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dc.contributor.authorDugstad, Janne H
dc.contributor.authorEide, Tom
dc.contributor.authorNilsen, Etty Ragnhild
dc.contributor.authorEide, Hilde
dc.date.accessioned2019-08-20T08:20:48Z
dc.date.available2019-08-20T08:20:48Z
dc.date.issued2019-06-10
dc.description.abstract<i>Background</i>: Implementation of digital monitoring technology systems is considered beneficial for increasing the safety and quality of care for residents in nursing homes and simultaneously improving care providers’ workflow. Co-creation is a suitable approach for developing and implementing digital technologies and transforming the service accordingly. This study aimed to identify the facilitators and barriers for implementation of digital monitoring technology in residential care for persons with dementia and wandering behaviour, and explore cocreation as an implementation strategy and practice.<p> <p><i>Methods</i>: In this longitudinal case study, we observed and elicited the experiences of care providers and healthcare managers in eight nursing homes, in addition to those of the information technology (IT) support services and technology vendors, during a four-year implementation process. We were guided by theories on innovation, implementation and learning, as well as co-creation and design. The data were analysed deductively using a determinants of innovation framework, followed by an inductive content analysis of interview and observation data.<p> <p><i>Results</i>: The implementation represented radical innovation and required far more resources than the incremental changes anticipated by the participants. Five categories of facilitators and barriers were identified, including several subcategories for each category: 1) Pre-implementation preparations; 2) Implementation strategy; 3) Technology stability and usability; 4) Building competence and organisational learning; and 5) Service transformation and quality management. The combination of IT infrastructure instability and the reluctance of the IT support service to contribute in co-creating value with the healthcare services was the most persistent barrier. Overall, the co-creation methodology was the most prominent facilitator, resulting in a safer night monitoring service.<p> <p><i>Conclusion</i>: Successful implementation of novel digital monitoring technologies in the care service is a complex and time-consuming process and even more so when the technology allows care providers to radically transform clinical practices at the point of care, which offers new affordances in the co-creation of value with their residents. From a long-term perspective, the digital transformation of municipal healthcare services requires more advanced IT competence to be integrated directly into the management and provision of healthcare and value co-creation with service users and their relatives.en_US
dc.description.sponsorshipThe Regional Research Fund in Norwayen_US
dc.descriptionSource at <a href=https://doi.org/10.1186/s12913-019-4191-1>https://doi.org/10.1186/s12913-019-4191-1. </a> © The Author(s). 2019en_US
dc.identifier.citationDugstad, J. Eide, T., Nilsen, E. & Eide, H. (2019). Towards successful digital transformation through co-creation: a longitudinal study of a four-year implementation of digital monitoring technology in residential care for persons with dementia. <i>BMC Health Services Research, 19</i>:366. https://doi.org/10.1186/s12913-019-4191-1en_US
dc.identifier.cristinIDFRIDAID 1716927
dc.identifier.doi10.1186/s12913-019-4191-1
dc.identifier.issn1472-6963
dc.identifier.urihttps://hdl.handle.net/10037/15964
dc.language.isoengen_US
dc.publisherBMCen_US
dc.relation.journalBMC Health Services Research
dc.rights.accessRightsopenAccessen_US
dc.subjectVDP::Technology: 500::Medical technology: 620en_US
dc.subjectVDP::Teknologi: 500::Medisinsk teknologi: 620en_US
dc.subjectService designen_US
dc.subjectAbsorptive capacityen_US
dc.subjectRisken_US
dc.subjectTriple helixen_US
dc.subjectWorkflowen_US
dc.subjectRadical innovationen_US
dc.subjectVDP::Medical disciplines: 700::Health sciences: 800en_US
dc.subjectVDP::Medisinske Fag: 700::Helsefag: 800en_US
dc.titleTowards successful digital transformation through co-creation: a longitudinal study of a four-year implementation of digital monitoring technology in residential care for persons with dementiaen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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