The Impact Of Electronic Medical Record (EMR) Training On Healthcare Workers' Readiness And Willingness To Use EMR : A Systematic Review

Abstract

Introduction: The implementation of Electronic Medical Records (EMR) is a crucial step in the digital transformation of healthcare services because it can improve efficiency, data security, and the quality of patient care. However, the adoption and readiness of healthcare workers for these systems remains low, especially in developing countries. Key barriers include lack of training, limited infrastructure, and resistance to the transition from manual to digital systems. Methods: This study is a systematic literature review of eight independent journals published between 2020 and 2025, obtained from PubMed, ScienceDirect, SpringerLink, and the Cochrane Library. The studies used quantitative designs such as cross-sectional, quasi-experimental pretest-posttest, and nonrandomized clinical trials with a total of approximately 3,000 healthcare workers. The analysis was conducted using descriptive approaches and logistic regression to assess the level of readiness, willingness, and determinants of EMR adoption. Results: Most healthcare workers demonstrated moderate to good readiness for EMR use (52–65%). Significant factors associated with readiness included computer skills, EMR training, knowledge and positive attitudes toward the technology, and management and infrastructure support. Practice-based training programs and the use of AI-based documentation tools have been shown to improve work efficiency and reduce clinical documentation time. Conclusions: Increasing EMR adoption requires a comprehensive approach that includes ongoing training, organizational support, and the integration of digital literacy into healthcare worker curricula. These efforts are crucial to strengthening readiness and sustainability for digital transformation in the healthcare sector.