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Social Challenges When Implementing Information Systems in Everyday Work in a Nursing Context
Blekinge Institute of Technology, Faculty of Health Sciences, Department of Health.
Blekinge Institute of Technology, Faculty of Computing, Department of Creative Technologies.
Blekinge Institute of Technology, Faculty of Health Sciences, Department of Health.
2014 (English)In: Computers, Informatics, Nursing, ISSN 1538-2931, E-ISSN 1538-9774, Vol. 32, no 9, 442-450 p.Article in journal (Refereed) Published
Abstract [en]

Implementation of information systems in healthcare has become a lengthy process where healthcare staff (eg, nurses) are expected to put information into systems without getting the overall picture of the potential usefulness for their own work. The aim of this study was to explore social challenges when implementing information systems in everyday work in a nursing context. Moreover, this study aimed at putting perceived social challenges in a theoretical framework to address them more constructively when implementing information systems in healthcare. Influenced by institutional ethnography, the findings are based on interviews, observations, and written reflections. Power (changing the existing hierarchy, alienation), professional identity (calling on hold, expert becomes novice, changed routines), and encounter (ignorant introductions, preconceived notions) were categories (subcategories) presented in the findings. Social Cognitive Theory, Diffusion of Innovations, organizational culture, and dramaturgical analysis are proposed to set up a theoretical framework. If social challenges are not considered and addressed in the implementation process, it will be affected by nurses’ solidarity to existing power structures and their own professional identity. Thus, implementation of information systems affects more aspects in the organization than might have been intended. These aspects need to be taken in to account in the implementation process.

Place, publisher, year, edition, pages
Lippincott Williams & Wilkins , 2014. Vol. 32, no 9, 442-450 p.
Keyword [en]
Implementation, Information systems, Institutional ethnography, Nursing context, Social challenges
National Category
Medical Laboratory and Measurements Technologies
Identifiers
URN: urn:nbn:se:bth-6336DOI: 10.1097/CIN.0000000000000075ISI: 000348186900005Local ID: oai:bth.se:forskinfoE13EBFF58A839C25C1257D5E0044F295OAI: oai:DiVA.org:bth-6336DiVA: diva2:833833
Available from: 2015-05-26 Created: 2014-09-25 Last updated: 2017-03-07Bibliographically approved

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Nilsson, LinaEriksén, SaraBorg, Christel
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CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
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  • asciidoc
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