Nurses’ Readiness in the Adoption of Hospital Electronic Information Management Systems in Ghana: The Application of the Structural Equation Modeling and the UTAUT Model
Electronic health record (EHR) systems have become a basic need in most health care facilities worldwide. However, little can be said about the developing nations’ use of it. Nevertheless, Ghana is one of the very few countries in Africa to start using EHRs. Nursing is a field that has been substant...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2020-06-01
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| Series: | SAGE Open |
| Online Access: | https://doi.org/10.1177/2158244020931814 |
| _version_ | 1819019871516622848 |
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| author | Zhou Lulin Joseph Owusu-Marfo Henry Asante Antwi Maxwell Opuni Antwi Xinglong Xu |
| author_facet | Zhou Lulin Joseph Owusu-Marfo Henry Asante Antwi Maxwell Opuni Antwi Xinglong Xu |
| author_sort | Zhou Lulin |
| collection | DOAJ |
| description | Electronic health record (EHR) systems have become a basic need in most health care facilities worldwide. However, little can be said about the developing nations’ use of it. Nevertheless, Ghana is one of the very few countries in Africa to start using EHRs. Nursing is a field that has been substantially influenced by the use of hospital electronic information management systems (HEIMS). More importantly, the successful implementation of any mHealth and EHRs critically depends on user acceptance. Therefore, as nurses in Ghana work at the frontline of the health care system in the country with access to vital records about the patients, it is important to assess what motivates them to use the system. 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 modeling (SEM) was employed to examine the research model. “Behavioral intention” (BI) to HEIMS use was significantly predicted by effort expectancy (EE) ( p <.001). Notably, EE had an effect on BI, which explains the 37% variance in the intention of nurses to use HEIMS. Likewise, use behavior (UB) of HEIMS was also significantly predicted by performance expectancy (PE) ( R 2 = .25), EE ( R 2 = .311), and BI ( R 2 = .397), and all explained 46% of the variance in nurses’ acceptance of HEIMS. Nurses’ acceptance of HEIMS was significantly predicted by PE, EE, and BI. Based on these findings, hospital administrators should put measures in place that will boost the nurses’ confidence in using HEIMS as well as endeavor to adopt and implement a very user-friendly system. |
| first_indexed | 2024-12-21T03:42:12Z |
| format | Article |
| id | doaj.art-a1b3b3745f684ce08a369e4d37649943 |
| institution | Directory Open Access Journal |
| issn | 2158-2440 |
| language | English |
| last_indexed | 2024-12-21T03:42:12Z |
| publishDate | 2020-06-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | SAGE Open |
| spelling | doaj.art-a1b3b3745f684ce08a369e4d376499432022-12-21T19:17:12ZengSAGE PublishingSAGE Open2158-24402020-06-011010.1177/2158244020931814Nurses’ Readiness in the Adoption of Hospital Electronic Information Management Systems in Ghana: The Application of the Structural Equation Modeling and the UTAUT ModelZhou Lulin0Joseph Owusu-Marfo1Henry Asante Antwi2Maxwell Opuni Antwi3Xinglong Xu4Centre for Medical Insurance, Hospital Management and Health Policy Research, School of Management, Jiangsu University, Zhenjiang, Jiangsu, P.R. ChinaCentre for Medical Insurance, Hospital Management and Health Policy Research, School of Management, Jiangsu University, Zhenjiang, Jiangsu, P.R. ChinaCentre for Medical Insurance, Hospital Management and Health Policy Research, School of Management, Jiangsu University, Zhenjiang, Jiangsu, P.R. ChinaCentre for Medical Insurance, Hospital Management and Health Policy Research, School of Management, Jiangsu University, Zhenjiang, Jiangsu, P.R. ChinaCentre for Medical Insurance, Hospital Management and Health Policy Research, School of Management, Jiangsu University, Zhenjiang, Jiangsu, P.R. ChinaElectronic health record (EHR) systems have become a basic need in most health care facilities worldwide. However, little can be said about the developing nations’ use of it. Nevertheless, Ghana is one of the very few countries in Africa to start using EHRs. Nursing is a field that has been substantially influenced by the use of hospital electronic information management systems (HEIMS). More importantly, the successful implementation of any mHealth and EHRs critically depends on user acceptance. Therefore, as nurses in Ghana work at the frontline of the health care system in the country with access to vital records about the patients, it is important to assess what motivates them to use the system. 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 modeling (SEM) was employed to examine the research model. “Behavioral intention” (BI) to HEIMS use was significantly predicted by effort expectancy (EE) ( p <.001). Notably, EE had an effect on BI, which explains the 37% variance in the intention of nurses to use HEIMS. Likewise, use behavior (UB) of HEIMS was also significantly predicted by performance expectancy (PE) ( R 2 = .25), EE ( R 2 = .311), and BI ( R 2 = .397), and all explained 46% of the variance in nurses’ acceptance of HEIMS. Nurses’ acceptance of HEIMS was significantly predicted by PE, EE, and BI. Based on these findings, hospital administrators should put measures in place that will boost the nurses’ confidence in using HEIMS as well as endeavor to adopt and implement a very user-friendly system.https://doi.org/10.1177/2158244020931814 |
| spellingShingle | Zhou Lulin Joseph Owusu-Marfo Henry Asante Antwi Maxwell Opuni Antwi Xinglong Xu Nurses’ Readiness in the Adoption of Hospital Electronic Information Management Systems in Ghana: The Application of the Structural Equation Modeling and the UTAUT Model SAGE Open |
| title | Nurses’ Readiness in the Adoption of Hospital Electronic Information Management Systems in Ghana: The Application of the Structural Equation Modeling and the UTAUT Model |
| title_full | Nurses’ Readiness in the Adoption of Hospital Electronic Information Management Systems in Ghana: The Application of the Structural Equation Modeling and the UTAUT Model |
| title_fullStr | Nurses’ Readiness in the Adoption of Hospital Electronic Information Management Systems in Ghana: The Application of the Structural Equation Modeling and the UTAUT Model |
| title_full_unstemmed | Nurses’ Readiness in the Adoption of Hospital Electronic Information Management Systems in Ghana: The Application of the Structural Equation Modeling and the UTAUT Model |
| title_short | Nurses’ Readiness in the Adoption of Hospital Electronic Information Management Systems in Ghana: The Application of the Structural Equation Modeling and the UTAUT Model |
| title_sort | nurses readiness in the adoption of hospital electronic information management systems in ghana the application of the structural equation modeling and the utaut model |
| url | https://doi.org/10.1177/2158244020931814 |
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