Abstract

The history of the National Health Service (NHS) in the UK is replete with digital interventions which have either failed or been abandoned midway. When analyzing these interventions, complexities within the NHS are often cited as central to abandonment or non-adoption. Our objective was to investigate how multifarious rationales and perspectives can still facilitate adoption of a new technology in a public sector hospital. We undertook an ethnographic study to investigate how doctors, nurses and pharmacists collectively ‘make sense’ when facing the implementation of electronic medicine charts (EMEDs). We have investigated how each of these groups interactively work to understand novel, ambiguous and unexpected events arounds them underpinning the implementation process. The resulting dimensions represent a collective cognitive transformation wherein the groups transition from fearing to capturing value and eventually rationalizing the use of new technology.

摘要

英国国家医疗服务体系 (NHS) 的历史充满了数字干预，要么失败要么中途放弃。在分析这些干预措施时，NHS 内部的复杂性通常被认为是放弃或不采用的核心。我们的目标是调查各种各样的理由和观点如何仍能促进公共部门医院采用新技术。我们进行了一项民族志研究，以调查医生、护士和药剂师在面临电子医学图表 (EMED) 的实施时如何共同“有意义”。我们调查了这些小组中的每一个如何交互工作，以了解围绕他们的新奇、模棱两可和意外事件，这些事件是实施过程的基础。