Cybersecurity Perception, Work Motivation, and Nurses’ Readiness to Adopt Electronic Health Records: A Cross-Sectional Path Analysis
Mervat Abd Elmonem Noeman Aref, Boshra Karem Mohamed El-Sayed, Ahmed Abdelwahab Ibrahim El-Sayed, Ayman Ateq Alamri, Hana Khaled ALOtheimin, Hanadi Dakhilallah, Lamiaa Abd El Hakeem Ali Ahmed, Eman Ismail Ibrahim ElksasBackground
Nurses’ readiness to adopt Electronic Health Records (EHRs) is important for successful digital health transformation. Cybersecurity perception and work motivation may be associated with EHR readiness; however, the interrelationships among these factors remain insufficiently understood.
Aim
To examine the associations among cybersecurity perception, work motivation, and nurses’ readiness to adopt EHRs and to assess the hypothesized indirect association between cybersecurity perception and EHR readiness through work motivation.
Methods
A descriptive, cross-sectional study was conducted in 2024 among 330 nurses from three tertiary hospitals in Egypt. Data were collected using validated self-administered questionnaires assessing cybersecurity perception, work motivation, and EHR readiness. An observed-variable path analysis within the Structural Equation Modeling (SEM) framework was used to examine the hypothesized direct and indirect associations among the variables.
Results
Cybersecurity perception was positively associated with work motivation (B = 0.205, p < 0.001) and EHR readiness (B = 0.225, p < 0.001). Work motivation was positively associated with EHR readiness (B = 0.150, p = 0.004). A significant indirect association between cybersecurity perception and EHR readiness through work motivation was observed (B = 0.031, 95% bias-corrected bootstrap CI: 0.022–0.180, p < 0.001), consistent with the hypothesized mediation model. The total association between cybersecurity perception and EHR readiness was B = 0.256 (p < 0.001).
Conclusions
Cybersecurity perception and work motivation were positively associated with nurses’ readiness to adopt EHRs. The observed indirect association through work motivation was consistent with the hypothesized mediation model; however, given the cross-sectional design, the findings do not establish temporal ordering or causal mediation. These findings highlight cybersecurity perception and work motivation as relevant factors to consider in strategies aimed at supporting nurses’ readiness for EHR adoption.