The Effects of Technostress and Self-Efficacy on E-Kinerja Adoption: The Mediating Role of Resistance to Innovation Among Employees of RSUD Provinsi NTB (Provincial General Hospital of West Nusa Tenggara)

Rismaramdhani Zafarina (Universitas Mataram, Mataram, Indonesia)
Santi Nururly (Universitas Mataram, Mataram, Indonesia)
Dwi Putra Buana Sakti (Universitas Mataram, Mataram, Indonesia)

IIJSE
Vol 9 No 2 (2026): Sharia Economics

This study examines the effect of technostress and self-efficacy on E-Kinerja adoption with resistance to innovation as a mediating variable among healthcare workers at RSUD Provinsi NTB. A quantitative, associative-causal design was used with 195 respondents selected through proportionate stratified random sampling. Data were collected via a five-point Likert-scale questionnaire and analyzed using PLS-SEM (SmartPLS 4.0). Results show that technostress has a positive and significant direct effect on adoption, though contrary to the hypothesized negative direction, while self-efficacy has a strong positive effect on adoption. Technostress increases resistance to innovation, while self-efficacy reduces it. Resistance to innovation negatively affects adoption. Mediation analysis reveals that resistance to innovation acts as a competitive mediator between technostress and adoption, and as a complementary partial mediator between self-efficacy and adoption. These findings indicate that successful E-Kinerja adoption depends not only on technological readiness, but also on users' psychological factors, particularly technological pressure, self-belief, and openness to innovation.