Babali Nursing Research
Vol. 7 No. 3 (2026): July

Electronic Health Record Acceptance Among Healthcare Workers: A TAM/UTAUT-Based Scoping Review

Risky Kusumawardhani (Universitas Jember, Jember, Indonesia)
Muhamad Zulfatul A'la (Universitas Jember, Jember, Indonesia)
Iis Rahmawati (Universitas Jember, Jember, Indonesia)



Article Info

Publish Date
31 Jul 2026

Abstract

Background: EHR acceptance among healthcare workers is a critical determinant of successful digital health transformation. Systematic mapping of EHR acceptance determinants, particularly the roles of digital literacy and nurse characteristics within TAM/UTAUT frameworks over the past five years, remains limited. Methods: A scoping review design was chosen to map heterogeneous TAM/UTAUT evidence rather than to pool effect sizes. Following JBI methodological guidance and reported per PRISMA-ScR, a systematic search across three databases (PubMed, Scopus, SpringerLink) identified 1,682 articles; after database-specific filters, 172 articles were identified for screening. Following deduplication (n=10), title/abstract screening (n=109 excluded), and full-text eligibility assessment (n=38 excluded), 15 articles were included in the final synthesis with JBI critical appraisal. Results: Synthesis yielded three key findings: (1) perceived usefulness (PU) and perceived ease of use (PEOU) were identified as consistent cross-contextual predictors across all 15 studies (100%); (2) digital literacy demonstrated the largest effect sizes in this literature (ISL is associated with PEOU, β=0.782); and (3) individual characteristics and organizational factors functioned as contextual moderators. Only 4 of 15 studies (26.7%) exclusively targeted nurses. Conclusion: Despite nurses being the largest EHR user group, only 26.7% of studies focused exclusively on nurses, underscoring the need for TAM-SEM research integrating digital literacy and nurse characteristics in the Indonesian context.

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Journal Info

Abbrev

BNR

Publisher

Subject

Nursing

Description

The Babali Nursing Research provides a forum for original research and scholarship about health care delivery, organisation, management, workforce, policy and research methods relevant to nursing, midwifery and other health related professions. The BNR aims to support evidence informed policy and ...