ABSTRACT
Background: Hospital information systems (HISs) are widely
used in Taiwan, and HIS performance must be carefully
evaluated. Nursing personnel are the largest group of staff in
a hospital and are the center of care delivery; thus, they play
an important role in the adoption and evaluation of HISs.
Purpose: The primary objective of this study was to explore the
critical factors affecting the acceptance of HISs in Taiwan from
a nursing perspective. On the basis of the technology acceptance
model, we used six exogenous variables (system
quality, information quality, user self-efficacy, compatibility, top
management support, and project team competency) as investigation
factors.
Methods: Survey research targeted nursing personnel in the
selected case hospital as participants. A total of 545 questionnaires
were sent out, and 501 were returned, indicating a valid
response rate of 91.9%. Collected data were analyzed using
multiple regression analysis.
Results: Results indicate that user self-efficacy, top management
support, compatibility, and information quality have
significant impacts on perceived ease of use. In addition, top
management support, compatibility, and information quality were
identified as having significant impacts on perceived usefulness.
Furthermore, nurses’ perceived ease of use and perceived usefulness
on HISs was found to impact significantly on system
acceptance, with 45.1% of the total explained variance.
Conclusions/Implications for Practice: Results can help
managers understand key considerations affecting HIS development
and use and may be applied as a reference for system
development and improvement.
ABSTRACTBackground: Hospital information systems (HISs) are widelyused in Taiwan, and HIS performance must be carefullyevaluated. Nursing personnel are the largest group of staff ina hospital and are the center of care delivery; thus, they playan important role in the adoption and evaluation of HISs.Purpose: The primary objective of this study was to explore thecritical factors affecting the acceptance of HISs in Taiwan froma nursing perspective. On the basis of the technology acceptancemodel, we used six exogenous variables (systemquality, information quality, user self-efficacy, compatibility, topmanagement support, and project team competency) as investigationfactors.Methods: Survey research targeted nursing personnel in theselected case hospital as participants. A total of 545 questionnaireswere sent out, and 501 were returned, indicating a validresponse rate of 91.9%. Collected data were analyzed usingmultiple regression analysis.Results: Results indicate that user self-efficacy, top managementsupport, compatibility, and information quality havesignificant impacts on perceived ease of use. In addition, topmanagement support, compatibility, and information quality wereidentified as having significant impacts on perceived usefulness.Furthermore, nurses’ perceived ease of use and perceived usefulnesson HISs was found to impact significantly on systemacceptance, with 45.1% of the total explained variance.Conclusions/Implications for Practice: Results can helpmanagers understand key considerations affecting HIS developmentand use and may be applied as a reference for systemdevelopment and improvement.
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