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A contextual codesign approach to promote acceptance of new supervisory technology among healthcare professionals

Bennis, A.A.D. (2015) A contextual codesign approach to promote acceptance of new supervisory technology among healthcare professionals.

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Abstract:Introduction: In Dutch psychogeriatric nursing homes, tension exists between regulatory requirements and available staffing. While requirements are increasing, the workforce is remaining constant or even decreasing. To alleviate this tension, ICT means are introduced to support healthcare professionals during work. However, successful introduction of this necessary new supporting technology is often found to be troublesome. One of the reasons for this difficulty is the missing or fragmented attention for acceptance of the new technology, usually overlooking a holistic approach required in an organizational context. A positive effect on acceptance of new technology by healthcare professionals working in organizations may be achieved by deploying an approach that combines design activities from user-centered design (UCD) and participatory design (PD), and embeds this new design environment from the very first design activity in the organization. Objectives: The primary goal of this study is to investigate the effect of such a contextual codesign approach on the acceptance of new technology among healthcare professionals. A secondary goal is the actual development of a prototype of new supervisory technology, deploying the approach. Methods: A contextual codesign approach combining UCD and PD in an organizational context was developed. This approach was then deployed within a nursing home to introduce supervisory technology. Three groups of subjects participated in the study; (a) directly involved, taking part in the central codesign session, (b) indirectly involved, working in the same nursing home on a different part of the same ward and, (c) not involved, working in a different nursing home. Qualitative results were gathered using a modified version of the UTAUT model. These results were further analyzed with ATLAS.ti to compare acceptance among the three groups. Results: Results show that the participation of healthcare professionals in a codesign approach does promote acceptance of new supervisory technology. While only minor influences from the CCD approach on constructs of the modified UTAUT model were observed, results show that careful adherence to the CCD approach leads to such a well elaborated prototype with matching recognizable scenario, that all participants expect advantages of using this system in the future. As such, the basis for acceptance of the future system is laid. Conclusion: The introduction of new technology in healthcare can benefit from the deployment of the CCD approach because of clear positive effects on acceptance. A number of issues with the CCD approach is identified and needs to be addressed in future research.
Item Type:Essay (Master)
Faculty:BMS: Behavioural, Management and Social Sciences
Subject:05 communication studies
Programme:Communication Studies MSc (60713)
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