Nurses play a key role in healthcare but work in a highly stressful and unfriendly environment. Therefore, many medical institutions have adopted nurse healthcare management information systems for nurses to relieve symptoms of mental stress and even improve their psychological health. The key to the success of these systems depends on how nurses intend to use them. In this study, the moderating effect of nurses’ psychological health status on their usage of these systems are discussed. This study used a mail survey method for nurses to obtain 1565 valid samples. The results show that perceived usefulness is insignificant toward the usage intention of nurses with a positive psychological health status, which indicates that this system does not meet the needs of these healthy nurses. Furthermore, perceived ease of use is insignificant toward the usage intention of nurses with a negative psychological health status, which indicates that a negative psychological health status may affect one’s behavior due to impatience. This study raises the serious issue that nurses should maintain their psychological health in order to ensure the quality of care for patients. People in various fields are expected to pay attention to the psychological health status of nurses and create a win–win situation for both patients and nurses.
In this study, the moderating effect of psychological health status on the usage intention of Health Management Information Systems (HMIS) by nurses was observed. The effectiveness of HMIS depends on the willingness of people to use these systems. Nurses play a key role in healthcare, and their psychological health status may influence their usage intention of HMIS. Empirical data to assess the hypotheses in this study were obtained using a survey method. Data from a sample of nurses in Northeast China and Taiwan were collected in 2013 by mail using research instruments based on our research framework. The sample size was 1,563 nurses and the valid response rate was 55.8%. The results showed that nurses' psychological health status was a significant moderator in determining nurses' usage intention of HMIS. Nurses with positive psychological health were seen to be willing to use HMIS due to the perceived usefulness of HMIS. Nurses with negative psychological health were not seen to be willing to use HMIS due to some perceived difficulties in the ease of use of HMIS. Nurses' perception of the ease of use of HMIS should be strengthened, as this will help to improve the effectiveness of their work. The nursing staff shortage has led to workassociated psychological stress; however, the use of HMIS may help to protect and maintain the psychological health of nurses. These results suggest that protecting nurses' psychological health status is important, since it can reduce resistance from nurses when a new system is implemented and therefore enhance the efficiency of nurses.
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