Cristin-resultat-ID: 1400854
Sist endret: 18. august 2017 16:23
NVI-rapporteringsår: 2016
Resultat
Vitenskapelig artikkel
2016

Exploring resistance to implementation of welfare technology in municipal healthcare services – a longitudinal case study

Bidragsytere:
  • Etty Ragnhild Nilsen
  • Janne H Dugstad
  • Hilde Eide
  • Monika Knudsen Gullslett og
  • Tom Eide

Tidsskrift

BMC Health Services Research
ISSN 1472-6963
e-ISSN 1472-6963
NVI-nivå 2

Om resultatet

Vitenskapelig artikkel
Publiseringsår: 2016
Volum: 16
Hefte: 1
Sider: 1 - 14
Artikkelnummer: 16:657
Open Access

Importkilder

Scopus-ID: 2-s2.0-84994853789

Finansiering

  • Regionale forskningsfond Agder
    Prosjektkode: 234978

Beskrivelse Beskrivelse

Tittel

Exploring resistance to implementation of welfare technology in municipal healthcare services – a longitudinal case study

Sammendrag

Background: Industrialized and welfare societies are faced with vast challenges in the field of healthcare in the years to come. New technological opportunities and implementation of welfare technology through co-creation are considered part of the solution to this challenge. Resistance to new technology and resistance to change is, however, assumed to rise from employees, care receivers and next of kin. The purpose of this article is to identify and describe forms of resistance that emerged in five municipalities during a technology implementation project as part of the care for older people. Methods: This is a longitudinal, single-embedded case study with elements of action research, following an implementation of welfare technology in the municipal healthcare services. Participants included staff from the municipalities, a network of technology developers and a group of researchers. Data from interviews, focus groups and participatory observation were analysed. Results: Resistance to co-creation and implementation was found in all groups of stakeholders, mirroring the complexity of the municipal context. Four main forms of resistance were identified: 1) organizational resistance, 2) cultural resistance, 3) technological resistance and 4) ethical resistance, each including several subforms. The resistance emerges from a variety of perceived threats, partly parallel to, partly across the four main forms of resistance, such as a) threats to stability and predictability (fear of change), b) threats to role and group identity (fear of losing power or control) and c) threats to basic healthcare values (fear of losing moral or professional integrity). Conclusion: The study refines the categorization of resistance to the implementation of welfare technology in healthcare settings. It identifies resistance categories, how resistance changes over time and suggests that resistance may play a productive role when the implementation is organized as a co-creation process. This indicates that the importance of organizational translation between professional cultures should not be underestimated, and supports research indicating that focus on co-initiation in the initial phase of implementation projects may help prevent different forms of resistance in complex co-creation processes.

Bidragsytere

Aktiv cristin-person

Etty Ragnhild Nilsen

  • Tilknyttet:
    Forfatter
    ved Institutt for økonomi, markedsføring og jus ved Universitetet i Sørøst-Norge

Janne Herholdt Dugstad

Bidragsyterens navn vises på dette resultatet som Janne H Dugstad
  • Tilknyttet:
    Forfatter
    ved Fakultet for helse- og sosialvitenskap ved Universitetet i Sørøst-Norge
Aktiv cristin-person

Hilde Eide

  • Tilknyttet:
    Forfatter
    ved Institutt for sykepleie- og helsevitenskap ved Universitetet i Sørøst-Norge

Monika Knudsen Gullslett

  • Tilknyttet:
    Forfatter
    ved Institutt for helse-, sosial- og velferdsfag ved Universitetet i Sørøst-Norge
Aktiv cristin-person

Tom Eide

  • Tilknyttet:
    Forfatter
    ved Institutt for sykepleie- og helsevitenskap ved Universitetet i Sørøst-Norge
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