Continuance intention to use electronic collection system in Nigerian federal hospitals

Computerized information systems are being used by public sector organizations in the world over. However, studies have shown that there is under-utilization of such systems in the developing countries. Even though there are considerable numbers of studies that were conducted in finding out the influencing factors that lead to voluntary use of technology for personal use, still there are limited empirical studies that investigate the factors that influence continuance use intention of electronic information systems in mandatory system use environments in Nigeria. Thus, the purpose of this study is to empirically investigate the influence of perceived usefulness, perceived ease of use, perceived information quality and perceived enjoyment on the continuance use intention of electronic collection system in Nigerian federal hospitals. It also examines the moderating effect of computer selfefficacy on the relationship between perceived usefulness and continuance intention; and perceived ease of use and continuance intention. The study employs a crosssectional survey and uses cluster sampling technique to collect data from 354 electronic collection system users with the help of self-administered questionnaire. Out of the 354 questionnaires distributed, 274 were returned, but only 231 responses representing 65% response rate were valid for analysis. The findings of the study revealed that perceived usefulness, perceived ease of use and perceived information quality positively and significantly influence continuance intention, whereas perceived enjoyment does not. In addition, the result shows that computer selfefficacy does not moderate the relationship between perceived usefulness and continuance intention; and perceived ease of use and continuance intention. Though the study had contributed in extending the Technology Acceptance Model to explain the behavior of public sector employees toward electronic system use in the workplace, it is only applicable to federal government hospitals alone. Therefore, further studies could be conducted to include other hospitals at both state and local government levels in Nigeria

An Empirical Study on the Use Intention of Electronic Cash Collection System in Nigerian Federal Hospitals

It is a well-known fact that the use of electronic systems around the globe has facilitated and enhanced the efficiency in organizations. In light of this, federal hospitals in Nigeria have started using electronic collection system for cash collection purposes. Electronic cash collection system (e-collection) is a computerized system designed to handle cash collections with a view to block revenue leakages that are widespread within the Nigerian public sector organizations. However, the continuous use of the system is being faced with great resistance by those employees that were purposely meant to use it. In view of that, the aim of this paper is to investigate factors that could influence employee’s intention to use e-collection system in the performance of their duties. Technology Acceptance Model (TAM) was adapted with an extension of computer self-efficacy variable with a view to providing additional explanation to the model. Partial Least Square (PLS) was used to analyse 116 responses from e-collection users in investigating the relationship between three independent variables (perceived usefulness, perceived ease of use, computer self-efficacy) and the dependent variable (intention). The results of the analysis revealed that positive and significant relationships exist between the independent variables and the dependent variable except between perceived usefulness and intention. Recommendations were made to the hospital authorities to educate and enlighten the concern employees on the usefulness and benefits of the new system

An Examination of Factors that Influence Employees’ Behavioral Intention to Use Electronic Revenue Collection System in Public Hospitals

The aim of this paper is to examine the factors that influence the behavioural intention of Nigerian federal hospitals employees to use the e-collection system. Three factors (Perceived Usefulness, Perceived Ease of Use and Computer Self-efficacy) were considered in determining the behavioural intention of the employee to use the system. In achieving this, survey questionnaire instrument was used in collecting data from 72 e-collection users in some selected federal government hospitals. Smart Partial Least Square (PLS) 2.0 was used to analyze the data from the responses and the findings from the analysis revealed that all the three factors (Perceived Usefulness and Perceived Ease of Use and Computer Self-efficacy) are significant in influencing employees’ intention to use the ecollection system. As such, it is hopeful that the result of this paper will provide an understanding of the underlying factors that influence public sector employees to use new technology in the workplace which will equally provide government with the information on the necessary areas to improve so as to foster its electronic government initiatives in the country

The Influence of Perceived Usefulness and Perceived Ease of Use on the Continuous Intention to Use Electronic Collection System in Nigerian Hospitals: A Conceptual Approach

The use of electronic systems in organizations is a commonplace phenomenon in both public and private organizations around the globe. However, previous studies have shown that electronic systems and information technology in public sector organizations of developing countries are not been adopted and used. In Nigeria, a new system – electronic collection system was introduced in federal hospitals to replace the traditional cash collections. Its main purpose is to keep track cash collections and serve as an effective tool for internal control purposes. Therefore, this study proposes a conceptual framework based on two factors (perceived usefulness and perceived ease of use) with a view to investigating the influence of the aforementioned factors on the continuous intention of the hospitals' employees to use systems. The conceptual framework is an extraction from the Technology Acceptance Model (TAM) and is expected to provide an insight in explaining the influence of these two factors on the employees’ continuous intention in using the system. Finally, it is projected that future empirical studies with this framework can enhance the understanding of Nigerian public sector employees’ behavior on technology use

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Abstract Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries