Enhancing electronic medical records (EMR) implementation: Peer support interventions influencing nurses' acceptance and use

by Fiato, Kimberly A., Ph.D., CAPELLA UNIVERSITY, 2012, 121 pages; 3499912


Few studies have addressed nurses' acceptance of electronic medical records (EMR). Some research indicates that nurses are deficient in basic computer skills such as e-mail, word processing, databases and Internet (Ragneskog & Gerdner, 2006). Consequently, nurses may struggle with the use of EMR. This might have the potential to negatively impact not only their attitude towards EMRs, but also the extent to which they intend to use them in the workplace making implementation an important issue. A large segment of research is directed towards how users decide to use a particular technology, rather than how implementation interventions influence technology use and acceptance (Venkatesh & Bala, 2008). This study utilized technology acceptance constructs to examine the relationship between peer support implementation techniques and nurses' perceptions about the usefulness and ease of use of EMR. A total of 153 registered nurses participated in an online survey. The data was analyzed using regression analysis and mediational analysis procedures. Results indicated that peer support is an effective way to enhance nurses' perceptions about EMR. It was also found that age, education level and prior EMR experience are confounding factors, particularly in the formation of ease of use perceptions. The findings of this study may help health care organizations better support nurses during EMR implementation efforts.

AdviserThomas Richards
Source TypeDissertation
SubjectsManagement; Information technology; Nursing; Information science; Health care management
Publication Number3499912

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