Purpose

Although resilience is heavily studied in both the healthcare and organizational change literatures, it has received less attention in healthcare information technology (HIT) implementation research. Healthcare organizations are consistently in the process of implementing and updating several complex technologies. Implementations and updates are challenged because healthcare workers often struggle to perceive the benefits of HITs and experience deficiencies in system design, yet bear the brunt of the blame for implementation failures. This combination implores healthcare workers to exercise HIT resilience; however, how they talk about this construct has been left unexplored. Subsequently, this study explores healthcare workers' communicative constitution of HIT resilience.

Design/methodology/approach

Twenty-three physicians (N = 23), specializing in oncology, pediatrics or anesthesiology, were recruited from one healthcare organization to participate in comprehensive interviews during and after the implementation of an updated HIT system DIPS.

Findings

Thematic analysis findings reveal physicians communicatively constituted HIT resilience as their (1) convictions in the continued, positive developments of newer HIT iterations, which marked their current adaptive HIT behaviors as temporary, and (2) contributions to inter-organizational HIT brainstorming projects in which HIT designers, IT staff and clinicians jointly problem-solved current HIT inadequacies and created new HIT features.

Originality/value

Offering both practical for healthcare leaders and managers and theoretical implications for HIT and resilience scholars, this study's results suggest that (1) healthcare leaders must work diligently to create a culture of collaborative HIT design in their organization to help facilitate the success of new HIT use, and (2) information technology scholars reevaluate the theoretical meaningfulness a technology's spirit and reconsider the causal nature of a technology's embedded structures.

中文翻译：

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医护人员健康信息技术 (HIT) 复原力的交际构成

目的

尽管在医疗保健和组织变革文献中都对弹性进行了深入研究，但在医疗保健信息技术 (HIT) 实施研究中却很少受到关注。医疗保健组织一直在实施和更新多种复杂技术。实施和更新面临挑战，因为医疗保健工作者经常难以理解 HIT 的好处并在系统设计中遇到缺陷，但首当其冲地承担实施失败的责任。这种结合恳求医护人员锻炼 HIT 弹性；然而，他们如何谈论这个结构一直没有被探索。随后，本研究探讨了医护人员对 HIT 复原力的交际构成。

设计/方法/方法

23名医师 ( N  = 23)，专攻肿瘤学、儿科或麻醉学，从一家医疗机构招募，在更新的 HIT 系统 DIPS 实施期间和之后参加全面访谈。

发现

主题分析结果表明，医生在交流中将 HIT 复原力构建为（1）对新的 HIT 迭代的持续、积极发展的信念，这标志着他们当前的适应性 HIT 行为是暂时的，以及（2）对组织间 HIT 头脑风暴项目的贡献，其中HIT 设计人员、IT 人员和临床医生共同解决了当前 HIT 的不足之处，并创造了新的 HIT 功能。

原创性/价值

本研究的结果为医疗保健领导者和管理人员提供实用性，并为 HIT 和复原力学者提供理论意义，表明 (1) 医疗保健领导者必须努力在其组织中创建协作式 HIT 设计文化，以帮助促进新 HIT 使用的成功，以及（2）信息技术学者重新评估技术精神的理论意义，重新考虑技术嵌入结构的因果性质。