Nurses’ Acceptance of the e-kinerja System: A Technology Acceptance Model Approach in Hospital Settings

Background: Digital transformation in healthcare has accelerated the implementation of electronic performance management systems to improve organizational efficiency, workforce accountability, and healthcare service quality. However, evidence regarding nurses’ acceptance of digital performance management applications remains limited, particularly in developing countries. This study aimed to describe nurses’ acceptance of the eKinerja application using the Technology Acceptance Model (TAM) at a tertiary referral hospital in Indonesia.

Methods: This study employed a quantitative descriptive design with a cross-sectional approach. A total of 519 nurses at Aceh Government Regional General Hospital were recruited using a total sampling technique. Data were collected using structured questionnaires consisting of demographic characteristics and TAM dimensions, including perceived usefulness, perceived ease of use, attitude toward use, and user acceptance. Data were analyzed using descriptive statistics, including frequency distributions, percentages, means, and standard deviations.

Results: Most respondents were female (80.9%), aged 30– 39 years (73.8%), held a professional nursing degree (49.7%), and had 8–15 years of working experience (43.9%). The majority of respondents were Government Employees with Work Agreements (75.3%) and had never attended eKinerja training (72.1%). Overall implementation of the eKinerja application was categorized as good in 93.1% of respondents (mean = 154.72 ± 35.74). Among the TAM dimensions, attitude toward use showed the highest proportion in the good category (92.1%), followed by perceived ease of use (91.1%) and perceived usefulness (90.9%). User acceptance was also categorized as good in 84.0% of respondents.

Conclusion: Nurses demonstrated high acceptance of the eKinerja application across all TAM dimensions, indicating positive perceptions regarding usefulness, ease of use, attitudes toward use, and user acceptance. These findings highlight the importance of user-friendly digital systems, organizational support, and continuous training programs to strengthen technology acceptance and optimize digital transformation in healthcare institutions.