Abstract
Bringing about innovative IT enabled change within organisations that have restricted funding and resources is a challenge currently facing hospitals in the UK National Health Service (NHS). This article explores an Action Research project which aimed to implement a Patient Flow Management System in an acute hospital in the North East of England. The project took place over a twelve month period and involved a number of stakeholders including nursing staff. The contribution of this paper is to recognise the importance of AR as an approach suitable for systems adoption and the need to ‘know your stakeholder’ and their culture especially when dealing with professional bodies.
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References
Albury, D.: Fostering Innovation in Public Services. Public Money & Management 25(1), 51–56 (2005)
Arksey, H., Knight, P.: Interviewing for Social Scientists. Sage, London (1999)
Avison, D.E., Wood-Harper, A.T.: Multiview - An exploration in information systems development. Blackwell Scientific, Oxford (1990)
Avison, D.E., Lau, F., Myers, M., Nielsen, P.A.: Action Research. Communications of the ACM 42(1), 94–97 (1999)
Barnard, A.: Alteration To Will As An Experience Of Technology And Nursing. Journal of Advanced Nursing 31(5), 1136–1144 (2000)
Berkun, S.: The Myths of Innovation, 2nd edn. O’Reilly, Farnham (2010)
Berwick, D.M.: Disseminating Innovations in Health Care. Journal of the American Medical Association 289(15), 1969–1975 (2003)
Bessant, J.: Enabling Continuous and Discontinuous Innovation: Learning From the Private Sector. Public Money & Management 25(1), 35–42 (2005)
Blum, F.H.: Action Research - A Scientific Approach? Philosophy of Science 22(1), 1–7 (1955)
Brennan, S.: The biggest computer programme in the world ever! How is it going? Journal of Information Technology 22, 202–211 (2007)
Buijs, J.: Innovation Leaders Should be Controlled Schizophrenics. Creativity and Innovation Management 16(2), 203–210 (2007)
Checkland, P.: Systems Thinking, Systems Practice. Wiley, Chichester (1981)
Chein, I., Cook, S.W., Harding, J.: The Field of Action Research. The American Psychologist 3, 43–50 (1948)
Clegg, C., Shepherd, C.: The biggest computer programme in the world…ever!’: time for a change in mindset? Journal of Information Technology 22, 212–221 (2007)
Coghlan, D., Brannick, T.: Doing Action Research in your own organization, 3rd edn. Sage publications, London (2010)
Currie, W.: Institutional isomorphism and change: the national programme for IT – 10 years on. Journal of Information Technology 27, 236–248 (2012)
Damanpour, F.: Organizational innovation: a meta-analysis of effects of determinants and mod-erators. Academy of Management Journal 34, 555–590 (1991)
Damanpour, F., Gopalarkrishnan, S.: The Dynamics of the Adoption of Product and Process Innovations in Organizations. Journal of Management Studies 38(1), 45–65 (2001)
Dash, D.P.: Current Debates in Action Research. Systemic Practice and Action Research 12(5), 457–492 (1999)
Denscombe, M.: The Good Research Guide for Small Scale Research Projects. Open University Press, Buckingham (1998)
Department of Health. The power of information: Putting all of us in control of the health and care information we need (2012), http://informationstrategy.dh.gov.uk/about/the-strategy/ (accessed September 27, 2012)
Eason, K.: Local sociotechnical system development in the NHS National Programme for In-formation Technology. Journal of Information Technology 22, 257–264 (2007)
Fetter, M.S.: Curriculum Strategies to Improve Baccalaureate Nursing Information Technology Outcomes. Journal of Nursing Education 48(2), 78–85 (2008)
Flood, R.L., Romm, N.R.A.: Emancipatory Practice: Some contributions from Social Theory and Practice. Systems Practice 9(2), 113–128 (1996)
French, S.: Action research for practicing managers. Journal of Management Development 28(3), 187–204 (2009)
Granados, A., Jonsson, E., Banta, H.D., Bero, L., Bonair, A., Cochet, C., Freemantle, N., Grilli, R., Grimshaw, J., Harvey, E., Levi, R., Marshall, D., Oxman, A., Passart, L., Raisenan, V., Reus, E., Espinas, J.A.: EUR-ASSESS project subgroup report on dissemination and impact. International Journal of Technology Assessment in Health Care 13(2), 220–286 (1997)
Greenhalgh, T., Robert, G., Macfarlane, F., Bate, P., Kyriakidou, O.: Diffusion of Innovations in Service Organizations: Systematic Review and Recommendations. The Milbank Quarterly 82(4), 581–629 (2004)
Greenwood, D., Levin, M.: Introduction to action research: Social research for social change, 2nd edn. Sage, Thousand Oaks (2007)
Hartley, J.: Innovation and its Contribution to Improvement: A Review for Policy-makers, Pol-icy Advisers, Managers and researchers (2006), http://www.communities.gov.uk/documents/localgovernment/pdf/151336.pdf (accessed October 24, 2012)
Hayward-Rowse, L., Whittle, T.: A pilot project to design, implement and evaluate an electronic integrated care pathway. Journal of Nursing Management 14, 564–571 (2006)
Hill, S., McNulty, D.: Overcoming Cultural Barriers To Change. Health Manpower Management 24(1), 6–12 (1998)
House of Commons Committee of Public Accounts The National Programme for IT in the NHS: an update on the delivery of detailed care records systems (2011), http://www.publications.parliament.uk/pa/cm201012/cmselect/cmpubacc/1070/107002.htm (accessed: October 20, 2011)
Hughes, R.: Clinical practice in a computer world: considering the issues. Journal of Advanced Nursing 42(4), 340–346 (2003)
Huryk, L.A.: Factors influencing nurses’ attitudes towards healthcare information technology. Journal of Nursing Management (18), 606–612 (2010)
Jonsson, S.: Action Research. In: Nissen, H.E., Klein, H.K., Hirschheim, R. (eds.) Information Systems Research: Contemporary Approaches and Emergent Traditions, pp. 371–396. Elsevier Science Publishers, North Holland (1991)
Kelman, S.: Unleashing Change: A Study Of Organizational Renewal In Government. The Brookings Institution, Washington (2005)
Kember, D.: Action learning and action research: Improving the quality of teaching and learning. Kogan Page, London (2000)
Kemmis, S., McTaggart, R. (eds.): The action research planner, 3rd edn. Deakin University Press, Victoria (1988)
Kotler, P.: Social Marketing of Health Behaviour. In: Fredericksen, L.W., Solomon, I.J., Brehoney, K.A. (eds.) Marketing Health Behaviour: Principles, Techniques and Applications. Plenum Press, New York (1984)
Kratochvil, M., McGibbon, B.: UML Light: How to specify your software requirements. Cambridge University Press, Cambridge (2003)
Levett-Jones, T., Kenny, R., Van der Riet, P., Hazelton, M., Kable, A., Bourgeois, S., Lux-ford, Y.: Exploring the information and communication technology competence and confidence of nursing students and their perception of its relevance to clinical practice. Nurse Education Today 29(6), 612–616 (2009)
Lewin, K.: Action Research and Minority Problems. Journal of Social Issues 2, 34–46 (1946)
Lewin, K.: Frontiers in Group Dynamics: II. Channels of Group Life; Social Planning and Action Research. Human Relations 1, 143–153 (1947)
Lewin, K.: Field Theory in the Social Sciences. Harper, New York (1951)
Lupiáñez-Villanueva, F., Hardey, M., Torrent, J., Ficapal, P.: The integration of Information and Communication Technology into nursing. International Journal of Medical Informatics 80(2), 133–140 (2011)
Mack, W.R., Green, D., Vedlitz, A.: Innovation and Implementation in the Public Sector: An Examination of Public Entrepreneurship. Review of Policy Research 25(3), 233–252 (2008)
McMaster, T., Wastell, D.: Diffusion – or Delusion?:Challenging an IS research tradition. Information Technology & People 18(4), 383–404 (2005)
Moggridge, A., Reason, P.: Human Inquiry: Steps Towards Emancipatory Practice. Systems Practice 9(2), 159–175 (1996)
Moore, G.: Dealing with Darwin: How Great Companies innovate at every phase of their evolution (2005), www.dealingwithdarwin.com (accessed November 5, 2012)
Morgan, G.: Images of Organization. Sage Publications Ltd., London (2006)
Murphy, J.: Nursing and Technology: A Love/Hate Relationship. Nursing Economic 28(6), 405–408 (2010)
Mustonen-Ollila, E., Lyytinen, K.: Why organizations adopt information system process inno-vations: a longitudinal study using Diffusion of Innovation theory. Information Systems Journal 13, 275–297 (2003)
National Audit Office. The National Programme for IT in the NHS: an update on the delivery of detailed care records systems (2011), http://www.nao.org.uk/publications/1012/npfit.aspx (accessed October 20, 2011)
Nelson, E., Batalden, P., Huber, T., Mohr, J., Godfrey, M., Headrick, L., Wasson: Microsystems in Health Care, Part 1: Learning from High-Performance Front-line Clinical Units. Journal on Quality Improvement 28(9), 472–493 (2002)
Norris, A.C.: Current trends and challenges in health informatics. Health Informatics Journal 8, 205–213 (2002)
O’Leary, Z.: Researching Real-World Problems: A Guide to Methods of Inquiry. Sage Publications, London (2005)
Oroviogoicoechea, C., Elliott, B., Watson, R.: Review: evaluating information systems in nursing. Journal of Clinical Nursing 17, 567–575 (2006)
Perry, C., Gummesson, E.: Action research in marketing. European Journal of Marketing 38(3/4), 310–320 (2004)
Pettigrew, A., Ferlie, E., McKee, L.: Shaping Strategic Change. Making Change in Large Organizations: The Case of The National Health Service. Sage, London (1992)
Pettigrew, A., Woodman, R.W., Cameron, K.S.: Studying Organisational Change and Devel-opment: Challenges for Future Research. Academy of Management Journal 44(4), 697–713 (2001)
Raleigh, V.: The information strategy: a transformation in health and social care information on the way? The Kings Fund (2012), http://www.kingsfund.org.uk/blog/informationstrate_1.html ( accessed September 24, 2012)
Reason, P.: Three Approaches to Participative Inquiry. In: Denzin, N.K., Lincoln, Y.S. (eds.) Handbook of Qualitative Research. Sage, Thousand Oaks (1994)
Reason, P.: Choice and Quality in Action Research Practice. Journal of Management Inquiry 15(2), 187–203 (2006)
Reason, P., Bradbury, H.: Handbook of Action Research: Participative Inquiry and Practice. Sage Publications, London (2001)
Redwood. H.: Why Ration Health Care? : An international study of the United Kingdom, France, Germany and public sector health care in the USA, CIVITAS: Institute for the Study of Civil Society, London (2000), http://www.civitas.org.uk/pdf/cs08.pdf (accessed March 20, 2012)
Rogers, E.M.: Diffusion of Innovations, 4th edn. Simon and Schuster, New York (1995)
Rogers, E.M.: Diffusion of Innovations, 5th edn. Simon & Schuster, New York (2003)
Royal College of Nursing. Nurses and NHS IT developments : Results of an online survey by Nursix.com on behalf of the Royal College of Nursing (2006), http://www.rcn.org.uk/__data/assets/pdf_file/0009/78714/003079.pdf (accessed: March 12, 2011)
Royal College of Nursing. Market Research Report : RCN EHealth Study (2007), http://www.rcn.org.uk/__data/assets/pdf_file/0015/111552/003166.pdf (accessed: March 12, 2011)
Royal Society. Digital Healthcare: The impact of information and communication technologies on health and healthcare. London: Royal Society (2006), http://royalsociety.org/Digital-healthcare-the-impact-of-information-and-communication-technologies-on-healthcare/ (accessed: March 12, 2011)
Sauer, C., Willcocks, L.: Unreasonable expectations – NHS IT, Greek choruses and the games institutions play around mega-programmes. Journal of Information Technology 2, 195–201 (2007)
Seddon, J.: Systems Thinking in the Public Sector: The failure of the reform regime and a manifesto for a better way. Triarchy Press, Axminster (2008)
Sheaff, R., Pickard, S., Dowling, B.: Is Evidence Based Organizational Innovation a Delusion? In: Casebeer, A.L., Harrison, A., Mark, A.L. (eds.) Innovations in Health Care: A Reality Check. Palgrave Macmillan, New York (2006)
Stringer, E.T.: Action Research, 2nd edn. Sage Publications (1999)
Urquhart, C., Currell, R.: Reviewing the evidence on nursing record systems. Health Informatics Journal 11(3), 33–42 (2005)
Van de Ven, A.H., Polley, D.E., Garud, R., Venkataraman, S.: The Innovation Journey. Oxford University Press, Oxford (1999)
Wainwright, D.W., Waring, T.S.: The information management and technology strategy of the UK National Health Service: Determining progress in the NHS acute hospital sector. The International Journal of Public Sector Management 13(3), 241–259 (2000)
Warmington, A.: Action Research: Its Methods and Its Implications. Journal of Applied Systems Analysis 7, 23–39 (1980)
Willmer, M.: Promoting practical clinical management learning: the current situation about Information and Communications Technology capability development in student nurses. Journal of Nursing Management 13, 467–476 (2005)
Zhuang, L.: Bridging the gap between technology and business strategy: a pilot study on the innovation process. Management Decision 33(8), 13–21 (1995)
Zouridis, S., Termeer, C.J.A.M.: Never the twain shall meet. An oxymoron: innovation in government. Public Administration 7(8), 13–23 (2005)
Zuber-Skerrit, O.: The concept of action learning. The Learning Organization 9(3), 114–124 (2002)
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Waring, T., Alexander, M., Casey, R. (2013). Bringing about Innovative Change: The Case of a Patient Flow Management System in an NHS Trust. In: Dwivedi, Y.K., Henriksen, H.Z., Wastell, D., De’, R. (eds) Grand Successes and Failures in IT. Public and Private Sectors. TDIT 2013. IFIP Advances in Information and Communication Technology, vol 402. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-38862-0_11
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