The influence of peer beliefs on nurses' use of new health information technology: A social network analysis.
The influence of peer beliefs on nurses' use of new health information technology: A social network analysis.
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同伴信念对护士使用新健康信息技术的影响：社交网络分析。
DOI：
10.1016/j.socscimed.2020.113002
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发表时间：
2020
期刊：
影响因子：
--
通讯作者：
Kane,GeraldC
中科院分区：
文献类型：
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作者：
Yuan,ChristinaT;Nembhard,IngridM;Kane,GeraldC
卫生信息技术的实施失败率令人担忧，因为目标用户往往选择不使用它。实施理论和框架表明，社交网络可能会影响个人的使用，但实证研究仍然有限。此外，无论是理论还是研究都没有确定网络中谁的信念对实现最重要。我们研究个人的系统使用和他或她的同龄人的信念之间的关系。我们评估两个同龄人群体的关系：整个群体的同龄人和子集，分享个人的信仰系统。我们使用了从美国一家学术医院收集的数据，该医院最近实施了条形码药物管理系统，该技术旨在提高药物安全性。我们管理的调查护士（N = 207）在六个临床单位约3-5个月后（2013年4月至6月）的“上线”的系统，以确定同行群体和系统有用性的信念。我们计算了平均同行的信念，为整个同龄人群体和共享的信念，使用同质性措施。从医院的电子健康档案系统，我们获得了护士的系统使用在3个月的数据收集期间。我们使用多变量线性回归来检验关系。我们发现没有影响的平均同侪信念对个人系统的使用。然而，共享的信念有用性与个人系统的使用呈正相关。当与同伴分享时，个人自己的积极信念只与更大的系统使用相关。我们的研究结果表明，社交网络在实施中发挥着重要作用，特别是个人和他或她的同伴网络之间的共同信念可能是实施成功的关键，比整个同伴群体的信念更重要。社会网络的强化似乎决定了个人自己的信念是否转化为系统的使用。
Implementation of health information technology fails at an alarming rate because intended users often choose not to use it. Implementation theory and frameworks suggest that social networks may influence individuals' use, but empirical study remains limited. Furthermore, neither theory nor research has identifiedwhose beliefswithin the network matter most for implementation. We examine the relationship between an individual's system use and the beliefs of his or her peers. We assess the relationship for two peer groups: the entire group of peers and the subset that shares the individual's beliefs about the system. We used data collected from an academic hospital in the United States that had recently implemented a bar code medication administration system, a technology meant to increase medication safety. We administered a survey to nurses (N = 207) in six clinical units approximately 3–5 months (April–June 2013) after the “go-live” of the system to identify peer groups and beliefs about system usefulness. We calculated mean peer belief for the entire peer group and sharedness of belief using a homophily measure. From the hospital's electronic health record system, we obtained nurses' system use during the 3-month data collection period. We used multivariable linear regression to examine relationships. We found no effect of mean peer beliefs on individual system use. However, sharedness of belief about usefulness was positively associated with individual system use. Individuals' own positive belief was only associated with greater system use when shared with peers. Our findings indicate a significant role of social networks in implementation, and specifically that shared beliefs between an individual and his or her peer network may be critical to implementation success, more so than the beliefs across the entire peer group. Reinforcement by the social network appears to dictate whether individuals' own beliefs translate into system use.