An Extended Expectation-Confirmation Model for Mobile Nursing Information System Continuance

doi:10.1891/1541-6577.30.4.282

CNU IR > College of Smart Living > Dept. of Hospital and Health (including master's program) > Periodical Articles > Item 310902800/31026

Please use this identifier to cite or link to this item: https://ir.cnu.edu.tw/handle/310902800/31026

Title:	An Extended Expectation-Confirmation Model for Mobile Nursing Information System Continuance
Authors:	Hsieh, Pi-Jung Lai, Hui-Min Ma, Chen-Chung Alexander, Judith W. Lin, Memg-Yi
Contributors:	Chia Nan Univ Pharm & Sci Chien Kuo Technol Univ I Shou Univ Univ South Carolina, Columbia
Keywords:	mobile nursing information system expectation-confirmation model habit professional competence satisfaction
Date:	2016
Issue Date:	2018-01-18 11:40:07 (UTC+8)
Publisher:	Springer Publishing Co
Abstract:	Nursing is critical in health care systems and comprises the planning, execution, and documentation of nursing care. To better manage health care information during patient care, the use of a mobile nursing information system (MNIS) provides more time to care for inpatients by reducing time-consuming and redundant paperwork. The purpose of this study was to extend the expectation-confirmation model and explore the roles of nursing professional competency (skill in use), habit (customary use), satisfaction (with use), and frequency of prior use in the context of MNIS continuance usage. We randomly chose 3 hospitals from among 14 hospitals in Taiwan that had indicated they used an MNIS. We conducted a field survey of nurses who had experience using the MNIS. We used a valid sample of 90 nurses to test the research model, using structural equation modeling with the partial least squares method. The results show that habit and frequency of prior use had a significant impact on MNIS continuance usage. Satisfaction and frequency of prior use had a significant impact on habit. Nurses' professional competence is crucial to perceived usefulness and, thus, is relevant in the context of MNIS continuance usage. When habit weakens over time, the continuance intention predicts continuance usage. This study showed that the extended expectation-confirmation model effectively predicts nurses' MNIS continuance usage and provides implications. Academics and practitioners should understand how nurses' habits form and how they affect continued MNIS use. Understanding the antecedents of habits can help nursing managers identify and manipulate habit formation.
Relation:	Research and Theory For Nursing Practice, v.30 n.4, pp.282-301
Appears in Collections:	[Dept. of Hospital and Health (including master's program)] Periodical Articles

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