Information technology implementation in service enhancement: a qualitative case study

Article English OPEN
Johnson, Michael (2016)

The article presents a qualitative case study of the complexities involved in information technology (IT) implementation through illuminating the methods used by two different nurses in the same service enhancement initiative. The importance, relevance and history of learning IT skills is introduced and qualitative case study is argued to be a suitable methodology for investigating and unlocking such social phenomena. Three interviews were conducted and the data combined into a single narrative. One of the participants is very familiar with IT yet reverts to paper for managing numerical data arising from a waiting times audit. This project is taken over by a second nurse who immediately replaces the paper method with a spreadsheet, with help from a service enhancement champion, the third individual interviewed. The circumstances and implications of the nurses’ decisions, to avoid or deploy IT, are briefly discussed. The paper concludes that it is unrealistic to expect all nurses to be extremely fluent with IT.\ud However, the decision to leverage IT for innovation and improvement in clinical settings is made easier if education has provided nurses with a firm conceptual and practical foundation.
  • References (12)
    12 references, page 1 of 2

    REFERENCES [15] Law J, Urry J. Enacting the social. Economy and Society. 2004; [1] Sinclair M, Gardner J. Planning for information technology key skills 33(3): 390-410. Available from: http://www.tandfonline.com/ in nurse education. Journal of Advanced Nursing [Internet]. 1999; doi/abs/10.1080/0308514042000225716 http://dx.doi.o 30(6): 1441-1450. http://dx.doi.org/10.1046/j.1365-264 rg/10.1080/0308514042000225716 8.1999.01218.x [16] Simons H. The paradox of case study. Cambridge Journal of Edu[2] Ip B, Jones S, Jacobs G. Retention and application of informa- cation. 1996 Jun; 26(2): 225. http://dx.doi.org/10.1080/030 tion technology skills among nursing and midwifery students. In- 5764960260206 novations in Education and Teaching International [Internet]. 2007; [17] May R. The Courage to Create. W. W. Norton; 1994.

    44(2): 199-210. Available from: http://www.tandfonline.com/ [18] Van Wynsberghe R, Khan S. Redefining Case Study. Internadoi/abs/10.1080/14703290701241018 http://dx.doi.org tional Journal of Qualitative Methods. 2007; 6(2): 1-10. Avail/10.1080/14703290701241018 able from: http://search.ebscohost.com/login.aspx?di [3] Eley R, Fallon T, Soar J, et al. The status of training and education in rect=true&db=a9h&AN=25730127&site=ehost-live information and computer technology of Australian nurses: a national [19] Dewey J. How We Think. 1910. Available from: http://www.gu survey. Journal of Clinical Nursing. 2008; 17(20): 2758-2767. Avail- tenberg.org/ebooks/37423 able from: http://onlinelibrary.wiley.com/doi/10.1111/ [20] Porter-O'Grady T, Malloch K, editors. Innovation leadership: creatj.1365-2702.2008.02285.x/abstract PMid:18808645 http: ing the landscape of health care. Sudbury, MA: Jones and Bartlett //dx.doi.org/10.1111/j.1365-2702.2008.02285.x Publishers; 2010.

    [4] Selwyn N. Understanding students (non) use of information [21] Cohen L, Manion L, Morrison K. Organizing and Presenting Qualitaand communications technology in university. 2003. Available tive Data. Research Methods in Education. 7th ed. Oxon: Routledge; from: http://www.cardiff.ac.uk/socsi/research/publi 2011. 537-558 p.

    cations/workingpapers/paper-40.html [22] Atkinson P. Keynote. Cardiff; 2015. Available from: [5] Arthur Jr. W, Bennett Jr. W, Stanush PL, et al. Factors That In- http://www.cardiff.ac.uk/news/view/142132-after fluence Skill Decay and Retention: A Quantitative Review and -paul-atkinson-the-future-of-three-research-areas Analysis. Human Performance. 1998; 11(1): 57-101. Available [23] Geertz C. The Interpretation of Cultures: Selected Essays. Basic from: http://search.ebscohost.com/login.aspx?direct Books; 1973.

    =true&db=buh&AN=7308508&site=ehost-live [24] Merriam SB. Case study research in education: a qualitative approach.

    [6] Martin A. Concepts of ICT Literacy in Higher Edu- 1st ed. San Francisco: Jossey-Bass; 1988.

    cation. University of Glasgow; 2002. Available from: [25] ECDL Foundation. ECDL/ICDL Computer Essentials Syllabus Verhttp://www.citscapes.ac.uk/citscapes/produc sion 1.0. 2012. Available from: http://www.ecdl.org/media/C ts/backgroundreports/files/concepts_ict_HE.pdf omputerEssentials2.pdf http://dx.doi.org/10.1207/s15327043hup1101_3 [26] Latour B. Reassembling the social: an introduction to actor-network [7] van Dijk JAGM, van Deursen AJAM. Digital Skills: Unlocking the theory. Oxford; New York: Oxford University Press; 2005.

    Information Society. Palgrave Macmillan; 2014. [27] Saffo P. The Consumer Spectrum. In: Winograd T, editor. Bringing [8] Thomas G. A Typology for the Case Study in Social Science Fol- Design to Software. New York, N.Y. Reading, Mass.: ACM Press; lowing a Review of Definition, Discourse, and Structure. Qualita- Addison-Wesley; 1996.

    tive Inquiry. 2011; 17(6): 511-521. Available from: http://qi [28] Jebakumar AZ, Nondo HS, Sarfo SK. Challenges of nursing informatx.sagepub.com/content/17/6/511 http://dx.doi.org/10. ics-a critical review. European Journal of Nursing. 2014; 1(1): 6-10.

    1177/1077800411409884 Available from: http://mcmed.us/downloads/ejn_518032523 [9] Stake RE. Case Studies. In: Denzin NK, Lincoln YS, editors. The 8.pdf Sage handbook of qualitative research. 2nd ed. Thousand Oaks, CA: [29] Shah U. Teachers' use of learning technology in a South Asian conSage Publications Ltd; 2000. 435-455 p. text. In: Hodgson V, de Laat M, McConnell D, Ryberg T, editors.

  • Metrics
    No metrics available
Share - Bookmark