A closer look at the para- and perimedics

Jonkman, Lisanne (2014) A closer look at the para- and perimedics. thesis, Other studies (UMCG).

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Abstract

Introduction This study expands previous research where the user group para- and perimedics scored significantly lower on support and acceptance than other user groups (i.e. doctors, nursing staff and management). The aim of this study is to discover what the attitudes are within the para/peri user group towards an EHR implementation project and how these attitudes lead to acceptance and support of an EHR system. This paper will answer the following research question: What are the effects of intended behaviors of the heterogeneous para/peri user group on acceptance and support, in the case of an EHR implementation? And the next subquestions: How can the para/peri user group be classified into subgroups? And what is their relation with the EHR? Method In this study, a triangulation method is used. Quantitative data of earlier research forms the starting point of this research. Qualitative data should provide additional insights in the quantitative data; moreover a case study provides data. Qualitative data was gathered in a large teaching hospital in the Netherlands using in-depth interviews. The different research methods used in this research, are divided into three rounds. The qualitative data is analyzed by using statistical analyses; the quantitative data is analyzed by using coding schemes. Results Overall, the findings related to acceptance and support are quite positive. Even though, they do not feel involved in the implementation process. Related to job satisfaction, the para/peri group does not expect a change in the job characteristics. Next to that, they are dissatisfied with the current systems they are using which leads to optimistic expectations of the new systems, which is called shared meanings. Conclusion Despite there is no relationship between involvement and adoption, the para/peri user group is supportive and shows acceptance towards the EHR system. Besides, it was expected that the expected outcome job satisfaction would have a positive influence on adoption, however, job satisfaction is replaced by current job satisfaction and supportive shared meanings. Limitations can be that the EHR system implementation project has not been completed as the design phase did not start yet. Moreover, this study is limited in scope; there are only five different para/peri job positions interviewed. Two practical recommendations have been made: every department needs to have representative to improve the information provision and involvement of the para/peri user group. Second, dissatisfactions about the current systems need to be understandable.

Item Type:	Thesis (Thesis)
Supervisor name:	Luijk, van B.
Supervisor name:	Achterkamp, M.C. mw. dr. ir.
Faculty:	Economics and Business
Keywords:	Resistance, Acceptance, Electronic Health Record
Date Deposited:	25 Jun 2020 11:03
Last Modified:	25 Jun 2020 11:03
URI:	https://umcg.studenttheses.ub.rug.nl/id/eprint/2311

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