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护士继续使用电子健康记录系统的意愿:人格和组织支持的先行作用。

Nurses' continuance intention to use electronic health record systems: The antecedent role of personality and organisation support.

机构信息

Faculty of Business Rabigh, Department of Managing Health Services & Hospitals, College of Business (COB), King Abdulaziz University, Jeddah, Saudi Arabia.

Applied Science Research Center, Applied Science Private University, Amman, Jordan.

出版信息

PLoS One. 2024 Oct 3;19(10):e0300657. doi: 10.1371/journal.pone.0300657. eCollection 2024.

Abstract

Nurses play a crucial role in the adoption and continued use of Electronic Health Records (EHRs), especially in developing countries. Existing literature scarcely addresses how personality traits and organisational support influence nurses' decision to persist with EHR use in these regions. This study developed a model combining the Five-Factor Model (FFM) and the Unified Theory of Acceptance and Use of Technology (UTAUT) to explore the impact of personality traits and organisational support on nurses' continuance intention to use EHR systems. Data were collected via a self-reported survey from 472 nurses across 10 public hospitals in Jordan and analyzed using a structural equation modeling approach (Smart PLS-SEM 4). The analysis revealed that personality traits, specifically Openness, Experience, and Conscientiousness, significantly influence nurses' decisions to continue using EHR systems. Furthermore, organisational support, enhanced by Performance Expectancy and Facilitating Conditions, positively affected their ongoing commitment to EHR use. The findings underscore the importance of considering individual personality traits and providing robust organisational support in promoting sustained EHR usage among nurses. These insights are vital for healthcare organisations aiming to foster a conducive environment for EHR system adoption, thereby enhancing patient care outcomes.

摘要

护士在电子健康记录(EHRs)的采用和持续使用中起着至关重要的作用,特别是在发展中国家。现有文献很少涉及个性特征和组织支持如何影响这些地区护士继续使用 EHR 的决定。本研究结合五因素模型(FFM)和统一技术接受和使用理论(UTAUT),开发了一个模型,以探讨个性特征和组织支持对护士继续使用 EHR 系统的意愿的影响。研究通过在约旦 10 家公立医院对 472 名护士进行的自我报告调查收集数据,并使用结构方程建模方法(Smart PLS-SEM 4)进行分析。分析结果表明,个性特征,特别是开放性、经验和尽责性,显著影响护士继续使用 EHR 系统的决策。此外,绩效期望和便利条件增强的组织支持,对他们持续使用 EHR 的承诺产生了积极影响。研究结果强调了考虑个体个性特征和提供强大的组织支持以促进护士持续使用 EHR 的重要性。这些见解对于旨在营造有利于 EHR 系统采用的环境、从而提高患者护理结果的医疗保健组织至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/73b2/11449364/8a1177d15951/pone.0300657.g001.jpg

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