2 research outputs found
Rethinking the Concept of IT Use
The information systems (IS) community has developed many theories, approaches, and models that identify conditions and determinants of successful IT use. However, each model in the IS literature has evolved to address specific aspects and dimensions. This has led to conflicting results concerning the impact of IT use. Consequently, while a rich body of knowledge has emerged, with prominent models such as the Technology Acceptance Model or the IS Success Model, the complexity of defining a suitable multi-dimensional construct for IT use has largely been neglected. In this paper, we develop a new causal model of IT use. Based on Adaptive Structuration Theory, we argue for the multi-dimensionality of IT use and thoroughly derive its components. Moreover, we introduce two new concepts into studies of successful IT use: functional affordance and symbolic expression. Both establish a relation between the IT system in investigation and its users. In doing so, we provide a novel, synthesized approach for investigating IT use in the context of the IS Success Model and the framework of Adaptive Structuration Theory
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Change is inevitable but compliance is optional : coworker social influence and behavioral work-arounds in the EHR implementation of healthcare organizations
textThe implementation of planned organizational change is ultimately a communication-related phenomenon, and as such, it is imperative that organizational communication scholars examine the interactions surrounding EHR implementation and understand how users (e.g. healthcare practitioners) utilize, evaluate, and deliberate this new technological innovation. Previous research on planned organizational change has called for researchers to adopt a more dynamic perspective that emphasizes the active agency of organizational members throughout implementation processes and focuses on informal implementers and change reinvention (work-arounds) as individuals actively reinterpret and personalize their work roles during implementation socialization. This dissertation seeks to fill this gap in research by demonstrating how communication between doctors, nurses, and other health professionals affects the adoption, maintenance, alternation, modification, or rejection of EHR systems within health care organizations. To delve into these inquiries and examine the intersecting domains of medical informatics and organizational communication research, this dissertation proceeds in the following manner: First, a literature review, capitalizing on Laurie Lewis’s work in planned organizational change and social constructionist views of technology use in organizations, outlines the assumptions that undergird this research. Next, this dissertation builds a model that predicts the communicative and structural antecedents of the study outcome variables, which include 1) organizational resistance to EHR implementation, 2) employees’ perception of EHR implementation success, 3) levels of change reinvention—or work-arounds—due to change initiatives and activities, and 4) employees’ perceptions of the quality of the organizational communication surrounding the change. Hypotheses guiding the model specification are provided and are followed by a description of the empirical methods and procedures that were utilized to explore the variable relationships. Results of the SEM model suggest that work-arounds could play a mediating role governing the relationship between informal social influence and the outcome variables in the study. In addition, one-way ANOVAs and multiple regression analyses reveal that physicians are the most resistant to EHR implementation and perceived change communication quality positively predicts perceived EHR implementation success and perceived relative advantage of EHR and negatively predicts employee resistance. A discussion of the expected and unexpected results is offered in addition to study limitation and future directions.Communication Studie