Cargando…
Technology adoption and implementation in organisations: comparative case studies of 12 English NHS Trusts
OBJECTIVES: To understand organisational technology adoption (initiation, adoption decision, implementation) by looking at the different types of innovation knowledge used during this process. DESIGN: Qualitative, multisite, comparative case study design. SETTING: One primary care and 11 acute care...
Autores principales: | , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Group
2012
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3329608/ https://www.ncbi.nlm.nih.gov/pubmed/22492183 http://dx.doi.org/10.1136/bmjopen-2012-000872 |
_version_ | 1782229867684691968 |
---|---|
author | Kyratsis, Yiannis Ahmad, Raheelah Holmes, Alison |
author_facet | Kyratsis, Yiannis Ahmad, Raheelah Holmes, Alison |
author_sort | Kyratsis, Yiannis |
collection | PubMed |
description | OBJECTIVES: To understand organisational technology adoption (initiation, adoption decision, implementation) by looking at the different types of innovation knowledge used during this process. DESIGN: Qualitative, multisite, comparative case study design. SETTING: One primary care and 11 acute care organisations (trusts) across all health regions in England in the context of infection prevention and control. PARTICIPANTS AND DATA ANALYSIS: 121 semistructured individual and group interviews with 109 informants, involving clinical and non-clinical staff from all organisational levels and various professional groups. Documentary evidence and field notes were also used. 38 technology adoption processes were analysed using an integrated approach combining inductive and deductive reasoning. MAIN FINDINGS: Those involved in the process variably accessed three types of innovation knowledge: ‘awareness’ (information that an innovation exists), ‘principles’ (information about an innovation's functioning principles) and ‘how-to’ (information required to use an innovation properly at individual and organisational levels). Centralised (national, government-led) and local sources were used to obtain this knowledge. Localised professional networks were preferred sources for all three types of knowledge. Professional backgrounds influenced an asymmetric attention to different types of innovation knowledge. When less attention was given to ‘how-to’ compared with ‘principles’ knowledge at the early stages of the process, this contributed to 12 cases of incomplete implementation or discontinuance after initial adoption. CONCLUSIONS: Potential adopters and change agents often overlooked or undervalued ‘how-to’ knowledge. Balancing ‘principles’ and ‘how-to’ knowledge early in the innovation process enhanced successful technology adoption and implementation by considering efficacy as well as strategic, structural and cultural fit with the organisation's context. This learning is critical given the policy emphasis for health organisations to be innovation-ready. |
format | Online Article Text |
id | pubmed-3329608 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2012 |
publisher | BMJ Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-33296082012-04-23 Technology adoption and implementation in organisations: comparative case studies of 12 English NHS Trusts Kyratsis, Yiannis Ahmad, Raheelah Holmes, Alison BMJ Open Health Services Research OBJECTIVES: To understand organisational technology adoption (initiation, adoption decision, implementation) by looking at the different types of innovation knowledge used during this process. DESIGN: Qualitative, multisite, comparative case study design. SETTING: One primary care and 11 acute care organisations (trusts) across all health regions in England in the context of infection prevention and control. PARTICIPANTS AND DATA ANALYSIS: 121 semistructured individual and group interviews with 109 informants, involving clinical and non-clinical staff from all organisational levels and various professional groups. Documentary evidence and field notes were also used. 38 technology adoption processes were analysed using an integrated approach combining inductive and deductive reasoning. MAIN FINDINGS: Those involved in the process variably accessed three types of innovation knowledge: ‘awareness’ (information that an innovation exists), ‘principles’ (information about an innovation's functioning principles) and ‘how-to’ (information required to use an innovation properly at individual and organisational levels). Centralised (national, government-led) and local sources were used to obtain this knowledge. Localised professional networks were preferred sources for all three types of knowledge. Professional backgrounds influenced an asymmetric attention to different types of innovation knowledge. When less attention was given to ‘how-to’ compared with ‘principles’ knowledge at the early stages of the process, this contributed to 12 cases of incomplete implementation or discontinuance after initial adoption. CONCLUSIONS: Potential adopters and change agents often overlooked or undervalued ‘how-to’ knowledge. Balancing ‘principles’ and ‘how-to’ knowledge early in the innovation process enhanced successful technology adoption and implementation by considering efficacy as well as strategic, structural and cultural fit with the organisation's context. This learning is critical given the policy emphasis for health organisations to be innovation-ready. BMJ Group 2012-04-04 /pmc/articles/PMC3329608/ /pubmed/22492183 http://dx.doi.org/10.1136/bmjopen-2012-000872 Text en © 2012, Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions. This is an open-access article distributed under the terms of the Creative Commons Attribution Non-commercial License, which permits use, distribution, and reproduction in any medium, provided the original work is properly cited, the use is non commercial and is otherwise in compliance with the license. See: http://creativecommons.org/licenses/by-nc/2.0/ and http://creativecommons.org/licenses/by-nc/2.0/legalcode. |
spellingShingle | Health Services Research Kyratsis, Yiannis Ahmad, Raheelah Holmes, Alison Technology adoption and implementation in organisations: comparative case studies of 12 English NHS Trusts |
title | Technology adoption and implementation in organisations: comparative case studies of 12 English NHS Trusts |
title_full | Technology adoption and implementation in organisations: comparative case studies of 12 English NHS Trusts |
title_fullStr | Technology adoption and implementation in organisations: comparative case studies of 12 English NHS Trusts |
title_full_unstemmed | Technology adoption and implementation in organisations: comparative case studies of 12 English NHS Trusts |
title_short | Technology adoption and implementation in organisations: comparative case studies of 12 English NHS Trusts |
title_sort | technology adoption and implementation in organisations: comparative case studies of 12 english nhs trusts |
topic | Health Services Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3329608/ https://www.ncbi.nlm.nih.gov/pubmed/22492183 http://dx.doi.org/10.1136/bmjopen-2012-000872 |
work_keys_str_mv | AT kyratsisyiannis technologyadoptionandimplementationinorganisationscomparativecasestudiesof12englishnhstrusts AT ahmadraheelah technologyadoptionandimplementationinorganisationscomparativecasestudiesof12englishnhstrusts AT holmesalison technologyadoptionandimplementationinorganisationscomparativecasestudiesof12englishnhstrusts |