Author

  • Tang Song

    • Department of Human Resources, Affiliated Hospital of North Sichuan Medical College, Nanchong, China
    • China
  • Nor ‘Ain Bt Abdullah

    • Faculty of Business Management and Professional Studies, Management and Science University, Shah Alam, Malaysia
    • Malaysia
  • Zunirah Mohd Talib

    • Postgraduate Centre, Management and Science University, Shah Alam, Malaysia
    • Malaysia

Abstract

Against the backdrop of China’s smart-hospital initiative, this review examines how frontline employees’ AI acceptance translates into productivity. Synthesizing 31 empirical studies published between 2020 and 2024 across clinical and managerial settings, the evidence is synthesized and organized around four acceptance dimensions—awareness, understanding, trust, and skills—as framed by the Technology Acceptance Model (TAM), Protection Motivation Theory (PMT), and Person–Environment Fit (PE Fit) theory. Across studies, understanding and trust are most consistently linked with faster decisions and higher service quality; skills underpin effective workflow integration. Crucially, employee-AI–AI collaboration mediates these effects in most samples, converting favorable mind-sets into operational gains via shared diagnosis, decision support, and scheduling optimization. We discuss boundary conditions (leadership, culture, prior experience) and propose an integrated pathway from acceptance to collaboration to productivity. The review provides a conceptual baseline for an upcoming large-scale survey and offers actionable recommendations: prioritize trust-building, formalize collaboration protocols, and invest in continuous AI-skilling to fully realize AI's potential for enhancing productivity in smart hospitals.

Keywords

References

  • Bai, S., Zhang, X., Yu, D., & Yao, J. (2024). Assist me or replace me? Uncovering the influence of AI awareness on employees’ counterproductive work behaviors. Frontiers in Public Health, 12, 1449561. https://doi.org/10.3389/FPUBH.2024.1449561
  • Baroni, I., Re Calegari, G., Scandolari, D., & Celino, I. (2022). AI-TAM: a model to investigate user acceptance and collaborative intention in human-in-the-loop AI applications. Hum. Comput., 9(1), 1–21. https://doi.org/10.15346/HC.V9I1.134
  • Cadavid, J., Piana, D., & Abherve, A. (2024). Building Trust in AI Deployments in Healthcare. 2024 International Conference on Artificial Intelligence, Computer, Data Sciences and Applications (ACDSA), 1–6. https://doi.org/10.1109/ACDSA59508.2024.10467853
  • Chandio, S. A., Rehman, A. U., Bano, S., Hammed, A., & Hussain, A. (2024). Enhancing Trust in Healthcare: The Role of AI Explainability and Professional Familiarity. The Asian Bulletin of Big Data Management, 4(1). https://doi.org/10.62019/ABBDM.V4I1.100
  • Chen, C. H., & Lee, W. I. (2024). Exploring Nurses’ Behavioral Intention to Adopt AI Technology: The Perspectives of Social Influence, Perceived Job Stress and Human–Machine Trust. Journal of Advanced Nursing 81?7??3739-3752. https://doi.org/10.1111/JAN.16495
  • Chowdhury, S., Budhwar, P., Dey, P. K., Joel-Edgar, S., & Abadie, A. (2022). AI-employee collaboration and business performance: Integrating knowledge-based view, socio-technical systems, and organizational socialization framework. Journal of Business Research, 144, 31–49. https://doi.org/10.1016/j.jbusres.2022.01.069
  • Chowdhury, S., Dey, P., Joel-Edgar, S., Bhattacharya, S., Rodriguez-Espindola, O., Abadie, A., & Truong, L. (2023). Unlocking the value of artificial intelligence in human resource management through an AI capability framework. Human Resource Management Review, 33(1). https://doi.org/10.1016/j.hrmr.2022.100899
  • Chuang, S. (2024). Indispensable skills for human employees in the age of robots and AI. European Journal of Training and Development, 48(1–2), 179–195. https://doi.org/10.1108/EJTD-06-2022-0062
  • Ding, L. (2021). Employees’ challenge-hindrance appraisals toward STARA awareness and competitive productivity: a micro-level case. International Journal of Contemporary Hospitality Management, 33(9), 2950–2969. https://doi.org/10.1108/IJCHM-09-2020-1038
  • Dutta, D., & Mishra, S. K. (2024). Artificial intelligence-based virtual assistant and employee engagement: an empirical investigation. Personnel Review?54?3??913-934. https://doi.org/10.1108/PR-03-2023-0263
  • Hemmer, P., Schemmer, M., Kuhl, N., Vossing, M., & Satzger, G. (2025). Complementarity in Human-AI Collaboration: Concept, Sources, and Evidence. ArXiv, abs/2404.00029. https://doi.org/10.48550/ARXIV.2404.00029
  • Hornikel, A., Greiner, C., & Peisl, T. (2021). The Need to Collaborate: Opportunities for Human and AI Co-workers. International Conference on Computer-Human Interaction Research and Applications, CHIRA - Proceedings, 2021-October, 139–148. https://doi.org/10.5220/0010643700003060
  • Hou, K., Hou, T., & Cai, L. (2023). Exploring Trust in Human–AI Collaboration in the Context of Multiplayer Online Games. Systems, 11(5). https://doi.org/10.3390/systems11050217
  • Hou, T., Li, M., Tan, Y. (Ricky), & Zhao, H. (2024). Physician Adoption of AI Assistant. Manuf. Serv. Oper. Manag., 26, 1639–1655. https://doi.org/10.1287/MSOM.2023.0093
  • Jiang, N., Liu, X., Liu, H., Lim, E. T. K., Tan, C. W., & Gu, J. (2023). Beyond AI-powered context-aware services: the role of human–AI collaboration. Industrial Management and Data Systems, 123(11), 2771–2802. https://doi.org/10.1108/IMDS-03-2022-0152
  • Kang, D. Y., Hur, W. M., & Shin, Y. (2023). Smart technology and service employees’ job crafting: Relationship between STARA awareness, performance pressure, receiving and giving help, and job crafting. Journal of Retailing and Consumer Services, 73. https://doi.org/10.1016/j.jretconser.2023.103282
  • Kerasidou, C., Kerasidou, A., Buscher, M., & Wilkinson, S. (2022). Before and beyond trust: reliance in medical AI. Journal of Medical Ethics, 48(11), 852–856. https://doi.org/10.1136/MEDETHICS-2020-107095
  • Khaksar, S. M. S., Chu, M. T., Rozario, S., & Slade, B. (2023). Knowledge-based dynamic capabilities and knowledge worker productivity in professional service firms: The moderating role of organizational culture. Knowledge Management Research & Practice, 21(2), 241–258. https://doi.org/10.1080/14778238.2020.1794992
  • Kong, H., Yin, Z., Baruch, Y., & Yuan, Y. (2023). The impact of trust in AI on career sustainability: The role of employee-AI–AI collaboration and protean career orientation. Journal of Vocational Behavior, 146. https://doi.org/10.1016/j.jvb.2023.103928
  • Kong, H., Yuan, Y., Baruch, Y., Bu, N., Jiang, X., & Wang, K. (2021). Influences of artificial intelligence (AI) awareness on career competency and job burnout. International Journal of Contemporary Hospitality Management, 33(2), 717–734. https://doi.org/10.1108/IJCHM-07-2020-0789
  • Kumar, S., & Mittal, S. (2024). Employee learning and skilling in AI embedded organizations – predictors and outcomes. Development and Learning in Organizations, 38(4), 11–15. https://doi.org/10.1108/DLO-11-2023-0249
  • Liang, X., Guo, G., Shu, L., Gong, Q., & Luo, P. (2022). Investigating the double-edged sword effect of AI awareness on employees’ service innovative behavior. Tourism Management, 92. https://doi.org/10.1016/j.tourman.2022.104564
  • Makarius, E. E., Mukherjee, D., Fox, J. D., & Fox, A. K. (2020). Rising with the machines: A sociotechnical framework for bringing artificial intelligence into the organization. Journal of Business Research, 120, 262–273. https://doi.org/10.1016/j.jbusres.2020.07.045
  • Marikyan, D., Papagiannidis, S., Rana, O. F., Ranjan, R., & Morgan, G. (2022). “Alexa, let’s talk about my productivity”: The impact of digital assistants on work productivity. Journal of Business Research, 142, 572–584. https://doi.org/10.1016/j.jbusres.2022.01.015
  • McGrath, M. J., Duenser, A., Lacey, J., & Paris, C. (2025). Collaborative human-AI trust (CHAI-T): A process framework for active management of trust in human-AI collaboration. Computers in Human Behavior: Artificial Humans, 6, 100200. https://doi.org/10.1016/j.chbah.2025.100200
  • Morandini, S., Fraboni, F., De Angelis, M., Puzzo, G., Giusino, D., & Pietrantoni, L. (2023). The impact of artificial intelligence on workers’ skills: Upskilling and Reskilling in Organizations. Informing Science, 26, 39–68. https://doi.org/10.28945/5078
  • Parvez, M. O., Arasli, H., Ozturen, A., Lodhi, R. N., & Ongsakul, V. (2022). Antecedents of human-robot collaboration: theoretical extension of the technology acceptance model. Journal of Hospitality and Tourism Technology, 13(2), 240–263. https://doi.org/10.1108/JHTT-09-2021-0267
  • Patil, S., & Shankar, H. (2023). Transforming Healthcare: Harnessing the Power of AI in the Modern Era. International Journal of Multidisciplinary Sciences and Arts, 2(2), 60–70. https://doi.org/10.47709/IJMDSA.V2I1.2513
  • Pinski, M., Adam, M., & Benlian, A. (2023, April 19). AI Knowledge: Improving AI Delegation through Human Enablement. Conference on Human Factors in Computing Systems - Proceedings. https://doi.org/10.1145/3544548.3580794
  • Rafi, M., Aitken, J. M., Fatah, T. D., & Mailangkay, A. (2024). Analyzing The Impact of Generative AI on IT Employee Performance. 2024 3rd International Conference on Creative Communication and Innovative Technology (ICCIT), 1–7. https://doi.org/10.1109/ICCIT62134.2024.10701171
  • Simón, C., Revilla, E., Y Jesús Sáenz, M. (2024). Integrating AI in organizations for value creation through Human-AI teaming: A dynamic-capabilities approach. Journal of Business Research, 182?114783. https://doi.org/10.1016/j.jbusres.2024.114783
  • Stevens, A. F., & Stetson, P. (2023). Theory of trust and acceptance of artificial intelligence technology (TrAAIT): An instrument to assess clinician trust and acceptance of artificial intelligence. Journal of Biomedical Informatics, 148. https://doi.org/10.1016/J.JBI.2023.104550
  • Theis, S., Jentzsch, S., Deligiannaki, F., Berro, C., Raulf, A. P., & Bruder, C. (2023). Requirements for Explainability and Acceptance of Artificial Intelligence in Collaborative Work. Lecture Notes in Computer Science (Including Subseries Lecture Notes in Artificial Intelligence and Lecture Notes in Bioinformatics), 14050 LNAI, 355–380. https://doi.org/10.1007/978-3-031-35891-3_22
  • Tian, J., Li, H., Qi, Y., Wang, X., & Feng, Y. (2024). Intelligent medical detection and diagnosis assisted by deep learning. Applied and Computational Engineering, 64(1), 121–126. https://doi.org/10.54254/2755-2721/64/20241356
  • Upadhyay, N., Upadhyay, S., & Dwivedi, Y. K. (2022). Theorizing artificial intelligence acceptance and the digital entrepreneurship model. International Journal of Entrepreneurial Behavior and Research, 28(5), 1138–1166. https://doi.org/10.1108/IJEBR-01-2021-0052
  • Wang, F. J., Chiu, W., Tseng, K. F., & Cho, H. (2023). The roles of employee–employee collaboration and employee–customer collaboration in fitness service innovation: a comparison of frontline and non-frontline employees. International Journal of Sports Marketing and Sponsorship, 24(4), 793–813. https://doi.org/10.1108/IJSMS-12-2022-0206
  • Wang, P., Keat, O. B., & Talib, Z. M. (2024). Evaluation and Regional Differences of Urban Green Development in Henan Province. International Journal of Social Sciences and Public Administration, 3(1), 247–256. https://doi.org/10.62051/ijsspa.v3n1.36
  • Weisz, E., Herold, D. M., Ostern, N. K., Payne, R., & Kummer, S. (2024). Artificial intelligence (AI) for supply chain collaboration: implications on information sharing and trust. Online Information Review?49?1??164-181. https://doi.org/10.1108/OIR-02-2024-0083
  • Zhang, G. W., Gong, M., Li, H. J., Wang, S., & Gong, D. X. (2023). The “Trinity” smart hospital construction policy promotes the development of hospitals and health management in China. Frontiers in Public Health, 11. https://doi.org/10.3389/FPUBH.2023.1219407/PDF

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How to Cite

Song, T., Bt Abdullah, N. ‘Ain, & Mohd Talib, Z. (2025). The Impact of Employees’ AI Acceptance on Productivity in the Construction of Smart Hospitals: The Mediating Role of Collaboration. Information Management and Business Review, 17(4(I), 212-221. https://doi.org/10.22610/imbr.v17i4(I).4779

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Research Paper

Published

2025-11-23

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