Int J Med Inform - Modeling factors explaining the acceptance, actual use and satisfaction of nurses using an Electronic Patient Record in acute care settings: an extension of the UTAUT.

Tópicos

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Resumo

CKGROUND AND PURPOSE: End-user acceptance and satisfaction are considered critical factors for successful implementation of an Electronic Patient Record (EPR). The aim of this study was to explain the acceptance and actual use of an EPR and nurses' satisfaction by testing a theoretical model adapted from the Unified Theory of Acceptance and Use of Technology (UTAUT).METHODS: A multicenter cross-sectional study was conducted in the medical-surgical wards of four hospitals ranked at different EPR adoption stages. A randomized stratified sampling approach was used to recruit 616 nurses. Structural equation modeling techniques were applied.RESULTS: Support was found for 13 of the model's 20 research hypotheses. The strongest effects are those between performance expectancy and actual use of the EPR (r=0.55, p=0.006), facilitating conditions and effort expectancy (r=0.45, p=0.009), compatibility and performance expectancy (r=0.39, p=0.002). The variables explained 33.6% of the variance of actual use, 54.9% of nurses' satisfaction, 50.2% of performance expectancy and 52.9% of effort expectancy.CONCLUSIONS: Many results of this study support the conclusions of prior research, but some take exception, such as the non-significant relationship between the effort expectancy construct and actual use of the EPR. The results highlight the importance of the mediating effects of the effort expectancy and performance expectancy constructs. Compatibility of the EPR with preferred work style, existing work practices and the values of nurses were the most important factors explaining nurses' satisfaction. The results reveal the complexity of this change and suggest several avenues for future research and for the implementation of IT in healthcare.

Resumo Limpo

ckground purpos endus accept satisfact consid critic factor success implement electron patient record epr aim studi explain accept actual use epr nurs satisfact test theoret model adapt unifi theori accept use technolog utautmethod multicent crosssect studi conduct medicalsurg ward four hospit rank differ epr adopt stage random stratifi sampl approach use recruit nurs structur equat model techniqu appliedresult support found model research hypothes strongest effect perform expect actual use epr r p facilit condit effort expect r p compat perform expect r p variabl explain varianc actual use nurs satisfact perform expect effort expectancyconclus mani result studi support conclus prior research take except nonsignific relationship effort expect construct actual use epr result highlight import mediat effect effort expect perform expect construct compat epr prefer work style exist work practic valu nurs import factor explain nurs satisfact result reveal complex chang suggest sever avenu futur research implement healthcar

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