Abstract:

Selayang Hospital has been the pioneer in the implementation of Total Hospital Information System (THIS) as an integrated care delivery system in Malaysia. However, shifting from the conventional method of reporting and organizing data and records using pen and paper to a computerized system was not an easy process. User’s acceptance and satisfaction play essential roles in the success of the system. The major problem with THIS is the system performance and capabilities which influence the level of acceptance and satisfaction among the users of THIS. Therefore, the primary concern of this study is to examine the mediating role of nurses’ satisfaction in the relationship between perceived usefulness, ease of use and system capability with performance of clinical tasks. This cross-sectional study was conducted in the Selayang Hospital. Data were collected from participants who  were nurses working in various disciplines in the hospital. Four hypotheses were formulated  to guide this study. The findings suggest that perceived usefulness is related with nurses’ satisfaction, ease of use is related with nursers’ satisfaction, system capability is related to nurses’ satisfaction and nurses’satisfaction related to performance of clinical tasks and therefore all four hypotheses are supported. However, it is recommended that caution be taken in crediting the level of acceptance solely from predicting the capabilities and successfulness of a system. Other factors such as the users’ attitude, intention to use and the influence of trust towards the system should be further explored.