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Exploring interpersonal behavior and team sensemaking during health information technology implementation.

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    Team leaders can foster sensemaking during health information technology (HIT) implementation by promoting voice. Leader anger can disrupt this process, but seeking input helps overcome negative effects.

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    Area of Science:

    • Healthcare Management
    • Organizational Behavior
    • Health Information Technology

    Background:

    • Implementing health information technology (HIT) in hospitals is complex and requires effective team collaboration.
    • Team sensemaking, the process of creating shared understanding, is crucial for successful HIT implementation.
    • Interpersonal dynamics significantly influence team sensemaking and decision-making during change initiatives.

    Purpose of the Study:

    • To examine how interpersonal behavior and social interaction influence team sensemaking during hospital-based HIT implementation.
    • To identify leadership strategies that promote or hinder team member voice and sensemaking.

    Main Methods:

    • An 18-month observational study of interpersonal interactions within HIT implementation teams.
    • Utilized a sensemaking lens to analyze team dynamics and communication patterns.

    Main Results:

    • Three leader strategies—communicating vision, connecting goals to values, and seeking input—fostered team voice and sensemaking.
    • Leader expressions of anger, even infrequent ones, undermined sensemaking and halted problem-solving dialog.
    • Actively seeking team member opinions helped leaders mitigate the negative impact of anger on sensemaking.

    Conclusions:

    • Leaders must consistently employ voice-promoting behaviors throughout project engagement.
    • Training in constructive conflict resolution can enhance innovation and sensemaking, crucial for mitigating HIT implementation risks.
    • Understanding leader behaviors' impact on team voice is vital for successful healthcare IT projects.