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When the user is not the chooser: learning from stakeholder involvement in technology adoption decisions in infection control

Ahmad, R. ; Kyratsis, Y. ; Holmes, A.

Journal of Hospital Infection, July 2012, Vol.81(3), pp.163-168 [Tạp chí có phản biện]

ISSN: 0195-6701 ; DOI: 10.1016/j.jhin.2012.04.014

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  • Nhan đề:
    When the user is not the chooser: learning from stakeholder involvement in technology adoption decisions in infection control
  • Tác giả: Ahmad, R. ; Kyratsis, Y. ; Holmes, A.
  • Chủ đề: Infection Control ; Stakeholder Involvement ; Technology Adoption
  • Là 1 phần của: Journal of Hospital Infection, July 2012, Vol.81(3), pp.163-168
  • Mô tả: BackgroundHealth systems need efficient and effective innovation decisions to provide maximum benefit to patients, particularly in a climate of financial constraints. Although evidence-based innovations exist for helping to address healthcare-associated infections, the uptake and implementation of these is highly variable and in some cases very slow. AimTo investigate innovation adoption decisions and implementation processes from an organizational perspective, focusing on the implications of stakeholder involvement during the innovation process. MethodsThirty-eight technology adoption decisions and implementation processes were examined through 121 qualitative interviews in 12 National Health Service healthcare organizations across England. FindingsStakeholder involvement varied across organizations with decisions highly exclusive to the infection prevention and control (IPC) team, to highly inclusive of wider organizational members. The context, including organizational culture, previous experience, and logistical factors influenced the level of stakeholder engagement. The timing of stakeholder involvement in the process impacted on: (i) the range of innovations considered; (ii) the technologies selected, and (iii) the success of technology implementation. Cases of non-adoption, discontinued adoption, and of successful implementation are presented to share learning. The potential benefits of stakeholder involvement for ‘successful’ innovation adoption are presented including a goal-oriented framework for involvement. ConclusionsKey stakeholder involvement can lead to innovation adoption and implementation compatible with structural and cultural contexts, particularly when involvement crosses the phases of initiation, decision-making and implementation. Involving members of the wider healthcare organization can raise the profile of IPC and reinforce efforts to make IPC everybody's business.
  • Ngôn ngữ: English
  • Số nhận dạng: ISSN: 0195-6701 ; DOI: 10.1016/j.jhin.2012.04.014

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