Abstract:
Healthcare organisations are using Health Information Technology (HIT) to
improve efficiency, reduce cost and reduce medical errors. This study focused on
the factors that influence the acceptance of HIT among nurses in Saudi hospitals.
This research used a 6 stage mixed-methods research approach. Literature was
used to search for established models and frameworks of technology
acceptance, and the many factors that could play a role. In the field study, the
nature of practical HIT issues at the Prince Sultan Military Medical City (PSMMC)
and the Heraa Hospital were studied, and combined with literature to create a
HIT Implementation Issues Framework. The framework consolidates elements
from the Technological, Organisational, Environmental and Human dimensions.
The researcher participated in further PSMMC projects in the design and
implementation of the new Cardio Pulmonary Resuscitation System and the
Nurses and Pharmacists’ Communication System. From the implementation
experience, pertinent factors were added to the Technology Acceptance Model
and the “Nurses Acceptance Model” was proposed. The proposed model has
eleven independent parameters, two dependent parameters, as well as seven
moderators of key relationships. A questionnaire with 71 entries was distributed
to over 2800 nurses in 52 wards in PSMMC. SPSS was used for data screening
and descriptive statistics. The SmartPLS software was used for analysis and
testing of the proposed hypotheses. The findings refined the “Nurses Acceptance
Model” and highlight the significance of User Involvement and Training.
The “Nurses Acceptance Model” enhances the scientific understanding of
variables that affect technology acceptance among nurses in Saudi hospitals.
The HIT Implementation Issues Framework helps hospital decision makers to
plan HIT projects to improve the likelihood of successful adoption.
