Abstract
Objective: An increasing prevalence of chronic illnesses, in addition to an aging population, is generating a heavy demand on finances and personnel in the health care industry. For nursing homes in particular, this will result in a need for improved administration tools for the provision of medical care. Current nursing-home pharmaceutical care systems are inadequate, however, studies show that cloud computing allows for the sharing of information and applications and reduces nurse workloads. Thus, we propose a cloud-based mobile pharmaceutical care system (CM-Pharm) and explore nurse intentions for adopting this technology into their clinical practice.Methods: Considering social influence processes and cognitive instrumental processes, we use an extended version of TAM (TAM2) to examine nurse adoption intentions. Data collection was conducted from June to October 2011, comprising 168 nurses in 51 nursing homes in southern Taiwan. We used partial least squares (PLS) to mitigate minimal restrictions on sample size and residual distributions to test our hypotheses.Results: Our results showed that the nurses have strong intentions to adopt the proposed system. However, except for perceived ease of use and subjective norms, only the factor of perceived usefulness has a significant effect on user adoption and that nurses formed perceived usefulness judgments in part by cognitively comparing what the system is capable of doing with what they need to get their job done.Conclusions: To encourage nurses to adopt a cloud-based mobile pharmaceutical care system, healthcare service providers must emphasize the usefulness of cloud-based technology that is tailored to nurse functions and deemphasize ease of use of the system. We believe these findings provide important insights into the factors that healthcare service providers can consider when developing implementation strategies for cloud-based mobile pharmaceutical care systems.
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