This research reviews studies using the Technology Acceptance Model (TAM0 in order to create a modified model and instrument to study the acceptance of Internet technology by consumers. In this paper, we examined the relationships between the TAM constructs in some of the research that purports to explain the variance in the acceptance of different information technologies. Based upon the empirical research using the technology assessment model, a modified TAM was developed for the acceptance of Internet-based technologies by consumers. The original constructs (beliefs, attitudes, behavior and use) were retained from the TAM while the literature suggests gender, experience, complexity, and voluntariness to be useful antecedents for predicting perceived usefulness, perceived ease of use and behavioral intent to use. Hypotheses were discussed in this study related to the theoretical relationships between constructs and antecedents. A survey instrument was developed using existing scales from prior TAM instruments and modifying them where appropriate. The resultant instrument can be used in future research to test how consumers adopt and accept Internet-based applications.

Healthcare providers should have an understanding of the concept of adherence in the context of patient care in order to guide patient self-care behaviors.

Since 2004, increasing importance has been placed on the adoption of electronic medical records by healthcare providers for documentation of patient care. Recent federal regulations have shifted the focus from adoption alone to meaningful use of an electronic medical record system. As proposed by the Technology Acceptance Model, the behavioral intention to use technology is determined by the person's attitude toward usage. The purpose of this quality improvement project was to devise and implement customized templates into an existent electronic medical record system in a single clinic and measure the satisfaction of the clinic providers with the system before and after implementation. Provider satisfaction with the electronic medical record system was evaluated prior to and following template implementation using the current version 7.0 of the Questionnaire for User Interaction Satisfaction tool. Provider comments and improvement in the Questionnaire for User Interaction Satisfaction levels of rankings following template implementation indicated a positive perspective by the providers in regard to the templates and customization of the system.

Background: Evidence-based clinical practice guidelines bridge the gap between clinical practice and research, improve patient outcomes, promote consistency of care, and enhance quality of care. However, guideline adherence varies widely among individual providers and organizations. Purpose: To identify factors that facilitate or impede nurse practitioners' integration of guideline recommendations into practice. Methods: Every nurse practitioner in Alabama was invited to complete an online 45-question survey evaluating beliefs and attitudes regarding evidence-based guidelines, facilitators and barriers to implementation, and utilization of information resources in patient care. Results: The five most commonly identified barriers to evidence-based guideline implementation in participants' current work settings are patients with multiple comorbidities, time constraints, pressure from patients to provide nonrecommended care, insufficient staffing, and inadequate financial resources. The five most commonly identified facilitators in participants' current work settings are easy access to guidelines, support from leadership, free access to guidelines, in-person education regarding a guideline, and clinical decision support software programs. Participants expressed a desire for free and easy access to evidence-based practice (EBP) guidelines and clinical decision support programs, as well as education regarding guidelines and opportunities to discuss evidence with colleagues. Implications for practice: The barriers and facilitators of guideline implementation that were identified in this study should be useful in the development and refinement of future studies and interventions to enhance guideline implementation among individuals and organizations.