The Effects of Technostress and Self-Efficacy on E-Kinerja Adoption: The Mediating Role of Resistance to Innovation Among Employees of RSUD Provinsi NTB (Provincial General Hospital of West Nusa Tenggara)
Abstract
This study examines the effect of technostress and self-efficacy on E-Kinerja adoption with resistance to innovation as a mediating variable among healthcare workers at RSUD Provinsi NTB. A quantitative, associative-causal design was used with 195 respondents selected through proportionate stratified random sampling. Data were collected via a five-point Likert-scale questionnaire and analyzed using PLS-SEM (SmartPLS 4.0). Results show that technostress has a positive and significant direct effect on adoption, though contrary to the hypothesized negative direction, while self-efficacy has a strong positive effect on adoption. Technostress increases resistance to innovation, while self-efficacy reduces it. Resistance to innovation negatively affects adoption. Mediation analysis reveals that resistance to innovation acts as a competitive mediator between technostress and adoption, and as a complementary partial mediator between self-efficacy and adoption. These findings indicate that successful E-Kinerja adoption depends not only on technological readiness, but also on users' psychological factors, particularly technological pressure, self-belief, and openness to innovation.
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