Nurse Competence, Social Influence, and Usability on EMR Use with Perceived Ease as Mediator

Authors

  • Rizqi Kartika Wardani Universitas Esa Unggul
  • Rian Adi Pamungkas Universitas Esa Unggul
  • Intan Silviana Mustikawati Universitas Esa Unggul

DOI:

https://doi.org/10.62951/ijecm.v3i2.1208

Keywords:

EMR, Nurse Competence, Perceived Ease, Social Influence, Usability

Abstract

Digitalization in the healthcare sector is a strategic step to enhance efficiency, accuracy, and service quality. One of the key innovations gaining significant attention is the use of Electronic Medical Records (EMR). Purpose: This study aims to analyze nurse competence, social influence, and usability on actual use electronic medical record with perceived ease of use as intervening variable at Satya Negara Hospital. Methods: The research method used a quantitative approach with a cross-sectional design, involving 108 nurses as respondents selected through a saturated sampling technique. Data were collected using a questionnaire and analyzed using a Structural Equation Model (SEM) based on Partial Least Squares (PLS). Findings: The results indicate that nurse competence, social influence, and usability significantly affect the actual use of EMR. Additionally, perceived ease of use mediates these relationships, enhancing the adoption and utilization of EMR systems. Implications: The managerial implications of this study include the need to enhance nurse competency training, strengthen social support in the workplace, and improve the usability of the Electronic Medical Records (EMR) system to encourage more optimal use. This study also contributes to the development of literature on health information technology implementation by integrating human, social, and technical factors into the analytical model.

Downloads

Download data is not yet available.

References

Ajzen, I. (1980). Understanding attitudes and predictiing social behavior. Englewood Cliffs.

Ajzen, I. (1991). The theory of planned behavior. Organizational Behavior and Human Decision Processes, 50(2), 179–211. https://doi.org/10.1016/0749-5978(91)90020-T

American Nurses Association. (2008). Nursing Scope and Standards of Practice . American Nurses Ajzen, I. (1980). Understanding attitudes and predicting social behavior. Prentice-Hall.

Ajzen, I. (1991). The theory of planned behavior. Organizational Behavior and Human Decision Processes, 50(2), 179–211. https://doi.org/10.1016/0749-5978(91)90020-T

American Nurses Association. (2008). Nursing scope and standards of practice. American Nurses Association.

American Nurses Association. (2016). Nursing informatics: Scope and standards of practice (2nd ed.). American Nurses Association.

Bandura, A. (1986). Social foundations of thought and action: A social cognitive theory. Prentice-Hall.

Bhattacherjee, A. (2001). Understanding information systems continuance: An expectation-confirmation model. MIS Quarterly, 25(3), 351–370. https://doi.org/10.2307/3250921

Chau, P. Y. K. (1996). An empirical assessment of a modified technology acceptance model. Journal of Management Information Systems, 13(2), 185–204. https://doi.org/10.1080/07421222.1996.11518128

Chuttur, M. Y. (2009). Overview of the technology acceptance model: Origins, developments and future directions. Sprouts: Working Papers on Information Systems, 9(37), 1–23.

Creswell, J. W., & Creswell, J. D. (2017). Research design: Qualitative, quantitative, and mixed methods approaches (5th ed.). SAGE Publications.

Davis, F. D. (1989). Perceived usefulness, perceived ease of use, and user acceptance of information technology. MIS Quarterly, 13(3), 319–340. https://doi.org/10.2307/249008

DeLone, W. H., & McLean, E. R. (1992). Information systems success: The quest for the dependent variable. Information Systems Research, 3(1), 60–95. https://doi.org/10.1287/isre.3.1.60

Gefen, D., Karahanna, E., & Straub, D. W. (2003). Trust and TAM in online shopping: An integrated model. MIS Quarterly, 27(1), 51–90. https://doi.org/10.2307/30036519

Graf-Vlachy, L., Buhtz, K., & König, A. (2018). Social influence in technology adoption: Taking stock and moving forward. Management Review Quarterly, 68(1), 37–76. https://doi.org/10.1007/s11301-017-0133-3

Hair, J. F., Hult, G. T. M., Ringle, C. M., & Sarstedt, M. (2021). A primer on partial least squares structural equation modeling (PLS-SEM) (3rd ed.). SAGE Publications. https://doi.org/10.1007/978-3-030-80519-7

Hersey, P., Blanchard, K. H., & Johnson, D. E. (1977). Management of organizational behavior: Utilizing human resources (3rd ed.). Prentice-Hall.

Kelman, H. C. (1958). Compliance, identification, and internalization: Three processes of attitude change. Journal of Conflict Resolution, 2(1), 51–60. https://doi.org/10.1177/002200275800200106

McGonigle, D., & Mastrian, K. (2024). Nursing informatics and the foundation of knowledge (6th ed.). Jones & Bartlett Learning.

Nielsen, J. (1994). Usability engineering. Morgan Kaufmann. https://doi.org/10.1016/B978-0-08-052029-2.50009-7

Oermann, M. H., & Gaberson, K. B. (2016). Evaluation and testing in nursing education (5th ed.). Springer Publishing Company. https://doi.org/10.1891/9780826194893

Preece, J., Sharp, H., & Rogers, Y. (2015). Interaction design: Beyond human-computer interaction (4th ed.). Wiley.

Rogers, E. M. (2003). Diffusion of innovations (5th ed.). Free Press.

Smith, S. A. (2012). Nurse competence: A concept analysis. International Journal of Nursing Knowledge, 23(3), 172–182. https://doi.org/10.1111/j.2047-3095.2012.01225.x

Staggers, N., Gassert, C. A., & Curran, C. (2001). Informatics competencies for nurses at four levels of practice. Journal of Nursing Education, 40(7), 303–316. https://doi.org/10.3928/0148-4834-20011001-05

Sugiyono. (2018). Metode penelitian kuantitatif, kualitatif, dan R&D. Alfabeta.

Sugiyono. (2019). Metode penelitian kuantitatif, kualitatif, dan R&D. CV Alfabeta.

Venkatesh, V., & Bala, H. (2008). Technology acceptance model 3 and a research agenda on interventions. Decision Sciences, 39(2), 273–315. https://doi.org/10.1111/j.1540-5915.2008.00192.x

Venkatesh, V., & Davis, F. D. (2000). A theoretical extension of the technology acceptance model: Four longitudinal field studies. Management Science, 46(2), 186–204. https://doi.org/10.1287/mnsc.46.2.186.11926

Venkatesh, V., Morris, M. G., Davis, G. B., & Davis, F. D. (2003). User acceptance of information technology: Toward a unified view. MIS Quarterly, 27(3), 425–478. https://doi.org/10.2307/30036540

Downloads

Published

2026-04-30

How to Cite

Rizqi Kartika Wardani, Rian Adi Pamungkas, & Intan Silviana Mustikawati. (2026). Nurse Competence, Social Influence, and Usability on EMR Use with Perceived Ease as Mediator . International Journal of Economics, Commerce, and Management, 3(2), 109–119. https://doi.org/10.62951/ijecm.v3i2.1208