Data for the paper "Towards Inclusive Digital Health: Behavioral Drivers of EHR Use Among Nurses in Low Resource Settings in Botswana"
Purpose. This study investigates the technological, organizational, and behavioral drivers influencing the use of Electronic Health Records (EHRs) among nurses working in public healthcare facilities located in resource-constrained environments in Botswana. It also develops a contextually grounded model of EHR usage that advances digital health equity as a component of the human right to healthcare. Design/methodology/approach. A cross-sectional survey was conducted among 193 nurses across eight districts in Botswana. The study applied a modified Unified Theory of Acceptance and Use of Technology (UTAUT) framework, integrating additional constructs such as personal innovativeness, resistance to change, and computer anxiety. Data analysis included exploratory factor analysis and hierarchical multiple regression to identify significant predictors of behavioral intention to use EHRs. Findings. Performance expectancy, effort expectancy, personal innovativeness, and attitude toward use were found to significantly and positively influence nurses’ behavioral intention to use EHRs, while computer anxiety had a significant negative effect. Demographic and experiential variables such as level of education, IT experience, professional experience, and age moderated several relationships. The study confirmed that digital health adoption among nurses is a critical lever for upholding healthcare as a human right. Originality. This study is among the first to develop and validate an expanded UTAUT model specific to resource-constrained healthcare environments in Botswana, integrating the human rights perspective into digital health adoption. It offers an empirically grounded framework to guide inclusive and equitable digital health interventions targeting frontline health workers in low-resource settings. Research limitations. The cross-sectional design and reliance on self-reported measures limit causal inference. Future longitudinal and mixed-methods studies are recommended to deepen contextual understanding. Practical implications. Designing user-centered EHR systems and implementing inclusive digital literacy programs are vital strategies for enhancing adoption among nurses and ensuring that digital transformation supports equitable access to healthcare. Social implications. Strengthening nurses’ digital capacity is essential for bridging the digital divide and actualizing the right to health for all, particularly in underserved and marginalized communities.
