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Journal : Journal Of Nursing Practice

Analysis Determinant Factors of Use Behavior of the Hospital Management Information System (HIS) with Behavioral Intention as Mediation at General Hospital Dr. Iskak Tulungagung Agus Wahyudi; Ratna Wardani; Sri Suhandiah
Journal Of Nursing Practice Vol. 8 No. 3 (2025): April
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v8i3.548

Abstract

Background: The basis of this research problem comes from the importance of understanding the factors that influence the use of Hospital Management Information Systems (HIS). The adoption of HIS has direct implications for the operational efficiency and quality of health services provided by hospitals. Purpose: This research is to analyze the influence of Performance Expectancy, Effort Expectation and Social Influence on Use Behavior of the Hospital Management Information System with Behavioral Intention as mediation. Methods: Quantitative observational research with a cross sectional approach. The total population is 650 respondents and the sample is 248 respondents taken using the Stratified Random Sampling technique. Results: The results of the Multiple Linear Regression analysis showed that with a p-value of 0.000, it was concluded that there was an influence of Performance Expectancy, Effort Expectation and Social Influence on the Behavioral Intention of the Hospital Management Information System with an influence size 80.1%. The p-value is 0.000, so it can be concluded that there is a partial influence of Behavioral Intention on Use Behavior of the Hospital Management Information System with an influence size 87.4%. Conclusion: Engaging in intensive training, utilizing support resources, and providing open questions and input during implementation can accelerate the adaptation of the Hospital Management Information System at Hospital, has had a positive impact on improving the quality of health services.
Organizational Culture with Individual Readiness as a Mediator for Championing Behavior Electronic Medical Record Implementation Ratna Wardani; Ulfa Tarbiati; Sri Suhandiah
Journal Of Nursing Practice Vol. 7 No. 2 (2024): April
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v7i2.374

Abstract

The dynamism of the application information technology in the health sector, especially in hospitals, which is currently being developed is the electronic medical record (EMR). Global competition in the era of industrial revolution 4.0 makes all hospitals have to be ready for the changes that will occur in the management of medical record management. This study aims to analyze the influence of organizational culture with individual readiness as a mediator on championing behavior in the implementation of electronic medical records (EMR) at Muhammadiyah Hospital. Respondents amounted to 133 people consisting of professional health workers who will later be involved implementation of EMR. The research instrument was in the form of a questionnaire via a google form link. Analysis using SEM (structural equation model) with Lisrel. The results showed that organizational culture significantly affected individual readiness (?=0.67, t-value=7.40). Organizational culture has a significant effect on championing behavior (?=0.42, t-value=4.10). Individual readiness significantly affects championing behavior (?=0.48 , t-value = 4.56). Individual readiness is also a significant mediator of the relationship between organizational culture and championing behavior (complementary mediation type). A strong organizational culture will support the readiness of the organization's planned changes. A strong organizational culture also influences behavior to fight for the success of the change plan. Through individual readiness, organizational culture influences behavior to fight for the successful implementation of EMR. So, organizations need to prepare individuals well for the success of the change plan. Keywords : Championing Behavior, EMR, Organizational Culture, Readiness for Change