Defense Date


Document Type


Degree Name

Doctor of Philosophy


Information Systems

First Advisor

Allen Lee


In the literature of information technology acceptance, much empirical evidence exists that is inconsistent with Technology Acceptance (TA) Models. The purpose of this study is to find out why the extant TA models fail to predict in reality as they purport to in theory. This research argues that the extant literature has not been able to explain how individuals actually form their perceptions about using an information technology. Since past research attempting to do this has been unsuccessful or empirically refuted, this research uses an interpretive case study to investigate the experiences of professionals’ adoption and use of an information technology. In particular, this study focuses on the adoption of an Electronic Medical Records System in a healthcare setting. The results of this interpretive investigation show that the interpretive understanding by the traditional TA models researchers is based on the faulty presumption that the people in the organizations are “monolithic users” or “rational decision makers”. This research provides a new interpretive understanding on the adoption and use of an information technology. The adoption and use of an information technology is an emergent phenomenon resulting from the interaction between the technology and the social actors’ different roles. Based on the interpretive understanding, a new positivist understanding is suggested.


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VCU University Archives

Is Part Of

VCU Theses and Dissertations

Date of Submission

May 2009