Background: This paper used the Theory of Planned Behavior (TPB), which was extended, to investigate nurses' adoption of healthcare information systems (HIS) in Nova Scotia, Canada. Methods: Data was collected from 197 nurses in a survey...
moreBackground: This paper used the Theory of Planned Behavior (TPB), which was extended, to investigate nurses' adoption of healthcare information systems (HIS) in Nova Scotia, Canada. Methods: Data was collected from 197 nurses in a survey and data analysis was carried out using the partial least squares (PLS) technique. Results: In contrast to findings in prior studies that used TPB to investigate clinicians' adoption of technologies in Canada and elsewhere, this study found no statistical significance for the relationships between attitude and subjective norm in relation to nurses' intention to use HIS. Rather, facilitating organizational conditions was the only TPB variable that explained sampled nurses' intention to use HIS at work. In particular, effects of computer habit and computer anxiety among older nurses were signified. Conclusion: To encourage nurses' adoption of HIS, healthcare administrators need to pay attention to facilitating organization conditions at work. Enhancing computer knowledge or competence is important for acceptance. Information presented in the study can be used by administrators of healthcare facilities in the research location and comparable parts of the world to further improve HIS adoption among nurses. The management of nursing professionals, especially in certain contexts (eg, prevalence of older nursing professionals), can make use of this study's insights. Implications for policy makers • Healthcare information systems (HIS) are expensive. Evidence shows that administrators around the world spend millions of dollars to acquire such tools. • The benefits of HIS will probably not be fully realized if healthcare professionals, such as nurses who are expected to use such tools to serve patients, underutilize them. This is a major challenge to healthcare policy-makers and administrators. • Encouraging clinicians, including nurses, to adopt HIS and similar technologies is deserving of attention. • Empirical studies of nurses' adoption of HIS has the potential to influence policy-making and the management of nurses who use such technologies at work. • Facilitating organizational conditions where nurses work positively affect their intention to use implemented HIS, so do their computer habits and anxiety (lack thereof). • Computer knowledge or skills is an important antecedent to acceptance of HIS. Implications for the public In recent years, healthcare researchers across the world have employed antecedent factors such as attitude, subjective norm, and facilitating organizational conditions (perceived behavioral control) to explore nurses' intention to use implemented healthcare systems and applications. In this study, we used similar factors and others (ie, computer anxiety and computer habit) to examine factors influencing nurses' intention to use healthcare information systems (HIS) in Nova Scotia, Canada. The study demonstrated that facilitating organizational conditions, computer anxiety, and computer habit meaningfully explained nurses' intention to use HIS in the research setting. Additionally, computer knowledge mattered for nurses' acceptance of HIS. The results offer an opportunity for policy-makers and managers of healthcare facilities in the research location to develop appropriate strategies and policies that enhance nurses' adoption of HIS and similar technologies.