The intended outcome of this project was to gain insight how technological advances are diffused across nursing units and to determine the effect of the use of an EHR on nurses’ attitudes and users’ satisfaction before and after system implementation. Understanding the nurses' attitude and satisfaction can provide information on how to formulate effective strategies in the implementation of an EHR, thus, ensuring an EHR that supports patient quality care and improvement of patient outcome. Rogers's Innovation-Diffusion Theory was used to guide the study.