title: Evaluating the influence of perceived organizational learning capability on user acceptance of information technology among operating room nurse staff.
abstract: OBJECTIVE
  Medical institutions are eager to introduce new information technology to improve patient safety and clinical efficiency. However, the acceptance of new information technology by medical personnel plays a key role in its adoption and application. This study aims to investigate whether perceived organizational learning capability (OLC) is associated with user acceptance of information technology among operating room nurse staff.
  
  
  METHODS
  Nurse anesthetists and operating room nurses were recruited in this questionnaire survey. A pilot study was performed to ensure the reliability and validity of the translated questionnaire, which consisted of 14 items from the four dimensions of OLC, and 16 items from the four constructs of user acceptance of information technology, including performance expectancy, effort expectancy, social influence, and behavioral intention. Confirmatory factor analysis was applied in the main survey to evaluate the construct validity of the questionnaire. Structural equation modeling was used to test the hypothetical relationships between the four dimensions of user acceptance of information technology and the second-ordered OLC. Goodness of fit of the hypothetic model was also assessed.
  
  
  RESULTS
  Performance expectancy, effort expectancy, and social influence positively influenced behavioral intention of users of the clinical information system (all p < 0.001) and accounted for 75% of its variation. The second-ordered OLC was positively associated with performance expectancy, effort expectancy, and social influence (all p < 0.001). However, the hypothetic relationship between perceived OLC and behavioral intention was not significant (p = 0.87). The fit statistical analysis indicated reasonable model fit to data (root mean square error of approximation = 0.07 and comparative fit index = 0.91).
  
  
  CONCLUSIONS
  Perceived OLC indirectly affects user behavioral intention through the mediation of performance expectancy, effort expectancy, and social influence in the operating room setting.
authors.affiliation: Department of Anesthesiology, Taipei Veterans General Hospital, Taipei, Taiwan.
authors.forename: Chien-Ching
authors.initials: CC
authors.lastname: Lee
authors.forename: Shih-Pin
authors.initials: SP
authors.lastname: Lin
authors.forename: Shu-Ling
authors.initials: SL
authors.lastname: Yang
authors.forename: Mei-Yung
authors.initials: MY
authors.lastname: Tsou
authors.forename: Kuang-Yi
authors.initials: KY
authors.lastname: Chang
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D007858:Learning; D008297:Male; D008490:Medical Informatics; D008875:Middle Aged; D009740:Nursing Staff; D009873:Operating Rooms; D015279:Organizational Culture; D010465:Perception; D010865:Pilot Projects; D015203:Reproducibility of Results; D011795:Surveys and Questionnaires