Abstract
The trend towards point-of-care and the advance in mobile technologies bring the potential to employ Mobile Nursing Information Systems (MNIS) in nursing care routines. However, adopting the MNIS is not simply a case of purchasing the required hardware and software, but rather a social interaction process between users, organizations, and the environment. Therefore, this study developed a framework of twelve factors affecting the decision to adopt/not to adopt the MNIS in the nursing department, and tested it from the perspective of the nursing administrators. A mail survey was conducted to collect the opinions of 84 nursing administrators, and a discriminant analysis was used to identify the critical factors for the adoption/non-adoption of the MNIS. Business competition, external suppliers’ support, and internal needs were identified as being significantly associated with the adoption of MNIS. Potential adopters can apply the results of this study as a reference when making the adoption decision regarding MNIS, while non-adopters and vendors can examine the resistance to MNIS.
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Appendix: Questionnaire Items
Appendix: Questionnaire Items
Environmental Factors
Business competition
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1.
Pressure from industry regarding the usage of MNIS as a standard nursing practice.
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2.
Pressure of the loss of competitive edge due to the lack of MNIS development.
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3.
Number of competitors in my area who have adopted MNIS.
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4.
The need for the development of MNIS for patients.
Government Policy Support
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1.
The extent of the clarity of the government policy for supporting MNIS.
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2.
The extent of the physical support (i.e., funding, expertise) provided by the government units to our hospital.
External Supplier’s Support
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1.
The sufficiency of technical support in MNIS development
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2.
The sufficiency of technical support in MNIS maintenance
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3.
The sufficiency of user training and support provided by vendors
Organizational Factor
Project Team’s Capability
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1.
The capabilities of the information-system’s development of the project team.
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2.
The capabilities of the information-system’s planning of the project team.
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3.
The project team’s understanding of the nursing needs
Top Management Support
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1.
The ability of the top management to take the risk involved in the adoption of MNIS.
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2.
The commitment of the top management to provide adequate financial and other resources for the development and operation of MNIS.
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3.
The vision of the top management to project the firm as a leader in the usage of new IT.
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4.
The level of top management support for MNIS usage in nursing care.
User Involvement and Cooperation in MNIS projects
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1.
The degree of user participation in the requirement analysis of the projects.
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2.
The degree of user participation in the vendor’s proposal review of the projects.
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3.
The degree of user participation in the system testing of the projects.
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4.
The degree of user participation in the meetings about MNIS projects.
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5.
The mutual understanding and support between the IT and the nursing departments.
Championship
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1.
The degree of the champions’ understanding of the mobile needs of nursing departments.
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2.
The capability of champions in acquiring an organization’s resources to support MNIS projects.
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3.
The capability of champions to coordinate the top management and the nursing department.
Internal Needs
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1.
The need for speeding up the response time of nursing care
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2.
The need for reducing the costs of nursing care
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3.
The need to enhance the productivity of nursing care
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4.
The need to access high quality information at the point of care
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5.
The need for improving the quality of nursing care
Technological Factors
Mobile Devices’ Suitability
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1.
Reliability of mobile devices
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2.
Battery or power supply duration
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3.
User interface friendliness
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4.
Ease of use
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5.
Portability of mobile devices
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6.
Theft prevention
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7.
Electro-magnetic interference from mobile devices with electronic medical equipment (negative item)
Wireless Communication Suitability
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1.
The compatibility with the existing network infrastructure
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2.
Data transmission speed
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3.
Availability of wireless networks
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4.
Reliability of wireless networks
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5.
Patient confidentiality protection
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6.
Radio interference from mobile communication with electronic medical equipment (reverse scoring)
The integration of MNIS with the existing hospital information systems
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1.
Database integration
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2.
Interface compatibility
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3.
The abilities of integration
Cost Benefit
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1.
Benefits of adopting MNIS.
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2.
Expected ROI increase
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3.
Resource allocation feasibility
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4.
Implementation cost (reverse scoring)
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5.
Training cost (reverse scoring)
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Hsiao, SJ., Li, YC., Chen, YL. et al. Critical Factors for the Adoption of Mobile Nursing Information Systems in Taiwan: the Nursing Department Administrators’ Perspective. J Med Syst 33, 369 (2009). https://doi.org/10.1007/s10916-008-9199-8
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DOI: https://doi.org/10.1007/s10916-008-9199-8