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Assessment of the social influence and facilitating conditions that support nurses' adoption of hospital electronic information management systems (HEIMS) in Ghana using the unified theory of acceptance and use of technology (UTAUT) model

Zhou, L.L.; Owusu-Marfo, J.; Asante Antwi, H.; Antwi, M.O.; Kachie, A.D.T.; Ampon-Wireko, S.

Bmc Medical Informatics and Decision Making 19(1): 230

2019


ISSN/ISBN: 1472-6947
PMID: 31752840
DOI: 10.1186/s12911-019-0956-z
Accession: 069540585

Hospital electronic information management systems (HEIMS) are widely used in Ghana, and hence its performance must be carefully assessed. Nurses as clinical health personnel are the largest cluster of hospital staff and are the pillar of healthcare delivery. Therefore, they play a crucial role in the adoption and assessment of HEIMSs in Ghana. This report sought to assess the "Social Influence" (SI) and "Facilitating Conditions" (FC) that support Nurses' Acceptance of HEIMS in Ghana using the "Unified Theory of Acceptance and Use of Technology" (UTAUT) model. This study applied a non-experimental survey design. An electronic platform questionnaire on smartphones was used to collect data on 660 nurses. Statistically, AMOS Structural Equation Modelling (SEM) version 22.0 was employed to examine the research model. "Behavioral Intention" (BI) to HEIMS use was significantly predicted by SI and FC (p < 0.001). Notably, both SI and FC had an influence on nurses' use behavior (UB) with behavioral intention (BI) as the mediator, which explains a total of 42.1% variance in the intention of nurses to use HEIMS. Likewise, UB of HEIMS was also significantly predicted by SI (R2 = 43.2) and BI (R2 = 0.39.6) with both constructs explaining a total of 51.7% of the variance in nurses' acceptance to use HEIMS. Nurses' adoption of HEIMS in terms of the UB was influenced by SI and BI, whiles SI and FC had the strongest influence on BI (serving as mediator) of UB to adopt and use HEIMS among the nurses in Ghanaian hospitals.

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