Date of Conferral

2022

Degree

Ph.D.

School

Nursing

Advisor

Janice Long

Abstract

The rise in the use of electronic health records (EHRs) in health care facilities necessitates a standardized tool for evaluating their effectiveness. Delone and McLean’s information system success model (ISSM) was the theoretical foundation, which consists of seven dimensions namely system, information, service qualities, user satisfaction, use, system usefulness, and net benefits. The purpose of this study was to examine EHRs’ efficiency and identify ISSM dimensions that influenced net benefits, the dependent variable. The research questions examined the relationship between dimensions of ISSM and the dimensions that affect net benefits. Participants were recruited using purposeful sampling via social media and email and accessed the survey through a link provided. Two hundred and one registered nurses who worked at least 20 hours per week in acute and primary care settings completed the survey consisting of 60 items. Data were analyzed with SPSS version 27 for Pearson correlation and multiple linear regression. Results indicated a significant positive relationship between dimensions (r = .036 - .816, p < .05). From the regression analysis, information quality [B = .223, 95% CI (.070, .376), p < .05], user satisfaction [B = .281, 95% CI (.138, .424), p < .05], and system usefulness [B = .433, 95% CI (.348, .518), p < .05] were positive predictors of net benefits. Service and system qualities and use did not predict net benefits. This study promotes positive social change by validating the survey tool for U.S. health care. Recommendations for future studies include exploring how nursing practice setting influence nurse users’ view of EHRs’ efficiency.

Download

Share

 
COinS