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Implementing and Embedding Health Informatics Systems - Understanding Organizational Behaviour Change Using

Mike Bracher1, Carl R May2

  • 1School of Health Sciences, University of Southampton, Southampton, UK.

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Summary

Normalization Process Theory (NPT) aids health informatics implementation by explaining how systems integrate into work environments. It offers a framework for understanding and improving the success of health technology adoption.

Keywords:
Change managementDeveloper-user co-designImplementation scienceOrganizational behavior changeProcess evaluation

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Area of Science:

  • Health Informatics
  • Sociology of Health

Background:

  • Health informatics system success relies on task performance and integration into work environments.
  • Implementation is an understudied area in health informatics, lacking empirical evidence for strategic decisions.

Purpose of the Study:

  • To introduce Normalization Process Theory (NPT) as a framework for understanding health informatics implementation.
  • To demonstrate NPT's application in planning and evaluating health interventions.

Main Methods:

  • Introduction of NPT's four core constructs: coherence, cognitive participation, collective action, and reflexive monitoring.
  • Exploration of NPT's application in prospective intervention planning and retrospective evaluation.
  • Analysis of two case studies: a digital health intervention for Type-2 diabetes and an electronic preoperative information system.

Main Results:

  • NPT provides generalizable explanations for implementation mechanisms affecting processes and outcomes.
  • Case studies illustrate NPT's utility in prospective planning and retrospective evaluation of health informatics implementation.
  • NPT facilitates comparative investigations into implementation success factors.

Conclusions:

  • Normalization Process Theory offers a robust framework for studying and improving health informatics implementation.
  • NPT's constructs and application examples provide valuable insights for researchers and practitioners.
  • Further research may explore NPT's limitations as a theoretical framework.