Data for the paper "Towards Inclusive Digital Health: Behavioral Drivers of EHR Use Among Nurses in Low Resource Settings in Botswana"

<b>Purpose.</b> 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. <b>Design/methodology/approach.</b> 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. <b>Findings</b>. 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. <b>Originality.</b> 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. <b>Research limitations.</b> 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. <b>Practical implications.</b> 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. <b>Social implications.</b> 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.

<b>研究目的</b>：本研究旨在探究影响博茨瓦纳资源受限环境下公立医疗机构护士使用电子健康记录（Electronic Health Records，EHRs）的技术、组织及行为驱动因素。同时，本研究构建了一个基于情境的EHR使用模型，将数字健康公平作为医疗保健人权的组成部分加以推进。 <b>研究设计与方法</b>：本研究在博茨瓦纳8个地区的193名护士中开展了横断面调查。研究采用改良的技术接受与使用统一理论（Unified Theory of Acceptance and Use of Technology，UTAUT）框架，整合了个人创新性、变革阻力和计算机焦虑等额外构念。数据分析包括探索性因子分析和分层多元回归，以识别影响EHR使用行为意向的显著预测因素。 <b>研究结果</b>：绩效期望、努力期望、个人创新性及使用态度对护士使用EHR的行为意向具有显著正向影响，而计算机焦虑则产生显著负向影响。教育水平、信息技术（IT）经验、专业经验及年龄等人口统计学和经验变量调节了若干关系。研究证实，护士对数字健康的采纳是维护医疗保健作为人权的关键杠杆。 <b>研究创新点</b>：本研究是首批针对博茨瓦纳资源受限医疗环境开发并验证扩展UTAUT模型的研究之一，将人权视角融入数字健康采纳领域。研究提供了一个基于实证的框架，以指导针对低资源环境一线卫生工作者的包容性公平数字健康干预措施。 <b>研究局限性</b>：横断面设计及对自我报告测量的依赖限制了因果推断。未来建议开展纵向和混合方法研究，以深化情境理解。 <b>实践启示</b>：设计用户中心的EHR系统及实施包容性数字素养项目是提高护士采纳率、确保数字化转型支持公平医疗获取的关键策略。 <b>社会意义</b>：加强护士的数字能力对于弥合数字鸿沟、实现所有人的健康权至关重要，尤其在服务不足和边缘化社区中。