Eric Maillet
HEC Montreal
Canada
Title: Examining the acceptance of an electronic patient record among nurses in acute care settings
Biography
Biography: Eric Maillet
Abstract
The transition from paper-based patient records to Electronic Patient Records (EPR) is a complex endeavor that may affect the quality and safety of care provided to patients. The acceptance of information technology (IT) by users is considered to be a critical success factor in realizing the benefits of EPR implementation. The aim of this presentation is to share the results of a multicenter cross-sectional study examining the explanatory factors of the actual use of an EPR by nurses and their satisfaction. A theoretical model based on the unified theory of acceptance and use of technology (UTAUT) was developed and tested on a sample of 616 nurses working in four acute care facilities. The study examined the relationships among eight different constructs, namely EPR compatibility, self-efficacy, performance expectancy, effort expectancy, social influence, facilitating conditions, the actual use of an EPR by nurses and their satisfaction. Thirteen research hypotheses (out of 20) were supported following structural equation modeling analysis. The results highlighted important mediation effects and revealed that performance expectancy, effort expectancy, facilitating conditions and compatibility of the EPR were strong determinants of the actual use of an EPR by nurses and their satisfaction. Although some results differ from those of previous studies, they show the applicability of the technology acceptance models and theories for nurses working in hospital centers. The study identified future research avenues and could help guide decision makers and change agents in determining the measures to implement in order to maximize the benefits of IT in healthcare.