ArticleInternational journal of environmental research and public health2022
The Role of Personality and Top Management Support in Continuance Intention to Use Electronic Health Record Systems among Nurses.
Article in International journal of environmental research and public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 38 citations in OpenAlex.
- Factors associated with chronic pain clinical decision support use in primary care.PLOS digital health · 2026Article
- Acceptance of Technological Innovations in Emergency Departments: An Empirical Study Based on an Extended TAM.Healthcare (Basel, Switzerland) · 2026Article
- The Influence of Medical Culture and Key Factors on Mobile App Usage Frequency and Perceived Effectiveness in Physical Therapy: Cross-Sectional Study.Journal of medical Internet research · 2025Article
- Examining the impact of big five personality traits on generation Z designers' subscription to paid AI drawing tools using SEM and FsQCA.Scientific reports · 2025Article
- Acceptance of artificial intelligence clinical assistant decision support system to prevent and control venous thromboembolism among healthcare workers: an extend Unified Theory of Acceptance and Use of Technology Model.Frontiers in medicine · 2025Article
- Nurses' continuance intention to use electronic health record systems: The antecedent role of personality and organisation support.PloS one · 2024Article
- The influence of accounting information system adoption on business performance amid COVID-19.Computers in human behavior reports · 2023Article
- The Use of a Technology Acceptance Model (TAM) to Predict Patients' Usage of a Personal Health Record System: The Role of Security, Privacy, and Usability.International journal of environmental research and public health · 2023Article
- Promoting Healthcare Workers' Adoption Intention of Artificial-Intelligence-Assisted Diagnosis and Treatment: The Chain Mediation of Social Influence and Human-Computer Trust.International journal of environmental research and public health · 2022Article
Corrections and comments
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Authors and funding
5 authors at 4 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
This study examines nurses' Continuance Intention (CI) to use electronic health records (EHRs) through a combination of three conceptual frameworks: the Unified Theory of Acceptance and Use of Technology (UTAUT), the theory of expectation-confirmation (ECT), and the Five-Factor Model (FFM). A model is developed to examine and predict the determinants of nurses' CI to use EHRs, including top management support (TMS) and the FFM's five personality domains. Data were collected from a survey of 497 nurses, which were analyzed using partial least squares. No significant relationship was found between TMS and CI. The study revealed that performance expectancy significantly mediated the influences of two different hypotheses of two predictors: agreeableness and openness to testing CI. A significant moderating impact of conscientiousness was found on the relationship between performance expectancy and CI and the relationship between social influence and CI. The findings of this study indicated that rigorous attention to the personality of individual nurses and substantial TMS could improve nurses' CI to use EHRs. A literature gap was filled concerning the mediating effects of performance expectancy on the FFM-CI relationship, and the moderation effects of Conscientiousness on UTAUT constructs and CI are another addition to the literature. The results are expected to assist government agencies, health policymakers, and health institutions all over the globe in their attempts to understand the post-adoption use of EHRs.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.