Using an Extended Theory of Planned Behavior to Study Nurses' Adoption of Healthcare Information Systems in Nova Scotia

This study used the theory of planned behavior (TPB), which was extended to include relevant constructs such as computer self-efficacy, anxiety and habit, to investigate registered nurses' (RNs') adoption of healthcare information systems (HIS) in Nova Scotia, Canada. An analysis of data collected from 197 RNs in a cross-sectional survey showed that their attitudes towards HIS were positively impacted by computer self-efficacy and computer anxiety (lack thereof). RNs' attitudes toward HIS and facilitating organizational conditions significantly influenced intentions to use HIS at work. Contrary to prediction, subjective norm did not influence RNs' intentions to use HIS in the research setting. Computer habit mattered for RNs' acceptance of HIS. Information from the study benefits the management of RNs' HIS use in Nova Scotia, in particular, and comparable parts of Canada and the world.