| Sumario: | Integrating electronic health records (EHRs) into daily clinical practice is essential for improving documentation quality, communication, and workflow efficiency. Understanding the factors influencing EHR integration across various healthcare professions is crucial for driving digital transformation in Saudi Arabia. This study assessed EHR usage, identified system- and user-related factors affecting workflow integration, and examined differences among professional groups. A cross-sectional survey was conducted among 315 healthcare professionals, including nurses, midwives, medical secretaries, and health information specialists. Data were collected using a structured questionnaire that addressed the use of electronic health records, ease of use of the system, user efficiency, organizational support, perceived benefit, and barriers. Overall EHR use was high among participants (M = 4.10). System usability (M = 3.94) and perceived usefulness (M = 4.07) were the strongest positive domains, while organizational support (M = 3.68) and barriers (M = 3.55) scored lower. Significant differences were found across professional groups (F = 7.84, p < .001), with health informatics specialists reporting the highest workflow integration. Workflow integration showed strong positive correlations with system factors (r = .62), user competence (r = .55), and perceived usefulness (r = .59), and a moderate negative correlation with barriers (r = -.44). Regression analysis identified system factors (ß = .41) and perceived usefulness (ß = .24) as the strongest predictors, explaining 50% of the variance. The integration of electronic health records (EHRs) is primarily influenced by system quality, user capabilities, and regulatory conditions. Enhancing ongoing training, improving technical support, and streamlining workflows can promote EHR adoption across various healthcare professions and support national digital health initiatives.
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