Integrated Technology Implementation Model: Examination and Enhancements

Area of Science:

• Healthcare Informatics
• Nursing Technology Integration
• Organizational Behavior in Health Systems

Background:

• The Integrated Technology Implementation Model (2015) guides technology integration in healthcare.
• Effective technology adoption requires understanding user and organizational factors.
• Electronic health record (EHR) systems are crucial for modern healthcare delivery.

Purpose of the Study:

• To explore organizational and individual themes in technology implementation.
• To assess the representation of these themes within the Integrated Technology Implementation Model.
• To refine the model based on empirical findings from EHR implementation.

Main Methods:

• Qualitative exploratory study utilizing focus groups and one-on-one interviews.
• Grounded theory approach for data analysis.
• Unit of analysis: informant experiences with EHR implementation in long-term care.

Main Results:

• Workflow was identified as an insufficient concept for technology integration.
• The Integrated Technology Implementation Model was enhanced by introducing the "work process" concept.
• Work process encompasses the sequence of activities and technology use for quality patient care.

Conclusions:

• The enhanced Integrated Technology Implementation Model provides a more comprehensive framework for technology adoption.
• Understanding "work processes" is vital for successful EHR implementation and nursing leadership.
• The revised model aids nursing leadership, vendors, and engineers in focusing technology adoption efforts.