Department of Business Administration, Chaoyang University of Technology.
J Nurs Res. 2012 Mar;20(1):19-30. doi: 10.1097/JNR.0b013e31824777aa.
To ensure the quality of healthcare provision, nurses must continuously enhance their professional knowledge and competencies via continuing education. As compared with traditional learning, electronic learning (e-learning) is a more flexible method for nurses' in-service learning. Hence, e-learning is expected to play a key role in providing continuing education for nurses.
The main purpose of this study was to examine whether system quality, information quality, service quality, and user-interface design quality as the antecedents to nurse beliefs can affect nurses' intention to use the e-learning system.
A cross-sectional design was used to investigate the effects of information systems quality on nurses' acceptance of the e-learning system. This study gathered sample data from nurses at 3 hospitals in Taiwan. A total of 450 questionnaires were distributed, and 320 effective questionnaires were analyzed in this study, indicating an effective response rate of 71.1%. Collected data were analyzed using structural equation modeling.
System quality, information quality, and user-interface design quality had significant effects on perceived usefulness (PU), perceived ease of use (PEOU), and perceived enjoyment (PE), and service quality had significant effects on PU and PEOU. Moreover, PEOU had significant effects on PU and PE, and the effects of PU, PEOU, and PE on intention to use were significant.
CONCLUSIONS/IMPLICATIONS FOR PRACTICE: User-interface design quality is the most key antecedent that can make significant impacts on nurses' PU and PE, and more efforts should be made to develop a friendlier user interface via designing useful and enjoyable features to induce nurses to use the e-learning system. Moreover, system quality can make the greatest impact on nurses' PEOU; thus, medical institutions should effectively enhance system quality to deliver benefits and pleasure to boost nurses' usage intention of the e-learning system via reducing the complexity.
为确保医疗保健服务质量，护士必须通过继续教育不断提高其专业知识和能力。与传统学习相比，电子学习（e-learning）是护士在职学习的一种更灵活的方法。因此，预计 e-learning 将在为护士提供继续教育方面发挥关键作用。
本研究的主要目的是检验系统质量、信息质量、服务质量和用户界面设计质量作为护士信念的前因是否会影响护士使用电子学习系统的意愿。
采用横断面设计研究方法，考察信息系统质量对护士接受电子学习系统的影响。本研究从台湾的 3 家医院收集了护士的样本数据。共发放了 450 份问卷，本研究分析了 320 份有效问卷，有效响应率为 71.1%。收集的数据采用结构方程模型进行分析。
系统质量、信息质量和用户界面设计质量对感知有用性（PU）、感知易用性（PEOU）和感知愉悦（PE）有显著影响，服务质量对 PU 和 PEOU 有显著影响。此外，PEOU 对 PU 和 PE 有显著影响，PU、PEOU 和 PE 对使用意愿的影响也显著。
结论/对实践的意义：用户界面设计质量是对护士 PU 和 PE 影响最大的关键前因，应通过设计有用且令人愉悦的功能来开发更友好的用户界面，从而促使护士使用电子学习系统，投入更多精力。此外，系统质量对护士的 PEOU 影响最大；因此，医疗机构应有效提高系统质量，通过降低复杂性为护士提供效益和乐趣，从而提升护士对电子学习系统的使用意愿。
