Thiel Bram, Iao Inez, Smid Joris, de Wit Emmy, Koopman Seppe, Geerts Bart, Godfried Marc, Kalkman Cor
Department of Anesthesiology, OLVG Hospital, Amsterdam, Netherlands.
Department of Services and Solutions Delivery, Philips Benelux, Amsterdam, Netherlands.
JMIR Hum Factors. 2022 Apr 26;9(2):e33706. doi: 10.2196/33706.
With electronic technologies, patients are provided with tools to easily acquire information and to manage and record their own health status. eHealth interventions are already broadly applied to perioperative care. In a similar way, we aimed to utilize a smartphone application to enable postoperative patients to partially self-manage their postoperative pain. The results of a previously performed proof-of-concept study regarding the application were promising, and nurses as well as patients were optimistic regarding this innovative mobile application. Nevertheless, in reality, it appears that the usage and overall implementation of this application have stagnated since its introduction. Problems with innovation adoption are not novel; various studies have been conducted to explore the reasons for low implementation success of eHealth applications and indicated that adoption is influenced by multiple organizational factors. This study investigated the influence of these organizational factors on the adoption process, aiming to provide more insight in the dos and don'ts for implementing eHealth in the working processes of hospital care.
This study aimed to provide insight in how to successfully implement a technological eHealth innovation in a general nonacademic hospital.
A qualitative study was conducted to explore organizational factors affecting the innovation adoption process. Data were collected by conducting semistructured one-on-one interviews with 11 stakeholders. The data were analyzed using thematic analysis identifying overarching themes.
Absorptive capacity, referred to as an organization's dynamic capability pertaining to knowledge creation and utilization that enhances an organization's ability to gain and sustain a competitive advantage, was regarded as the most influential factor on the application's adoption. Accordingly, it appeared that innovation adoption is mainly determined by the capability and willingness to assimilate and transform new information into productive use and the ability to absorb a novel innovation. Absorptive capacity was found to be influenced by the innovation's benefit and the sense of ownership and responsibility. Organizational readiness and management support were also regarded as essential since absorptive capacity seemed to be mediated by these factors. The size of the hospital influenced eHealth adoption by the amount of resources available and by its organizational structure.
In conclusion, absorptive capacity is essential for eHealth adoption, and it is mediated by management support and organizational readiness. It is recommended to increase the degree of willingness and ability to adopt an eHealth innovation by enhancing the relevance, engaging stakeholders, and assigning appropriate leaders to offer guidance.
借助电子技术，可为患者提供便于获取信息以及管理和记录自身健康状况的工具。电子健康干预措施已广泛应用于围手术期护理。同样，我们旨在利用一款智能手机应用程序，使术后患者能够部分自我管理术后疼痛。先前进行的关于该应用程序的概念验证研究结果很有前景，护士和患者对这款创新型移动应用程序都很乐观。然而，在现实中，自该应用程序推出以来，其使用和整体实施似乎陷入了停滞。创新采用方面的问题并不新鲜；已经开展了多项研究来探究电子健康应用程序实施成功率低的原因，并表明采用受到多种组织因素的影响。本研究调查了这些组织因素对采用过程的影响，旨在更深入了解在医院护理工作流程中实施电子健康的注意事项。
本研究旨在深入了解如何在一家普通非学术性医院成功实施一项电子健康技术创新。
开展了一项定性研究，以探究影响创新采用过程的组织因素。通过与11名利益相关者进行半结构化一对一访谈收集数据。使用主题分析法对数据进行分析，确定总体主题。
吸收能力，即组织在知识创造和利用方面的动态能力，可增强组织获得并维持竞争优势的能力，被视为对该应用程序采用最具影响力的因素。因此，创新采用似乎主要取决于吸收和转化新信息以进行生产性利用的能力和意愿，以及吸收新创新的能力。发现吸收能力受创新效益以及主人翁意识和责任感的影响。组织准备情况和管理支持也被视为至关重要，因为吸收能力似乎受这些因素的调节。医院规模通过可用资源量及其组织结构影响电子健康的采用。
总之，吸收能力对于电子健康的采用至关重要，并且它受管理支持和组织准备情况的调节。建议通过增强相关性、吸引利益相关者参与以及指定合适的领导者提供指导，来提高采用电子健康创新的意愿和能力。
