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Nurses' Satisfaction With Using Nursing Information Systems From Technology Acceptance Model and Information Systems Success Model Perspectives: A Reductionist Approach

Lin, Hsien-Cheng PhD

CIN: Computers, Informatics, Nursing: February 2017 - Volume 35 - Issue 2 - p 91–99
doi: 10.1097/CIN.0000000000000293

Nursing information systems can enhance nursing practice and the efficiency and quality of administrative affairs within the nursing department and thus have been widely considered for implementation. Close alignment of human-computer interaction can advance optimal clinical performance with the use of information systems. However, a lack of introduction of the concept of alignment between users' perceptions and technological functionality has caused dissatisfaction, as shown in the existing literature. This study provides insight into the alignment between nurses' perceptions and how technological functionality affects their satisfaction with Nursing Information System use through a reductionist perspective of alignment. This cross-sectional study collected data from 531 registered nurses in Taiwan. The results indicated that “perceived usefulness in system quality alignment,” “perceived usefulness in information quality alignment,” “perceived ease of use in system quality alignment,” “perceived ease of use in information quality alignment,” and “perceived ease of use in service quality alignment” have significantly affected nurses' satisfaction with Nursing Information System use. However, “perceived usefulness in service quality alignment” had no significant effect on nurses' satisfaction. This study also provides some meaningful implications for theoretical and practical aspects of design.

Author Affiliations: Department of Health-Business and Administration, Fooyin University, Kaohsiung City; and Department of Planning, Fooyin University Hospital, Pingtung County, Taiwan.

This study was approved by the institutional review board of the Fooyin University Hospital (no. FYH-IRB-103-09-02-A).

The author has disclosed that he/she has no significant relationships with, or financial interest in, any commercial companies pertaining to this article.

Corresponding author: Hsien-Cheng Lin, PhD, No 189-14, Sec 3, Jianguo Rd, Fengshan District, Kaohsiung City 83044, Taiwan, ROC (

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