Application of the Technology Acceptance Model to Predict Nursing Students' Intention to Use Informatics: Cross-Sectional Study
Clinical Snapshot
PICO Framework
| P — Population | 132 undergraduate nursing students in Saudi Arabia |
| I — Intervention | Technology Acceptance Model assessment of nursing informatics |
| C — Comparator | Not applicable (single group cross-sectional study) |
| O — Outcomes | Intention to use informatics technologies, perceived usefulness, perceived ease of use, electronic health record usage patterns |
Bottom Line
This cross-sectional study of 132 Saudi nursing students demonstrates that perceived usefulness and ease of use are primary drivers of informatics technology acceptance, explaining 87% of intention variance. The finding that only 26% frequently use electronic health records highlights significant gaps in practical exposure. While the Technology Acceptance Model provides a robust theoretical framework, the single-centre design and cultural context limit broader applicability. For Australian nursing education, these findings support integrating hands-on informatics training and simulation-based learning into curricula. However, the cross-sectional design prevents causal conclusions, and the small sample size from one institution requires cautious interpretation. The results align with established technology adoption literature but emphasise the critical need for practical, user-centered approaches to nursing informatics education rather than purely theoretical instruction.
Key Findings
P Value: P<0.001 for perceived usefulness; P=0.032 for perceived ease of use
Effect Size: R²=0.87 (87% variance explained by perceived usefulness and ease of use)
Primary Outcome: Intention to use nursing informatics technologies
Nnt Or Sensitivity: β=0.323 for usefulness, β=0.195 for ease of use; 25.8% frequent EHR users, 31.8% no EHR experience
Confidence Interval: Not reported in abstract
Clinical Application
Findings support curriculum integration of user-centered informatics training and clinical simulation Relevant for Australian nursing education given similar technology adoption challenges, though cultural adaptation needed. Aligns with ANMAC standards for nursing informatics competency Undergraduate nursing students, particularly in developing healthcare technology contexts
Abstract
BACKGROUND: Nursing informatics is essential for digital health transformation; however, the technology acceptance of undergraduate nursing students in Saudi Arabia remains underexplored. OBJECTIVE: This study examined factors influencing nursing students' intention to use informatics technologies using the technology acceptance model. METHODS: A cross-sectional survey was conducted with 132 undergraduate nursing students. Data were analyzed using descriptive, correlational, and hierarchical regression analyses. RESULTS: Perceived usefulness (mean 3.68, SD 1.22) and perceived ease of use (mean 3.64, SD 1.32) were the strongest predictors of acceptance, together explaining 87% of the variance (R²=0.87; β=0.323 for usefulness, P<.001; β=0.195 for ease of use, P=.032). Only 25.8% (n=34) of the students often used electronic health records, while 31.8% (n=42) had no electronic health record experience, indicating a clear gap in practical informatics exposure. CONCLUSIONS: Nursing students' acceptance of informatics is primarily driven by its perceived usefulness and perceived ease of use. These findings highlight the urgent need to integrate practical, user-centered informatics training and clinical simulation into undergraduate nursing curricula to better prepare students for technology-based practice.
References
- 1.Alrashedi, H., Alnomasy, N., & Mostoles, R. (2024). Application of the Technology Acceptance Model to Predict Nursing Students' Intention to Use Informatics: Cross-Sectional Study. JMIR Nursing. https://doi.org/10.1016/j.heliyon.2024.e27067
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