Management attitudes and technology adoption in long-term care facilities

Bezboruah, Karabi C.; Paulson, Darla Flint; Smith, Jason D.

doi:10.1108/jhom-11-2011-0118

Cited by 32 publications

(76 citation statements)

References 28 publications

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“…The managers' level of engagement and active involvement in the implementation of WNCSs appears to be higher in this study than in previous studies of health information technology implementation in residential care facilities, which reported a lack of involvement as well as lack of systematic planning and decision-making from managers [29,31,32,35]. The care providers' evaluation of the managers' efforts supported the effect of an implementation strategy adopted by all care facilities; that the unit managers had learned to use the WNCS and taken an essential role for driving the implementation [57].…”

Section: Motivating Managerscontrasting

confidence: 87%

“…Full-scale, transformative implementation processes are expected due to the wide-spread use of the WNCSs by nearly all patients and nursing staff within a healthcare facility [29,30], and due to the range of new functionalities offered by the WNCSs compared to traditional call systems, as detailed above. In two longitudinal case studies, we have explored the implementation processes of novel, digital monitoring technology in Norwegian RCFs.…”

Section: Implementation Of Transformative Digital Health Technologiesmentioning

confidence: 99%

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Nursing staff’s evaluation of facilitators and barriers during implementation of wireless nurse call systems in residential care facilities. A cross-sectional study

Dugstad

Sundling

Nilsen

et al. 2020

BMC Health Serv Res

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Background: Traditional nurse call systems used in residential care facilities rely on patients to summon assistance for routine or emergency needs. Wireless nurse call systems (WNCS) offer new affordances for persons unable to actively or consciously engage with the system, allowing detection of hazardous situations, prevention and timely treatment, as well as enhanced nurse workflows. This study aimed to explore facilitators and barriers of implementation of WNCSs in residential care facilities. Methods: The study had a cross-sectional descriptive design. We collected data from care providers (n = 98) based on the Measurement Instrument for Determinants of Innovation (MIDI) framework in five Norwegian residential care facilities during the first year of WNCS implementation. The self-reporting MIDI questionnaire was adapted to the contexts. Descriptive statistics were used to explore participant characteristics and MIDI item and determinant scores. MIDI items to which ≥20% of participants disagreed/totally disagreed were regarded as barriers and items to which ≥80% of participants agreed/totally agreed were regarded as facilitators for implementation.Results: More facilitators (n = 22) than barriers (n = 6) were identified. The greatest facilitators, reported by 98% of the care providers, were the expected outcomes: the importance and probability of achieving prompt call responses and increased safety, and the normative belief of unit managers. During the implementation process, 87% became familiar with the systems, and 86 and 90%, respectively regarded themselves and their colleagues as competent users of the WNCS. The most salient barriers, reported by 37%, were their lack of prior knowledge and that they found the WNCS difficult to learn. No features of the technology were identified as barriers.Conclusions: Overall, the care providers gave a positive evaluation of the WNCS implementation. The barriers to implementation were addressed by training and practicing technological skills, facilitated by the influence and support by the manager and the colleagues within the residential care unit. WNCSs offer a range of advanced applications and services, and further research is needed as more WNCS functionalities are implemented into residential care services.

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Section: Motivating Managerscontrasting

confidence: 87%

Section: Implementation Of Transformative Digital Health Technologiesmentioning

confidence: 99%

Nursing staff’s evaluation of facilitators and barriers during implementation of wireless nurse call systems in residential care facilities. A cross-sectional study

Dugstad

Sundling

Nilsen

et al. 2020

BMC Health Serv Res

View full text Add to dashboard Cite

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“…These potential prejudices should be considered to avoid systematically excluding potential users from the implementation process and the daily use of technologies. While not discussing these potential prejudices directly, Bezboruah et al () mentioned that the managers' view of the usefulness and ease of use of technologies can differ from the staff's perceptions. As such, the process of implementing technologies should first account for the perceptions of each group of potential users.…”

Section: Discussionmentioning

confidence: 99%

“…Nursing homes (NHs) have been shown to lag behind in the adoption of technologies (Bezboruah, Paulson, & Smith, ). When NHs want to use technologies, they face a lack of knowledge on the process of implementing them considering the unique characteristics of the context, for example, in terms of types of care (e.g.…”

Section: Introductionmentioning

confidence: 99%

“…In an extensive literature review, it was established that an adequate implementation process increases the benefits for participants and that it can be affected by many factors (Durlak & DuPre, ). The conditions and ethical challenges influencing this implementation can vary depending on the technology (Bezboruah et al, ). In NHs, most studies about technologies focused on information technologies (e.g.…”

Section: Introductionmentioning

confidence: 99%

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Conditions and ethical challenges that could influence the implementation of technologies in nursing homes: A qualitative study

Bourbonnais

Rousseau

Lalonde

et al. 2019

Int J Older People Nursing

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Aim To explore the conditions that may influence the implementation of an interactive mobile application (app) and an intelligent videomonitoring system (IVS) in nursing homes (NHs) and the ethical challenges of their use. Background There is a lack of knowledge about implementing technologies in NHs and the ethical challenges that might arise. In past studies, nursing care teams expressed the need for technologies offering clinical support. Technologies like an IVS and an app could prove useful in NHs to prevent and manage falls and responsive behaviours. Design An exploratory qualitative study was conducted with care managers, family caregivers and formal caregivers in five NHs. Methods Each participant was shown a presentation of a potential app and a short video on an IVS. It was followed by an individual semi‐structured interview. A conventional content analysis was performed. Findings Potential users found it would be possible to implement these technologies in NHs even if resistance could be expected. To facilitate adoption and achieve clinical benefits, the implementation of technologies should be pilot‐tested, and coaching activities should be planned. Ethical risks were considered already present in NHs even without technologies, for example, risks to privacy. Strategies were proposed, for instance, to adapt the code of ethics and procedures. Some potential prejudices about the interest and abilities of older staff, nurses' aides, and family caregivers to use technology were identified. Conclusions Through rigorous and ethical implementation, technologies supporting clinical care processes could benefit older people living in NHs, as well as their relatives and the staff. Implications for practice Various strategies are proposed to successfully implement technologies. Effort should be made to avoid prejudices during implementation, and procedures should be adapted to mitigate possible ethical challenges.

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