Department of Hospital and Health Care Administration, Chia Nan University of Pharmacy & Science, Taiwan, ROC.
J Nurs Res. 2011 Jun;19(2):150-60. doi: 10.1097/JNR.0b013e31821cbb25.
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.
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.
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 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.
医院信息系统（HIS）在台湾被广泛使用，必须对其性能进行仔细评估。护理人员是医院中最大的员工群体，也是护理服务的中心，因此，他们在 HIS 的采用和评估中起着重要作用。
本研究旨在从护理角度探讨影响台湾 HIS 接受度的关键因素。在技术接受模型的基础上，我们将六个外生变量（系统质量、信息质量、用户自我效能、兼容性、高层管理支持和项目团队能力）作为调查因素。
调查研究以选定案例医院的护理人员为参与者。共发放 545 份问卷，回收 501 份，有效回收率为 91.9%。收集的数据采用多元回归分析进行分析。
结果表明，用户自我效能、高层管理支持、兼容性和信息质量对感知易用性有显著影响。此外，高层管理支持、兼容性和信息质量被确定为对感知有用性有显著影响。此外，护士对 HIS 的感知易用性和感知有用性对系统接受度有显著影响，总解释方差为 45.1%。
结论/对实践的意义：研究结果可以帮助管理人员了解影响 HIS 开发和使用的关键因素，并可作为系统开发和改进的参考。
