Factors Influencing Nurses' Acceptance of Hospital Information Systems in Iran: Application of the Unified Theory of Acceptance and Use of Technology

Abstract

User acceptance is a precondition for successful implementation of hospital information systems (HISs). Increasing investment in information technology by healthcare organisations internationally has made user acceptance an important issue in technology implementation and management. Despite the increased focus on hospital information systems, there continues to be user resistance. The present study aimed to investigate the factors affecting hospital information systems nurse-user acceptance of HISs, based on the Unified Theory of Acceptance and Use of Technology (UTAUT), in the Shiraz University of Medical Sciences teaching hospitals. A descriptive-analytical research design was employed to study nurses' adoption and use of HISs. Data collection was undertaken using a cross-sectional survey of nurses (n=303). The research model was examined using the LISREL path confirmatory modeling. The results demonstrated that the nurses' behavioural intention (BI) to use hospital information systems was predicted by Performance Expectancy (PE) (β= 2.34, p<0.01), Effort Expectancy (EE) (β= 2.21, p<0.01), Social Influence (SI) (β= 2.63, p<0.01) and Facilitating Conditions (FC) (β= 2.84, p<0.01). The effects of these antecedents of BI explained 72.8% of the variance in nurses' intention to use hospital information systems (R2 = 0.728). Application of the research model suggested that nurses' acceptance of HISs was influenced by performance expectancy, effort expectancy, social influence and facilitating conditions, with performance expectancy having the strongest effect on user intention.

An investigation into the effective factors on the acceptance and use of integrated health system in the primary health-care centers

“…The results reported by Sharifian et al ., Kijsanayotin et al ., Phichitchaisopa and Naenna (2013), and Ifinedo[7162226] conformed to the results of this study. The IHS users believed that the behavioral intention to use the system will increase where working with the system is easier and the system has a higher level of conformity with their work practices.…”

“…This result conformed to the results obtained in the studies of Jahanbakhsh and Nazemi, Sharifian et al ., Kijsanayotin et al ., and Holtz and Krein. [7222325] The positive perception of the important individuals can serve as an effective motivating factor for the care providers such as colleagues increasing their intention to accept and use the system. [16] As Venkatesh et al .…”

“…[5] It is estimated that these systems either are abandoned in about 40%–70% of the cases or fail somehow. [67] Since the failure of EHRS may bring in some negative effects on services and care provision[8] incurring huge costs to the health system, it is necessary to take the necessary measures to avoid the system failures. [9] Lack of acceptance and use of the information systems by the users or their resistance toward the adoption of new systems have been identified as the most significant reasons for the failure of information systems.…”

Towards understanding healthcare professionals’ adoption and use of technologies in clinical practice: using Q-methodology and models of technology acceptance

“…They employed quantitative methods using SEM like in previously mentioned TAM studies, and their emphasis was on the HIT and model rather than the views of the participants on the factors influencing their adoption of HIT. Similarly, Sharifian et al 44. also used the UTAUT to identify factors influencing nurses’ acceptance of e-health resources in Iran again using a quantitative approach to identify the factors which influence e-health resource acceptance by testing the strength of the relationship within the model.…”

Confirmation of Expectations and Satisfaction with Hospital Information Systems: A Nursing Perspective

“…However, hospital information systems are developed by private information technology (IT) companies and they are not consistent [15]. While e-health and Electronic Health Records (EHRs) have received particular attention in the country since 2000, few studies have been conducted in relation to nurses' expectations of and satisfaction with information systems [41617]. In the current study, we aimed to investigate these two determinants of system success among nursing staff.…”