Prontuário eletrônico do cidadão: avaliação do uso e aceitação pelos enfermeiros nas unidades básicas de saúde

Abstract

Introduction: The Electronic Citizen Record (Prontuário Eletrônico do Cidadão - PEC) is a new tool in the daily routine of Primary Health Care. Any change can generate conflicting opinions and adaptation difficulties. However, due to its great potential to improve healthcare services, it is essential to study its use. Thus, it becomes necessary to answer the following question: What factors influence the adoption and use of the Electronic Citizen Record by nursing professionals in primary health care units? Objective: To assess the use and acceptance of the Electronic Citizen Record by nurses in primary health care units in Parnaíba, Piauí, Brazil. Methodology: This is a cross-sectional study with a quantitative approach, conducted in the municipality of Parnaíba, Piauí. The study population consisted of nurses working in primary health care in the city. Data collection was carried out using a closed-ended questionnaire, which included sociodemographic variables and questions about the use and acceptance of the Electronic Citizen Record. The data were analyzed using the non parametric Kruskal-Wallis test in the Jamovi software, and tables were created using Microsoft Excel. Results: The study included 44 nurses, of whom 88.6% were female, 84.1% were between 31 and 59 years old, 65.9% had a specialization, and 70.5% had more than 10 years of professional experience. Regarding computer skills, 86.4% use computers outside of work, 47.7% have an intermediate level of computer literacy, and 70.5% consider the training for the Electronic Citizen Record inadequate. Regarding system usage, 61.4% reported that the system is not always available, and 47.7% identified system errors as the main difficulty. However, 97.7% believe that the Electronic Citizen Record facilitates nursing consultations. In terms of ease of use, 81.8% consider it easy to learn, and 50% classify it as generally easy to use. Concerning system usefulness, 79.5% believe it is useful for their work, and 54.5% say that the system's absence makes their job more difficult. Finally, regarding healthcare digitization, 93.2% consider this process essential, and 88.6% support increased investments in this area. Conclusion: Despite technical issues and inadequate training, the Electronic Citizen Record is widely accepted by nurses, who consider it useful for their daily work and for improving patient care. The digitization of healthcare is seen as essential, highlighting the need for investments in infrastructure and training. Based on these findings, future studies could further explore the impact of the Electronic Citizen Record on Primary Health Care.