The State of E-Records Readiness at the Raleigh Fitkin Memorial Hospital in Eswatini
DOI:
https://doi.org/10.25159/2663-659X/15712Keywords:
IRMT E-Records Readiness Assessment Tool, T-O-E Framework, Electronic Patient Care Records, Raleigh Fitkin Memorial Hospital, EswatiniAbstract
This article presents findings on the e-records readiness status of the Raleigh Fitkin Memorial Hospital (RFMH) in Eswatini. The purpose of the study was to assess the level of e-records readiness at RFMH, where a client management information system (CMIS) was being implemented. The study triangulated three theories/models: the International Records Management Trust (IRMT) e-records readiness assessment tool; the Technological-Organisational-Environmental (T-O-E) framework; and the Community Clinic Electronic Health Record readiness assessment toolkit. The target population comprised 108 staff members. Data were collected using questionnaires, interviews, observations and document reviews. SPSS version 28.0.0.0 was used for quantitative data analysis and manual content analysis for qualitative data analysis. RFMH’s e-records readiness was at moderate risk owing to poor records management integration and fragmented electronic systems. Insufficient financial resources hinder staff training on electronic records management (ERM) and the CMIS. The study recommends harmonising electronic systems, implementing the Eswatini National Records Management Policy, fully implementing the CMIS and establishing service level agreements, use of official e-mails, and aligning pre-service training with digital healthcare.
Author Biography
Nathan Mnjama
- NATHAN MNJAMA is a Professor in the Department of Library and Information Studies, University of Botswana with specialization in Archives and Records Management. He holds a Bachelor‟s Degree in History from University of Nairobi, a Postgraduate Diploma in Archives and Records Management from University of Ghana, a Post Graduate Diploma in Historical from Girton College, Cambridge and a PhD in Archival Studies from University College, London. His PhD was on Railway Records: Their Management and Exploitation in Kenya. Prof Mnjama has worked as an archivist and records manager at the Kenya National Archives and was responsible for the location and copying of Kenyan migrated archives from the UK between 1980 and 1985. He has considerable experience in teaching and delivery of archives and records management programmes having lectured at the School of Information Sciences, Moi University Kenya, and since 1996 at the Department of Library and Information Studies University of Botswana where he has been instrumental in the design of archives and records management programmes. Prof Mnjama is a well-known speaker and presenter in archives and records management forums in East and Southern Africa, and he has written extensivelyin the field of archives and records management in Africa. Mnjama has participated in several records management initiatives organized by the International Records Management Trust aimed at improving archives and records keeping practices in Africa.
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