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Deep Structure Usage of Electronic Patient Records: Enhancing the Influence of Nurses' Professional Commitment to

Hao-Yuan Chang1,2,3, Guan-Ling Huang4, Yea-Ing Lotus Shyu5

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Summary
This summary is machine-generated.

Deep integration of electronic patient records aids nurse retention by enhancing affective commitment, not continuance commitment. Improved systems help ease workload and keep nurses in their roles.

Keywords:
electronic patient recordsnurseprofessional commitmentregressionsurveysystem usageturnover intentionworkforce

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Area of Science:

  • Nursing
  • Health Informatics
  • Organizational Behavior

Background:

  • Global nurse shortages are worsened by organizational turnover.
  • The role of deep structure usage of electronic patient records (EPR) in mitigating nurse turnover intention is underexplored.
  • Understanding the moderating impact of EPR integration on professional commitment and turnover intention is crucial.

Purpose of the Study:

  • To examine the relationship between deep structure usage of EPR and nurses' turnover intention.
  • To investigate the moderating effect of deep structure usage on the association between affective, continuance, and normative commitment and turnover intention.

Main Methods:

  • A cross-sectional survey was conducted with 417 full-time nurses using proportionate random sampling by ward unit.
  • Data were collected via self-administered questionnaires.
  • Hierarchical regression analyses were employed to test the study hypotheses.

Main Results:

  • Deep structure usage of EPR was not directly associated with organizational turnover intention (β = -0.07, p = 0.06).
  • Deep structure usage enhanced the effect of high affective commitment on turnover intention (β = -0.09, p = 0.04).
  • Deep structure usage mitigated the effect of low continuance commitment on turnover intention (β = 0.10, p = 0.01).

Conclusions:

  • Deep structure usage of EPR eases nurses' workload and promotes retention, primarily through affective commitment (attachment).
  • Continuance commitment (switching costs) did not significantly moderate this relationship.
  • Optimizing EPR systems for in-depth use is vital for nurse retention strategies.