Determining factors affecting nurses' acceptance of a care plan system using a modified technology acceptance model 3: Structural equation model with cross-sectional data

Kuei Fang Ho, Pi Chen Chang, Maria Dyah Kurniasari, Sri Susanty, Min Huey Chung

研究成果: 雜誌貢獻文章

2 引文 斯高帕斯(Scopus)

摘要

Background: 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. Objective: 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. Methods: 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. Results: 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. Conclusions: 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.

原文英語
文章編號e15686
期刊JMIR medical informatics
8
發行號5
DOIs
出版狀態已發佈 - 五月 5 2020

ASJC Scopus subject areas

  • Health Informatics

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