| Health care organizations spend approximately 4.6% of their budget on information and communication technology. Nurses constitute more than 50% of hospitals operating budgets, and they are continually urged to use sophisticated information technologies in the workplace to improve patient safety and quality. It is important to evaluate the benefits of those technologies to corroborate their effectiveness considering their relationship to nurses' beliefs and satisfaction.; Using Donabedian's and Holzemer & Reilly's conceptual framework, the purposes of this study are to explore the relationships among inputs related to individual characteristics (age, nursing education, and computer experience), and organizational factors (user involvement and management support) and the process of information system (IS) use among nurses; and the relationship between using IS use and outcomes (benefits and satisfaction). This study also explore the moderating effect of the nurses' beliefs about IS use (self-efficacy, perceived ease of use, and the perceived usefulness of the IS) on the relationship between using IS, benefits, and nurses' satisfaction from using those systems.; Using a descriptive correlational cross-sectional design, a random sample of staff nurses who are members in Ohio Nurses Association was recruited and surveyed with a mail questionnaire. Data were analyzed using descriptive statistics, correlation, and multiple regression analysis.; The majority of nurses (n = 186, 93%) were female and white (n = 187, 93.5%). Their average age was 48.75 years (SD = 9.14), with 23.29 years (SD = 9.40) of experience in nursing, and 17.82 years (SD = 8.87) working in the hospital. The results indicated that IS use was significantly explained by computer experience, user involvement in implementation and management support to use IS (beta = .25, .19, .21, p ≤ .01 respectively). Benefits (quality of care, communication and documentation, saving time and efficiency, other benefits related to professional practice) and satisfaction were significantly explained by IS use. Nurses' beliefs did not have moderating effects on the relationship between IS use and outcomes.; This study helps to evaluate factors affecting IS use, which helps nurses' leaders to change or restructure the appropriate work environment to enhance nurses' IS use and increase their satisfaction thereby improving patient outcomes. |
