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When the user is not the chooser: learning from stakeholder involvement in technology adoption decisions in infection control.

Ahmad, R., Kyratsis, Y. & Holmes, A. H. (2012). When the user is not the chooser: learning from stakeholder involvement in technology adoption decisions in infection control.. Journal of Hospital Infection, 81(3), pp. 163-168. doi: 10.1016/j.jhin.2012.04.014


Background: Health systems need efficient innovation decisions to provide maximum benefit to patients, particularly in a climate of financial constraints. Whilst evidence based innovations exist for helping to address Healthcare Associated Infections, the uptake and implementation of these is highly variable and in some cases very slow.

Aim: To investigate innovation adoption decisions and implementation processes from an organisational perspective, focussing on the implications of stakeholder involvement during the innovation process.

Methods: Thirty five technology adoption decisions and implementation processes were examined through 121 qualitative interviews in 12 NHS health care organisations across England.

Findings: Stakeholder involvement varied across organisations with decisions highly exclusive to the infection prevention & control (IPC) team, to highly inclusive of wider organisational members. The context, including organisational culture, previous experience, and logistical factors influenced the level of stakeholder engagement. The timing of stakeholder involvement impacted on: 1. the range of innovations considered; 2. innovations selected, and 3. success of implementation. Cases of non-adoption, discontinued adoption, and of successful implementation are presented to share learning. The potential benefits of stakeholder involvement for 'successful' innovation adoption are presented including a goal orientated framework for involvement.

Conclusion: Key stakeholder involvement can lead to innovation adoption decisions compatible with structural and cultural contexts, particularly when involvement crosses the phases of initiation, decision making and implementation. Involving members of the wider health care organisation can raise the profile of IPC and reinforce efforts to make IPC everybody’s business.

Publication Type: Article
Additional Information: © 2012 Elsevier. Licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International
Publisher Keywords: stakeholder involvement, technology adoption, infection control
Subjects: R Medicine > RA Public aspects of medicine
Departments: School of Health & Psychological Sciences > Healthcare Services Research & Management
Text - Accepted Version
Available under License : See the attached licence file.

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