Modeling the Experience of a Hospital’s Employees with their Health Information System

Abstract

Health Information Systems (HIS) have been shown to enhance hospital workflow, efficiency, and patient care by providing healthcare staff with timely access to critical information. Several studies have assessed the satisfaction and usability of such systems (e.g., Electronic Health Records, Patient Portals) from the perspectives of patients, physicians, or nurses. Still, few have incorporated both clerks, physicians, and nurses in one assessment. Thus, this research examines healthcare personnel's satisfaction with the usability of the Health Information System based on several key constructs that influence behavior. A rapid review was conducted to determine the factors influencing usability and satisfaction. The results of the review were used to design a pilot survey that was conducted in May 2024 to collect data on end-user usability and satisfaction with the HIS at the American University of Beirut Medical Center (AUBMC). The descriptive analysis results of the first phase showed that end-users agree that the HIS is useful and easy to use, and they are generally satisfied; however, they face certain issues, such as frequent interruptions. In this research, we propose an extended Technology Acceptance Model (TAM) that incorporates workload and interruption to measure overall satisfaction through hypothesis formulation. First, we performed a primary exploratory factor analysis to gain an overview of the loadings and deduce their respective constructs. We then checked the reliability and validity of the constructs, and all the outputs were satisfactory, except for perceived usefulness. Moreover, after visualizing the model, we deduced that it highly predicts satisfaction. Additionally, with an increase in workload, the attitude toward the system may decrease, which in turn will lower overall satisfaction.