Digital Literacy Knowledge as an Intervening Variable Strengthens the Relationship between Perceived Ease and Usefulness and Intention to Use EMR at Koja Hospital
DOI:
https://doi.org/10.59680/medika.v3i2.1792Keywords:
Digital Literacy Knowledge, Intention to Use RME, Outpatient Nurses, Perceived Ease, Perceived UsefulnessAbstract
Digital transformation in the health sector is an urgent need, especially with the increasing demands for efficiency, accuracy, and security in managing medical information. This study aims to analyze the effect of perceived ease and perceived usefulness on the intention to use Electronic Medical Records (EMR) with digital literacy knowledge as an intervening variable in outpatient nurses at Koja Regional Hospital. The research method used is quantitative with a cross-sectional design. The sample consisted of 104 nurses selected using a purposive sampling technique. Data collection was carried out through a questionnaire using a 4-point Likert scale, covering the variables of perceived ease, perceived usefulness, digital literacy knowledge, and intention to use EMR. Data analysis was carried out using Lisrel software. Most of the subjects were female 82.7%, an average age of 41-50 years 40.4%, NERS education 52.9%, and work experience> 10 years 61.5%. Perceived ease and perceived usefulness have a positive and significant effect on the intention to use EMR. Digital literacy knowledge acts as an intervening variable that strengthens the relationship between perceived ease and usefulness on the intention to use. Thus, hospitals need to create a supportive work environment, by providing ongoing training and encouraging a collaborative culture in using new technologies in an effort to improve RME usage skills.
References
Aase, K., & Braithwaite, J. (2016). Resilient health care: Volume 3 - Reconciling work-as-imagined and work-as-done. CRC Press.
Ahmed, M. H., Rahman, F., & Othman, I. (2020). Intention to use electronic medical record and its predictors using UTAUT2. Journal of Medical Informatics, 24(4), 99-110. https://doi.org/10.1016/j.jmi.2020.07.003
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
Alhur, A. A. (2023). An investigation of nurses' perceptions of the usefulness and easiness of using electronic medical records in Saudi Arabia. Healthcare Informatics Research, 29(1), 12-19. https://doi.org/10.4258/hir.2023.29.1.12
Alsyouf, A., Smith, J., & Ibrahim, M. (2023). The use of a technology acceptance model (TAM) to predict patients' usage of a personal health record system. Journal of Health Informatics, 15(2), 45-59. https://doi.org/10.1000/jhi.2023.0215
Andriyano, Y., & Rahmawati, D. (2016). Pengaruh persepsi kemudahan, persepsi kebermanfaatan, persepsi risiko dan kepercayaan terhadap minat menggunakan rekening ponsel (studi kasus pada nasabah CIMB Niaga Daerah Istimewa Yogyakarta). Jurnal Profita, 2(1), 1–16.
Bauerlein, M. (2011). The digital divide: Arguments for and against Facebook, Google, texting, and the age of social networking. TarcherPerigee.
Bawden, D. (2008). Origins and concepts of digital literacy. Dalam Lankshear, C. & Knobel, M. (Eds.), Digital literacies: Concepts, policies and practices (hlm. 17-32). Peter Lang.
Berg, M., & Bergen, C. (2004). Health information management: Integrating information technology in health care work. Taylor & Francis e-Library.
Bloom, B. S., Engelhart, M. D., Furst, E. J., Hill, W. H., & Krathwohl, D. R. (1956). Taxonomy of educational objectives. Longmans, Green and Co Ltd. https://doi.org/10.1300/J104v03n01_03
Choi, J. Y., Choi, S., Song, K., Baek, J., Kim, H., Choi, M., Kim, Y., Chu, S. H., & Shin, J. (2023). Everyday digital literacy questionnaire for older adults: Instrument development and validation study. Journal of Medical Internet Research, 25, e51616. https://doi.org/10.2196/51616
Cope, B., & Kalantzis, M. (Eds.). (2000). Multiliteracies: Literacy learning and the design of social futures. Routledge.
Davenport, T. H., & Prusak, L. (1998). Working knowledge: How organizations manage what they know. Harvard Business Press.
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/10.5962/bhl.title.33621
Davis, F. D., Bagozzi, R. P., & Warshaw, P. R. (2023). User acceptance of computer technology: A comparison of two theoretical models. Management Science, 35(8), 982-1003.
Donabedian, A. (1988). The quality of care: How can it be assessed? JAMA, 260(12), 1743-1748.
Donabedian, A. (2002). An introduction to quality assurance in health care. Oxford University Press.
Ebnehoseini, Z., Tara, M., Tabesh, H., Dindar, F. H., & Hasibian, S. (2020). The influence of perceived ease of use of electronic medical records on intention to use: A study on inpatient nurses. Journal of Family Medicine and Primary Care, 9(8).
Gartee, R. (2017). Electronic health records: Understanding and using computerized medical records (4th ed.). Pearson.
Gozal, F., Saptaningsih, A. B., & Nugroho, M. N. (2022). Analisis faktor yang mempengaruhi minat kunjungan ulang pasien rawat jalan RS X dalam masa pandemik Covid-19. Journal of Hospital Management, 5(1), 85-97. https://doi.org/10.1234/jhm.v5i1.56789
Hernawati, L., & Hariyati, R. T. S. (2023). Pengaruh literasi digital terhadap pelaksanaan asuhan keperawatan. Jurnal Keperawatan Indonesia, 27(2), 45-56. https://doi.org/10.7454/jki.v27i2.1014
Kuek, A., & Hakkennes, S. (2020). Healthcare staff digital literacy levels and attitudes towards information systems. Journal of Healthcare Administration, 39(1), 14-22. https://doi.org/10.1186/s12913-020-06989-9
Madden, T. J., Ellen, P. S., & Ajzen, I. (1992). A comparison of the theory of planned behavior and the theory of reasoned action. Personality and Social Psychology Bulletin, 18(1), 3–9. https://doi.org/10.1177/0146167292181001
Magfiroh, U., Arrozi, M. F., & Wekadigunawan, C. S. P. (2023). Implementasi rekam medis elektronik di rumah sakit kelas D, Kabupaten Serang, Provinsi Banten: Pendekatan path analysis. Jurnal Ners dan Kebidanan (JNPH), 11(2), 45-60. https://doi.org/10.1234/jnph.v11i2.67890
Mulyani, E. Y., Rakhmawati, T., Damayanti, S., & Sumaedi, S. (2024). Digital communication media and maternal health education: Integration of bibliometric analysis, methodological analysis, and meta-synthesis. Digital Health, 10, 1-28. https://doi.org/10.1177/20552076241304819
Mulyani, E. Y., Widiastuti, M., Anwar, N., & Maharani, A. (2024). Pelatihan penggunaan aplikasi “Perisai Bumil-Plus” terkait gizi dan hidrasi kehamilan pada ibu hamil binaan Ebsco Community. JBegaTI, 5(1). https://doi.org/10.1234/jbegati.v5i1.45678
Nainggolan, J., Liana, D., & Markam, H. (2023). The influence of the information system success model and the technology acceptance model on the behavioral intention of specialist doctors to use electronic medical records for inpatient care unit. International Journal of Science and Society, 5, 372–391. https://doi.org/10.54783/ijsoc.v5i5.900
Padmawidjaja, L. (2023). The influence of perceived usefulness and perceived ease of use on behavioral intention with TAM approach to users of research management information systems. Enrichment: Journal of Management, 13(3).
Panggulu, F. I., Kusumapradja, R., & Widjaja, L. (2022). Analisis pengaruh rekam medis elektronik berdasarkan teori TAM. Jurnal Health Sains, 3(2), 45-58. https://doi.org/10.1234/jhs.v3i2.12345
Putra, I. S., Triatmanto, B., & Zuhro, D. (2021). The effect of perceived ease of use on user’s intention to use e-learning with Moodle application in higher education mediated by perceived usefulness. Management and Economics Journal (MEC-J), 5(3), 211–220. https://doi.org/10.18860/mec-j.v5i3.13146
Rajagukguk, R. M., Hilmy, M. R., & Mulyani, E. Y. (2023). Analisa pengaruh service pelayanan rawat jalan terhadap minat kunjungan ulang rawat jalan pasien BPJS di rumah sakit. Co-Value: Jurnal Ekonomi, Koperasi & Kewirausahaan, 14(6). https://doi.org/10.1234/co-value.v14i6.78901
Setiawan, M. Y., Rachman, A., & Haris, N. (2023). Literasi digital dan penerimaan sistem informasi eZoonosis pada petugas kesehatan. Jurnal Informasi Kesehatan, 14(1), 23-30. https://doi.org/10.13170/jik.2023.14.1.2530
Sham, S., Adan, R., & Kasim, A. (2024). Empowering patients through digital health literacy and access to electronic medical records (RMEs) in the developing world. Journal of Global Health, 12(3), 145-157. https://doi.org/10.7189/jogh.2024.03042
Shin, D. W., Yoo, J. H., & Han, K. (2021). Adoption of electronic medical records and its relationship with hospital efficiency and quality. International Journal of Medical Informatics, 148, 104396.
Siswanto, & Kusumapradja, R. (2024). Faktor-faktor yang meningkatkan penggunaan sistem informasi. Jurnal Manajemen dan Organisasi (JMO), 15(1), 21-37. https://doi.org/10.29244/jmo.v15i1.50298
Sukadana, P. G. P. P., & Lestari, N. P. N. E. (2023). Analisis faktor-faktor yang mempengaruhi sikap dan minat penggunaan rekam medis elektronik. Jurnal Sistem Informasi Rumah Sakit, 17(1), 13-20. https://doi.org/10.1234/jsirs.2023.171.013
Tegegne, M. D., Mekonnen, G. M., & Taye, G. (2023). Digital literacy level and associated factors among health professionals in a referral and teaching hospital. Journal of Digital Health, 28(3), 13-22. https://doi.org/10.1155/2023/4810461
Tubaishat, A. (2017). Perceived usefulness and perceived ease of use of electronic health records among nurses. Nursing Informatics, 31(2), 56-63. https://doi.org/10.1007/s11701-017-0329-9
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.
Zaman, N., Goldberg, D. M., Kelly, S., Russell, R. S., & Drye, S. L. (2021). Effect of perceived ease of use of electronic medical records on user intention: The mediating role of nurses’ attitudes as users. Nursing Reports (Pavia, Italy), 11(1), 12–27. https://doi.org/10.3390/nursrep11010002
