Clinical Staff Attitude Toward the Computerized Physician Order Entry System in Cardiac Care Unit Based on a Model by the Name of “Technology Acceptance Model in Health Care Centers of Iran”

Abstract

Background: Currently, many physicians use the computerized physician order entry (CPOE) system, and the adoption of this system is increasing worldwide. The technology acceptance model has been implemented and evaluated. It has become one of the most recognized empirical models. Besides, recent studies showed that this model well anticipates users’ behavioral tendencies in accepting technology in healthcare centers. The use of the technology acceptance model in the implementation of health care systems such as CPOE, which is effective in reducing medical errors, is necessary. Objectives: This applied research has used a descriptive-analytical approach. In the current study the technology acceptance model in Iranian health care centers, which was proposed by Safdari and colleagues aimed to investigate the attitudes of clinical staff toward the computerized physician orders entry system, was used in the Cardiac Care Unit of Alzahra’s Heart Hospital in Shiraz to determine the importance and effectiveness of each dimension on attitudes toward using CPOE by 140 of physicians and nurses. Methods: Three main dimensions, including human, monitoring-management, and organizational strategies factors, were evaluated using a researcher-made questionnaire. Data were analyzed by SPSS version 25 using the descriptive and analytical statistics (i.e., Pearson correlation test and t-test). Results: The results showed that organizational strategies dimension with an average of 3.85 (out of 5) had the highest users’ attention, followed by monitoring-management and human dimensions. The overall average of all dimensions was 3.78. All dimensions had a positive and direct effect on the attitudes toward using the CPOE. Demographic characteristics did not have a meaningful relationship with any dimensions. Conclusions: Finally, the average above 3 in the mean of the total dimensions, as well as each dimension, shows views of the users are appropriate to using the CPOE., the views of the users are appropriated toward using CPOE. It should be noted that the difference in the dimension means is a small amount. The centered focus on organizational strategies with the highest average should not cause to neglect other dimensions.