The Role of Personality and Top Management Support in Continuance Intention to Use Electronic Health Record Systems among Nurses

This study examines nurses' Continuance Intention (CI) to use electronic health records (EHRs) through a combination of three conceptual frameworks: the Unified Theory of Acceptance and Use of Technology (UTAUT), the theory of expectation-confirmation (ECT), and the Five-Factor Model (FFM). A m...

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Bibliographic Details
Published in:International journal of environmental research and public health 2022-09, Vol.19 (17), p.11125
Main Authors: Alsyouf, Adi, Ishak, Awanis Ku, Lutfi, Abdalwali, Alhazmi, Fahad Nasser, Al-Okaily, Manaf
Format: Article
Language:English
Subjects:
Attitude of Health Personnel
Behavior
Digital archives
Efficiency
Electroconvulsive therapy
Electronic Health Records
Electronic medical records
Expectancy
Government agencies
Health care industry
Humans
Information systems
Information technology
Intention
Nurses
Perceptions
Personality
Professionals
Surveys and Questionnaires
Technology Acceptance Model
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Summary:This study examines nurses' Continuance Intention (CI) to use electronic health records (EHRs) through a combination of three conceptual frameworks: the Unified Theory of Acceptance and Use of Technology (UTAUT), the theory of expectation-confirmation (ECT), and the Five-Factor Model (FFM). A model is developed to examine and predict the determinants of nurses' CI to use EHRs, including top management support (TMS) and the FFM's five personality domains. Data were collected from a survey of 497 nurses, which were analyzed using partial least squares. No significant relationship was found between TMS and CI. The study revealed that performance expectancy significantly mediated the influences of two different hypotheses of two predictors: agreeableness and openness to testing CI. A significant moderating impact of conscientiousness was found on the relationship between performance expectancy and CI and the relationship between social influence and CI. The findings of this study indicated that rigorous attention to the personality of individual nurses and substantial TMS could improve nurses' CI to use EHRs. A literature gap was filled concerning the mediating effects of performance expectancy on the FFM-CI relationship, and the moderation effects of Conscientiousness on UTAUT constructs and CI are another addition to the literature. The results are expected to assist government agencies, health policymakers, and health institutions all over the globe in their attempts to understand the post-adoption use of EHRs.
ISSN:1660-4601
1661-7827
1660-4601
DOI:10.3390/ijerph191711125