<p>Perceived Level of Workflow Efficiency.</p>

Electronic Health Records (EHRs) have revolutionized patient care and data management, but their integration may disrupt workflow. Palestine recently introduced EHRs in their hospitals, yet no local data exist on nursing workflow. This study aims to assess the impact of EHRs on workflow efficiency and associated factors among nurses with direct paper-to-EHR transition experience. A quantitative, cross-sectional study design was employed. A convenience sample of 185 nurses was recruited from medical and surgical wards across selected hospitals. Data were collected via a structured questionnaire and analyzed using SPSS version 29 using descriptive statistics and multiple linear regressions, with significance set at p < 0.05. A total of 185 nurses participated, with the majority aged 25–34 years (61.6%). Most had 5–10 years of experience (42.2%). Overall, 70% of nurses reported high or very high workflow efficiency with EHR use (M = 3.59, SD = 0.75). EHRs were perceived to improve access to patient information (63.2%), reduce documentation time (63.8%), and support teamwork and communication, although 50.8% reported workflow interruptions due to technical issues. Multiple regression identified EHR user-friendliness (β = 0.261, p < 0.001), training (β = 0.243, p = 0.024), technical support (β = 0.184, p = 0.005), and age (β = –0.223, p = 0.037) as significant predictors of workflow efficiency. EHRs positively influence nurses’ workflow; transition-experienced nurses highlight usability and training as significant predictor factors. Enhancing these areas can optimize clinical performance.电子健康档案（Electronic Health Records，EHRs）已彻底变革患者护理与数据管理工作，但其部署整合可能对工作流程造成干扰。巴勒斯坦近期已在其各医院推行EHRs，但目前尚无针对护理工作流程的本地相关研究数据。本研究旨在评估经历过纸质病历向电子健康档案直接过渡的护士群体中，EHRs对其工作流程效率的影响及相关影响因素。本研究采用定量横断面研究设计方案。研究通过便利抽样法，从选定医院的内科与外科病房招募了185名护士作为研究对象。研究采用结构化问卷收集数据，并使用SPSS 29.0版本进行分析，分析方法包括描述性统计与多元线性回归，设定显著性水平为p<0.05。最终共有185名护士参与本研究，其中多数年龄介于25~34岁之间（占比61.6%）；42.2%的护士拥有5~10年的临床工作经验。整体而言，70%的护士表示使用EHRs后工作流程效率处于较高或极高水平（均值M=3.59，标准差SD=0.75）。护士群体普遍认为EHRs可提升患者信息获取效率（63.2%的受访者持此观点）、缩短文书记录时长（63.8%），并有助于团队协作与沟通；但同时有50.8%的护士表示，技术故障会导致工作流程中断。多元回归分析结果显示，EHRs的用户友好性（β=0.261，p<0.001）、培训情况（β=0.243，p=0.024）、技术支持力度（β=0.184，p=0.005）以及护士年龄（β=-0.223，p=0.037）是影响工作流程效率的显著预测因素。EHRs对护士的工作流程具有积极影响；有纸质病历向电子健康档案过渡经验的护士指出，系统易用性与培训情况是影响工作效率的关键预测因素。优化上述环节可有效提升临床工作绩效。