Development of Conceptual Constructs for Organisational BIM Adoption and their Systematic Application within the UK Architecture Sector

Building Information Modelling (BIM) is an innovation that is transforming practices within the Architectural, Engineering, Construction and Operation (AECO) sectors. The investigation of the process of BIM adoption and diffusion has attracted significant interest from industry and academia. Drivers and factors influencing BIM adoption were examined at different levels, ranging from individual and group through organisations and supply chains to whole market level. However, there is still a dearth of studies that extensively integrate drivers and factors affecting the decision to adopt BIM by organisations. Existing studies often seek to develop approaches for forecasting BIM diffusion, and are generally focused on the diffusion phase, after BIM has been adopted. Therefore, this study aims to improve the understanding of the BIM adoption process within organisations and across markets by developing the necessary conceptual constructs (e.g., BIM adoption taxonomy, adoption process model, adoption two-dimensional characterisation model, and systems thinking models) and providing the supporting empirical evidence. This study provided an in-depth analysis of the BIM adoption process within organisations. It developed a unified BIM adoption taxonomy that contains an extensive array of adoption factors. Following the validation of the taxonomy, its factors were used within a proposed conceptual model, which combined the Innovation Diffusion Theory with the Institutional Theory, to perform a multifaceted analysis of the BIM adoption process. A set of 11 most influencing factors on BIM adoption process was identified and included: Willingness to adopt BIM, Communication behaviour of an organisation, Observability of BIM benefits, Compatibility of BIM, Social motivations among organisation's members, Relative advantage of BIM, Organisational culture, Top management support, Organisational readiness, Coercive pressures (Governmental mandate, informal mandate), and Organisation size. Focussing on these 11 most influencing factors, several analyses were performed to understand the interplays between these factors - while considering specific instances of certain factors (i.e. organisation size, and external isomorphic pressure) over time (i.e., Pre-2011, 2011-2016, and Post-2016 exemplifying three key time periods in the UK national BIM strategy). The results showed that the Relative advantage of BIM is the most important and influencing factor across all the three stages of the adoption process (i.e., Awareness stage, Intention stage, and Decision stage) of the BIM adoption process. Coercive pressures (e.g. Governmental mandate, informal mandate) had a direct influence on both formulating the intention and the decision to adopt BIM across the three-time horizons (i.e., Pre-2011, 2011-2016, and Post-2016). For the Pre-2011 period, the coercive pressures were mostly informal mandate/pressures by the parent companies and partners, while during 2011-2016 and Post-2016 periods, it is predominantly the UK Government mandate which was announced in 2011 and entered into effect in 2016. Several Systems Thinking models were developed to show the interdependencies among the factors that affect the BIM adoption process at different time periods and stages of the BIM adoption process. Such models infer patterns of behaviour of BIM adoption as complex systems and can be used to guide the development and implementation of BIM strategies. For example, by relating each factor within the system thinking model to the player group(s) who can exert influence upon it, the complementary role of the player groups can be planned to facilitate the BIM adoption process according to the patterns identified in the corresponding systems thinking model. The different patterns developed through the specialised systems thinking models can be used to develop tailored BIM adoption strategies for the different scenarios involved. At a global level (overall aim), this study provided an understanding of how intra-organisational BIM adoption and inter-organisational BIM diffusion occurs. At a local level (individual objectives), the key knowledge deliverables in this study (i.e., the taxonomy, conceptual model for BIM adoption process, two-dimensional characterisation model of BIM adoption, and systems thinking models) and the empirical investigation represent a new contribution to knowledge with each contributing from a specific standpoint. The Unified BIM Adoption Taxonomy is the first – if not the sole – statistically validated BIM adoption taxonomy that includes an extensive array of adoption drivers and factors and combines constructs from both the Institutional and the Innovation Diffusion theories. The conceptual model for analysing BIM adoption and its use for the empirical investigation of BIM adoption within the UK Architecture sector explored and identified relationships that were not known before (i.e., triggering the BIM Awareness and formulating an Intention about BIM adoption is not limited to Internal Environment Characteristics and the Innovation Characteristics respectively - as suggested by Rogers’ theory, but occurs by a combination of both characteristics). The two-dimensional characterisation model of BIM adoption clarified new interplays between adoption factors, the organisation size, and time (i.e., pairs of positively and negatively correlated factors vary based on time horizon). The classification of factors into cause and effect groups using the F-DEMATEL provided a new understanding of the independencies between factors which can be used to tailor and prioritise implementation actions and investments. The developed Systems Thinking Models enabled an attentive analysis of mutual interactions between adoption factors as part of a causal relationship networks. The developed instances of such models for different temporal scenarios and stages of the BIM adoption stage can be exploited by the industry player groups (i.e., Policy-makers, decision-makers, change agents, etc.) to promote BIM adoption process within the organisations and BIM diffusion across a market. The key knowledgeable deliverables can be used to perform various analyses of the BIM adoption process, providing evidence and insights for decision-makers within organisations and across a whole market when formulating BIM adoption and diffusion strategies. In particular, they can assist researchers, decision-makers, and policy-makers with a better understanding of the BIM adoption process and can guide the development of BIM strategies and plan for BIM adoption and diffusion. Ultimately, they contribute to promote BIM adoption within the architectural sector through the suggested adoption patterns

Effects of EMR on Community Health Center Communication

Electronic medical record (EMR) systems impact healthcare communication in a significant number of ways. The physical presence of the EMR in the examination room can negatively impacts patient-provider communication. This research examined the impact of EMR on patient-provider communication within the microcosm of the community health center. The data for this research was collected via a quantitative survey using a random sample of 513 (10%) of the 5,101 patients of the Northwest Community Health Center (August 2021 to August 2022). These participants were at least 18 years of age and had seen their medical provider in the previous 12 months. Many themes arose from the research participants who were uncomfortable with the EMR or the use of technology in the exam room. Understanding the benefits or even the general functionality of the EMR allows the patient to feel more comfortable with its use and to become more tolerant of the presence and use of technology during the physician encounter. Furthermore, as the possession and use of current technologies diminishes amongst the study’s participants, so does their preference for their provider to use an EMR. To comprehend the impact EMR knowledge has on the patients’ perception of its utilization, a crosstabulation between staff and non-staff patients underlined the fundamental difference. When asked what type of chart they would prefer their medical provider to use, a quarter of non-staff patients preferred electronic medical records, whereas two-thirds of the staff, who are also patients of the community health center, preferred the same. These findings indicate a need to educate patients about the benefits of the EMR and the advantage of accessing the EMR in the exam room. Furthermore, enhancing the providers’ communication skills will help them comprehend the prevalent communication barriers created by accessing the EMR in the exam room. The quality of the interaction between the patient and provider is critical to the patient’s health outcomes. Improved communication leads to better emotional and physiological health, compliance with treatment recommendations, pain management, and symptom resolution

Measuring Gender-related Social Norms

The Gender, Violence, and Health Centre (GVHC) at the London School of Hygiene and Tropical Medicine (LSHTM) has launched a learning and reflection group on social norms and gender-based violence (GBV). There is increasing interest among donors and practitioners to harness insights from social norms theory to catalyse change around gender inequity and harmful gender-related practices. Little guidance is available, however, to help practitioners integrate simple norms measures and change strategies within field-based programming. As theory-based insights open promising avenues for achieving change, a gap emerged between theory and its application within development practice. The mission of this group is thus: To translate and adapt insights and methods from social norm theory and research into practical guidance for development practitioners seeking to transform harmful gender-related practices in low and middle-income countries. Participants share and discuss individual solutions to common dilemmas around measurement and practice. Together, we are working on a programme of research and practice to test strategies that can help people negotiate new positive norms, and/or dismantle norms that keep harmful practices in place. Our collective experience will inform the next wave of intervention evaluation and norms measurement. As part of the learning initiative, LSHTM convened an expert group meeting in July 2016 on the measurement of social norms sustaining GBV. The meeting focused on identifying best-practice strategies to diagnose and measure social norms. Participants were drawn from groups that already had data and research experience attempting to capture gender-related norms and practices in the field. The meeting was kept relatively small to ensure productive exchange among the few teams that have experimented with different strategies for collecting quantitative data on norms and gender-based violence

“Open” disclosure of innovations, incentives and follow-on reuse: Theory on processes of cumulative innovation and a field experiment in computational biology

AbstractMost of society's innovation systems – academic science, the patent system, open source, etc. – are “open” in the sense that they are designed to facilitate knowledge disclosure among innovators. An essential difference across innovation systems is whether disclosure is of intermediate progress and solutions or of completed innovations. We theorize and present experimental evidence linking intermediate versus final disclosure to an ‘incentives-versus-reuse’ tradeoff and to a transformation of the innovation search process. We find intermediate disclosure has the advantage of efficiently steering development towards improving existing solution approaches, but also has the effect of limiting experimentation and narrowing technological search. We discuss the comparative advantages of intermediate versus final disclosure policies in fostering innovation

Flexible autonomy and context in human-agent collectives

Human-agent collectives (HACs) are collaborative relationships between humans and software agents that are formed to meet the individual and collective goals of their members. In general, different members of a HAC should have differing degrees of autonomy in determining how a goal is to be achieved, and the degree of autonomy that should be enjoyed by each member of the collective varies with context. This thesis explores how norms can be used to achieve context sensitive flexible autonomy in HACs. Norms can be viewed as defining standards of ideal behaviour. In the form of rules and codes, they are widely used to coordinate and regulate activity in human organisations, and more recently they have also been proposed as a coordination mechanism for multi-agent systems (MAS). Norms therefore have the potential to form a common framework for coordination and control in HACs. The thesis develops a novel framework in which group and individual norms are used to specify both the goal to be achieved by a HAC and the degree of autonomy of the HAC and/or of its members in achieving a goal. The framework allows members of a collective to create norms specifying how a goal should (or should not) be achieved, together with sanctions for non-compliance. These norms form part of the decision making context of both the humans and agents in the collective. A prototype implementation of the framework was evaluated using the Colored Trails test-bed in a scenario involving mixed human-agent teams. The experiments confirmed that norms can be used for coordination of HACs and to facilitate context related flexible autonomy

Flexible autonomy and context in human-agent collectives

Human-agent collectives (HACs) are collaborative relationships between humans and software agents that are formed to meet the individual and collective goals of their members. In general, different members of a HAC should have differing degrees of autonomy in determining how a goal is to be achieved, and the degree of autonomy that should be enjoyed by each member of the collective varies with context. This thesis explores how norms can be used to achieve context sensitive flexible autonomy in HACs. Norms can be viewed as defining standards of ideal behaviour. In the form of rules and codes, they are widely used to coordinate and regulate activity in human organisations, and more recently they have also been proposed as a coordination mechanism for multi-agent systems (MAS). Norms therefore have the potential to form a common framework for coordination and control in HACs. The thesis develops a novel framework in which group and individual norms are used to specify both the goal to be achieved by a HAC and the degree of autonomy of the HAC and/or of its members in achieving a goal. The framework allows members of a collective to create norms specifying how a goal should (or should not) be achieved, together with sanctions for non-compliance. These norms form part of the decision making context of both the humans and agents in the collective. A prototype implementation of the framework was evaluated using the Colored Trails test-bed in a scenario involving mixed human-agent teams. The experiments confirmed that norms can be used for coordination of HACs and to facilitate context related flexible autonomy

The work based learning of creative artists: the case of William Shakespeare

This thesis applies work based learning concepts to understanding Shakespeare's professional development and the relationship between his work roles and works. The purposes of this are to enhance understanding about Shakespeare, develop the argument for work based learning as a field of studies and investigate the relevance of the approach to historical and contemporary creative practitioners. To meet these objectives the following research question was formulated: as a creative artist, practising in an evolving occupational area in a period itself fraught with social change and questions about the nature of work, social status and the performing arts, what was the relationship between Shakespeare's work roles and the production of his works. What was the nature of his work based learning? In construing Shakespeare's career in this way the thesis explores previously researched issues in original and illuminating ways. In applying work based learning thinking to Role Theory methodology new instrumentation for collecting and analysing data has been invented; the Time Chart, Map of Role Sets and a three-dimensional analytical framework. This has been necessary to analyse work based learning holistically, acknowledging the importance of the social, historical and cultural context. Shakespeare's career is analysed against key work based learning questions providing new understanding of the work role of sharer and principal playwright. The thesis concludes that the methodology is of value because it can mediate between individual learning and an organisational environment that is specifically contextualised. A major conclusion is that understanding Shakespeare's work based learning as exemplary, through planned and opportunistic projects, in collaboration with his professional peers and supported by socially sophisticated patronage networks were fundamental to his unique success. The considerable implications for further research as a major means of identifying and analysing the work based learning of historical and contemporary creative artists are given

Strategies for Integrating the Internet of Things in Educational Institutions

The introduction of the Internet of Things (IoT) into educational institutions has necessitated the integration of IoT devices in the information technology (IT) infrastructural environment of educational institutions. Many IT leaders at educational institutions, however, lack strategies for integrating and deploying IoT devices in their institutions, which has resulted in numerous security breaches. The purpose of this study was to explore security strategies adopted by IT administrators to prevent data breaches resulting from the integration of IoT devices in their educational institutions. The diffusion of innovations theory served as the conceptual framework for this qualitative multiple case study. Eleven IT leaders in 11 public K–12 educational institutions, who had successfully integrated IoT in their educational institutions in the United States Midwest region, were interviewed. Thematic analysis was the data analysis strategy. The 3 major themes that emerged were (a) organizational breach prevention, (b) infrastructure management—external to IT, and (c) policy management—internal to IT. A key recommendation is for IT leaders to develop strategies to harness the efficiencies and stabilities that exist during the integration of IoT devices in their educational institutions. The implications for social change include the potential for securely transforming the delivery of education to students and ensuring the safety of academic personnel by identifying strategies that IT leaders can use to securely integrate IoT devices in educational settings