ArticleBMC medical education2026
Pre-use acceptability of telemedicine among nursing students: a quantitative cross-sectional study.
Article in BMC medical education, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundThe healthcare sector has undergone digital transformation through telemedicine which serves as a strategic and efficient solution to address key health challenges. Nevertheless, little is known about how nursing students perceive and accept telemedicine, which is essential for its future implementation. This study examined how perceived ease of use, extended constructs of perceived usefulness, self-rated knowledge, and technology anxiety influence Slovenian nursing students’ willingness to use telemedicine in the pre-use acceptability stage.
methodsA cross-sectional, non-experimental, quantitative research design was used. Data were collected in 2023 in Slovenia using a self-administered web questionnaire. All eight Slovenian higher education institutions offering full-time and/or part-time undergraduate nursing programs were included. A total of 234 nursing students participated in the survey, with 178 providing complete responses relevant to the study’s key variables. Bivariate correlations and nested proportional odds models (ordered logit) were performed.
resultsSelf-rated knowledge (Coef = 0.49, p = 0.03), perceived usefulness in nursing practice (Coef = 1.33, p < 0.01) and technology anxiety (Coef = − 0.70, p < 0.01) were significant predictors of willingness to use telemedicine. Perceived ease of use and perceived usefulness for patient empowerment and interaction were not significant. The extended model significantly improved fit and explanatory power compared to the simpler model containing only self-rated knowledge and background variables (ΔLR = 55.62, p < 0.01).
conclusionsThis study integrates constructs from different theoretical models of technology acceptance to explain nursing students’ pre-use acceptability of telemedicine. Knowledge, perceived usefulness in nursing practice, and technology anxiety significantly predict willingness to use telemedicine. These findings highlight the importance of addressing both competence and emotional readiness when preparing students for digitally supported nursing care. It further underscores that pre-use acceptance is shaped by an interplay of cognitive evaluation and affective response.
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