Factors Determining Nurse Acceptance of Hospital Information Systems

Abstract

This study proposed an evaluation model, derived from the Technology Acceptance Model and Information System Success Model, to explore factors influencing the acceptance of hospital information systems by nurses. Although many healthcare institutions have applied hospital information systems, relatively few studies have investigated the perceptions of nurses regarding the usefulness, ease of use, or acceptance of these systems. This study recruited the nursing staff of a regional hospital in Taiwan. A total of 297 questionnaires were sent, and 277 were returned, for a response rate of 93.3%. The results indicated that system quality, information quality, and service quality were positively correlated with the perceived ease of use (R=0.69) and perceived usefulness (R=0.72). Information quality has the greatest influence on perceived usefulness (γ3=0.57, P<.001) and ease of use (γ4=0.61, P<.001). Perceived usefulness and ease of use have a significant influence on system acceptance (R=0.75). Perceived usefulness (β1=0.61, P<.001) has a significant influence on system acceptance. These findings indicated that nursing care requires high-quality healthcare information to support the daily activities of nursing professionals. The results of this study also provide a valuable reference for hospital administrators in developing hospital information systems.

The Impact of National Cultural Differences on Nurses’ Acceptance of Hospital Information Systems

“…In the aspect of theoretical contribution, previous studies have adopted TAM to explain the use behavior of information system in the healthcare contexts. 13,14,40 However, this study is one of the earlier research to evaluate and explain the moderating roles of national cultural difference from the perspective of TAM in the context of nurses' acceptance of HIS. The results could improve our understanding related to how the roles of national cultural differences affect nurses' perceptions regarding HIS acceptance.…”

“…Finally, although time orientation does not have a significant influence on determining nurses' acceptance of HIS, a HIS of high quality can improve nurses' efficiency and effectiveness in their work. 12,13 Hence, this study suggests that HIS providers should be concerned about nurses' various culture backgrounds to develop a HIS to meet nurses' use behavior for increasing their work performance.…”

“…In this study, perceived ease of use refers to nurses' subjective estimate of degree to which adapting an HIS will be effortless. 13 Perceived usefulness refers to nurses' subjective estimate of the degree to which using an HIS will increase their work outcomes. 13 Using the TAM, this study aims to understand how culture differences may influence individual-level acceptance behaviors in terms of nurses' perspectives concerning HIS acceptance.…”

“…[12][13][14]16 The TAM in its original conceptualization by Davis 17 and Davis et al 18 proposed that ''perceived ease of use'' affects ''perceived usefulness,'' and in proper sequence, both elements affect acceptance behaviors in terms of adopting a specific information technology. In this study, perceived ease of use refers to nurses' subjective estimate of degree to which adapting an HIS will be effortless.…”

“…11 However, previous studies ignore the influence of cultural differences on users' acceptance of information technology in the management of healthcare informatics. [12][13][14] In order to address this knowledge gap, this study proposes national cultural differences (ie, masculinity/femininity, individualism/collectivism, power distance, and uncertainty avoidance) as individual difference variables and incorporates them into the TAM as moderators. Moreover, individuals adopting a long-or short-term attitude will have an influence on strategies and decision making.…”