Ashtari & Bellamy Health IT Applications Impact on Nurses DECISION SCIENCES INSTITUTE Health IT Applications Impact on Nurses’ Perception of Performance: Reviewing Organizational and Personality Factors Sadaf Ashtari California State University, Sacramento Email: sadaf.ashtari@csus.edu Al Bellamy Eastern Michigan University Email: abellamy@emich.edu ABSTRACT Applying information technology tools in the healthcare industry is an appropriate solution to integrate and record medical data and provide complete access of patients’ information. However, the effectiveness of these technologies depends on their successful implementation and adaptation. This study addresses the impact of result observability, autonomy, perceived barriers, task structure, privacy and security anxiety on the perception of the performance of nurses using IT applications in healthcare. Furthermore, the effects of nurses’ personality factors are examined as a moderator factors on the relationships between the organizational factors and nurses’ perception of performance. This study proposes a model of the relationship of organizational variables as predictor factors on the perception of performance with EMR among nurses. Multivariate linear regression was used to build models for the perception of EMR performance. Professional autonomy, privacy and security anxiety, and result observability are the best predictors for the nurses’ perception of performance relationship. Personality factors do not have a direct relationship with the perception of performance; however, they have moderator effects on the relationship of the organizational factors and the perception of EMR performance. Based on the findings of this study, the healthcare administrators could focus on increasing employee awareness about the results and tangible benefits of EMR applications and their effects on their performance. EMR development companies in collaboration with healthcare administrators could design the EMR applications more flexible in terms of professional autonomy and give the healthcare staff more freedom to make decisions and deliver care to patients. KEYWORDS : Technology infusion, Organizational theory, Task structure, Professional autonomy, Electronic Medical Record (EMR) INTRODUCTION The goal of nationwide, interoperable health information technologies is to support healthcare safety, enhance quality of care, and provide cost-effective health services for patients (US Department of Health and Human Services, 2009). 12920541