Abstract
This study employs the combined technology acceptance model (TAM) and theory of planned behavior (TPB) (i.e., C-TAM-TPB) that extended with self-efficacy and knowledge of information technology to examine HIS acceptance by Malaysian nurses. A cross-sectional survey was conducted in three public hospitals in Malaysia to gather data from practicing nurses with experience of using HIS. Structural equation modeling using the partial least squares (PLS) method was utilized to evaluate measurements and structural models. The results stress that a nurses intention was significantly influenced by three factors, including his or her attitude, the subjective norm, and perceived behavioral control. The results also indicate that the model can explain over half of the variance in the intention to use HIS.
Highlights
The healthcare system in Malaysia is becoming substantially more accepted, and use of Hospital Information System (HIS) is gaining increasing importance with advances in information systems generally
The evaluation of the measurement model and the structural model was performed by structural equation modeling (SEM) which has been widely applied in healthcare studies [19,20,21,22]
We distributed exactly 342 questionnaires among full-time practicing nurses, who were selected by simple random sampling in various wards of three Malaysian public hospitals
Summary
The healthcare system in Malaysia is becoming substantially more accepted, and use of HIS is gaining increasing importance with advances in information systems generally. The implementation of HIS is considered a prerequisite for improving the quality of patient care, and essential in meeting the associated diagnostic, treatment and administration requirements [1]. Low utilization of installed systems has been identified as a major factor in implementing HIS [2]. Since using existing HIS in Malaysian public hospitals is mandatory, it can be assumed that use of HIS in this context is expected among nurses when performing their responsibilities [6]. The major problem that has come to light in Malaysian healthcare is that nurses are unwilling to integrate HIS into their workflow [8, 9]. Given that the adoption and use of IT has been a significant problem in healthcare [10], this study attempts to explain the issues involved, and will hopefully contribute to this limited body of knowledge while promoting the use of HIS in nursing
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