利用科技接受统一理论（UTAUT）模型评估加纳护士对医院电子信息管理系统（HEIMS）采用的社会影响和促进条件。
"Assessment of the social influence and facilitating conditions that support nurses' adoption of hospital electronic information management systems (HEIMS) in Ghana using the unified theory of acceptance and use of technology (UTAUT) model".
机构信息
Center for Medical Insurance, Hospital Management and Health Policy Research, School of Management, Jiangsu University, 301 Xuefu Road, Zhenjiang, Jiangsu, 212013, People's Republic of China.
Department of Health Informatics/Health Information Management, College of Health and Well-Being, Kintampo Bono East, Ghana.
出版信息
BMC Med Inform Decis Mak. 2019 Nov 21;19(1):230. doi: 10.1186/s12911-019-0956-z.
BACKGROUND
Hospital electronic information management systems (HEIMS) are widely used in Ghana, and hence its performance must be carefully assessed. Nurses as clinical health personnel are the largest cluster of hospital staff and are the pillar of healthcare delivery. Therefore, they play a crucial role in the adoption and assessment of HEIMSs in Ghana. This report sought to assess the "Social Influence" (SI) and "Facilitating Conditions" (FC) that support Nurses' Acceptance of HEIMS in Ghana using the "Unified Theory of Acceptance and Use of Technology" (UTAUT) model.
METHODS
This study applied a non-experimental survey design. An electronic platform questionnaire on smartphones was used to collect data on 660 nurses. Statistically, AMOS Structural Equation Modelling (SEM) version 22.0 was employed to examine the research model.
RESULTS
"Behavioral Intention" (BI) to HEIMS use was significantly predicted by SI and FC (p < 0.001). Notably, both SI and FC had an influence on nurses' use behavior (UB) with behavioral intention (BI) as the mediator, which explains a total of 42.1% variance in the intention of nurses to use HEIMS. Likewise, UB of HEIMS was also significantly predicted by SI (R = 43.2) and BI (R = 0.39.6) with both constructs explaining a total of 51.7% of the variance in nurses' acceptance to use HEIMS.
CONCLUSION
Nurses' adoption of HEIMS in terms of the UB was influenced by SI and BI, whiles SI and FC had the strongest influence on BI (serving as mediator) of UB to adopt and use HEIMS among the nurses in Ghanaian hospitals.
背景
医院电子信息管理系统（HEIMS）在加纳得到广泛应用，因此必须对其性能进行仔细评估。护士作为临床卫生人员，是医院员工中最大的群体，是医疗保健服务的支柱。因此，他们在加纳采用和评估 HEIMS 方面发挥着至关重要的作用。本报告旨在使用“统一技术接受和使用理论”（UTAUT）模型评估“社会影响”（SI）和“促进条件”（FC）对加纳护士接受 HEIMS 的支持。
方法
本研究采用非实验性调查设计。使用智能手机上的电子平台问卷收集了 660 名护士的数据。统计上，采用 AMOS 结构方程模型（SEM）版本 22.0 来检验研究模型。
结果
HEIMS 使用的“行为意图”（BI）显著受到 SI 和 FC 的预测（p<0.001）。值得注意的是，SI 和 FC 都对护士的使用行为（UB）产生影响，BI 作为中介，共解释了护士使用 HEIMS 意图的 42.1%的方差。同样，HEIMS 的 UB 也显著受到 SI（R=43.2）和 BI（R=0.39.6）的预测，这两个构念共解释了护士接受使用 HEIMS 的总方差的 51.7%。
结论
从 UB 的角度来看，护士对 HEIMS 的采用受到 SI 和 BI 的影响，而 SI 和 FC 对 BI（作为中介）对加纳医院护士采用和使用 HEIMS 的 UB 具有最强的影响。
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