Abstract
BackgroundThe nursing process system (NPS) is used to establish the nursing process involving assessment, diagnosis, planning, intervention, and evaluation in solving the health problems of patients.ObjectivesThe factors influencing the use of the NPS by nurses were analyzed based on user satisfaction and technology acceptance within the 3Q (service quality, information quality, and system quality) model.MethodsIn this cross-sectional quantitative study, the valid responses of 222 nurses to a questionnaire were obtained; these nurses worked at eight hospitals affiliated with public organizations in Taiwan. Structural equation modeling was used to analyze information quality, system quality, service quality, user satisfaction, perceived usefulness, perceived ease of use, perceived enjoyment, behavioral attitude, and intention after the nurses had used the NPS system for more than 1 month.ResultsInformation quality, service quality, and system quality influenced user satisfaction. User satisfaction affected perceived usefulness, perceived ease of use, and perceived enjoyment and had the highest explanatory power (R2 = 0.75). Furthermore, perceived usefulness, perceived ease of use, and perceived enjoyment influenced behavioral attitude and intention to use the system. The proposed model explained 53% of the variance in the intention to use the NPS.ConclusionsThe relationships between the variables of the 3Q model were successfully used to examine the intention of nurses toward using the NPS. Using the findings of this study, designers and programmers can comprehensively understand the perceptions of nurses and further improve the performance of the NPS.
Highlights
Nurses manage electronic health and clinical care records in routine practice; their usage of electronic health records has correspondingly increased to up to 80% [1]
The relationships between the variables of the 3Q model were successfully used to examine the intention of nurses toward using the nursing process system (NPS)
Using the findings of this study, designers and programmers can comprehensively understand the perceptions of nurses and further improve the performance of the NPS
Summary
Nurses manage electronic health and clinical care records in routine practice; their usage of electronic health records has correspondingly increased to up to 80% [1]. The nursing information system (NIS) is crucial to delivering eHealth services [2], and this system comprises an integrated module of electronic health records [3]. The nursing process system (NPS) is a part of the NIS and is widely used by nurses to improve the quality of care. The NPS involves assessment, diagnosis, planning, intervention, and continual evaluation of the effectiveness of the patient care plan by using information technology. The nursing process is the core of practice through which nurses from various domains deliver holistic and patient-focused care [6]. The nursing process system (NPS) is used to establish the nursing process involving assessment, diagnosis, planning, intervention, and evaluation in solving the health problems of patients.
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