声明
LIST OF ABBREVIATIONS
CHAPTER 1:INTRODUCTION
1.1Research Background
1.1.1 Background of the study area(Ghana)
1.1.2 IT acceptance in Ghana
1.1.3 Ghana’s Ministry of Health
1.1.4 Ghana’s Health Project with Bio-Surveillance Alert System
1.1.5 Phase one of Ghana’s eHealth Project Implementation
1.1.6 Training and Development in Health Informatics
1.1.7 National policies on EHR
1.1.8 EHR Implementation challenges in Ghana
1.2Research Problem Statement and Objectives
1.2.1 Problem Statement
1.2.2 Research Main and Specific Objectives
1.2.3 Research Questions
1.3Research Significance and Innovations
1.3.1 Significance of the Study
1.3.2 Innovativeness of the study
1.4Organization of the thesis
1.4.1 Composition of the thesis
1.4.2 Research road map
CHAPTER 2:LITERATURE REVIEW
2.1Theories of technologyacceptance
2.2The unified theory of acceptance and use of technology (UTAUT)Model”
2.3The UTAUTModel Application in Healthcare Related Research Studies
2.4General overview ofelectronichealthrecords
2.5Empirical studies on the useofelectronic/medicalhealthrecords
2.5.1 Policy on Electronic Medical Records/Electronic Health Records
2.5.2 Value of Electronic Health Record System
2.6Empirical studies onacceptance and use of health information systems
2.6.1 The application of Electronic Medical Records/Electronic Health Records
2.6.2 Use of EHRs/EMRs in HIV/AIDS, Tuberculosis and other cases
2.6.3 Implementation challenges of EHRs/EMRs
CHAPTER 3:THEORETICAL FOUNDATION AND HYPOTHESES FORMULATION
3.1Review of User Acceptance Models
3.1.1 Description of the Constructs and Theories
3.1.2 A Priori Model Test and Model Comparison of Eight Theories
3.2Formulation of the(UTAUT)Model
3.2.1 The Performance Expectancy(PE) Construct
3.2.2 The Construct, Effort Expectancy(EE)
3.2.3 The Construct, Social Influence (SI)
3.2.4 The Construct, Facilitating Conditions (FC)
3.2.5 Constructs Theorized Not to be Direct Determinants of Intention(ANX, SE and ATUT)
3.2.6 Behavioural Intention (BI)
3.3Hypothesis formulation
3.4Hypothesisand proposed conceptual model
3.5Research Model
CHAPTER 4:RESEARCH METHODOLOGY
4.1 Overview
4.2Research Design
4.3Data CollectionTool and Method
4.4Electronic Data Collection Application(Open Data Kit,(ODK))
4.5Development of the Research Instrument
4.6Population of the study(Nursing Profession in Ghana)
4.7Sampling Methodand Sample Size
4.8Sample Size Calculation
4.9Variables Measured
4.10Model instruments and measurements
4.11The SmartPLS 3.2.8 Statistical Tool for Structural Equation Modelling (SEM)
4.12Reliability and validity of measurements
4.13Ethical Considerations
CHAPTER 5:ANALYSIS ANDRESULTS
5.1Preliminary Pilot Study (Pre-testing)
5.2Descriptive Statistics
5.3Correlation of the main Constructs
5.4The measurement models
5.5The structural model(without moderating effects)
5.6The structural model(with moderating effects)
5.7Hypotheses Testing Results
5.8Influence of Performance Expectancy on Nurses’ acceptance of HEIMS
5.9Influence of Effort Expectancy of Nurses’on acceptance of HEIMS
5.10Social influence of Nurses on the usage behaviour of HEIMS
5.11Facilitating conditions effect on Behavioural intention of Nurses’ to use HEIMS
5.12Computer anxiety and Self-efficacy of Nurses’intention to use HEIMS
5.13Nurses’ attitude towards using HEIMS
CHAPTER 6:DISCUSSION
6.1 Overview
6.2Influence of Performance Expectancy on Nurses’ acceptance of HEIMS
6.3Influence of Effort Expectancy of Nurses’on acceptance of HEIMS
6.4Social influence of Nurses on usage behaviour of HEIMS
6.5Facilitating conditions effect on Behavioural intention of Nurses’ to use HEIMS
6.6Computer anxiety and Self-efficacy of Nurses’behavioural intention to use HEIMS
6.7Nurses’ attitude towards using HEIMS
CHAPTER 7:CONCLUSION,RECOMMENDATIONS AND RESEARCH LIMITATIONS
7.1 Conclusion
7.2 Recommendations
7.3Research Limitations and Further Research
参考文献
致谢
PUBLICATIONS
APPENDIX A(RESEARCH QUESTIONNAIRE)
APPENDIX B (PRELIMINARY TEST RESULTS)
江苏大学;
