Factors Influencing Nurses' Acceptance of Hospital Information Systems in Iran: Application of the Unified Theory of Acceptance and Use of Technology

IF 2.7 3区医学 Q2 HEALTH POLICY & SERVICES

Health Information Management Journal Pub Date : 2014-10-01 DOI:10.1177/183335831404300303

R. Sharifian, F. Askarian, Mohtaram Nematolahi, P. Farhadi

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引用次数: 49

Abstract

User acceptance is a precondition for successful implementation of hospital information systems (HISs). Increasing investment in information technology by healthcare organisations internationally has made user acceptance an important issue in technology implementation and management. Despite the increased focus on hospital information systems, there continues to be user resistance. The present study aimed to investigate the factors affecting hospital information systems nurse-user acceptance of HISs, based on the Unified Theory of Acceptance and Use of Technology (UTAUT), in the Shiraz University of Medical Sciences teaching hospitals. A descriptive-analytical research design was employed to study nurses' adoption and use of HISs. Data collection was undertaken using a cross-sectional survey of nurses (n=303). The research model was examined using the LISREL path confirmatory modeling. The results demonstrated that the nurses' behavioural intention (BI) to use hospital information systems was predicted by Performance Expectancy (PE) (β= 2.34, p<0.01), Effort Expectancy (EE) (β= 2.21, p<0.01), Social Influence (SI) (β= 2.63, p<0.01) and Facilitating Conditions (FC) (β= 2.84, p<0.01). The effects of these antecedents of BI explained 72.8% of the variance in nurses' intention to use hospital information systems (R2 = 0.728). Application of the research model suggested that nurses' acceptance of HISs was influenced by performance expectancy, effort expectancy, social influence and facilitating conditions, with performance expectancy having the strongest effect on user intention.

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伊朗护士对医院信息系统接受程度的影响因素:技术接受与使用统一理论的应用

用户接受度是医院信息系统成功实施的先决条件。国际医疗机构对信息技术的投资不断增加，使得用户接受成为技术实施和管理中的一个重要问题。尽管人们越来越关注医院信息系统，但仍然存在用户抵制。本研究以设拉子医科大学教学医院为研究对象，基于技术接受与使用统一理论(UTAUT)，探讨影响医院信息系统护士用户对HISs接受程度的因素。采用描述性分析研究设计对护士采用和使用HISs的情况进行研究。数据收集采用护士横断面调查(n=303)。使用LISREL路径验证性建模对研究模型进行了检验。结果表明，绩效期望(PE) (β= 2.34, p<0.01)、努力期望(EE) (β= 2.21, p<0.01)、社会影响(SI) (β= 2.63, p<0.01)和便利条件(FC) (β= 2.84, p<0.01)对护士使用医院信息系统的行为意向(BI)有预测作用。这些BI前因的影响解释了护士使用医院信息系统意向方差的72.8% (R2 = 0.728)。研究模型的应用表明，护士对HISs的接受程度受绩效期望、努力期望、社会影响和便利条件的影响，其中绩效期望对用户意愿的影响最大。

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

Health Information Management Journal 医学-医学：信息

CiteScore

8.70

自引率

12.50%

发文量

审稿时长

>12 weeks

期刊介绍： The Health Information Management Journal (HIMJ) is the official peer-reviewed research journal of the Health Information Management Association of Australia (HIMAA). HIMJ provides a forum for dissemination of original investigations and reviews covering a broad range of topics related to the management and communication of health information including: clinical and administrative health information systems at international, national, hospital and health practice levels; electronic health records; privacy and confidentiality; health classifications and terminologies; health systems, funding and resources management; consumer health informatics; public and population health information management; information technology implementation and evaluation and health information management education.