Clinical Information Technology Acceptance in the Teaching Hospitals of Tehran: Influence of Nurses’ Attitude toward Knowledge Sharing

The use of Clinical Information Technology (CIT) has had a positive effect on general health systems and hospital Managements, particularly in the control and diagnosis of disease and management of patients. Despite initial favorable attitudes, many of the nurses have been doubts in their daily work when facing problems in use of informatics tools. this study was done to influence of nurses’ attitude toward knowledge sharing on clinical information technology acceptance. The study sample included all nurses of largest teaching hospitals in Tehran. About 226 nurses were selected as sample of this research. Data were collected using a questionnaire. To test the hypotheses and test the research community, the method of maximum likelihood was used structural equation modeling. The results showed that the attitude towards knowledge sharing has a positive impact to intention to use of' clinical information technology by nurses(p<0.05). Path analysis results indicate that organizational trust modifies the relationship between perceived threat to professional autonomy by nurses and their intention to use of clinical information technology(p<0.05). Based on findings, that hospital managers should create a suitable platform for increasing nursing staff in educational hospitals, because lack of sufficient staff does not provide the right opportunity for nurses to use clinical IT. Therefore, nurses are reluctant to use these systems due to their high level of engagement