Exploring Nurses’ Intention to Use a Computerized Platform in the Resuscitation Unit: Development and Validation of a Questionnaire Based on the Theory of Planned Behavior

Abstract

BackgroundIn emergency department resuscitation units, writing down information related to interventions, physical examination, vital signs, investigations, and treatments ordered is a crucial task carried out by nurses. To facilitate this task, a team composed of emergency physicians, nurses, and one computer engineer created a novel electronic platform equipped with a tactile screen that allows systematic collection of critical data. This electronic platform also has medical software (ReaScribe+) that functions as an electronic medical record and a clinical decision support system.ObjectiveTo develop and validate a questionnaire that can help evaluate nurses’ intention to use a novel computerized platform in an emergency department resuscitation unit, based on Ajzen’s theory of planned behavior (TPB).MethodsThe sample for this study was composed of 87 nurses who worked in the resuscitation unit of a tertiary trauma center. We held three focus groups with nurses working in the resuscitation unit to identify the salient modal beliefs regarding their intended use of a new electronic medical charting system for the care of trauma patients. The system included a clinical decision support tool. We developed a questionnaire in which salient modal beliefs were used as items to evaluate the TPB constructs. We also added 13 questions to evaluate nurses’ computer literacy. The final questionnaire was composed of 46 questions to be answered on a 7-point Likert scale. All nurses in the resuscitation unit and present during a regular work shift were individually contacted by the principal investigator or a research assistant (phase 1). A subsample of the nurses who completed the questionnaire was invited to complete it a second time 2 weeks later (phase 2).ResultsIn phase 1, we received 62 of the 70 questionnaires administered (89% response rate). Of the 27 questionnaires administered in phase 2 (retest phase), 25 were completed (93% response rate). The questionnaire showed very good internal consistency, as Cronbach alpha was higher than .7 for all constructs. Temporal stability was acceptable with intraclass correlations between .41 and .66. The intention to use the electronic platform to chart the resuscitation of trauma patients was very high among the respondents. In the logistic regression model, the only construct that predicted nurses’ intention to adopt the computerized platform was the professional norm (odds ratio 3.31, 95% confidence interval 1.41–7.78).ConclusionsWe developed and validated a questionnaire that can now be used in other emergency departments prior to implementation of the computerized platform. The intention to adopt was very high among the respondents, which suggests that the implementation of this innovation could be successful at our institution.

Providing Lifestyle Counseling to Cancer Patients during Routine Consultation: Instrument Development and Reliability

“…Only 10 participants were included in the test-retest phase of the study so as to obtain at least 30% of our initial sample as recommended in previous TPB studies. 17,18 Demographic characteristics of the study population was calculated and presented in Table 3. More than 50% of the participants were male with only 2% of the entire population specialized in oncology.…”

“…10 of the initial participants were approached two weeks later to complete the questionnaire a second time so as to assess the agreement between answers at both times based on the temporal stability criterion. 16,17 The questionnaire was divided into two sections with the first section based on demographic questions and the second based on the key TPB constructs earlier discussed.…”

“…17,22,23 Table 5 shows the ICC result for each construct. Temporal stability was shown to be poor for PBC (direct measure), fair for intention and good for all other constructs except direct measure of attitude which was excellent.…”

Nurses' computer literacy and attitudes towards the use of computers in health care

“…Işık and Akbolat conducted a study to determine health‐care personnel's level of competence in information technology and reported that 61.8% of them were competent in office programmes, whereas 61.2% were competent in operating systems and 59.2% were competent in operating computer hardware. Malo et al . discovered that nurses' computer literacy level was 2.58 out of a maximum score of 4.…”

Psychosocial Theories and Pain Management Practices: A Review of Empirical Research

“…The theory of planned behavior (Ajzen, 1985;Ajzen, 1991) is a widely utilized theory in the healthcare studies, especially when predicting or when assessing the nursing practices (Beduz, 2012;Côté, Gagnon, Houme, Abdeljelil & Gagnon, 2012;Haktanir, 2011;Hassan, Wahsheh & Hindawi, 2009;Javadi, Kadkhodaee, Yaghoubi, Maroufi & Shams, 2013;Malo, Neveu, Archambault, Émond & Gagnon, 2012). This theory was developed from the theory of reasoned action (Azjen & Fishbein, 1980) with little differences between them.…”