Clinical information systems are being introduced into nurses’ work at an alarming rate. These systems are implemented with limited input from nurses who provide direct patient care, and without considering human factors in the systems design and implementation process. The need for nurses to be involved at every level of decision-making as it relates to technological innovation into their work is imperative to mitigate system failure and truly support their work. Therefore, the purpose of this paper is two-fold: 1) to discuss evidence that suggests that the nurse is not really viewed as an end user in most clinical information systems implementations and 2) to describe the implications of this misperception to the nurse, organization, and nursing profession.

This exploratory research focuses on impacts of the rural socio-cultural context on Information and Communication Technology (ICT) adoption for business information needs using the Maldives as the study context, and attempts to develop a model to capture the influences of the rural context on ICT adoption decisions. The numerous ways in which rural context differs from urban context, such as small markets combined with familiarity among community members and reliance on interpersonal relationships, suggest potential impacts on the nature and management practices of rural businesses and provide an approach to explore ICT use in rural settings. Using findings from the literature, a theoretical framework was developed to outline how the socio-cultural context of a rural community of a developing country might affect ICT adoption by rural businesses. The research model predicts relationships between context factors and perceived benefits and barriers of ICTs, and between these perceptions and intentions to adopt/use ICTs. The initial phase of the research was exploratory in nature focusing on a few selected rural and urban businesses and the second phase consisted of a quantitative survey of 314 rural and urban businesses. The findings supported predicted differences between rural and urban contexts for all five factors included in the research model. The results also show that context factors explain 35.5% of variance on perceived benefits of ICTs and 49.3% variance on perceived barriers of ICTs. The findings raised questions about the disjoint between opinions of ICTs and actual use and the limited value derived from ICTs. The research also highlighted that promoting ICT adoption in rural businesses was a highly complex issue that has important linkages to public policy support. Overall, this research provides important insights into the complex dynamics that exist in rural settings that have implications for ICT use and provides empirical evidence to illustrate differences between urban and rural contexts, as well as the level of influence from different context factors on ICT adoption. This research has relevance for organizations working towards the development of rural communities.

This exploratory research focuses on impacts of the rural socio-cultural context on Information and Communication Technology (ICT) adoption for business information needs using the Maldives as the study context, and attempts to develop a model to capture the influences of the rural context on ICT adoption decisions. The numerous ways in which rural context differs from urban context, such as small markets combined with familiarity among community members and reliance on interpersonal relationships, suggest potential impacts on the nature and management practices of rural businesses and provide an approach to explore ICT use in rural settings. Using findings from the literature, a theoretical framework was developed to outline how the socio-cultural context of a rural community of a developing country might affect ICT adoption by rural businesses. The research model predicts relationships between context factors and perceived benefits and barriers of ICTs, and between these perceptions and intentions to adopt/use ICTs. The initial phase of the research was exploratory in nature focusing on a few selected rural and urban businesses and the second phase consisted of a quantitative survey of 314 rural and urban businesses. The findings supported predicted differences between rural and urban contexts for all five factors included in the research model. The results also show that context factors explain 35.5% of variance on perceived benefits of ICTs and 49.3% variance on perceived barriers of ICTs. The findings raised questions about the disjoint between opinions of ICTs and actual use and the limited value derived from ICTs. The research also highlighted that promoting ICT adoption in rural businesses was a highly complex issue that has important linkages to public policy support. Overall, this research provides important insights into the complex dynamics that exist in rural settings that have implications for ICT use and provides empirical evidence to illustrate differences between urban and rural contexts, as well as the level of influence from different context factors on ICT adoption. This research has relevance for organizations working towards the development of rural communities.

The availability of information technologies (IT) that can be harnessed to support construction projects at the site-level (e.g. tablets devices) continues to increase substantially. Most computer devices and IT resources today are designed for mobility, providing construction onsite personnel potential access to electronic resources and relevant information while on the construction site or in the construction field office; enabling the possibility of real-time data exchanges amongst various project entities, unrestricted by location. Recent industry literature has highlighted the benefits associated with the use of onsite emerging construction IT and, as a result, construction organizations are showing a strong interest in implementing these technologies to improve and develop more cost effective construction document management and communication processes. Despite the perceived benefits, the construction industry has been slow to adopt IT, particularly in the construction execution phase and, more specifically, at the site-level. This research aims to analyze the industry's current state of construction field and office personnel's use and proficiency related to IT. This study also offers insight into the impacts the adoption of IT has on field personnel's onsite processes, and identifies industry-specific barriers associated with the adoption of IT. To extend the knowledge related to IT usage of project site-level personnel, the results of a survey, follow-up interview, and an IT training and evaluation study were reviewed. These tools helped to investigate and acquire data regarding site managers' and field engineers' technology-related competence, their applications of IT to produce work artefacts, and circumstances in which users and technology hinder the adoption of IT in construction. Collectively, an analysis of the results revealed that the construction industry's current state of IT adoption at the site level is more advanced than previously perceived; particularly with the use of basic technology and software tools. Furthermore, the results offer a foundation for determining "areas of improvement" for increased adoption of IT in an onsite environment. Industry business-related limitations and individual's technology proficiency currently present the prevalent barriers related to the hindrance of adoption. The inadequate effectiveness of IT to support field personnel's daily processes was also found to a be a contributory constraint. / text

The development of e-commerce relies upon consumer usage intentions, and Information Systems (IS) researchers have examined usage intentions toward various online e-commerce systems. However, these systems have been studied in prior works independently rather than comprehensively. In order to pursue better measures for predicting and explaining Business to Customer (B2C) e-finance and some other major e-commerce adoptions for consumers, a comparison analysis across three different online systems (online shopping, online banking and online payment) was conducted to advance the understanding of the adoption factors and their linkage to consumer behavior. Refining from Perceived Risk Theory and existing studies, specific risk facets, consumer characteristics and system characteristics were operationalized and integrated within the Technology Acceptance Model (TAM) resulting in a proposed e-finance and other e-commerce system adoption model. A survey instrument was developed based on exploratory qualitative inquiry and quantitative assessment and was used to assess the influence of different risk and utility facets on the attitude towards e-commerce adoption. Results of this empirical study showed that the relationships between perceived usefulness, perceived ease of use, and intention of use were positively and significant towards all three online systems, while perceived risk had a negative impact on the adoption of online shopping and online payment only, which could result from the relative high risk perception towards the two systems. The results provide support of extended TAM model which integrates perceived risk and additional system-specific features and user-specific demographic factors in predicting a consumer's intention of adoption of online systems. Implications for both the academic and practitioner communities were discussed.

Advances in wireless networking and the Internet move us toward ubiquitous and embedded computing. Ubiquitous and embedded computing enhances computer use by making computers available throughout the physical environment while making them effectively invisible to the user. In the ubiquitous and embedded computing era, computers in the traditional sense gradually fade, and information mediated by computers is available anywhere and anytime through devices that are embedded in the environment. Radio Frequency Identification (RFID) is one of the key technologies of the ubiquitous and embedded computing era. RFID is a technology used to identify, track, and trace a person or object and enables the automated collection of important business information. RFID minimizes human intervention in the person and object identification process by using electronic tags and is expected to complement or replace traditional barcode technology. RFID is a highly beneficial technological advancement which ultimately may change the way of doing business. This study examines the RFID adoption decision process and proposes a model predicting the likelihood of adopting RFID within organizations in the healthcare industry. A considerable number of studies have been conducted regarding organizational information technology (IT) adoption, but the nature of the organizational IT adoption process is still not well understood. It is even posited that the only consistency found in the organizational adoption literature is the inconsistency of research results. The inconsistency of results is partially explained by changes in technological, organizational, and environmental statuses. Therefore, factors explaining traditional IT adoption may not justify RFID adoption and should be revisited and revalidated. In addition, given the ongoing importance of RFID, it is very important to identify the unique factors that contribute to the likelihood of adopting RFID. In this study, an organizational RFID adoption model is proposed and empirically tested by a survey using a sample of 865 senior executives in U. S. hospitals. The model posits that three categories of factors, technology push, need pull, and decision maker characteristics, determine the likelihood of adopting RFID within organizations. The relationships between those three categories and the likelihood of adopting RFID are strengthened or weakened by organizational readiness. This study may serve as the theoretical and empirical basis for research on other forms of ubiquitous and embedded computing systems.

Ample research has been conducted to identify the determinants of information technology (IT) adoption. No previous quantitative researchers have explored IT adoption in the context of enterprise social computing (ESC). The purpose of this study was to test and extend the social influence model of IT adoption. In addition, this study addressed a gap in the research literature and presented a model that relates the independent variables of social action, social consensus, social authority, social cooperation, perceived relative advantage, perceived compatibility, perceived ease of use, perceived usefulness, and organizational commitment to the dependent variables of social embracement and embedment. A randomized stepwise multiple linear regression analysis was performed on survey data from 125 C-level executives (i.e., chief information officers and chief technology officers). The analysis found that executives consider perceived relative advantage, organizational commitment, and social computing action as the most significant factors relating to the adoption of ESC. Executives' perceptions about ESC could impact organizational commitment, implementation, and use of such technologies. The findings could make a social contribution within organizations by helping C-level executives understand the degree to which these factors contribute to the ESC adoption. The knowledge from this study may also help organizations derive operational effectiveness, efficiency, and create business value for their clients and society.

Made available in DSpace on 2014-12-17T13:53:27Z (GMT). No. of bitstreams: 1 DanielaVCS_DISSERT.pdf: 2784677 bytes, checksum: 92d04378c89fb04477b80e9cf283f9cf (MD5) Previous issue date: 2010-09-10 / The study aims to identify the factors that influence the behavior intention to adopt an academic Information System (SIE), in an environment of mandatory use, applied in the procurement process at the Federal University of Par? (UFPA). For this, it was used a model of innovation adoption and technology acceptance (TAM), focused in attitudes and intentions regarding the behavior intention. The research was conducted a quantitative survey, through survey in a sample of 96 administrative staff of the researched institution. For data analysis, it was used structural equation modeling (SEM), using the partial least squares method (Partial Least Square PLS-PM). As to results, the constructs attitude and subjective norms were confirmed as strong predictors of behavioral intention in a pre-adoption stage. Despite the use of SIE is required, the perceived voluntariness also predicts the behavior intention. Regarding attitude, classical variables of TAM, like as ease of use and perceived usefulness, appear as the main influence of attitude towards the system. It is hoped that the results of this study may provide subsidies for more efficient management of the process of implementing systems and information technologies, particularly in public universities / O estudo tem como objetivo identificar os fatores que influenciam a inten??o de ado??o de um Sistema de Informa??es aplicado ao Ensino Superior (SIE), em um ambiente de uso obrigat?rio, a ser utilizado no processo de compras da Universidade Federal do Par? (UFPA). Para tanto, foi utilizado um modelo adaptado de aceita??o/uso da tecnologia da informa??o (TAM), considerando as cren?as normativas e comportamentais como antecedentes da inten??o comportamental de ado??o do referido sistema. Para a consecu??o do objetivo da pesquisa, foi realizado um levantamento de dados (survey) de natureza quantitativa, atrav?s da aplica??o de um question?rio estruturado em uma amostra de 96 servidores t?cnicos administrativos da institui??o pesquisada. Para a an?lise dos dados, foi utilizada a modelagem de equa??es estruturais (MEE), por meio do m?todo dos m?nimos quadrados parciais por modelagem de caminhos (Partial Least Square Path Modeling PLS-PM). Quanto aos resultados, os construtos atitude e normas subjetivas confirmaram-se como fortes preditores da inten??o comportamental, em uma fase de pr?-ado??o. Apesar do SIE ser de uso obrigat?rio, o construto voluntariedade percebida tamb?m prediz a inten??o de uso. Em rela??o ? atitude, as vari?veis cl?ssicas do TAM, como a facilidade de uso e a utilidade percebida, aparecem como principais influenciadores da atitude frente ao sistema. Espera-se que os resultados deste estudo possam prover subs?dios para uma gest?o mais eficaz do processo de implementa??o de sistemas e tecnologias de informa??o, particularmente em universidades p?blicas

The population of older adults is growing worldwide, particularly in North America. Health information technology (HIT) is a group of technologies and systems that enhance care by electronically storing, managing, and exchanging data. HIT presents opportunities to support older adults' healthcare needs in communities and long-term care (LTC) environments. Despite their potential benefits, these technologies remain limited in LTC and older adults' healthcare contexts. Evidence is scattered on the factors that affect older adults' adoption of HIT. Little research has investigated the adoption of these technologies by formal healthcare providers and the technologies' impacts on LTC. A multi-method approach was employed in this thesis research, using a combination of a systematic qualitative review, an inductive semi-qualitative Delphi survey, and a quantitative deductive study to manage each research question in order to address these gaps. The systematic literature review used the PRISMA guidelines to identify and critically appraise studies that examined the effect of various HIT adoption factors among older adults in the community. The search involved five databases and a combination of keywords, resulting in the selection of critically appraised articles based on their evidence level and research rigor. A coding scheme was developed to extract information from the selected articles. The results showed that the main factors affecting HIT adoption by older adults relate to performance expectancy, effort expectancy, and high price/cost value. It also highlighted the importance of considering privacy/security and product design when evaluating HIT adoption by older adults. In light of the limited available studies on HIT adoption and impacts in the context of LTC, a Delphi study was developed to collect data from key formal healthcare providers (i.e., nurses) working in LTC at one of the largest and most progressive older adult healthcare facilities in Ontario, Canada. The Delphi study aimed to identify and prioritize the key factors that affect nurses' adoption of new technologies in support of older adults' care. A panel of nurses was solicited to participate in the Delphi study, which involved three rounds of data collection: brainstorming, narrowing down, and ranking. A total of 20 nurses completed the Delphi study, and the top factors that the LTC nurses identified were mainly related to the organizational and technological dimensions, including the complexity of HIT, the training and support provided, the interoperability of HIT systems, the cost of implementation, and the availability of HIT infrastructure. For the last part of this research, quantitative secondary data analysis was conducted on a Canadian national survey of nurses to examine their perceived impacts of HIT adoption by nurses in LTC. The survey included questions related to the current state of electronic medical records (EMR) and EMR adoption, the state of virtual care technologies, attitudes and perceptions related to access and the impact of the adoption of digital health technologies in practice, benefits and effects of EMR adoption, and barriers preventing nurses from getting total value from electronic health. A subset of 166 nursing homes/long-term care facilities/older adult residences and homecare nurses were selected for this analysis. Data management and analysis were conducted using IBM SPSS v28. The results showed that HIT adoption by nurses in LTC was positively associated with perceived benefits and organizational support. However, HIT adoption was negatively associated with perceived complexity and privacy/security concerns. This thesis research suggests that HIT adoption by older adults and nurses in LTC is complex and multifaceted, requiring attention to individual, organizational, and technological factors. There is a need for improved communication and collaboration among LTC team members and better working conditions to improve staff well-being and reduce turnover. The findings from the systematic review and Delphi study contribute to the theoretical understanding of the factors influencing the adoption of HIT in LTC facilities. The survey results provide valuable insights into the current state of HIT use in LTC facilities and can be used to inform the development of targeted interventions to improve HIT adoption and use. Overall, this study contributes to the growing body of knowledge on HIT adoption in LTC facilities and provides important recommendations for policymakers, administrators, and LTC staff to improve the use of HIT and ultimately enhance the quality of the care supplied to LTC residents.

Made available in DSpace on 2014-12-17T13:53:16Z (GMT). No. of bitstreams: 1 LucianoPM.pdf: 1273528 bytes, checksum: fb81897ece1cd5534030dc1e61fef08f (MD5) Previous issue date: 2007-09-03 / The Information Technology (IT) is increasing his applicability to business, both private and public companies. It is necessary the adequate use of the new technologies and get cooperation and technology acceptance of the system. People tend to resist to the changes, contributing so that the technology is rejected or even it is not recognized as promoting of the changes. This study is relevant and aim to evaluate the impacts of new technologies, considering their users as fundamental factors in the change process. The survey analyzed the advantages and the barriers of the system use in three federal special judicial of Rio Grande do Norte, with data collected in May of 2007, through the application of questionnaires to thirty eight users of the virtual system CRETA. The users' perception was evaluated, under the optics of five variables: efficiency, image, agility, ease of use and quality. Starting from the obtained results, it was evidenced that the implementation of the system felt accordingly the expected and it reached the objectives intended that were: the velocity and efficiency in the path of the lawsuits, larger productivity, resulting in a better quality of the final work introduced to the citizen and proportionate an improvement in the organizational image of the judiciary power / A Tecnologia da Informa??o (TI), frente aos constantes avan?os tecnol?gicos e sua aplicabilidade ?s t?cnicas de gest?o, se apresenta como uma grande aliada na busca pelo sucesso organizacional, tanto no ?mbito das empresas privadas quanto p?blicas. Uma das estrat?gias diferenciadoras utilizadas pelas organiza??es prov?m de usos inovadores de tecnologias, com ?nfase em TI. No entanto, ? necess?rio avaliar a percep??o dos usu?rios quanto aos impactos do uso das novas tecnologias. Por mais avan?ada que seja a tecnologia implantada, poder? haver resist?ncia das pessoas ?s mudan?as, contribuindo para que a tecnologia n?o seja plenamente aceita ou mesmo n?o seja reconhecida como fomentadora de mudan?as. Justifica-se, assim, a relev?ncia de estudos que busquem avaliar os impactos de novas tecnologias, considerando os seus usu?rios como fatores fundamentais no processo de mudan?a. Partindo desse princ?pio, esse estudo analisou os impactos, as vantagens e as limita??es da implanta??o de um sistema virtual de controle processual, denominado CRETA, no Juizado Especial Federal do Rio Grande do Norte. Por meio da aplica??o de question?rios a 38 usu?rios, foi avaliada a percep??o dos impactos do uso do CRETA sob a ?tica de cinco vari?veis: efici?ncia/produtividade, imagem, agilidade, facilidade e qualidade. A partir dos resultados obtidos, foi evidenciado que a implementa??o do sistema se deu conforme o esperado e atingiu os objetivos pretendidos, tais como celeridade e efici?ncia no tr?mite dos processos judiciais, maior produtividade, resultando numa melhor qualidade do trabalho final apresentado ao cidad?o e proporcionado uma melhora na imagem organizacional do poder judici?rio. No entanto, alguns impactos negativos foram destacados, principalmente ligados aos fatores humanos