1,720,998 research outputs found
Coping with institutional complexity: Intersecting logics and dissonant visions in a nation-wide healthcare IT implementation project
No full textPurpose: Digital transformation projects are complex, lengthy and difficult to implement, often failing to meet their objectives. Previous research has attributed this failure to competing institutional logics influencing actors’ coping responses, and differences in actors’ interpretations of the project’s goals, technology and processes - their “organising vision”. The purpose of this paper is to analyse a complex technology implementation project from an institutional perspective, to further elucidate the role of multiple logics and organising vision. Design/methodology/approach: A qualitative single study approach was used to investigate a public-sector technology project aimed at delivering a unified Human resource information system (HRIS) across regional health organisations in one country. Findings: Four logics characterised the project (public sector, professional, corporate and market), but their relative dominance shifted as the project transitioned through stages, from comprehension to implementation. These shifts exposed tensions between components of actors’ organising vision, which influenced their coping behaviours in response to unexpected changes in the project’s strategic ambitions and technological scope. Coherence of vision, both within groups of actors and between them, was a key mediator of coping responses and project outcomes. Originality/value: This analysis demonstrates the role of actors’ organising vision in bridging institutional logics and coping responses to shape digital transformation projects. It highlights the need to account not only for diverse institutional logics, but also for their changing influence as projects unfold and actors’ attention is directed onto different aspects of the organising vision. From a management perspective, it illustrates the importance of clear and consistent communication, to avoid entrenching conflicting interpretations
“Planned Benefits” Can Be Misleading in Digital Transformation Projects: Insights From a Case Study of Human Resource Information Systems Implementation in Healthcare
No full textHuman Resources Information Systems (HRIS) are being implemented in many organizations but, like other technology projects, translating their potential benefits into meaningful improvements can be challenging. So-called “planned benefits” approaches are designed to aid this translation, but little is known about their success in HRIS projects. This study examined how a planned benefits approach was manifested in a national-scale HRIS implementation program. The results point to the importance of reviewing the benefits plan at regular intervals, to ensure the project can adapt to changing circumstances, and considering benefits at the level of individual modules and user groups, as well as for the organization as a whole. Adequate data preparation, training, effective communication, and process analysis were identified as key actions necessary for successful HRIS implementation and benefit realization
Human Resource Information Systems in Health Care: Protocol for a Systematic Review
No full textBackground: Compared with the eHealth literature as a whole, there has been relatively little published research on the use
and impact of information and communication technologies (ICTs) designed to support business functions within health
organizations. Human resource information systems (HRISs) have the potential to improve organizational efficiency and
effectiveness by facilitating workforce planning, financial and operational administration, staff training, and management analytics.
However, the evidence base regarding HRIS in health care is widely distributed across disciplinary boundaries and previous
reviews have been somewhat limited in scope. This rigorous systematic review will identify, appraise, and synthesize existing
international research on the implementation and impacts of HRIS in health organizations, to provide insights and recommendations
that may guide future purchasers, commissioners, implementers, evaluators, and users of such systems.
Objective: The objectives of this review are threefold: (1) to determine the prevalence and scope of existing research and
evaluation pertaining to HRIS in health organizations; (2) to analyze, classify, and synthesize existing evidence on the processes
and impacts of HRIS development, implementation, and adoption; and (3) to generate recommendations for HRIS research,
practice, and policy, with reference to the needs of different stakeholders and communities of practice.
Methods: A high-level scoping review was first undertaken to inform a draft search strategy, which was refined through several
cycles of piloting and iteration to optimize its sensitivity and specificity. This was used by the first author, with the help of a
medical librarian, to search international electronic databases indexing medical, business, ICT, and multi-disciplinary research.
Sources of gray literature and reference lists of included studies were also searched. There were no restrictions on language or
publication year. Two reviewers are now screening and coding titles and abstracts for potentially eligible studies, for which full
text articles will be retrieved. Reasons for exclusion will be noted for the remaining articles. A structured form will be used to
summarize and classify the articles. Any disagreements between reviewers will be resolved through consensus or arbitration by
a third reviewer. A PRISMA flow diagram will illustrate the study selection process and ensure transparency of the review.
Finally, content experts will be consulted to ensure that important articles have not been missed.
Results: The initial searches have now been completed and the results are being analyzed. The review is expected to be completed
and published by the end of 2015.
Conclusions: By synthesizing the existing evidence base, identifying areas in which knowledge is currently lacking, and
generating recommendations for research and practice, this review will be a useful resource for decision makers and managers
considering or implementing HRIS, as well as encouraging new research in this area
Human resource information systems in health care: a systematic evidence review
No full textObjective: This systematic review aimed to: (1) determine the prevalence and scope of existing research on human resource information systems (HRIS) in health organizations; (2) analyze, classify, and synthesize evidence on the processes and impacts of HRIS development, implementation, and adoption; and (3) generate recommendations for HRIS research, practice, and policy, with reference to the needs of different stakeholders.
Methods: A structured search strategy was used to interrogate 10 electronic databases indexing research from the health, social, management, technology, and interdisciplinary sciences, alongside gray literature sources and reference lists of qualifying studies. There were no restrictions on language or publication year. Two reviewers screened publications, extracted data, and coded findings according to the innovation stages covered in the studies. The Critical Appraisal Skills Program checklist was adopted to assess study quality. The process of study selection was charted using a Preferred Items for Systematic Reviews and Meta-Analysis (PRISMA) diagram.
Results: Of the 6824 publications identified by the search strategy, 68, covering 42 studies, were included for final analysis. Research on HRIS in health was interdisciplinary, often atheoretical, conducted primarily in the hospital sector of high-income economies, and largely focused uncritically on use and realized benefits.
Discussion and Conclusions: While studies of HRIS in health exist, the overall lack of evaluative research raises unanswered questions about their capacity to improve quality and efficiency and enable learning health systems, as well as how sociotechnical complexity influences implementation and effectiveness. We offer this analysis to decision makers and managers considering or currently implementing an HRIS, and make recommendations for further research
Thinking big whilst making do: Mismatching expectations of a national human resource management system in healthcare
No full textHuman Resource Systems in Healthcare
No full textHuman resource management information systems (HRIS) are vital for the effective running of health systems and address many of the information, communication, and training issues of health professionals as well as providing human resource managers with high-quality data, however they have not been well studied. This research addresses this gap by making an in depth investigation to understand the approaches to, barriers and facilitators for outcomes and implications of HRIS implementation in health organizations
Do we expect too much from new technologies? A comparison of expected versus realized benefits for a national Human Resource Information System (HRIS)
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