Predicting intentions of nurses to adopt patient personal health records: A structural equation modeling approach.
OBJECTIVE
The American Nurses Association endorsed the use of online patient personal health records (PHRs) and challenged all nurses to obtain the health records of patients. However, few studies have explored the factors associated with the intentions of nurses to use patient PHRs. Our study used an extended technology acceptance model, with the theory of planned behavior and perceived credibility, to explore factors associated with the intentions of nurses to use patient PHRs.


METHODS
This cross-sectional quantitative study comprised a sample of 635 nurses who had worked full time for at least 3 months, and they were recruited from three hospitals affiliated with a university in northern Taiwan. We used a questionnaire to obtain information on perceived usefulness, perceived ease of use, perceived credibility, subjective norms, computer self-efficacy, attitudes, and intentions to use patient PHRs.


RESULTS
This study indicated that perceived usefulness, computer self-efficacy, and subjective norms significantly and positively affected intentions to use patient PHRs. The attitudes of nurses toward PHR adoption directly influenced their intentions to use patient PHRs. Moreover, subjective norms indirectly affected intentions to use patient PHRs through the factor of attitudes. The proposed model explained 82.1% of the variance in the intentions of nurses to use patient PHRs.


CONCLUSIONS
Subjective norms had stronger total effects on the attitudes and intentions of nurses to use patient PHRs than perceived usefulness, perceived ease of use, or perceived credibility did. The results may help practitioners further understand that the attitudes of nurses toward using patient PHRs are influenced by peer groups and administrators. The current study provides evidence that peer groups influence the attitudes of nurses to use patient PHRs, which in turn influence their intentions toward PHR adoption.
School of nursing, College of Nursing, Taipei Medical University, Taipei, Taiwan.
Min-Huey
MH
Chung
Graduate Institute of Information Management, National Taipei University, Taipei, Taiwan.
Cheng-Hsun
CH
Ho
School of Health Care Administration, College of Management, Taipei Medical University, Taipei, Taiwan. Electronic address: hcwenn@tmu.edu.tw.
Hsyien-Chia
HC
Wen
D000328:Adult; D003430:Cross-Sectional Studies; D004059:Diffusion of Innovation; D005260:Female; D055991:Health Records, Personal; D006801:Humans; D008297:Male; D008875:Middle Aged; D016294:Models, Nursing; D009740:Nursing Staff; D036301:Qualitative Research
Health records; Perceived credibility; Perceived ease of use; Perceived usefulness; Personal; Self-efficacy