Graduate School of Business Administration, University of the Witwatersrand, Johannesburg, South Africa.
Telemed J E Health. 2011 Jan-Feb;17(1):55-61. doi: 10.1089/tmj.2010.0008.
The purpose of this article is to explore the response of nurses to a point-of-care e-health system that was implemented in a large private hospital in South Africa, to determine why the nursing staff rejected the implementation of the system. The study examines user responses with reference to a model designed to account for the use and adoption of mobile handheld devices, having adapted the model for an e-health context. In addition to the input features of technological characteristics and individual differences identified in the model, the added features of nursing culture and group differences were found to be influential factors in fuelling the nurses' resistance to the point-of-care system. Nurses perceived a lack of cultural fit between the system and their work. Their commitment to their nursing culture meant that they were not prepared to adapt their processes to integrate the system into their work. The study shows that the model is useful for understanding adoption in an organizational context and also that the additional elements of nursing culture and group differences are important in an e-health context.
本文旨在探讨护士对南非一家大型私立医院实施的即时护理电子健康系统的反应，以确定为什么护理人员拒绝实施该系统。该研究通过参考一个旨在解释和预测移动手持设备使用和采用的模型来考察用户的反应，该模型已经针对电子健康环境进行了调整。除了模型中确定的技术特征和个体差异的输入特征外，还发现护理文化和群体差异的附加特征是助长护士对即时护理系统抵制的影响因素。护士认为系统与他们的工作之间缺乏文化契合。他们对护理文化的承诺意味着他们不愿意调整工作流程以将系统融入工作中。研究表明，该模型对于理解组织环境中的采用是有用的，并且护理文化和群体差异的附加元素在电子健康环境中也很重要。
