醫事人員對新一代數位學習系統接受度之影響因素：南部某教學醫院實證研究

Exploring the Factors Influencing Healthcare Professionals' Acceptance of the Next-Generation e-Learning System: An Empirical Study of a Teaching Hospital in Southern Taiwan

因資訊科技的進步與COVID-19疫情的推波助瀾，個案醫院與時俱進，整合資訊與通訊技術和多媒體，推動新一代的e-learning數位學習系統，突破時間、空間，以及疫情下各種預防隔離措施的各種限制，提供醫院各類醫療人員持續不中斷的在職訓練服務。本研究以個案醫院推動新系統為標的，探討與分析如何有效地讓新系統在醫院內被多數醫療人員所採用，並於組織內快速擴散的關鍵成功因素；同時，輔以實地觀察探討不利系統推動的因素。採用橫斷式研究，七個職類醫事人員自願且匿名參與問卷調查，共回收150份有效問卷。樣本特徵顯示參與者填報性別以女性居多（85.3%），所屬的醫事職類以護理部居多（66.7%），年齡以41歲至50歲居多（44.0%）。採用SmartPLS進行模式驗證，整體模式解釋力達72%。由路徑分析得到的結果顯示，有利於提升醫療人員對新一代數位學習系統的正向態度，並促進其使用意圖的關鍵成功因素為相對優勢、認知有用性、認知易用性、社會影響與外部環境因素。新系統的介面友善和容易操作，將有助於醫事人員運用新系統來提升工作績效；同時，醫事人員實際感受到新系統對在職訓練帶來好處，使醫事人員對新系統具有好感，並增強其使用意圖。研究結果有助於提供各醫院管理階層在實施新系統時之參考，有效找出影響新系統實施的促進因子，有助於引領變革代理人設計與祭出有效的配套措施，透過良好的管理活動加速後續系統的推動和擴散，使系統能被使用者全面採用，並發揮資訊電腦系統的實施效益。

The rapid advancement of information technology, coupled with the accelerating effects of the COVID-19 pandemic, has necessitated that hospitals adopt innovative approaches to staff training. In response, the case hospital integrated Information and Communications Technology with multimedia to implement a next-generation digital learning system. This system was designed to transcend the constraints of time, space, and preventive quarantine measures imposed by the pandemic, thereby ensuring the uninterrupted continuation of in-service training for healthcare professionals. This study investigates the implementation of the new system in the case hospital, with a focus on identifying and analyzing the critical success factors that have facilitated widespread adoption among healthcare staff and contributed to the rapid diffusion of the system within the organization. Additionally, this research incorporates field observations to explore the factors that may impede the system's implementation. A cross-sectional survey was conducted, involving 150 healthcare professionals who voluntarily and anonymously completed a questionnaire. The analysis of sample characteristics indicated that the majority of respondents were female (85.3%), predominantly from the nursing department (66.7%), with most participants aged between 41 and 50 years (44.0%). The study utilized SmartPLS V4 for model validation, with the overall model explaining 72% of the variance. The findings reveal that key success factors for fostering positive attitudes towards the digital learning system and enhancing the intention to use it include Relative Advantage, Perceived Usefulness, Perceived Ease of Use, Social Influence, and External Envirolllllental Factors. The user-friendly interface of the new system was found to significantly contribute to improved productivity and efficiency among healthcare professionals. Moreover, the perceived benefits of the system for in-service training positively influenced staff attitudes and increased their intention to utilize the system. The results of this study provide valuable insights for hospital management in the implementation of new systems, enabling the identification of key facilitators that enhance system adoption. These insights are particularly relevant for change agents tasked with designing and implementing effective support measures. Through strategic management activities, the promotion and diffusion of the system can be accelerated, ensuring that it is fully adopted by users and that its potential benefits are realized.