The College of Human and Health Science, Swansea University - Singleton Park Campus, Swansea, UK.
Department of Business Administration, University of Lagos, Lagos, Nigeria.
Leadersh Health Serv (Bradf Engl). 2024 Sep 30;37(4):461-476. doi: 10.1108/LHS-03-2024-0026.
Managing patients' health information is one of the building blocks of the health system and the adoption of health information technologies like electronic health records (EHRs) is expected to reduce the various challenges in keeping and accessing quality health-care data that aid decision-making among medical practitioners. This study aims to investigate how leadership styles and change management affected the job performance of health information management practitioners on their adoption of EHRs in tertiary hospitals in Nigeria.
DESIGN/METHODOLOGY/APPROACH: The study used primary data collected using a Likert scale questionnaire from 117 health information management officers and health information technicians in selected tertiary hospitals in South-Eastern Nigeria. The data were analysed using bivariate correlation and multiple regression techniques of inferential statistics.
The analyses revealed that transformational leadership style, transactional leadership style and change management had significant positive influence on the job performance of health information management practitioners. However, laissez-faire leadership style did not show any significant positive influence. A further analysis showed that the combined effects of leadership styles and change management were also affirmed to significantly influence the adoption of EHRs for quality health-care delivery in Nigerian tertiary hospitals.
ORIGINALITY/VALUE: The study contributes to health information management and the need to understand how leadership styles and change management can influence the adoption of EHRs. However, there is no adequate research that examined the role of leadership style and change management in influencing the job performance of Nigerian HIM practitioners regarding their usage of EHRs in tertiary hospitals in Nigeria.
管理患者的健康信息是医疗体系的基石之一,而采用电子健康记录(EHR)等健康信息技术预计将减少在保存和获取有助于医疗从业者决策的高质量医疗数据方面的各种挑战。本研究旨在调查领导风格和变革管理如何影响卫生信息管理从业者在尼日利亚三级医院采用 EHR 的工作绩效。
设计/方法/途径:本研究使用了来自尼日利亚东南部选定的三级医院的 117 名卫生信息管理官员和卫生信息技术人员的初级数据,这些数据是通过李克特量表问卷收集的。使用推断统计学的双变量相关和多元回归技术对数据进行了分析。
分析表明,变革型领导风格、交易型领导风格和变革管理对卫生信息管理从业者的工作绩效有显著的积极影响。然而,放任型领导风格并没有表现出任何显著的积极影响。进一步的分析表明,领导风格和变革管理的综合效应也被证实对尼日利亚三级医院的 EHR 采用有显著影响,以提供高质量的医疗服务。
原创性/价值:本研究为卫生信息管理领域做出了贡献,需要了解领导风格和变革管理如何影响 EHR 的采用。然而,目前还没有足够的研究来考察领导风格和变革管理在影响尼日利亚 HIM 从业者在尼日利亚三级医院使用 EHR 方面的工作绩效方面的作用。