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Introducing a Mobile ICT system in Homecare: Evaluation of a Socio-technical Implementation Process 
Centre for eHealth, Uppsala University, Sweden.ORCID iD: 0000-0002-2597-1079
2008 (English)In: Journal on Information Technology in Healthcare, ISSN 1479-649X, Vol. 6, no 5, p. 356-366Article in journal (Refereed) Published
Place, publisher, year, edition, pages
Taipei, Taiwan, 2008. Vol. 6, no 5, p. 356-366
National Category
Computer Sciences
Research subject
Informatics
Identifiers
URN: urn:nbn:se:oru:diva-41895Scopus ID: 2-s2.0-56849091863OAI: oai:DiVA.org:oru-41895DiVA, id: diva2:781253
Note

Objective: To evaluate a socio-technical implementation process focusing on motivational factors when introducing a mobile ICT (Information and Communication Technology) system for homecare.

Setting: The study was conducted with staff providing homecare for the elderly in a small town in northern Sweden.

Methods: An implementation process was designed based on motivational factors identified from the literature to affect a users’ behavioural intention, i.e. a person’s subjective probability to perform a specific behaviour such as accepting to use an ICT tool. The implementation process used staff members that were involved in the development of the system, and expe-rienced users who had demonstrated personal innovativeness in IT (Information Technology). The initial step was a start-up seminar which focused on the factors considered to be impor-tant in affecting perceived behavioural control. The experienced users acted as trainers and were responsible for education and introduction of the system to new users. By describing how the system could benefit the users in their work, they were expected to positively influ-ence the users’ subjective norm and image of the system. The end user education consisted of individual guidance through the system functionality and support tools, using a manual and exercises designed by the experienced users and specifically adapted to the daily work schedule of homecare staff. The manual was designed to convey the concepts of perceived usefulness and perceived ease of use and result demonstrability. A questionnaire was usedto elucidate participants’ subjective opinions on the implementation process, and to assess their views on the key factors that would influence their acceptance of and intentions to use new technology.

Results: The responses of the 18 participants revealed that the socio-technical implementa-tion process resulted in high behavioural intention to accept and use ICT. It also demonstrated some pitfalls that would benefit from action.

Conclusion: Improved understanding of user behaviour can serve as a platform for development of strategies to improve acceptance of ICT in healthcare. Application of sociotechnical implementation processes may facilitate future implementation and education of ICT in healthcare.

Available from: 2015-01-15 Created: 2015-01-15 Last updated: 2018-01-11Bibliographically approved

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Scandurra, IsabellaHägglund, Maria

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CiteExportLink to record
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