Understanding Nurse Perceptions of a Newly Implemented Electronic Medical Record System

Holtz, Bree; Krein, Sarah L.

doi:10.1080/15228835.2011.639931

Cited by 51 publications

(50 citation statements)

References 26 publications

(30 reference statements)

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“…The findings of the present study showed that of the four influencing factors, performance expectancy was by far the strongest predicting factor playing a major role in the nurses' intention to use information systems. Our results are consistent with a number of prior studies which showed performance expectancy to be more effective in comparison to effort expectancy and social influence (Hamidfar, Limayem & Zegordi 2008;Wu et al 2007;Holtz & Krein 2011;Ifinedo 2012;AlAwadhi 2008;Zhou 2008;Wang & Shih 2009;Chang et al 2007).…”

Section: Discussionsupporting

confidence: 95%

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

Sharifian

Askarian

Nematolahi³

et al. 2014

HIM J

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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.

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Section: Discussionsupporting

confidence: 95%

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

Sharifian

Askarian

Nematolahi³

et al. 2014

HIM J

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“…Although, the result of Jason et al's study (19) is consistent with the results of our study, the result of this part of the study is not consistent with those of the Wills et al (15) and Holtz and Krein's studies (27). Although, most of the previous studies signify the relationship between social influences and use intention of technology, this study shows that there is no significant relationship between these two factors.…”

Section: Discussioncontrasting

confidence: 54%

“…Other results of this study showed that there is a significant relationship between Facilitating Condition and Be- (27).…”

Section: Discussionmentioning

confidence: 59%

Factors Affecting in Adoption and Use of Electronic Medical Record Based on Unified Theory of Acceptance and Use of Technology in Iran

et al. 2017

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“…C Co on nt te en nt t v va al li id di it ty y: : In order to generate items for The Usability Scale of the Electronic Record System in terms of Nursing Functions, a detailed literature review was carried out and similar studies were examined. 5,8,12,13,[17][18][19][20][21][22][23] In addition, for generating content validity, a composition on experiences (emotions, thoughts, and behaviors) regarding the relevant topic were requested from the 56 respondents, which corresponded to nurses from every unit. The attitude components reported in the written compositions were systematically examined and were used in combination with information obtained from the literature in order to generate attitude statements.…”

Section: Resultsmentioning

confidence: 99%

Validity and Reliability Study for the Usability Scale of the Electronic Records System in Terms of Nursing Functions

Ay¹,

Polat²

2016

Turkiye Klinikleri J Nurs

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A AB BS S TTR RA AC CT T O Ob bj je ec ct ti iv ve e: : To evaluate the validity and reliability of the Usability Scale of the Electronic Records System in terms of Nursing Functions (USERSNurse). M Ma at te er ri ia al l a an nd d M Me et th ho od ds s: : The study comprised 1100 nurses from Istanbul Medical Faculty. A sample of 601 were included in the final analysis. A 50-point scale was created based on a literature review and information taken clinical nurses. After being assessed by 3 experts, the 50-item scale was revised to 38 items, and this version was used in the study. At the end of the study, a 29-item scale was identified: Contribution to Nursing Practice (11 items), Contribution to Knowledge Management (9 items), and Efficacy and Productivity Contribution (9 items). To assess percentages, average split-half, test-retest method, Cronbach's alpha reliability test, item-total correlations, top and bottom 27% of the groups, material mean score difference between t-tests, Pearson's product moment correlation coefficient, and confirmatory factor analysis were used. R Re es su ul lt ts s: : Cronbach's alpha coefficient of the entire scale was 0.98. For subgroups; Cronbach coefficients ranged from 0.79-0.94. Test-retest reliability was 0.73 (p<0.01). Two half-test reliability of the scale was 0.94 (p<0.01). Item-total correlations were between 0.60-0.83. The difference between the top and bottom 27% points were significant. The construct validity of the factors combined accounted for 70.12% of the variance. Test-retest correlations were significant (p<0.001). C Co on nc cl lu us si io on n: : USERSNurse was found to be a reliable tool. Subsequent studies of USERSNurse evaluation groups with different socio-demographic characteristics for the implementation and investigation of validity and reliability are proposed. K Ke ey y W Wo or rd ds s: : Electronic health records; nursing records; nurses Ö ÖZ ZE ET T A Am ma aç ç: : Bu araştırmada; elektronik kayıt sistemine ilişkin hemşirelerin tutumlarını ölçmede "Elektronik Kayıt Sisteminin Hemşirelik İşlevleri Açısından Kullanılabilirlik Ölçeği" (EKSHİAKÖ)'nin geçerlik ve güvenirliğini incelemek amaçlanmıştır. G Ge er re eç ç v ve e Y Yö ön nt te em ml le er r: : Araştırma, İstanbul Üniversitesi Tıp Fakültesi'nin farklı birimlerinde çalışan 1100 hemşire arasında yapıldı. Örneklemini sözel onay alınan 601 hemşire oluşturdu. Literatür incelemesi ve klinik hemşirelerinden alınan bilgilere dayanarak 50 madde ölçek oluşturuldu. 50 maddeli ölçek, 3 uzman tarafından değerlendirildikten sonra madde sayısı 38'e indirildi. Çalışmada, kişisel bilgi formu ve 38 maddeli taslak ölçek kullanıldı. Çalışmanın sonunda Hemşirelik Uygulamalarına Katkısı (11 madde), Bilgi Yönetimine Katkısı (9 madde), Etkinlik ve Verimliliğine Katkısı (9 madde) boyutları olan ölçek haline geldi. Değerlendirmede yüzdelikler, ortalama, yarıya-bölme, testtekrar test yöntemi, Cronbach alfa güvenilirlik testi, madde-toplam puan korelasyonu, alt-üst %27'lik grupların madde ortalama puanları arasındaki far...

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Understanding Nurse Perceptions of a Newly Implemented Electronic Medical Record System

Cited by 51 publications

References 26 publications

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

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

Factors Affecting in Adoption and Use of Electronic Medical Record Based on Unified Theory of Acceptance and Use of Technology in Iran

Validity and Reliability Study for the Usability Scale of the Electronic Records System in Terms of Nursing Functions

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