J Am Med Inform Assoc - Modeling nurses' acceptance of bar coded medication administration technology at a pediatric hospital.

Tópicos

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Resumo

JECTIVE: To identify predictors of nurses' acceptance of bar coded medication administration (BCMA).DESIGN: Cross-sectional survey of registered nurses (N=83) at an academic pediatric hospital that recently implemented BCMA.METHODS: Surveys assessed seven BCMA-related perceptions: ease of use; usefulness for the job; social influence from non-specific others to use BCMA; training; technical support; usefulness for patient care; and social influence from patients/families. An all possible subset regression procedure with five goodness-of-fit indicators was used to identify which set of perceptions best predicted BCMA acceptance (intention to use, satisfaction).RESULTS: Nurses reported a moderate perceived ease of use and low perceived usefulness of BCMA. Nurses perceived moderate-or-higher social influence to use BCMA and had moderately positive perceptions of BCMA-related training and technical support. Behavioral intention to use BCMA was high, but satisfaction was low. Behavioral intention to use was best predicted by perceived ease of use, perceived social influence from non-specific others, and perceived usefulness for patient care (56% of variance explained). Satisfaction was best predicted by perceived ease of use, perceived usefulness for patient care, and perceived social influence from patients/families (76% of variance explained).DISCUSSION: Variation in and low scores on ease of use and usefulness are concerning, especially as these variables often correlate with acceptance, as found in this study. Predicting acceptance benefited from using a broad set of perceptions and adapting variables to the healthcare context.CONCLUSION: Success with BCMA and other technologies can benefit from assessing end-user acceptance and elucidating the factors promoting acceptance and use.

Resumo Limpo

jectiv identifi predictor nurs accept bar code medic administr bcmadesign crosssect survey regist nurs n academ pediatr hospit recent implement bcmamethod survey assess seven bcmarel percept eas use use job social influenc nonspecif other use bcma train technic support use patient care social influenc patientsfamili possibl subset regress procedur five goodnessoffit indic use identifi set percept best predict bcma accept intent use satisfactionresult nurs report moder perceiv eas use low perceiv use bcma nurs perceiv moderateorhigh social influenc use bcma moder posit percept bcmarel train technic support behavior intent use bcma high satisfact low behavior intent use best predict perceiv eas use perceiv social influenc nonspecif other perceiv use patient care varianc explain satisfact best predict perceiv eas use perceiv use patient care perceiv social influenc patientsfamili varianc explaineddiscuss variat low score eas use use concern especi variabl often correl accept found studi predict accept benefit use broad set percept adapt variabl healthcar contextconclus success bcma technolog can benefit assess endus accept elucid factor promot accept use

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