Predictors and outcomes of nurses' use of smartphones for work purposes

Abstract Recent studies have indicated that nurses use their smartphones for work purposes to enhance productivity. However, few theory-driven quantitative studies have examined factors associated with such use. This study aims to address this research gap by developing and testing a model based on the theory of planned behavior, organizational support theory, and IT consumerization theory. Hypothesis testing used structural equation modeling of survey data from 517 staff nurses employed in 19 tertiary-level general hospitals in the Philippines. Results showed that injunctive norm, descriptive norm, and perceived behavioral control were positively associated with intention to use smartphones for work purposes. Moreover, intention was positively associated with nurses' use of smartphones for work purposes. Interestingly, nurses' use of smartphones for work purposes was positively associated with perceived work productivity and perceived quality of care. An alternative model examines how perceived organizational support indirectly affects nurses’ use of smartphones for work purposes. The discussion considers theoretical and practical implications.

• Publication year

  2018

• Venue

  Computers in Human Behavior

• Publication date

  2018-07-01

• Fields of study

  Medicine, Computer Science, Psychology

• Identifiers
  DOI 10.1016/J.CHB.2018.03.008
• External record

  Open on Semantic Scholar

• Source metadata

  Semantic Scholar

• No claims are published for this paper.

• No concepts are published for this paper.

• Unified Theory of Acceptance and Use of Technology

  2020cited by this paper
• Bring Your Own Mobile Device (BYOD) to the Hospital: Layered Boundary Barriers and Divergent Boundary Management Strategies

  2017cited by this paper
• An examination of the causes, consequences, and policy responses to the migration of highly trained health personnel from the Philippines: the high cost of living/leaving—a mixed method study

  2017cited by this paper
• Nurse manager and student nurse perceptions of the use of personal smartphones or tablets and the adjunct applications, as an educational tool in clinical settings.

  2017influential reference
• Nurses' use of mobile instant messaging applications: A uses and gratifications perspective

  2017cited by this paper
• Smartphone Use by Nurses in Acute Care Settings

  2017influential reference
• A smartphone “app”-delivered randomized factorial trial targeting physical activity in adults

  2017cited by this paper
• Sociotechnical analysis of nurses' use of personal mobile phones at work

  2016influential reference
• Nurses' experiences of using a smart mobile device application to assist home care for patients with chronic disease: a qualitative study.

  2016influential reference
• Rethinking organizational learning orientation on radical and incremental innovation in high-tech firms

  2016cited by this paper
• Improving nurse-patient communication with patients with communication impairments: hospital nurses' views on the feasibility of using mobile communication technologies.

  2016cited by this paper
• RN workforce update: Current and long-range forecast.

  2016cited by this paper
• Calling in at work: Acute care nursing cell phone policies

  2016influential reference
• Augmented Reality Smart Glasses and Knowledge Management: A Conceptual Framework for Enterprise Social Networks

  2016cited by this paper
• Determinants of mobile consumers' perceived value of location-based advertising and user responses

  2016influential reference
• Wearable technologies: The role of usefulness and visibility in smartwatch adoption

  2016cited by this paper
• Nursing Performance and Mobile Phone Use: Are Nurses Aware of Their Performance Decrements?

  2015cited by this paper
• The ownership and clinical use of smartphones by doctors and nurses in the UK: a multicentre survey study

  2015influential reference
• Modeling factors explaining the acceptance, actual use and satisfaction of nurses using an Electronic Patient Record in acute care settings: An extension of the UTAUT

  2015cited by this paper
• Who will buy smart glasses? Empirical results of two pre-market-entry studies on the role of personality in individual awareness and intended adoption of Google Glass wearables

  2015cited by this paper
• Critical factors influencing physicians’ intention to use computerized clinical practice guidelines: an integrative model of activity theory and the technology acceptance model

  2015cited by this paper
• Less is not always more: The case of the 36-item short form of the Zimbardo Time Perspective Inventory

  2015influential reference
• Non-Work-Related Use of Personal Mobile Phones by Hospital Registered Nurses

  2015influential reference
• Investigating the resistance to telemedicine in Ethiopia

  2015cited by this paper
• Delivering Telemonitoring Care to Digitally Disadvantaged Older Adults: Human-Computer Interaction (HCI) Design Recommendations

  2015cited by this paper
• Prevalence of nutritional risk in the non-demented hospitalised elderly: a cross-sectional study from Norway using stratified sampling

  2015cited by this paper
• Effect of the customer experience on satisfaction with smartphones: Assessing smart satisfaction index with partial least squares

  2015cited by this paper
• Participatory Research as One Piece of the Puzzle: A Systematic Review of Consumer Involvement in Design of Technology-Based Youth Mental Health and Well-Being Interventions

  2015cited by this paper
• What factors determine therapists’ acceptance of new technologies for rehabilitation – a study using the Unified Theory of Acceptance and Use of Technology (UTAUT)

  2015cited by this paper
• Exploring the Relationship between IT Consumerization and Job Performance: A Theoretical Framework for Future Research

  2014cited by this paper
• Parent-child discrepancies in educational expectations: differential effects of actual versus perceived discrepancies.

  2014cited by this paper
• Nurses’ Shift Length and Overtime Working in 12 European Countries

  2014cited by this paper
• Using advanced mobile devices in nursing practice – the views of nurses and nursing students

  2014cited by this paper
• Dual Use of Mobile IT and Work-to-Life Conflict in the Context of IT Consumerization

  2014cited by this paper
• Factors influencing healthcare service quality.

  2014cited by this paper
• The use of smartphones in clinical practice.

  2014influential reference
• IT Consumerization: A Case Study of BYOD in a Healthcare Setting

  2014influential reference
• Differences in health, productivity and quality of care in younger and older nurses.

  2013cited by this paper
• The Effect of Private IT Use on Work Performance - Towards an IT Consumerization Theory

  2013cited by this paper
• Development and Validation of a Web-Based Survey on the Use of Personal Communication Devices by Hospital Registered Nurses: Pilot Study

  2013cited by this paper
• The Blurring Boundaries Of Work-Related And Personal Media Use: A Grounded Theory Study On The Employee's Perspective

  2013cited by this paper
• Introduction to Mediation, Moderation, and Conditional Process Analysis: A Regression-Based Approach

  2013cited by this paper
• Exploring Nurses’ Intention to Use a Computerized Platform in the Resuscitation Unit: Development and Validation of a Questionnaire Based on the Theory of Planned Behavior

  2012cited by this paper
• Model selection and psychological theory: a discussion of the differences between the Akaike information criterion (AIC) and the Bayesian information criterion (BIC).

  2012cited by this paper
• Sources of method bias in social science research and recommendations on how to control it.

  2012cited by this paper
• Nursing: Scope and Standards of Practice (2nd ed.)

  2012cited by this paper
• Are physicians likely to adopt emerging mobile technologies? Attitudes and innovation factors affecting smartphone use in the Southeastern United States.

  2012cited by this paper
• Determinants of Primary Care Nurses’ Intention to Adopt an Electronic Health Record in Their Clinical Practice

  2012influential reference
• Understanding physicians' acceptance of the Medline system for practicing evidence-based medicine: A decomposed TPB model

  2012cited by this paper
• Employing an extended Theory of Planned Behaviour to predict breastfeeding intention, initiation, and maintenance in White British and South-Asian mothers living in Bradford.

  2012cited by this paper
• Toward an understanding of construction professionals' acceptance of mobile computing devices in South Korea: An extension of the technology acceptance model

  2012cited by this paper
• ICU nurses' acceptance of electronic health records

  2011cited by this paper
• The adoption of mobile healthcare by hospital's professionals: An integrative perspective

  2011cited by this paper
• Hospital-Based Nurses’ Perceptions of the Adoption of Web 2.0 Tools for Knowledge Sharing, Learning, Social Interaction and the Production of Collective Intelligence

  2011influential reference
• Smartphones as smart pedagogical tools: Implications for smartphones as u-learning devices

  2011cited by this paper
• Three Cs in measurement models: causal indicators, composite indicators, and covariates.

  2011cited by this paper
• Information seeking

  2011cited by this paper
• Principles and practice of structural equation modeling, 3rd ed.

  2011cited by this paper
• The effect of organizational support, self efficacy, and computer anxiety on the usage intention of e-learning system in hospital

  2011cited by this paper
• The theory of planned behaviour: Reactions and reflections

  2011cited by this paper
• Nursing and information and communication technology (ICT): a discussion of trends and future directions.

  2011cited by this paper
• Health Information Technology in the Workplace: Findings From a 2010 National Survey of Registered Nurses

  2011cited by this paper
• The Effect of Hospital Electronic Health Record Adoption on Nurse-Assessed Quality of Care and Patient Safety

  2011cited by this paper
• Swedish district nurses' experiences on the use of information and communication technology for supporting people with serious chronic illness living at home : a case study

  2011cited by this paper
• Supporting evidence-based practice for nurses through information technologies.

  2010cited by this paper
• Unified Theory of Acceptance and Use of Technology: U.S. Vs. China

  2010cited by this paper
• Exploratory Factor Analysis: A Five-Step Guide for Novices

  2010cited by this paper
• Organisational influences on nurses' use of clinical decision support systems

  2010cited by this paper
• Cumulative and Career-Stage Citation Impact of Social-Personality Psychology Programs and Their Members

  2010cited by this paper
• Engagement with information and communication technology and psychological well-being

  2010cited by this paper
• The effect of organizational support on ERP implementation

  2010cited by this paper
• Nurse burnout and quality of care: cross-national investigation in six countries.

  2010cited by this paper
• Nurse perceptions of the quality of patient care: Confirming the importance of empowerment and job satisfaction

  2010cited by this paper
• Swedish District Nurses' experiences on the use of information and communication technology for supporting people with serious chronic illness living at home--a case study.

  2009cited by this paper
• Hospital nurse practice environment, burnout, job outcomes and quality of care: test of a structural equation model.

  2009cited by this paper
• A theoretical model of health information technology usage behaviour with implications for patient safety

  2009cited by this paper
• Factors influencing health information technology adoption in Thailand's community health centers: Applying the UTAUT model

  2009cited by this paper
• Social influence in the theory of planned behaviour: the role of descriptive, injunctive, and in-group norms.

  2009cited by this paper
• Using a modified technology acceptance model in hospitals

  2009cited by this paper
• Review Paper: The Impact of Mobile Handheld Technology on Hospital Physicians' Work Practices and Patient Care: A Systematic Review

  2009cited by this paper
• Peering into the “Magnum Mysterium” of Culture

  2009cited by this paper
• Predicting and Changing Behavior: The Reasoned Action Approach

  2009cited by this paper
• Practitioner Approaches to the Integration of Clinical Decision Support System Technology in Critical Care

  2009cited by this paper
• Job satisfaction and perceptions of quality of patient care, collaboration and teamwork in acute care hospitals.

  2009cited by this paper
• Data Imputation

  2009cited by this paper
• Nurses' Perceptions of the Impact of Electronic Health Records on Work and Patient Outcomes

  2008cited by this paper
• Intentions of Hospital Nurses to Work With Computers: Based on the Theory of Planned Behavior

  2008cited by this paper
• The Attitude–Behavior Relationship in Consumer Conduct: The Role of Norms, Past Behavior, and Self-Identity

  2008cited by this paper
• The acceptance and use of a virtual learning environment in China

  2008cited by this paper
• Enhancing nursing leadership in long-term care. A review of the literature.

  2008cited by this paper
• The Legacy of the Technology Acceptance Model and a Proposal for a Paradigm Shift

  2007cited by this paper
• Acceptance and adoption of the innovative use of smartphone

  2007influential reference
• Understanding information technology acceptance by individual professionals: Toward an integrative view

  2006influential reference
• Retention Strategies for Newly Hired Filipino Nurses

  2006cited by this paper
• Multicollinearity

  2005cited by this paper
• Electronic Health Records Documentation in Nursing: Nurses' Perceptions, Attitudes, and Preferences

  2004cited by this paper
• Nursing: Scope and Standards of Practice

  2004cited by this paper
• AIC and BIC

  2004cited by this paper
• Descriptive norms as an additional predictor in the theory of planned behaviour: A meta-analysis

  2003cited by this paper
• Hospital staffing, organization, and quality of care: cross-national findings.

  2002cited by this paper

• The Relationship Between Problematic Use of Social Networks, Perceived Stress, Distraction, and Self-Management in Nursing Students: A Cross-Sectional Study

  2026cites this paper
• Determinants of Chinese physicians’ engagement in narrative medicine: a comprehensive SEM-ANN analysis

  2026cites this paper
• Leveraging the twin transformation: the role of workplace information and communication technology use for employee green behavior

  2026cites this paper
• Extending the technology acceptance model: videoconferencing as a tool for stakeholder engagement

  2025cites this paper
• Nurse technology use and patient-care perceptions

  2025cites this paper
• Why do Employees (not) Support Enterprise Digital Transformation? A Transactional Theory of Stress Perspective

  2024cites this paper
• The Effects Resulting from Using WhatsApp in the Routines of Education Workers

  2024cites this paper
• Different roles of two kinds of digital coexistence: The impact of social presence on consumers' purchase intention in the live streaming shopping context

  2024cites this paper
• Different impacts of hedonic and utilitarian personal Internet usage behaviour on well‐being and work engagement: A daily examination

  2024cites this paper
• Workplace digitalization and workload: changes and reciprocal relations across 3 years

  2024cites this paper
• The Mediation Role of Convenience in Mobile Wallet Adoption

  2024cites this paper
• Employees’ BYOD Security Policy Compliance in the Public Sector

  2023cites this paper
• Issues regarding IT Consumerization: How Mixed IT Portfolios of Private and Business IT Components Cause Unreliability

  2023cites this paper
• Using an online community of practice to explore the informal use of mobile phones by health workers

  2023cites this paper
• Exploring the factors influencing Mobile‐based Ubiquitous System adoption in the Bangladesh RMG sector: A view through DOI and TOE

  2023cites this paper
• Information technology consumerization in primary healthcare delivery: antecedents, fit-viability and perceived empowerment

  2023cites this paper
• Integrated analysis of employee cooperation and conflict behaviors in the context of digital technology

  2023cites this paper
• Truth-telling with a smartphone: The effect of communication media in strategic interactions

  2023cites this paper
• Predicting healthcare professionals' intention to correct health misinformation on social media

  2022cites this paper
• Benefits and Risks of Shadow IT in Health Care: A Narrative Review of the Literature

  2022cites this paper
• Towards a wearable education: Understanding the determinants affecting students’ adoption of wearable technologies using machine learning algorithms

  2022influential citation
• Why would you use medical chatbots? interview and survey

  2022cites this paper
• A Virtual Net Locks Me In: How and When Information and Communication Technology Use Intensity Leads to Knowledge Hiding

  2022cites this paper
• The Impact of Airline’s Smart Work System on Job Performance of Cabin Crew

  2022cites this paper
• Elaboration, Cancer Worry, and Risk Perception Mediate the Association Between News Attention on the Internet and Intention to Uptake HPV Vaccination: Extending the Cognitive Mediation Model

  2021cites this paper
• Analysing Touchscreen Gestures: A Study Based on Individuals with Down Syndrome Centred on Design for All

  2021cites this paper
• The Influence of Situational Constraints on Consumers' Evaluation and Use of Online Reviews: A Heuristic-Systematic Model Perspective

  2021cites this paper
• Group‐based instant messaging in Finnish residential elder care work: Taming the technology or vice versa?

  2021cites this paper
• Unmet informatics needs of nurses regarding the use of personal smartphones in the workplace.

  2021cites this paper
• Title : Employees ’ behavioural intention to smartphone security : A gender-based , cross-national study

  2020cites this paper
• Patient-held health IT adoption across the primary-secondary care interface: a Normalisation Process Theory perspective

  2020cites this paper
• Policy recommendations on nurses' use of smartphones in the Philippines

  2020cites this paper
• Private life telepressure and workplace cognitive failure among hospital nurses: The moderating role of mobile phone presence.

  2020cites this paper
• Factors influencing internet usage for health purposes

  2020cites this paper
• Impact of human resources information systems in the military environment

  2020cites this paper
• How Does the Use of Information Communication Technology Affect Individuals? A Work Design Perspective

  2020cites this paper
• Use of Personal Communication Devices in Clinical Settings

  2020cites this paper
• Employees' behavioural intention to smartphone security: A gender-based, cross-national study

  2020influential citation
• Specific stressors relate to nurses' job satisfaction, perceived quality of care, and turnover intention.

  2020cites this paper
• Explicating Perceived Sustainability-Related Climate: A Situational Motivator of Pro-Environmental Behavior

  2019cites this paper
• Investigating and comparing the predictors of the intention towards taking security measures against malware, scams and cybercrime in general

  2019cites this paper
• Design and Evaluation of the Bed-Cleaning Mobile Application.

  2019cites this paper
• Nurses’ use of smartphones for work purposes in the Philippines : predictors, outcomes, and issues

  2019cites this paper
• Influence of Organizational Issues on Nurse Administrators’ Support to Staff Nurses’ Use of Smartphones for Work Purposes in the Philippines: Focus Group Study

  2019influential citation
• HABITS OF HIGHLY PRODUCTIVE INFORMATION SYSTEMS USERS: A LOOK AT ONE UNIVERSITY'S FACULTY, STAFF, AND STUDENTS

  2019cites this paper
• Use of smartphone and perception towards the usefulness and practicality of its medical applications among healthcare workers in Saudi Arabia

  2019cites this paper
• Assessing potential effects of daily cross-domain usage of information and communication technologies

  2019cites this paper
• Enhancing the Administration of an Early Intervention Educational Programme Through Technology; Exploring Usage, Acceptance and Attitudes

  2019cites this paper
• Gateless communication: A concept analysis.

  2019cites this paper
• Psychometric evaluation of the Smartphone for Clinical Work Scale to measure nurses’ use of smartphones for work purposes

  2018cites this paper
• Influence of parasocial relationship between digital celebrities and their followers on followers' purchase and electronic word-of-mouth intentions, and persuasion knowledge

  2018cites this paper