1 research outputs found
Multifaceted understanding of user behaviour and implementation success of electronic medication management system
This study aims to comprehensively understand user behaviour and the implementation success of
an electronic medication management system (eMMS) with multiple perspectives, such as user
resistance, assimilation, changes in user perceptions, etc. Two cross-sectional surveys were
conducted in an Australian hospital, one at the time of implementation and another one at one year
after the implementation. The data collected were quantitatively analysed with SEM. FsQCA (fuzzy
set Qualitative Comparative Analysis) was also employed to complement SEM-based analysis. User
resistance study indicated that performance expectancy, switching costs, and facilitating conditions
are direct predictors of clinician resistance, whereas effort expectancy and social influence showed
indirect effects on clinician resistance through performance expectancy or switching costs. The study
of changes in user perceptions indicated that most expectations had been positively confirmed in the
assimilation stage. More importantly, while performance expectancy and social influence remain
important one year after the implementation, effort expectancy and facilitating conditions are moving
toward a decrease in importance to the success of eMMS. IT assimilation study showed that nurses
with more absorptive capacity are more deeply and widely assimilated. For doctors, their direct
supervisors and intrinsic motivation influence their depth of assimilation. Interestingly, nurses with a
more favourable perception of performance expectancy have assimilated more deeply, whereas
more deeply assimilated doctors are those with a less favourable perception of performance
expectancy. FsQCA analysis showed that doctors should have a high general ability and high selfmotivation,
and they should be rewarded in their performance evaluation for both high assimilation
width and depth. In contrast, nurses should have a high general ability for high assimilation width and
high self-motivation for high assimilation depth