Factors influencing nurses adoption of electronic health record: A UTAUT analysis

3^rd International Conference on Health Informatics and Technology

June 29-30, 2016 New Orleans, USA

Kup-Sze Choi and MAK Kwok Kuen

Hong Kong Polytechnic University, Hong Kong

Posters & Accepted Abstracts: J Health Med Inform

Abstract :

Electronic health records (EHR) used in hospitals have offered great potential for improving patient safety. Userâ�� adoption is vital to gain the benefits. While there has been a wealth of research on healthcare professionsâ�� adoption of electronic health record, study specific to the nursing user can scarcely be found. The present study examines the factors influence nursesâ�� behavioral intention and subsequent use of EHR in their clinical practices. This study employed a modified unified theory of acceptance and use as the theoretical framework to examine nursesâ�� EHR usage. A cross-sectional survey of nurses (N=425) was conducted in an acute public hospital located In Hong Kong. The research model was examined using the partial least squares structural equation modeling. The result revealed that nursesâ�� behavioral intention of using EHR was explained by performance expectancy (�² = 0.413, p<0.001), effort expectancy (�² = 0.218, p<0.001), and confirmation of expectation (�² = 0.534, p<0.001), then behavioral intention significantly associated with subsequent usage behavioral (�² = 0.828, p<0.001). These determining factors explained 56% of the variance in nursesâ�� behavioral intention (R2=0.560) and 67.1% of the variance in subsequent use of electronic health record system (R2=0.671). The proposed model is useful to explain nursesâ�� EHR adoption. The results suggest that nurses are more willing to adopt an EHR, which is useful, easy to use and meet their expectation in.

Biography :

Kup-Sze Choi is an Associate Professor of the School of Nursing and the Director of the Centre for Smart Health, The Hong Kong Polytechnic University. His current research interests are health informatics and technological applications in healthcare.

Email: thomasks.choi@polyu.edu.hk