Empirical Study of Nova Scotia Nurses' Adoption of Healthcare Information Systems: Implications for Management and Policy-Making

Background: This paper used the Theory of Planned Behavior (TPB), which was extended, to investigate nurses' adoption of healthcare information systems (HIS) in Nova Scotia, Canada. Methods: Data was collected from 197 nurses in a survey and data analysis was carried out using the partial least squares (PLS) technique. Results: In contrast to findings in prior studies that used TPB to investigate clinicians' adoption of technologies in Canada and elsewhere, this study found no statistical significance for the relationships between attitude and subjective norm in relation to nurses' intention to use HIS. Rather, facilitating organizational conditions was the only TPB variable that explained sampled nurses' intention to use HIS at work. In particular, effects of computer habit and computer anxiety among older nurses were signified. Conclusion: To encourage nurses' adoption of HIS, healthcare administrators need to pay attention to facilitating organization conditions at work. Enhancing computer knowledge or competence is important for acceptance. Information presented in the study can be used by administrators of healthcare facilities in the research location and comparable parts of the world to further improve HIS adoption among nurses. The management of nursing professionals, especially in certain contexts (eg, prevalence of older nursing professionals), can make use of this study's insights.