empirical investigation of health information system failure in regional Sri Lanka (Doctoral dissertation, Queensland University of Technology). 2012.

Asghar Z. Towards an Integrated Health Management Information System in Pakistan (Master's thesis). 2019.

Thorn SA, Carter MA, Bailey JE. Emergency physicians' perspectives on their use of health information exchange. Annals of emergency medicine. 2014 Mar; 63(3):329-37. doi: 10.1016/j.annemergmed.2013.09.024.

Lammintakanen J, Saranto K, Kivinen T. Use of electronic information systems in nursing management. International journal of medical informatics. 2010 May; 79(5):324-31. doi: 10.1016/j.ijmedinf.2010.01.015.

Qazi MS and Ali M. Pakistan's health management information system: health managers' perspectives. JPMA. The Journal of the Pakistan Medical Association. 2009 Jan; 59(1):10.

Khalifa M. Technical and human challenges of implementing hospital information systems in Saudi Arabia. Journal of Health Informatics in Developing Countries. 2014 Mar; 8(1).

AbouZahr C and Boerma T. Health information systems: the foundations of public health. Bulletin of the World Health Organization. 2005; 83:578-83.

Mahundi M, Kaasbøll J, Twaakyondo H. Health information systems integration in Tanzania: tapping the contextual advantages. In2011 IST-Africa Conference Proceedings 2011 May; 1-11.

Rumisha SF, Lyimo EP, Mremi IR, Tungu PK, Mwingira VS, Mbata D, et al. Data quality of the routine health management information system at the primary healthcare facility and district levels in Tanzania. BMC Medical Informatics and Decision Making. 2020 Dec; 20(1):340. doi: 10.1186/s12911-020-01366-w.

Magrabi F, Aarts J, Nohr C, Baker M, Harrison S, Pelayo S, et al. A comparative review of patient safety initiatives for national health information technology. International journal of medical informatics. 2013 May; 82(5): e139-48. doi: 10.1016/j.ijmedinf.2012.11.014.

Singh H and Sittig DF. Measuring and improving patient safety through health information technology: The Health IT Safety Framework. BMJ quality & safety. British Medical Journal .2016 Apr; 25(4):226-32. doi: 10.1136/bmjqs-2015-004486.

Malekzadeh S, Hashemi N, Sheikhtaheri A, Hashemi NS. Barriers for implementation and use of health information systems from the physicians' perspectives. In Data, Informatics and Technology: An Inspiration for Improved Healthcare 2018; 269-272.

Hsiao JL, Chang HC, Chen RF. A study of factors affecting acceptance of hospital information systems: a nursing perspective. Nursing research. 2011 Jun; 19(2):150-60. doi: 10.1097/JNR.0b013e31821cbb25.

Hasanpoor E, Siraneh Belete Y, Janati A, Hajebrahimi S, Haghgoshayie E. Nursing Managers’ Perspectives on the Facilitators and Barriers to Implementation of Evidence‐Based Management. Worldviews on Evidence‐Based Nursing. 2019 Aug;16(4):255-62.

Ridelberg M, Roback K, Nilsen P. Facilitators and barriers influencing patient safety in Swedish hospitals: a qualitative study of nurses' perceptions. BMC Nursing. 2014 Aug; 13:23. doi: 10.1186/1472-6955-13-23.

Ahmadian L, Khajouei R, Nejad SS, Ebrahimzadeh M, Nikkar SE. Prioritizing barriers to successful implementation of hospital information systems. Journal of medical systems. 2014 Dec; 38(12):1-6.

Anwar F, Shamim A, Khan S. Barriers in Adoption of Health Information Technology in Developing Societies.” International Journal of Advanced Computer Science and Applications 2011; 2(8):40-5.

Farzandipur M, Jeddi FR, Azimi E. Factors Affecting Successful Implementation of Hospital Information Systems. Acta Informatica Medica. 2016 Feb; 24(1):51-5. doi: 10.5455/aim.2016.24.51-55.

Shahzad K, Jianqiu Z, Zia MA, Shaheen A, Sardar T. Essential factors for adopting hospital information system: a case study from Pakistan. International journal of Computers and Applications. 2021 Jan; 43(1):26-37.

González-García A, Pinto-Carral A, Pérez-González S, Marqués-Sánchez P. Nurse managers' competencies: A scoping review. Journal of Nursing Management. 2021 Sep; 29(6):1410-1419. doi: 10.1111/jonm.13380.

Moradi T, Jafari M, Maleki MR, Naghdi S, Ghiasvand H. Quality Management Systems Implementation Compared with Organizational Maturity in Hospital. Global Journal of Health Science. 2015 Jul; 8(3):174-82. doi: 10.5539/gjhs. v8n3p174.



DOI: 10.54393/pjhs.v3i04.87
Published: 2022-09-30

How to Cite

Khan, S., Sultan, A., Hanif, J. ., Jamil, K., & Batool, Z. (2022). Nurses’ perception regarding barriers to use of health information system in the teaching hospital of Abbottabad: Nurses’ perception regarding barriers to use of health information system. Pakistan Journal of Health Sciences, 3(04), 183–187.



Original Article


Most read articles by the same author(s)

1 2 > >>