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Prior to Implementation of Digital Pathology—Assessment of Expectations among Staff by Means of Normalization Process Theory

The Region of Southern Denmark is the first in Denmark to implement digital pathology (DIPA), starting at the end of 2020. The DIPA process involves changes in workflow, and the pathologist will have to diagnose based on digital whole slide imaging instead of through the traditional use of the conve...

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Autores principales: Mikkelsen, Minne L. N., Frederiksen, Marianne H., Marcussen, Niels, Williams, Bethany, Kidholm, Kristian
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9223804/
https://www.ncbi.nlm.nih.gov/pubmed/35742502
http://dx.doi.org/10.3390/ijerph19127253
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author Mikkelsen, Minne L. N.
Frederiksen, Marianne H.
Marcussen, Niels
Williams, Bethany
Kidholm, Kristian
author_facet Mikkelsen, Minne L. N.
Frederiksen, Marianne H.
Marcussen, Niels
Williams, Bethany
Kidholm, Kristian
author_sort Mikkelsen, Minne L. N.
collection PubMed
description The Region of Southern Denmark is the first in Denmark to implement digital pathology (DIPA), starting at the end of 2020. The DIPA process involves changes in workflow, and the pathologist will have to diagnose based on digital whole slide imaging instead of through the traditional use of the conventional light microscope and glass slides. In addition, in the laboratory, the employees will have to implement one more step to their workflow—scanning of tissue. The aim of our study was to assess the expectations and readiness among employees and management towards the implementation of DIPA, including their thoughts and motivations for starting to use DIPA. We used a mixed-method approach. Based on the findings derived from 18 semi-structured interviews with employees from the region’s departments of pathology, we designed a questionnaire, including questions from the normalization measure development tool. The questionnaires were e-mailed to 181 employees. Of these employees, 131 responded to the survey. Overall, they reported feeling sufficiently tech-savvy to be able to use DIPA, and they had high expectations as well as motivation and readiness for the upcoming changes. However, the employees were skeptical regarding the allocation of resources, and few were aware of reports about the effects of DIPA. Based on the findings, it seems to be important to provide not only a thorough introduction to the new intervention and the changes it will entail, but also to continue to ensure that the staff know how it works and why it is necessary to implement.
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spelling pubmed-92238042022-06-24 Prior to Implementation of Digital Pathology—Assessment of Expectations among Staff by Means of Normalization Process Theory Mikkelsen, Minne L. N. Frederiksen, Marianne H. Marcussen, Niels Williams, Bethany Kidholm, Kristian Int J Environ Res Public Health Article The Region of Southern Denmark is the first in Denmark to implement digital pathology (DIPA), starting at the end of 2020. The DIPA process involves changes in workflow, and the pathologist will have to diagnose based on digital whole slide imaging instead of through the traditional use of the conventional light microscope and glass slides. In addition, in the laboratory, the employees will have to implement one more step to their workflow—scanning of tissue. The aim of our study was to assess the expectations and readiness among employees and management towards the implementation of DIPA, including their thoughts and motivations for starting to use DIPA. We used a mixed-method approach. Based on the findings derived from 18 semi-structured interviews with employees from the region’s departments of pathology, we designed a questionnaire, including questions from the normalization measure development tool. The questionnaires were e-mailed to 181 employees. Of these employees, 131 responded to the survey. Overall, they reported feeling sufficiently tech-savvy to be able to use DIPA, and they had high expectations as well as motivation and readiness for the upcoming changes. However, the employees were skeptical regarding the allocation of resources, and few were aware of reports about the effects of DIPA. Based on the findings, it seems to be important to provide not only a thorough introduction to the new intervention and the changes it will entail, but also to continue to ensure that the staff know how it works and why it is necessary to implement. MDPI 2022-06-14 /pmc/articles/PMC9223804/ /pubmed/35742502 http://dx.doi.org/10.3390/ijerph19127253 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Mikkelsen, Minne L. N.
Frederiksen, Marianne H.
Marcussen, Niels
Williams, Bethany
Kidholm, Kristian
Prior to Implementation of Digital Pathology—Assessment of Expectations among Staff by Means of Normalization Process Theory
title Prior to Implementation of Digital Pathology—Assessment of Expectations among Staff by Means of Normalization Process Theory
title_full Prior to Implementation of Digital Pathology—Assessment of Expectations among Staff by Means of Normalization Process Theory
title_fullStr Prior to Implementation of Digital Pathology—Assessment of Expectations among Staff by Means of Normalization Process Theory
title_full_unstemmed Prior to Implementation of Digital Pathology—Assessment of Expectations among Staff by Means of Normalization Process Theory
title_short Prior to Implementation of Digital Pathology—Assessment of Expectations among Staff by Means of Normalization Process Theory
title_sort prior to implementation of digital pathology—assessment of expectations among staff by means of normalization process theory
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9223804/
https://www.ncbi.nlm.nih.gov/pubmed/35742502
http://dx.doi.org/10.3390/ijerph19127253
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