Traditionally, client data are handwritten in an unstructured paper format, in multiple versions. This process makes location, abstraction, and comparison of information terribly slow and difficult, thereby limiting the process of knowledge creation, sharing and development. Electronic health records (EHRs) are defined as an electronic version of a patient’s medical history including key administrative clinical data relevant to that person’s care and have emerged as promising tool to improve health care quality. This improves health care providers’ ability to appropriately diagnose and treat their patients. The study investigated the challenges of electronic health recording implementation by nurses in Babcock University Teaching Hospital, Ogun State. This study was a cross sectional descriptive study. Data were manually collected and analyzed electronically with the use of SPSS computer software version 23. The results of this study showed that more than one-third 123 (84.2%) displayed good knowledge of electronic health record.  Majority 75 (91.5%) displayed positive perception towards electronic health record. More than one-third of the respondents (86.3%) identified that training of the nurses about the technicalities of EHR usage is a major factor affecting adequate implementation of EHR. The study concluded that many nurses display good knowledge and perception towards electronic health record. They identified the need for training of nurses for improvement in adoption of electronic health record system in the hospital. It was recommended among others that Hospitals should improve implementation of electronic health record system over the conventional systems, especially the electronic documentation of patient record by nurses.

 Keywords: Challenges, Knowledge, Perception, Electronic Health Recording,

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