Investigating the antecedents of perceived threats and user resistance to health information technology: a case study of a public hospital

Health information technology (HIT) can improve the quality of healthcare, but improvements are likely to be hindered if physicians and nurses resist HIT. In response, this study investigates the antecedents of the perceived threats to HIT and user resistance by examining the organisational factors, the personal traits of users, HIT-related factors, and the factors related to the interaction between physicians, nurses, and the organisation. By building on an in-depth case study of a public hospital, the study develops a conceptual model. The main findings of the study suggest that perceived dissatisfaction and loss of professional autonomy are the main perceived threats of HIT for physicians and nurses. Furthermore, five factors that influence these perceptions are identified, and they include related knowledge, management support, user involvement, system performance, and social influences. The study will ensure a better understanding of the phenomenon, as it will contribute to identifying the core reasons for resistance

Investigating the antecedents of perceived threats and user resistance to health information technology: towards a comprehensive user resistance model

Health Information Technology (HIT) has the potential to improve healthcare delivery by reducing medical errors, improving service quality, and lowering healthcare cost. Despite evident integration benefits of HIT, use of HIT by medical staff and hospitals remain low, user resistance being one of the major factors involved. The literature indicates that user resistance to HIT is predicated by their perception. However, we do not fully understand how some users’ perception is formed. In this study, we aim to investigate the organisational factors, the personal traits of the user, HIT-related factors, and the factors related to the interaction between physicians and nurses and the organisation that lead to perceived threat, risk, and dissatisfaction. The study develops a comprehensive model that builds on, and extends, existing theories of user resistance. The model will be developed by studying user resistance from a post-implementation perspective using a qualitative approach, in which qualitative data collection and analysis methods will be used. The study will lead to a better understanding of the phenomenon, as it will contribute to identifying the core reasons for resistance, which in turn will help organisations solve the root causes of the problem

Investigating the antecedents of perceived threats and user resistance to health information technology

The problem of physicians and nurses’ resistance to Health Information Technology (HIT) is an issue that could lead to time wastage, budget overruns and HIT implementation failure, leading to substantial financial losses for many organisations. Moreover, it prevents organisations from harnessing the desired benefits of HIT. Therefore, to better manage the implementation of new IT projects, it is imperative to recognise and understand behaviours of resistance. A deeper understanding of user resistance will allow organisations to control and manage such behaviour, helping to ensure the success and continued use of HIT. Information systems (IS) literature indicates that user resistance can arise from a negative user perception of IS in healthcare. The antecedents of these negative perceptions have not been thoroughly examined nor have their relationship with the perceived threat. This study theorises why physicians and nurses perceive HIT as a threat and how those perceived threats lead to user resistance. The study adopts a qualitative method, using within- and cross-case analysis of two in-depth case studies, a military hospital and a public hospital. This study contributes to user resistance research by identifying the antecedents of perceived threats and user resistance. It highlights the differences between the cases due to the differences in culture, management style, and organisational decisions regarding whether to develop HIT in-house or to buy it, and whether these factors influence the antecedents of perceived threats and user resistance. Finally, the study shows how the differences between physicians and nurses and the differences across various levels of physicians influence the antecedents of perceived threats

INVESTIGATING THE ANTECEDENTS OF PERCEIVED THREATS AND USER RESISTANCE TO HEALTH INFORMATION TECHNOLOGY: TOWARDS A COMPREHENSIVE USER RESISTANCE MODEL

Health Information Technology (HIT) has the potential to improve healthcare delivery by reducing medical errors, improving service quality, and lowering healthcare cost. Despite evident integration benefits of HIT, use of HIT by medical staff and hospitals remain low, user resistance being one of the major factors involved. The literature indicates that user resistance to HIT is predicated by their perception. However, we do not fully understand how some users’ perception is formed. In this study, we aim to investigate the organisational factors, the personal traits of the user, HIT-related factors, and the factors related to the interaction between physicians and nurses and the organisation that lead to perceived threat, risk, and dissatisfaction. The study develops a comprehensive model that builds on, and extends, existing theories of user resistance. The model will be developed by studying user resistance from a post-implementation perspective using a qualitative approach, in which qualitative data collection and analysis methods will be used. The study will lead to a better understanding of the phenomenon, as it will contribute to identifying the core reasons for resistance, which in turn will help organisations solve the root causes of the problem