Adoption of the “Enova Santé” Hospital Information System by Head Nurses in Souss Massa, Morocco

Abstract

The integration of information technologies in the healthcare sector aims to enhance the quality of care, service efficiency, and clinical data management. Within this framework, hospitals in the Souss Massa region (Morocco) have deployed the hospital information system “ENOVA Santé”. Although the perceived benefits of this system are recognized, its adoption remains closely linked to the users’ involvement, particularly head nurses, whose role is essential in the deployment, appropriation, and dissemination of this technology within the nursing community. The present study examines the factors influencing the adoption of the “ENOVA Santé” by head nurses in hospitals in the Souss Massa region (Morocco).

 A quantitative explanatory design was employed, using a hypothetico-deductive approach based on the UTAUT model. Data were collected through a questionnaire completed by 81 participants and analyzed using the PLS-SEM method via SmartPLS 4 software.

Statistical analysis revealed that effort expectancy and social influence have a positive and significant effect on the intention to adopt ENOVA Santé, which in turn significantly influences the actual adoption of the system. In contrast, performance expectancy and facilitating conditions showed no significant relationship with adoption.

These findings highlight the need to implement targeted strategies, including strengthening user engagement, mobilizing opinion leaders, maintaining strong organizational support, and improving the system's usability and security. While this research is limited to the local context studied, it paves the way for future research at a broader geographical scale and among more diverse populations.