Ho Kuei-Fang, Chang Pi-Chen, Kurniasari Maria Dyah, Susanty Sri, Chung Min-Huey
Department of Nursing, Ching Kuo Institute of Management and Health, Keelung, Taiwan.
School of Nursing, College of Nursing, Taipei Medical University, Taipei, Taiwan.
JMIR Med Inform. 2020 May 5;8(5):e15686. doi: 10.2196/15686.
Health information technology is used in nursing practice worldwide, and holistic patient care planning can serve as a guide for nursing practice to ensure quality in patient-centered care. However, few studies have thoroughly analyzed users' acceptance of care plan systems to establish individual plans.
Based on the technology acceptance model 3 (TAM3), a user technology acceptance model was established to explore what determines the acceptance of care plan systems by users in clinical settings.
Cross-sectional quantitative data were obtained from 222 nurses at eight hospitals affiliated with public organizations in Taiwan. Using the modified TAM3, the collected data were employed to analyze the determinants of user acceptance of a care plan system through structural equation modeling (SEM). We also employed moderated multiple regression analysis and partial least squares-SEM to test the moderating effects.
We verified all significant effects from the use of a care plan system among bivariate patterns in the modified TAM3, except for moderating effects. Our results revealed that the determinants of perceived usefulness and perceived ease of use significantly influenced perceived usefulness and perceived ease of use, respectively. The results also indicated that nurses' perceptions of subjective norm (path coefficient=.25, P<.001), perceived ease of use (path coefficient=.32, P<.001), and perceived usefulness (path coefficient=.31, P<.001) had significantly positive effects on their behavioral intention to use the care plan system, accounting for 69% of the total explained variance.
By exploring nurses' acceptance of a care plan system, this study revealed relationships among the variables in TAM3. Our results confirm that the modified TAM3 is an innovative assessment instrument that can help managers understand nurses' acceptance of health information technology in nursing practice to enhance the adoption of health information technology.
健康信息技术在全球护理实践中得到应用，整体患者护理计划可作为护理实践的指南，以确保以患者为中心的护理质量。然而，很少有研究全面分析用户对护理计划系统以制定个性化计划的接受情况。
基于技术接受模型3（TAM3），建立用户技术接受模型，以探讨在临床环境中是什么决定了用户对护理计划系统的接受程度。
从台湾公共组织附属的八家医院的222名护士那里获得横断面定量数据。使用改进的TAM3，通过结构方程模型（SEM）对收集的数据进行分析，以确定用户接受护理计划系统的决定因素。我们还采用了调节多元回归分析和偏最小二乘结构方程模型来检验调节效应。
除调节效应外，我们在改进的TAM3的双变量模式中验证了使用护理计划系统的所有显著效应。我们的结果显示，感知有用性和感知易用性的决定因素分别对感知有用性和感知易用性有显著影响。结果还表明，护士对主观规范的认知（路径系数=0.25，P<0.001）、感知易用性（路径系数=0.32，P<0.001）和感知有用性（路径系数=0.31，P<0.001）对其使用护理计划系统的行为意向有显著的正向影响，占总解释方差的69%。
通过探索护士对护理计划系统的接受情况，本研究揭示了TAM3中各变量之间的关系。我们的结果证实，改进的TAM3是一种创新的评估工具，可帮助管理人员了解护士在护理实践中对健康信息技术的接受情况，以促进健康信息技术的采用。
