The Pivotal Role of Change Appropriation in the Implementation of Health Care Technology

Barrett, Ashley K.; Stephens, Keri K.

doi:10.1177/0893318916682872

Cited by 26 publications

(17 citation statements)

References 69 publications

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“…“This study represents an empirical example of how AST e coupled with literature on organizational change offer a better understanding of technology implementation practices. Our findings complement past AST research, claiming that implementation success and users’ change attitudes are two important outcomes associated with appropriation.” (Barrett and Stephens, 2017) [ 45 ]…”

Section: Resultsmentioning

confidence: 99%

Theories Informing eHealth Implementation: Systematic Review and Typology Classification

Heinsch¹,

Wyllie²,

Carlson³

et al. 2021

J Med Internet Res

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Background Theory-guided approaches to implementation science have informed translation efforts and the acceptance of eHealth (digital health) interventions in clinical care. However, there is scarce evidence on which theories are best suited to addressing the inherent complexity of eHealth implementation. Objective The objectives of this systematic review are to identify theories that inform and explain eHealth implementation and to classify these theories using the typology by Sovacool and Hess for theories of sociotechnical change. Methods An electronic search was conducted in the PsycINFO, MEDLINE, Embase, CINAHL, Scopus, Sociological Source Ultimate, Web of Science, ABI/INFORM, EBSCO, and ProQuest databases in June 2019. Studies were included if they were published between 2009 and June 2019; were written in English; reported on empirical research, regardless of study or publication type; reported on one or more theories in the context of eHealth implementation; and were published in a peer-reviewed journal. A total of 2 reviewers independently assessed the titles, abstracts, and full texts. Theories identified were classified using a typology for theories of sociotechnical change, which was considered a useful tool for ordering and analyzing the diverse theoretical approaches as a basis for future theory building. Results Of the 13,101 potentially relevant titles, 119 studies were included. The review identified 36 theories used to explain implementation approaches in eHealth. The most commonly used approaches were the Technology Acceptance Model (TAM) (n=33) and the Unified Theory of Acceptance and Use of Technology (UTAUT) (n=32). These theories were primarily concerned with individual and interpersonal elements of eHealth acceptance. Less common were theories that reflect the various disorderly social processes and structural dimensions of implementation, such as the normalization process theory (n=17) and the structuration theory (n=6). Conclusions Theories currently informing the implementation of eHealth interventions predominantly focus on predicting or explaining end-user acceptance. Theoretical perspectives that capture the dense and intricate relationships and structures required to enact sustainable change are less well represented in the eHealth literature. Given the growing acknowledgment of the inherent complexity of eHealth implementation, future research should develop and test models that recognize and reflect the multidimensional, dynamic, and relational nature of this process.

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Section: Resultsmentioning

confidence: 99%

Theories Informing eHealth Implementation: Systematic Review and Typology Classification

Heinsch¹,

Wyllie²,

Carlson³

et al. 2021

J Med Internet Res

View full text Add to dashboard Cite

show abstract

“…The health care industry is another field that constantly deals with agents interacting with technology. Barrett and Stephens (2016) used AST to create and analyze an appropriation model for organizational change while implementing a new electronic health record system. Their model looked at social communication and employees' attitude toward new technology.…”

Section: Applications External To Hrdmentioning

confidence: 99%

“…The following examples highlight some of the areas where HRD scholars and scholar-practitioners may be familiar. These examples include software development teams utilizing instant messaging (IM) to create new interactions (Zhang, Köbler, Tremaine, & Milewski, 2010), organizational change in health care using technology (Barrett & Stephens, 2016), social media tools for strategic implementation (Sinclaire & Vogus, 2011), analyzing change during the implementation of an enterprise resource planning system (Furumo & Melcher, 2006), and to examining change and culture (Whiteley, Price, & Palmer, 2013).…”

Section: Where Can Ast Contribute To Hrd?mentioning

confidence: 99%

A Theoretical Literature Review on Adaptive Structuration Theory as Its Relevance to Human Resource Development

Turner

Morris

Atamenwan

2019

Advances in Developing Human Resources

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The Problem Adaptive structuration theory (AST) has had little to no attention within the human resource development (HRD) literature. It is important for HRD scholars and scholar-practitioners to be concerned with how new technology initiatives impact both the individual and the organization, equally. Unfortunately, new technologies are often introduced with no consideration of its utility to the agents expected to use these new technologies, causing incompatibilities and productivity losses. The Solution AST views the duality of structure between an organization’s structural features and its human agents. This perspective enables human agents when implementing new technologies and organizational change initiatives. Also, AST provides HRD scholars and scholar-practitioners with new insight into the interactions that take place during these change initiatives, providing support for current and future research efforts. The Stakeholders It would be beneficial for HRD scholars and scholar-practitioners involved with designing, evaluating, implementing, or managing technology in the workplace.

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“…General reviews by King et al [18] and Cresswell and Sheikh [19] discuss technical, social, and organizational obstacles in the implementation of electronic health (eHealth) technology. In addition to issues related to the technology per se, they identify the great importance of acceptance of the technology by different professional groups active in health care [8,[20][21][22][23]. Careful choices need to be made about how the implementation of different devices is communicated to professional groups [24].…”

Section: Introductionmentioning

confidence: 99%

Communicating the Implementation of Open Notes to Health Care Professionals: Mixed Methods Study

2021

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Background The literature on how to communicate reform in organizations has mainly focused on levels of hierarchy and has largely ignored the variety of professions that may be found within an organization. In this study, we focus on the relationship between media type and professional responses. Objective The objective of this study was to investigate whether and how belonging to a profession influences the choice of communication media and the perception of information when a technical innovation is implemented in a health care setting. Methods This study followed a mixed methods design based on observations and participant studies, as well as a survey of professionals in psychiatric health care in Sweden. The χ2 test was used to detect differences in perceptions between professional groups. Results The use of available communication media differed among professions. These differences seem to be related to the status attached to each profession. The sense-making of the information appears to be similar among the professions, but is based on their traditional professional norms rather than on reflection on the reform at hand. Conclusions When communicating about the implementation of a new technology, the choice of media and the message need to be attuned to the employees in both hierarchical and professional terms. This also applies to situations where professional employees are only indirectly affected by the implementation. A differentiated communication strategy is preferred over a downward cascade of information.

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The Pivotal Role of Change Appropriation in the Implementation of Health Care Technology

Cited by 26 publications

References 69 publications

Theories Informing eHealth Implementation: Systematic Review and Typology Classification

Theories Informing eHealth Implementation: Systematic Review and Typology Classification

A Theoretical Literature Review on Adaptive Structuration Theory as Its Relevance to Human Resource Development

Communicating the Implementation of Open Notes to Health Care Professionals: Mixed Methods Study

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