Document Type: Original Article


1 Ph.D., Assistant Professor, Management group, Payame Noor University, Tehran, Iran

2 M.Sc. Student of Public administration, Payame Noor University, Tehran, Iran

3 M.S. of Management, Payame Noor Tehran Gharb University, Tehran, Iran


Introduction: Nurses’ use of IT can help reduce errors and increase productivity in providing patient care.  This has some important benefits for both the individual and the organization. The aim of this study is to investigate the relationship between the characteristics of the nursing information system with satisfaction with the information systems and the job performance of nurses.
Method: The present study is a practical, descriptive-survey one in terms of its objective and data collection, respectively. The data collection instrument was a standard questionnaire to which 349 working nurses at health centers of Tehran University of Medical Sciences responded.  Data were analyzed using structural equation test and PLS software.
Results: The results suggest that there is a significant correlation between the perceived usefulness of information system (β=0.18), perceived ease of use (β=0.12), perceived trust (β=0.08), information system quality (β=0.19), service quality (β=0.15), information security quality (β=0.41) and nurses’ satisfaction; however, the information quality did not have a significant relationship with nurses’ satisfaction (p≥ 0.05). The nurses’ satisfaction with the information system had a direct and significant relationship with their performance (β=0.14).
Conclusion: The results showed that the nurses’ perception of NIS performability (perceived usefulness, perceived ease of use, perceived trust) as well as the technological capability of NIS achieving success (system quality, service quality, information security quality) affects their satisfaction in using the information system. Also, nurses’ satisfaction in using the information system can also affect their job performance.


  1. Ammenwerth  E, Rauchegger F,  Ehlers F,  Hirsch B,  Schaubmayr  C. Effect of anursing information system on the quality of information processing in nursing: an evaluation study using the HIS-monitor instrument. International Journal of Medical Informatics 2011; 80 (1): 25-38.
  2. Urquhart C, Currell R, Grant MJ, Hardiker NR.  Nursing record systems: effects on nursing practice and healthcare outcomes. Cochrane Database Syst Rev 2009; (1): 99.
  3. Lu C H, Hsiao J L, Chen R F.  Factors determining nurse acceptance of hospital information systems. Computers Informatics Nursing 2012; 30(5): 257-264.
  4. Hsiao Ju-Ling Chang, Hui-Chuan; Chen, Rai-Fu.  A Study of Factors Affecting Acceptance of Hospital Information Systems: A Nursing Perspective.  Journal of Nursing Research 2011; 19(2): 150-160.
  5. Lu X.H., Huang L.H., Heng M.S.H. Critical success factors of inter-organizational information systems-A case study of Cisco and Xiao Tong in
     China. Information & Management 2006; 43: 395–408.
  6.  Chiotaki N, Kafas P.  Evaluation of a Greek National Hospital Information System: AProspective Study. Res J Applied Sci 2007; 2 (9):1007–1011.
  7. Cheng Lin H, Yuan Chiou J, Chen Chen CH, Wei Yang CH. Understanding the impact of nurses’ perception and technological capability on nurses’ satisfaction with nursing information system usage: A holistic perspective of alignment. Journal of Computers in Human Behavior. 2016; 57: 143-152.
  8. Nunnally J C, Bernstein I H. Psychometric Theory, 3rd ed. McGraw-Hill Inc., New York.1994.
  9. Falk R, Miller N. Aprimer for soft modeling. Akron, ohio: University of Akron press; 1992.
  10. Davis F D.  Percieved usefulness, perceived ease of use, and user acceptance of information technology. MIS Quarterly 1989; 13(3): 319-340.
  11. Delone WH, Mclean ER. Information systems success: the quest for the dependent variable. Information Systems Research 1992; 3(1): 60-95.
  12. Ebrahimpour Sadagheyani H, Hajavi A. Analysis of patient information cycle in mechanized Hospitals information system. 2004; 4(2): 19-22. (Persian)
  13. Laerum H, Karlsen TH, Faxvaag A. Use of and attitudees to ahospital information systems by medical
    secretaries, nurses and physicians deprived of the paper based medical record: acase report. BMC Med Inform Decis Mak 2004; 16: 4- 18.
  14. Garg AX, Adhikari NK, McDonald H, Rosas-Arellano MP,  Devereaux PJ,
    Beyene J, et al. Effects of computerized clinical decision support systems on practitioner performance and patient outcome : a systematic review. JAMA 2005; 293(10): 1223-38.