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A total of 500 questionnaires were distributed, 396 (79.2 percent) questionnaires were returned. Consequently, 378 usable questionnaires were analyzed in this study, with a usable response rate of 75.6 percent. Collected data were analyzed using structural equation modeling.<\/jats:p><\/jats:sec><jats:sec><jats:title content-type=\"abstract-heading\">Findings<\/jats:title><jats:p>\u2013 Information quality, system quality, support service quality, and instructor quality contribute significantly to perceived usefulness (PU), confirmation, and flow, which together explain nurses\u2019 satisfaction with the usage of the blended e-learning system, and this in turn leads to their continued system usage intention.<\/jats:p><\/jats:sec><jats:sec><jats:title content-type=\"abstract-heading\">Originality\/value<\/jats:title><jats:p>\u2013 First, the application of the ECM with the view of updated DeLone and McLean IS success model reveals deep insights into quality evaluation (including information quality, system quality, and support service quality) in the field of nurses\u2019 e-learning continuance intention. Especially, this study additionally contributes to the identification of instructor quality that may lead to nurses\u2019 continued blended e-learning usage intention. Next, the empirical evidence on capturing both extrinsic motivator (i.e. PU) and intrinsic motivator (i.e. flow) for completely explaining quality antecedents of nurses\u2019 blended e-learning continuance intention is well documented.<\/jats:p><\/jats:sec>","DOI":"10.1108\/itp-01-2013-0024","type":"journal-article","created":{"date-parts":[[2014,7,24]],"date-time":"2014-07-24T12:35:38Z","timestamp":1406205338000},"page":"230-258","source":"Crossref","is-referenced-by-count":144,"title":["Extending the expectation-confirmation model with quality and flow to explore nurses\u2019 continued blended e-learning intention"],"prefix":"10.1108","volume":"27","author":[{"given":"Yung-Ming","family":"Cheng","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"140","reference":[{"key":"key2020123022304107100_b1","doi-asserted-by":"crossref","unstructured":"Adams, D.A. , Nelson, R.R. and Todd, P.A. 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