Lee Chien-Ching, Lin Shih-Pin, Yang Shu-Ling, Tsou Mei-Yung, Chang Kuang-Yi
Department of Anesthesiology, Taipei Veterans General Hospital, Taipei, Taiwan.
Acta Anaesthesiol Taiwan. 2013 Mar;51(1):22-7. doi: 10.1016/j.aat.2013.03.013. Epub 2013 May 4.
Medical institutions are eager to introduce new information technology to improve patient safety and clinical efficiency. However, the acceptance of new information technology by medical personnel plays a key role in its adoption and application. This study aims to investigate whether perceived organizational learning capability (OLC) is associated with user acceptance of information technology among operating room nurse staff.
Nurse anesthetists and operating room nurses were recruited in this questionnaire survey. A pilot study was performed to ensure the reliability and validity of the translated questionnaire, which consisted of 14 items from the four dimensions of OLC, and 16 items from the four constructs of user acceptance of information technology, including performance expectancy, effort expectancy, social influence, and behavioral intention. Confirmatory factor analysis was applied in the main survey to evaluate the construct validity of the questionnaire. Structural equation modeling was used to test the hypothetical relationships between the four dimensions of user acceptance of information technology and the second-ordered OLC. Goodness of fit of the hypothetic model was also assessed.
Performance expectancy, effort expectancy, and social influence positively influenced behavioral intention of users of the clinical information system (all p < 0.001) and accounted for 75% of its variation. The second-ordered OLC was positively associated with performance expectancy, effort expectancy, and social influence (all p < 0.001). However, the hypothetic relationship between perceived OLC and behavioral intention was not significant (p = 0.87). The fit statistical analysis indicated reasonable model fit to data (root mean square error of approximation = 0.07 and comparative fit index = 0.91).
Perceived OLC indirectly affects user behavioral intention through the mediation of performance expectancy, effort expectancy, and social influence in the operating room setting.
医疗机构急于引入新的信息技术以提高患者安全性和临床效率。然而，医务人员对新信息技术的接受程度在其采用和应用中起着关键作用。本研究旨在调查感知组织学习能力（OLC）是否与手术室护士人员对信息技术的用户接受度相关。
在本次问卷调查中招募了麻醉护士和手术室护士。进行了一项预试验以确保翻译后问卷的可靠性和有效性，该问卷由来自OLC四个维度的14个项目以及来自信息技术用户接受度四个构念（包括绩效期望、努力期望、社会影响和行为意向）的16个项目组成。在主要调查中应用验证性因子分析来评估问卷的结构效度。使用结构方程模型来检验信息技术用户接受度的四个维度与二阶OLC之间的假设关系。还评估了假设模型的拟合优度。
绩效期望、努力期望和社会影响对临床信息系统用户的行为意向有积极影响（均p < 0.001），并解释了其75%的变异。二阶OLC与绩效期望、努力期望和社会影响呈正相关（均p < 0.001）。然而，感知OLC与行为意向之间的假设关系不显著（p = 0.87）。拟合统计分析表明模型与数据拟合合理（近似均方根误差 = 0.07，比较拟合指数 = 0.91）。
在手术室环境中，感知OLC通过绩效期望、努力期望和社会影响的中介间接影响用户行为意向。
