Examining the effects of social influence in pre-adoption phase and initial post-adoption phase in the healthcare context

© 2019 Elsevier B.V. Despite the widespread adoption of healthcare information technology (HIT) in hospitals, fostering physicians’ acceptance of this system is a challenging task. This study focuses on and compares two critical phases for user acceptance of HIT, namely, pre-adoption phase and initial post-adoption phase. Based on the psychological attachment theory, we propose that social influence factors exert differentiated effects on physician acceptance of HIT in these two phases. Survey results show that reward, sanction, and informational influence affect physicians’ HIT acceptance in the pre-adoption phase, whereas reward and image are significantly associated with HIT acceptance in the initial post-adoption phase

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

The determinants of behavioural intention towards using mobile banking of Islamic banking institutions moderated by demographic variables

The purpose of this research is to examine the determinants of behavioural intention towards mobile banking adoption in Islamic banking institutions for Malaysian Muslim consumers. Malaysia is ranked first in the world in terms of Islamic banking assets based on the Global Islamic Economy Indicator Rank (2020). However, in comparison with Malaysian neighbours, mobile banking penetration rate is relatively low. In this case, to compete with the neighbouring countries, it is important for Malaysian Islamic banks to stay abreast with the latest technology. Besides the technology used in banking, factors such as customers’ attitudes, subjective norms and perceptions towards the latest technology are crucial. This is because no matter how advanced a technology is, it is deemed impractical if many people are not able and interested in using it. In this quantitative study, a modified version of the Decomposed Theory of Planned Behaviour was used to explain the relationship between the determinants and customer behavioural intention to adopt mobile banking by examining the following constructs, namely attitude, perceived usefulness, perceived ease of use, lifestyle, Shariah compliance, personal innovativeness, subjective norm, media influence, internal influence, influence of religious scholars, perceived behavioural control, self-efficacy and facilitating condition. This study used an e-survey questionnaire distributed through social media platforms to collect data. The data was then analysed using structural equation modelling using SmartPLS. Based on the analysis of 479 samples, the results show that the tested independent variables are significant. Perceived behavioural control was found to be the most significant construct for behavioural intention, while lifestyle was found to be the most significant construct that affects attitude. On the other hand, innovativeness is the least significant predictor of attitude. Multi Group Analysis shows that demographic variables such as gender, income, age, region, and education level are significant moderators. The significance of Shariah-compliant aspect and the influence of religious scholars have demonstrated a strong and persistent religious (Islamic) application in the Malaysian banking system, hence questioning the theory of secularization. The high significance of perceived behavioural control is suggesting the top management in the industry to emphasize on user-friendliness of the mobile banking service

Relationships Among Dimensions of Information System Success and Benefits of Cloud

Despite the many benefits offered by cloud computing’s design architecture, there are many fundamental performance challenges for IT managers to manage cloud infrastructures to meet business expectations effectively. Grounded in the information systems success model, the purpose of this quantitative correlational study was to evaluate the relationships among the perception of information quality, perception of system quality, perception of service quality, perception of system use, perception of user satisfaction, and net benefits of cloud computing services. The participants (n = 137) were IT cloud services managers in the United States, who completed the DeLone and McLean ISS authors’ validated survey instrument. The multiple regression finding were signification, F(5, 131) = 85.16, p \u3c .001, R2 = 0.76. In the final model, perception of information quality (β = .188, t = 2.844, p \u3c .05), perception of service quality (β = .178, t = 2.102, p \u3c .05), and perception of user satisfaction (β = .379, t = 5.024, p \u3c .001) were statistically significant; perception of system quality and perception of system use were not statistically significant. A recommendation is for IT managers to implement comprehensive customer evaluation of the cloud service(s) to meet customer expectations and afford satisfaction. The implications for positive social change include decision-makers in healthcare, human services, social services, and other critical service organizations better understand the vital predictors of attitude toward system use and user satisfaction of customer-facing cloud-based applications