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运用综合理论模型探究影响护士使用平板电脑进行患者护理意愿的关键因素。

Exploring critical factors influencing nurses' intention to use tablet PC in Patients' care using an integrated theoretical model.

机构信息

a Institute of Information Management, National Chiao Tung University (NCTU) , Hsinchu , Taiwan.

b Information Management, Minghsin University of Science and Technology , Hsinchu , Taiwan.

出版信息

Libyan J Med. 2019 Dec;14(1):1648963. doi: 10.1080/19932820.2019.1648963.

Abstract

The use of health information technology (HIT) is expected to deliver benefits for patients, nurses, physicians, and organizations, but the benefits of HIT can only be attained if nurses accept and intend to use it as they are the leading user-group. The use of the tablet is becoming commonplace in healthcare organizations to improve patient care. The current study incorporates Technology Acceptance Model2 (TAM2) with two antecedents, facilitating condition and personal, to identify and understand the factors that influence nurses' intention to use the Tablet PC. The survey methodology was used to collect data from the nurses working in a regional healthcare center in Taiwan. The structural equation modeling (SEM) technique was employed to analyze the research framework. A total of 110 valid responses for analysis. The results suggest that the modified proposed research framework explains about 41.7% of the variance of nurses' behavioral intention. The partial least squares (PLS) regression indicated that perceived usefulness, subjective norm, and personal a positive and significant influence on nurses' intention to use the Tablet PC. But concerning the perceived ease of use, the insignificant path coefficient was reported. The finding also indicated that personal on the research model is much stronger than the subjective norm on Tablet PC performance. The proposed research framework contributes to the conclusive explanation for understanding nurses' intention to use. The current study brings perspectives from the technological and attitudinal differences that have largely been missing in the existing literature of the nurses' intention to use HIT. Thus, health care providers must take these factors into consideration as the findings of the current study advance theory and contribute to the basis for future study intended for enhancing our understanding of nurses' adoption behavior regarding HIT.

摘要

医疗信息技术(HIT)的使用有望为患者、护士、医生和组织带来益处,但只有在护士接受并打算使用 HIT 的情况下,才能实现其益处,因为他们是主要的用户群体。在医疗保健组织中,平板电脑的使用已变得很普遍,以改善患者护理。本研究将技术接受模型 2(TAM2)与两个前置因素(促进条件和个人因素)相结合,以确定和理解影响护士使用平板电脑意愿的因素。该研究采用问卷调查法,从中国台湾地区一家区域医疗中心的护士收集数据。结构方程建模(SEM)技术用于分析研究框架。共收集了 110 份有效问卷进行分析。结果表明,修正后的研究框架解释了护士行为意愿的 41.7%左右的差异。偏最小二乘(PLS)回归表明,感知有用性、主观规范和个人对护士使用平板电脑的意愿有积极和显著的影响。但在感知易用性方面,报告的路径系数并不显著。研究结果还表明,在研究模型中,个人因素比平板电脑性能的主观规范更具影响力。该研究框架有助于对理解护士使用意图进行结论性解释。本研究从技术和态度差异的角度出发,这些差异在护士使用 HIT 意图的现有文献中基本缺失。因此,医疗保健提供者必须考虑这些因素,因为本研究的结果推进了理论,并为未来旨在增强我们对护士采用 HIT 行为的理解的研究奠定了基础。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0740/6713951/0f00f7b19e1e/ZLJM_A_1648963_F0002_B.jpg

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