Factors that drive successful electronic health record implementation among aging nurses

Objective: The purpose of this study is to identify the factors that drive EHR acceptance among nurses aged 55 years and older. Design: A Technology Acceptance Model (TAM) based questionnaire was administered to the nursing staff of a Canadian healthcare facility that had adopted a new EHR system three years prior. Results: A total of 126 nurses completed the survey (28% response rate). Using partial least squares analysis and multi-group comparison analysis, significant differences were found in acceptance factors among various age groups. The most significant factors for nurses 55+ were the subjective norms within the organization, the image/status the system could bring to the worker, and the perceived ease of use of the system. Conclusions: To better tailor future EHR implementations to the increasing number of older nurses in the workforce, managers must: display clear support for the system themselves, as well as underscore the ease of the system and the status it can bring to the worker within the organization.