Technik, Pflegeinnovation und Implementierungsbedingungen

Zerth, Jürgen; Jaensch, Peter; Müller, Sebastian

doi:10.1007/978-3-662-63107-2_11

Cited by 12 publications

(8 citation statements)

References 25 publications

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“…In the context of digitization, however, there are far more problems that need to be fixed. These do not just relate to the staff but are primarily of a structural and organizational nature [ 66 ]. Leadership behavior remains influential [ 18 , 67 ].…”

Section: Discussionmentioning

confidence: 99%

Digitization in Everyday Nursing Care: A Vignette Study in German Hospitals

Korte

Bohnet-Joschko

2022

IJERPH

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(1) Background: Digitization in hospital nursing promises to transform the organization of care processes and, therefore, provide relief to nurse staffing shortages. While technological solutions are advanced and application fields numerous, comprehensive implementation remains challenging. Nursing leadership is crucial to digital change processes. This vignette study examined the effects of the motives and values on nurses’ motivation to use innovative technologies. (2) Methods: We asked hospital nurses in an online vignette study to assess a fictitious situation about the introduction of digital technology. We varied the devices on the degree of novelty (tablet/smart glasses), addressed motives (intrinsic/extrinsic), and values (efficiency/patient orientation). (3) Results: The analysis included 299 responses. The tablet vignettes caused more motivation than those of the smart glasses (Z = −6.653, p < 0.001). The dataset did not show significant differences between intrinsic and extrinsic motives. The nursing leader was more motivating when emphasizing efficiency rather than patient orientation (Z = −2.995, p = 0.003). (4) Conclusions: The results suggest efficiency as a motive for using known digital technologies. The nursing staff’s willingness to use digital technology is generally high. Management actions can provide a structural framework and training so that nursing leaders can ensure their staff’s engagement in using also unknown devices.

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Section: Discussionmentioning

confidence: 99%

Digitization in Everyday Nursing Care: A Vignette Study in German Hospitals

Korte

Bohnet-Joschko

2022

IJERPH

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“…In the context of digitization, however, there are far more problems that need to be fixed. These do not just relate to the staff, but are primarily of a structural and organizational nature (51). Leadership behavior remains influential (10,52).…”

Section: Discussionmentioning

confidence: 99%

Digitization in Everyday Nursing Care: A Vignette Study in German Hospitals

Körte¹,

Bohnet-Joschko²

2022

Preprint

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(1) Background: The usage of digital technologies in hospital nursing provides potential solutions to the shortage of qualified nurses and current pandemic challenges. The process involves changes and requires willingness to learn. In this respect, leaders can motivate nurses. Therefore, this vignette study examined which motives and values leaders must address in order to promote nurses’ motivation to use different digital technologies. (2) Methods: We asked hospital nurses in an online vignette study to assess fictitious situations about the imminent introduction of a digital technology. The situations differed regarding the devices (tablet/smart glasses), addressed motives (extrinsic/intrinsic), and values (efficiency/patient orientation). (3) Results: We included 299 responses in the analysis. The tablet vignettes caused especially high motivation, more than the vignettes of the smart glasses (Z = -6.653, p = <0.001). The leader was more motivating when emphasizing effi-ciency rather than patient orientation (Z = -2.995, p =0.003). The dataset did not give significant re-sults regarding extrinsic and intrinsic motives. (4) Conclusions: The results suggest efficiency as a motive for using known digital technologies. Management actions can provide the structural framework and training so that responsible leaders can ensure their staff’s engagement to also use unknown devices.

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“…Recent developments in digital and communication technology have opened new opportunities to address employee voice [18][19][20]. For example, the social and economic scientist and sociologist Ellmer and Reichel [19] describe the possibility of a company mirror or digital voice channel.…”

Section: Introductionmentioning

confidence: 99%

“…More recently, Krick et al [38] have recommended more evaluations of digital technologies in a real-life setting. It is not about what is technically possible; rather, it is about how new digital technologies in the daily routine can be designed to consider staff needs and preferences [20,39]. Ong et al [40] address this research gap and analyze the implementation of a digital patient feedback system using normalization process theory (NPT) from May and Finch [41] and May et al [42].…”

Section: Introductionmentioning

confidence: 99%

Understanding Employee Voice Behavior Through the Use of Digital Voice Channel in Long-Term Care: Protocol for an Embedded Multiple-Case Study

Kepplinger,

Braun,

Fringer

et al. 2024

JMIR Res Protoc

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Background Specific challenges in the health care sector, such as hierarchical structures, shortages of nursing staff, and high turnover of nursing staff, can be addressed by a change process of organizational culture into shared governance. Data from business organizations show that the use of digital voice channels provides employee voice. This approach makes concrete the opportunity for employees to raise their voices by answering surveys and making comments in an anonymous forum, which subsequently positively influences staff turnover and sick leave. Since there is no clear understanding of how a digital voice channel can be used in long-term care to address employee voice, a research gap has been identified. Objective The purpose of ADVICE (Understanding Employee Voice Behavior; the acronym for this study) is to understand how the use of a digital voice channel performs in long-term care (residential long-term care and home care facilities). The aim of this study is to understand how the digital voice channel can support staff in making their voices heard and to see what managers need to use the voice channel to change the work environment. Methods An embedded multiple-case study will be used to explore the experiences of 2 health care providers who have already implemented a digital voice channel. ADVICE is organized into two main phases: (1) a scoping review and (2) an embedded multiple-case study. For this purpose, focus group interviews with employees, discursive-dialogical interviews with managers, meeting protocols, and data from the digital voice channel will be analyzed. First, all units of analysis from every embedded unit will be separately analyzed and then comprehensively analyzed to obtain a case vignette from every embedded unit (within-analysis). In the second stage, the analyzed data from the embedded units will be compared with each other in a comparative analysis (cross-analysis). Results The results will provide insight into how digital voice channels can be used in long-term care to address employee voice. We expect to find how the digital voice channel can empower nurses to speak up and, consequently, create a better work environment. Data collection began in August 2023, and from a current perspective, the first results are expected in summer 2024. Conclusions In summary, the results may help to better understand the use of a digital voice channel in the health care sector and its transformative potential for leadership. At the organizational level, research can help to improve the attractiveness of the workplace by understanding how to give employees a voice. International Registered Report Identifier (IRRID) PRR1-10.2196/48601

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Technik, Pflegeinnovation und Implementierungsbedingungen

Cited by 12 publications

References 25 publications

Digitization in Everyday Nursing Care: A Vignette Study in German Hospitals

Digitization in Everyday Nursing Care: A Vignette Study in German Hospitals

Digitization in Everyday Nursing Care: A Vignette Study in German Hospitals

Understanding Employee Voice Behavior Through the Use of Digital Voice Channel in Long-Term Care: Protocol for an Embedded Multiple-Case Study

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