Implementation of newly adopted technology in acute care settings: a qualitative analysis of clinical staff

J Med Eng Technol. 2015 Jan;39(1):44-53. doi: 10.3109/03091902.2014.973618. Epub 2014 Nov 4.

Abstract

Technologies are not always successfully implemented into practice. This study elicited experiences of acute care providers with the introduction of technology and identified barriers and facilitators in the implementation process. A qualitative study using one-on-one interviews among a purposeful sample of 19 physicians and nurses within 10 emergency departments and intensive care units was performed. Grounded theory, iterative data analysis and the constant comparative method were used to inductively generate ideas and build theories. Five major categories emerged: decision-making factors, the impact on practice, technology's perceived value, facilitators and barriers to implementation. Barriers included negative experiences, age, infrequent use and access difficulties. A positive outlook, sufficient training, support staff and user friendliness were facilitators. This study describes strategies implicated in the successful implementation of newly adopted technology in acute care settings. Improved implementation methods and evaluation of implementation processes are necessary for successful adoption of new technology.

Keywords: Adoption; emergency department; implementation; intensive care unit; technology.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Attitude of Health Personnel*
  • Biomedical Technology* / education
  • Biomedical Technology* / methods
  • Diffusion of Innovation
  • Emergency Service, Hospital / organization & administration*
  • Humans
  • Intensive Care Units / organization & administration*
  • Nurses / psychology
  • Nurses / statistics & numerical data
  • Physicians / psychology
  • Physicians / statistics & numerical data