Health Information Technology Usability and Nurses’ Job Satisfaction in Vietnam: The Indirect Role of Career Adapt-Abilities

The Mediating Role of Career Adapt-Abilities

Abstract

Purpose – This study examined the associations among health information technology usability, Career Adapt-Abilities, and nurses’ job satisfaction in selected hospitals in Vietnam and examined whether Career Adapt-Abilities statistically accounted for part of the association between health information technology usability and job satisfaction.

Method – A quantitative cross-sectional descriptive-correlational design was used. Data were collected from 250 staff nurses using the Health Information Technology Usability Evaluation Scale, the Career Adapt-Abilities Scale, and the Minnesota Satisfaction Questionnaire–Short Form. Descriptive statistics, Spearman’s rank-order correlation, multiple linear regression, and a cross-sectional indirect-effect analysis were performed using jamovi version 2.3.28.

Results – Health information technology usability was positively associated with Career Adapt-Abilities (ρ = .683, p < .001) and nurses’ job satisfaction (ρ = .653, p < .001). Career Adapt-Abilities were strongly associated with job satisfaction (ρ = .758, p < .001). Health information technology usability and Career Adapt-Abilities jointly explained 69.1% of the variance in job satisfaction. The indirect association through Career Adapt-Abilities was significant (β = .439, p < .001), while the direct association remained significant (β = .269, p < .001).

Conclusion – Nurses’ job satisfaction was associated with both technology usability and personal adaptive resources. Because the data were cross-sectional and self-reported, the findings should not be interpreted as establishing temporal or causal mediation, and generalizability beyond the selected hospitals is limited.

Recommendations – Hospitals should improve system usability, workflow integration, technical support, and nurse involvement in system evaluation.

Practical Implications – Hospitals should strengthen Career Adapt-Abilities through digital competency training, mentoring, peer learning, and supportive supervision.

Research Implication – The findings support integrated models that examine technological and psychosocial resources together when explaining nurses’ work outcomes during digital transformation.