The Impact of the Moderating Effect of Psychological Health Status on Nurse Healthcare Management Information System Usage Intention.

Nurses play a key role in healthcare but work in a highly stressful and unfriendly environment. Therefore, many medical institutions have adopted nurse healthcare management information systems for nurses to relieve symptoms of mental stress and even improve their psychological health. The key to the success of these systems depends on how nurses intend to use them. In this study, the moderating effect of nurses' psychological health status on their usage of these systems are discussed. This study used a mail survey method for nurses to obtain 1565 valid samples. The results show that perceived usefulness is insignificant toward the usage intention of nurses with a positive psychological health status, which indicates that this system does not meet the needs of these healthy nurses. Furthermore, perceived ease of use is insignificant toward the usage intention of nurses with a negative psychological health status, which indicates that a negative psychological health status may affect one's behavior due to impatience. This study raises the serious issue that nurses should maintain their psychological health in order to ensure the quality of care for patients. People in various fields are expected to pay attention to the psychological health status of nurses and create a win-win situation for both patients and nurses.

An assessment of patient safety in acupuncture process under EMR support.

With the facilitating roles of IT, this study is to investigate the safety issues of the acupuncture process in the current practices under EMR support. A self-administered questionnaire survey was conducted in 80 Chinese medicine practice hospitals and clinics in Taiwan. Concerns over patient safety during the acupuncture process were raised, such as an inconsistency between the practice and prescription and a lack of monitoring patient's condition during the treatment. Confirming the physicians' prescription and documenting patients' reaction for patient record management are needed to add to the EMR system for patient safety while performing acupuncture. The results of this study can be used by the government or medical institutes to assess the work flow and set up standards of EMRs design for their acupuncture treatment to ensure patient safety and to enhance healthcare quality.

Critical factors for the adoption of mobile nursing information systems in Taiwan: the nursing department administrators' perspective.

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.