title: Implementation of newly adopted technology in acute care settings: a qualitative analysis of clinical staff.
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.
authors.affiliation: Department of Pediatrics, Section of Emergency Medicine, Yale University School of Medicine , New Haven, CT , USA and.
authors.forename: Melissa L
authors.initials: ML
authors.lastname: Langhan
authors.forename: Antonio
authors.initials: A
authors.lastname: Riera
authors.forename: Jordan C
authors.initials: JC
authors.lastname: Kurtz
authors.forename: Paula
authors.initials: P
authors.lastname: Schaeffer
authors.forename: Andrea G
authors.initials: AG
authors.lastname: Asnes
mesh_terms: D001291:Attitude of Health Personnel; D020811:Biomedical Technology / Q000193:education / Q000379:methods; D004059:Diffusion of Innovation; D004636:Emergency Service, Hospital / Q000458:organization & administration*; D006801:Humans; D007362:Intensive Care Units / Q000458:organization & administration*; D009726:Nurses / Q000523:psychology / Q000706:statistics & numerical data; D010820:Physicians / Q000523:psychology / Q000706:statistics & numerical data
keywords: Adoption; emergency department; implementation; intensive care unit; technology