title: The evaluation of the compatibility of electronic patient record (EPR) system with nurses' management needs in a developing country.
abstract: BACKGROUND
  In a developing country like Iran, wasting economic resources has a number of negative consequences. Therefore, it is crucial that problems of introducing new electronic systems be identified and addressed early to avoid failure of the programs. The purpose of this study was to evaluate head nurses' and supervisors' perceptions about the efficiency of the electronic patient record (EPR) system and its impact on nursing management tasks in order to provide useful recommendations.
  
  
  METHODS
  This descriptive study was performed in teaching hospitals affiliated to Semnan University of Medical Sciences, Iran. An anonymous self-administered questionnaire was developed. Head nurses and supervisors were included in this study.
  
  
  RESULTS
  It was found that the EPR system was immature and was not proportionate to the operational level. Moreover, few head nurses and supervisors agreed on the benefits of the EPR system on the performance of their duties such as planning, organizing, budgeting, and coordinating.
  
  
  CONCLUSIONS
  It is concluded that in addition to the technical improvements, the social and cultural factors should be considered to improve the acceptability of electronic systems through social marketing in the different aspects of nursing management. It is essential that health information technology managers emphasize on training head nurses and supervisors to design technology corresponding to their needs rather than to accept poorly designed technology.
authors.affiliation: Research Center for Social Determinants of Health, Health Information Technology Department, Nursing and Allied Health Faculty, Semnan University of Medical Sciences, Semnan, Iran. Electronic address: mkahouei@yahoo.com.
authors.forename: Mehdi
authors.initials: M
authors.lastname: Kahouei
authors.affiliation: Faculty of Medicine, Semnan University of Medical Sciences, Semnan, Iran. Electronic address: j_m.mehr@yahoo.com.
authors.forename: Jamileh Mahdi
authors.initials: JM
authors.lastname: Zadeh
authors.affiliation: Department of Nursing, Islamic Azad University, Semnan Branch, Semnan, Iran. Electronic address: panoesroughani@yahoo.com.
authors.forename: Panoe Seyed
authors.initials: PS
authors.lastname: Roghani
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D002983:Clinical Competence; D003906:Developing Countries; D057286:Electronic Health Records / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D007492:Iran; D008297:Male; D008490:Medical Informatics; D008875:Middle Aged; D020380:Needs Assessment; D009718:Nurse Administrators / Q000592:standards*; D009741:Nursing Staff, Hospital / Q000592:standards*; D011795:Surveys and Questionnaires; D055815:Young Adult
keywords: Developing country; Electronic patient record; Head nurse; Needs; Supervisor