Nurses' acceptance of nursing information systems: A multi‐center cross‐sectional study in China

IF 3.2 3区医学 Q1 NURSING

Journal of Clinical Nursing Pub Date : 2024-09-17 DOI:10.1111/jocn.17406

Danni He, Jiani Yao, Wenhao Qi, Shihua Cao, Yanfei Chen, Xiaohong Zhu, Xiajing Lou, Xiaomin Chen, Xin Lin, Yaping Feng, Xiaoli Fu, Li Ning, Shuyuan Wang, Yan Liu

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引用次数: 0

Abstract

BackgroundIn China, nursing information systems (NIS) implementation can face numerous barriers to acceptance, including the attitudes of potential users. However, few studies have evaluated this acceptance.ObjectiveThe aim of this study was to explain the acceptance of NIS utilizing a survey based on unified theory of acceptance and use of technology.MethodsA multi‐center cross‐sectional study utilizing an online survey was conducted. SPSS AMOS was used to conduct a structural equation modelling analysis. This research followed the STROBE Checklist.ResultsA total of 3973 Nurses participated in the study between January 2023 and March 2023. The acceptance of NIS among nurses was overall moderate to high. The proposed model has been rigorously tested and validated using empirical data, ensuring its credibility and dependability. Performance expectancy (PE), social influence (SI), and attitude significantly and positively affected intentions to use NIS. Effort expectancy (EE) did not show any significant effects in the sample. Facilitating conditions (FCs) was found to have a negative relationship with the intention to use NIS. There was a statistically significant difference BI between the different age groups, working years, and computer training experience. The model demonstrates a good fit with the observed data.ConclusionsThis study identified PE, SI, and attitude as facilitators of nurses' intentions to use NIS. The findings about EE indicates that the ease of using NIS does not seem to be a concern among nurses. Moreover, high FC might be perceived as indicative of a complex system or extensive usage, that can lead to increased workload and reduced behavioural intention (BI). The significant differences in BI among various demographic groups highlight the need for more studies understanding the preferences and barriers faced by different, levels of experience and training backgrounds.Patient or Public ContributionNo patient or public contribution.

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护士对护理信息系统的接受程度：中国多中心横断面研究

背景在中国，护理信息系统（NIS）的实施可能面临许多障碍，包括潜在用户的态度。本研究的目的是根据技术接受和使用的统一理论，通过调查来解释对 NIS 的接受程度。采用 SPSS AMOS 进行结构方程建模分析。结果 2023 年 1 月至 2023 年 3 月期间，共有 3973 名护士参与了研究。护士对 NIS 的接受程度总体上处于中等偏上水平。所提出的模型已利用经验数据进行了严格的测试和验证，确保了其可信度和可靠性。绩效预期（PE）、社会影响（SI）和态度对使用 NIS 的意愿有显著的积极影响。在样本中，努力期望（EE）没有显示出任何明显的影响。研究发现，便利条件（FCs）与使用 NIS 的意愿呈负相关。不同年龄组、工作年限和计算机培训经验之间的 BI 差异具有统计学意义。本研究发现 PE、SI 和态度是护士使用 NIS 意向的促进因素。关于 EE 的研究结果表明，护士似乎并不关心 NIS 的易用性。此外，高 FC 可能被视为系统复杂或使用广泛的标志，这会导致工作量增加和行为意向（BI）降低。不同人口群体在行为意向（BI）方面的显著差异突出表明，有必要开展更多研究，以了解不同经验水平和培训背景的护士的偏好和面临的障碍。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Clinical Nursing 医学-护理

CiteScore

6.40

自引率

2.40%

发文量

审稿时长

2 months

期刊介绍： The Journal of Clinical Nursing (JCN) is an international, peer reviewed, scientific journal that seeks to promote the development and exchange of knowledge that is directly relevant to all spheres of nursing practice. The primary aim is to promote a high standard of clinically related scholarship which advances and supports the practice and discipline of nursing. The Journal also aims to promote the international exchange of ideas and experience that draws from the different cultures in which practice takes place. Further, JCN seeks to enrich insight into clinical need and the implications for nursing intervention and models of service delivery. Emphasis is placed on promoting critical debate on the art and science of nursing practice. JCN is essential reading for anyone involved in nursing practice, whether clinicians, researchers, educators, managers, policy makers, or students. The development of clinical practice and the changing patterns of inter-professional working are also central to JCN''s scope of interest. Contributions are welcomed from other health professionals on issues that have a direct impact on nursing practice. We publish high quality papers from across the methodological spectrum that make an important and novel contribution to the field of clinical nursing (regardless of where care is provided), and which demonstrate clinical application and international relevance.