Personality, top management support, continuance intention to use electronic health record system among nurses in Jordan

Electronic health record system (EHRs) is preferred as standard documentation to track
patient information and office visits. It is acclaimed as technological breakthrough capable to improve the healthcare industry’s service delivery and system quality. Accordingly, Jordanian government initiated EHRs implementation in all public hospitals. However, only eleven out of 35 public hospitals have fully implemented EHRs and their usage remains low. Moreover, empirical research associated to the particular concern of EHRs is insufficient and the effort to appraise it is low considering its extensive ongoing implementation. Besides, comprehending and explaining nurses’ continuous intention (CI) to use EHRs are crucial to gauge EHRs usage in Jordan. Considering the problem, this study highlighted on continuous intention (CI) of nurses to use EHRs model by incorporating the following theories; the Unified Theory of Acceptance and Use of Technology (UTAUT), Expectation-Confirmation Theory (ECT) and Five Factor Model (FFM). The model is insinuated to investigate whether UTAUT
factors namely effort expectancy, performance expectancy, social influence, facilitating
conditions, FFM domains (conscientiousness, extraversion, neuroticism, openness to
experience, and agreeableness) and Top Management Support (TMS) predict nurses’ CI
to use EHRs. Total responses are 497 nurses. Partial Least Squares technique used for
analysis. Results revealed significant positive relationship between UTAUT factors and CI. However, there is no significant evidence of relationship between TMS and CI. The study also disclosed significant mediating influence of performance expectancy on two separate hypotheses concerning two predictors namely agreeableness and openness to experience on CI. Additionally, the study revealed significant moderation impact of conscientiousness on the relationship between both performance expectancy and social influence with CI. The study has illustrated important attention to substantive differences between acceptance and continuance to use behaviors.