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Factors associated with nurses' user resistance to change of electronic health record systems

机译：与护士用户抵抗电子健康记录系统变化相关的因素

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Electronic health record (EHR) systems often face user resistance in hospitals, which results in a failure to acquire their full benefits. To implement the EHR successfully, it is crucial to reduce nurses’ resistance to use the system. This study aimed to investigate the factors associated with nurses’ resistance to use the EHR system. A descriptive correlational study was conducted with nurses working at four university hospitals in Korea using self-administered questionnaires to measure user resistance behavior, resistance to change, perceived usefulness, perceived ease of use, perceived value, colleagues’ opinions, self-efficacy for change, and organizational support for change. Path analysis was performed to examine direct and indirect association with user resistance behavior. A total of 223 nurses completed the questionnaires. All seven factors were found to be significantly associated with user resistance, either directly or indirectly. The total effect on user resistance behavior was highest in resistance to change (0.65), followed by perceived usefulness (??0.33); both had direct but no indirect effects. Conversely, self-efficacy for change (??0.25), perceived value (??0.21), colleagues’ opinions (??0.16), perceived ease of use (??0.16), and organizational support for change (??0.05) had indirect but no direct effects. The study examined the factors associated with nurses’ user resistance behavior after the implementation of a new EHR system. These findings could help hospitals develop better EHR implementation strategies to reduce user resistance behavior among the nursing staff.
机译：电子健康记录（EHR）系统经常面临医院的用户抵抗力，导致未能获得完全福利。为了成功实施EHR，对使用系统的抵抗力是至关重要的。本研究旨在调查与护士抵抗使用EHR系统相关的因素。在韩国四大医院工作的护士进行了描述性相关研究，使用自我管理的问卷来衡量用户阻力行为，抵抗变革，感知的有用性，感知的易用性，感知价值，同事的意见，改变的自我效能以及组织支持变革。进行路径分析以与用户电阻行为进行直接和间接关联。共有223名护士完成问卷。发现所有七个因素都被发现与直接或间接的用户电阻显着相关。对用户电阻行为的总效果在抵抗力（0.65）的抵抗力最高（0.65），然后感知有用性（?? 0.33）;两者都有直接但没有间接影响。相反，改变的自我效能（?? 0.25），感知值（?? 0.21），同事的意见（?? 0.16），感知易用性（?? 0.16），以及改变的组织支持（?? 0.05）有间接但没有直接影响。该研究检查了新EHR系统后与护士的用户电阻行为相关的因素。这些调查结果可以帮助医院制定更好的EHR实施策略，以减少护理人员之间的用户抵抗行为。

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