Magister Public Health - MPH (Public Health) / Background and rationale: Telehealth is a collection of methods for enhancing health care, public health, and health education delivery and support using telecommunications technologies. Despite the many reported benefits of telehealth, there are challenges to its continued and widespread use in South Africa. It remains unclear what facilitates or hinders the integration of telehealth into routine clinical practice. Study aim and objectives: Drawing on the Unified Theory of Acceptance and Use of Technology (UTAUT), this study investigated factors affecting healthcare workers' acceptance and use of telehealth in hospitals in KwaZulu-Natal (KZN). Specifically, it described the frequency and nature of telehealth use and the factors associated with technology acceptance; and evaluated the influence of socio-demographic factors (age, experience, profession, qualification) and acceptance factors on use and behavioural intention to use telehealth. Methods: A quantitative survey in seven hospitals (2 tertiary, 3 regional, 2 district) with telehealth facilities falling under the KZN Department of Health, was conducted. 177 medical, nursing, pharmacy and allied staff consented to complete an on-line, closed ended and structured self-administered questionnaire based on the UTAUT model. The responses to the individual likert scale items were assigned a score (1-4), and from this, total scores calculated for each construct. Respondent characteristics were converted into binary variables and associations with total scores on each of the UTAUT acceptance domains were tested using t-test. The associations between behavioural intention and actual use (as binary dependent variables); and the respondent profiles, scores for performance expectancy, effort expectancy, social influence, and facilitating conditions (independent variables) were assessed in two multivariate logistic regression models.

Because of the popularity of the 3G mobile technology and the development of digital broadcasting technologies, the mobile television (TV) has become a potential killer application within the telecom industry. This research examines mobile user¡¦s intention to use and the use behavior of mobile TV. The theory underlying the study is the unified theory of acceptance and use of technology (UTAUT) that takes performance expectancy, effort expectancy, social influence, and facilitating condition as independent factors and the intention and behavior of usage as dependent variables. Two online surveys were conducted to evaluate the theory. The result from the first survey shows that the performance expectancy, the effort expectancy and the social influence factors have significant influences on the mobile TV user¡¦s intention toward using mobile TV services. The facilitating condition has a positive significant relationship with the usage behavior. The result different from the previous studies is no significant relationship between the intention and use behavior. However, the follow-up survey conducted a year later shows that the facilitating condition and intension to use have positive significant impacts on the use behavior. This study can help firms to better understand the factors that affect the intention and behavior of using mobile TV.

This research explores the relationship between intention and actual usage of self-service technology (SST), and investigates the effects of facilitating conditions and customer readiness on customer adoption of SST. In recent years, self-service technologies have created many new service contents; nevertheless, the actual utilization is not actually common yet. Therefore, this research try to explore the relationship between customer readiness and facilitating conditions on the actual use of SST, then focus on narrowing the gap between intention to use SST and actual usage of SST. We believe that this understanding is imperative for service providers to make proactive strategies for fostering customers’ intention and actual usage of the SST. The framework makes it possible to understand and predict customer trial related to using self-service technology by thoroughly examining underlying customer readiness degree and use the internet to illustrate how our framework can be applied to study customer behavior related to a specific self-service technology. To analyze the longitudinal effect, a two-stage survey was conducted and lasted for seven months. As it is well known that behavior intention does not necessary lead to actual behavior, our findings offer proactive strategies to service providers in turning intention into actual usage. Implications are discussed for managerial strategy as well as for future research. The research can be referred as marketing strategy for self-service or kiosk industry, and on academic contribution of narrowing the gap between intention and actual use. It is expected that it is helpful to facilitate self-service development and to enrich customer experience and competitiveness in Taiwan.

Learning Management Systems (LMSs) have been an essential part of the e-Learning ecosystem since the 1990s. LMSs have been developed and widely adopted by higher education institutions around the world. Despite the instructional and financial benefits of using LMSs, the adoption and diffusion of LMSs by faculty members continues to be challenging in higher education institutions, and particularly in developing countries. The purpose of this study is to determine the factors influencing the adoption of learning management systems (LMSs) by faculty members in Saudi Arabian higher education. The study employed a mixed method approach and applied the Unified Theory of Acceptance and Use of Technology (UTAUT) to explore these factors. Specifically, the study aims to determine the extent at which Performance Expectancy (PE), Effort Expectancy (EE), Facilitating Conditions (FC), and Social Norms (SN) influence faculty members' Behavioral Intention (BI) to adopt the Blackboard LMS. It also examines the moderating roles of age, gender, experience, perceived voluntariness, and computer self-efficacy on Performance Expectancy (PE), Effort Expectancy (EE), Social Norms (SN), and Facilitating Conditions (FC). The results of the study revealed a strong and positive correlation between performance expectancy and behavioral intention for Blackboard usage. The study also found Effort Expectancy, Facilitating Conditions, and Social Norms to be significant predictors of Behavioral Intention for Blackboard usage. Additionally, the findings show no moderation effects of age, gender, perceived voluntariness, and computer self-efficacy on Performance Expectancy, Effort Expectancy, Social Norms, and Facilitating Conditions. Experience was found to have a moderation effect on the relationship between Social Norms and Behavioral Intention. / Doctor of Philosophy / Learning Management Systems (LMSs) have been an essential part of the Electronic-Learning ecosystem since the 1990s. LMSs have been developed and widely adopted by higher education institutions around the world. Despite the instructional and financial benefits of using LMSs, the usage rate of LMSs by faculty members continues to be challenging in higher education institutions, and particularly in developing countries. The purpose of this study is to determine the factors influencing the usage of learning management systems (LMSs) by faculty members in Saudi Arabian higher education. The study employed a mixed method approach and applied the Unified Theory of Acceptance and Use of Technology (UTAUT) to explore these factors. Specifically, the study aims to determine the extent at which Performance Expectancy (PE), Effort Expectancy (EE), Facilitating Conditions (FC), and Social Norms (SN) influence faculty members' Behavioral Intention (BI) to adopt the Blackboard LMS. It also examines the moderating roles of age, gender, experience, perceived voluntariness, and computer self-efficacy on Performance Expectancy (PE), Effort Expectancy (EE), Social Norms (SN), and Facilitating Conditions (FC). The results of the study revealed a strong and positive correlation between performance expectancy and behavioral intention for Blackboard usage. The study also found Effort Expectancy, Facilitating Conditions, and Social Norms to be strong predictors of Behavioral Intention for Blackboard usage.

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El presente trabajo tiene como objetivo principal conocer e investigar el nivel de significancia de las variables; expectativa de desempeño, expectativa de esfuerzo, condiciones facilitadoras, influencia social y confianza y su relación con la adopción de las billeteras virtuales bancarias en el contexto peruano. Se brindará una contextualización de cómo se encuentra el mercado sobre estas nuevas tecnologías financieras. Asimismo, se identificará la relevancia, los alcances y las limitaciones que se pudieron encontrar en el contexto actual peruano con respecto al tema de investigación. Para la investigación se realizó una búsqueda de fuentes bibliográficas de referencias para poder conocer cómo se llevaban a cabo las relaciones de variables en distintos contextos. Asimismo, identificar el modelo que mejor se adecue a la investigación, siendo en este caso el modelo UTAUT, el cual explica las intenciones de los usuarios para utilizar un sistema de información y su comportamiento posterior al uso. / The main objective of this work is to know and investigate the level of significance of the variables; Performance Expectancy, Effort Expectancy, Facilitating Conditions, Social Influence and Trust and their relationship with the adoption of virtual bank wallets in the Peruvian context. It will provide a contextualization of how the market finds itself on these new financial technologies. It will also identify the relevance, scope and limitations that could be found in the current Peruvian context with regard to the subject of research. For the research, a search of bibliographic sources of references was carried out in order to know how the relationships of variables were carried out in different contexts. Furthermore, identify the model best suited to the investigation, in this case the UTAUT model, which explains the intentions of users to use an information system and their behavior after use. / Trabajo de investigación

Contexte. Depuis plusieurs années, nous constatons une croissance importante de l’immigration au Québec. Ce phénomène se reflète aussi dans les programmes des soins infirmiers au niveau collégial. Ainsi, les étudiantes immigrantes de première génération sont confrontées à plusieurs expériences de transition à partir du moment de leur arrivée au Québec. Durant leur parcours académique, elles rencontrent plusieurs défis notamment, s’adapter au climat, au système scolaire, aux normes sociales ainsi qu’à la culture québécoise. Objectifs. Le but de cette étude est de mieux comprendre l’expérience d’infirmières graduées depuis moins d’un an et immigrantes de première génération ayant vécu moins de 10 ans au Québec face à leur transition du milieu collégial vers le milieu de pratique. Méthodologie. Un devis qualitatif exploratoire descriptif a été utilisé pour répondre au but. Cinq infirmières nouvellement graduées et immigrantes de première génération ont participé à l’étude. Les données ont été collectées par des entrevues individuelles semistructurées. L’analyse thématique des données a été basée sur les étapes décrites par Paillé et Muchielli (2012). Résultats. L’analyse a révélé que le fait d’être immigrantes de première génération a eu très peu d’impact sur l’expérience de transition des participantes vers leur milieu de pratique des participantes. Les moments clés de l’expérience de transition telle que vécue ont été identifiés, notamment la transition organisationnelle, l’intégration au sein de l’unité de soin ainsi que l’intégration du nouveau rôle en tant qu’infirmière. Durant ces moments clés, plusieurs conditions facilitantes et contraignantes ont été soulevées. Conclusion. Les résultats obtenus de l’étude permettraient de sensibiliser et d’intégrer les notions des moments clés au sein du programme des soins infirmiers au niveau collégial. / Context. For several years now, we have seen significant growth in immigration to Quebec. This is also reflected in college nursing programs. First-generation immigrant students are confronted with several transitional experiences from the moment they arrive in Quebec. During their academic career, they face several challenges, including adapting to the climate, the school system, social norms, and Quebec culture. Objectives. The aim of this study is to better understand the experience of first-generation nurses who have lived in Quebec for less than a year and firstgeneration immigrants who have lived for less than 10 years in their transition from college to practice. Methodology. A descriptive exploratory qualitative design was used to meet the goal. Five newly graduated nurses and first-generation immigrant women participated in the study. Data were collected through semi-structured individual interviews. The thematic analysis of the data was based on the steps described by Paillé and Muchielli (2012). Results. The analysis found that being a first-generation immigrant had no impact on the participants’ transition experience to the participants’ practice setting. Key moments of the transition experience as lived were identified, including organizational transition, integration within the care unit, and integration of the new role as a nurse. During these key moments, several facilitating and binding conditions were raised. Conclusion. The results of the study would raise awareness and integrate key moments into the nursing program at the college level.