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Intentions of Hospital Nurses to Work With Computers: Based on the Theory of Planned Behavior


CIN: Computers, Informatics, Nursing: March-April 2008 - Volume 26 - Issue 2 - p 106-116
doi: 10.1097/01.NCN.0000304777.48155.e3
Feature Article

The purpose of this study was to determine registered nurses' attitudes related to intent to use computers in the hospital setting as a predictor of their future behavior. The study was further aimed at identifying the relationship between these attitudes and selected sociological, professional, and personal factors and to describe a research model integrating these various factors. The study was based on the theory of planned behavior. A random sample of 411 registered nurses was selected from a single large medical center in Israel. The study tool was a Likert-style questionnaire. Nine different indices were used: (1) behavioral intention toward computer use; (2) general attitudes toward computer use; (3) nursing attitudes toward computer use; (4) threat involved in computer use; (5) challenge involved in computer use; (6) organizational climate; (7) departmental climate; (8) attraction to technological innovations/innovativeness; (9) self-efficacy, ability to control behavior. Strong significant positive correlations were found between the nurses' attitudes (general attitudes and nursing attitudes), self-efficacy, innovativeness, and intentions to use computers. Higher correlations were found between departmental climate and attitudes than between organizational climate and attitudes. The threat and challenge that are involved in computer use were shown as important mediating variables to the understanding of the process of predicting attitudes and intentions toward using computers.

Author Affiliations: Department of Information Science, Bar-Ilan University, Ramat-Gan, Israel (Dr Shoham); Nursing Informatics Manager, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel (Dr Gonen).

Corresponding author: Dr. Snunith Shoham, Department of Information Science, Bar-Ilan University, Ramat-Gan, 52900 Israel (

© 2008 Lippincott Williams & Wilkins, Inc.