scholarly journals Discrepancies between Expected and Actual Implementation: The Process Evaluation of PERS Integration in Nursing Homes

2020 ◽  
Vol 17 (12) ◽  
pp. 4245
Author(s):  
Fangyuan Chang ◽  
Andrea Eriksson ◽  
Britt Östlund
Keyword(s):  
Nursing Homes ◽  
Technology Implementation ◽  
Service Providers ◽  
Participant Observation ◽  
New Technology ◽  
Implementation Process ◽  
Daily Practice ◽  
Individual Interviews ◽  
Domestication Theory ◽  
Competence System

Recent studies prove that when implementing new technology technology-driven and one-size-fits-all approaches are problematic. This study focuses on the process of implementing personal emergency response system (PERS) at nursing homes. The aim is to understand why the implementation of PERS has not met initial expectations. Multiple methods were used in two Swedish nursing homes, including document analysis, questionnaires (n = 42), participant observation (67 h), and individual interviews (n = 12). A logic model was used to ascertain the discrepancies that emerged between expected and actual implementation, and the domestication theory was used to discuss the underlying meanings of the discrepancies. The discrepancies primarily focused on staff competence, system readiness, work routines, and implementation duration. Corresponding reasons were largely relevant to management issues regarding training, the procurement systems, individual and collective responsibilities as well as invisible work. The uptake of technology in daily practice is far more nuanced than a technology implementation plan might imply. We point out the importance of preparing for implementation, adjusting to new practices, and leaving space and time for facilitating implementation. The findings will be of use to implementers, service providers, and organizational managers to evaluate various measures in the implementation process, enabling them to perform technology implementation faster and more efficiently.

Team Implementation of New Technology

2002 ◽  
Vol 46 (15) ◽  
pp. 1340-1344
Author(s):  
Dennis R. Jones ◽  
Michael J. Smith
Keyword(s):  
Technology Implementation ◽  
New Technologies ◽  
New Technology ◽  
Implementation Process ◽  
Total Quality ◽  
Global Marketplace ◽  
Current State ◽  
Teams And Teamwork ◽  
Cooperative Team

New technology is dramatically changing the workplace by allowing companies to increase efficiency, productivity, quality, safety, and overall profitability. An effective new technology implementation is required for companies to compete successfully in the global marketplace. Time and money wasted on unsuccessful and improper new technology implementation is counterproductive to the overall goal of improving the competitiveness and profitability of the company. Teams and teamwork have been recommended as a way to improve efficiency, productivity, quality, safety, profitability, and employee satisfaction. With the utilization of total quality management (TQM) and quality improvement (QI), each of which rely on teamwork, new technology implementations have been more successful. New technology challenges the current state of traditional implementation methods and techniques. To effectively utilize these new technologies it is best to consider all of the factors involved in the implementation process; most importantly the human elements involved. It is recommended to utilize a cooperative team oriented approach to new technology implementation, which relies heavily on soliciting employee input and participation throughout the entire process. By doing this it is hoped that the new technology can be implemented in the most effective way possible. A case study is presented to illustrate this.

scholarly journals Factors affecting the continuation of contractor participation in the tender process for the construction services project at the center for policy research and development and application of technology – research and development agency ministry of pub

2020 ◽  
Vol 9 (2) ◽  
pp. 501
Author(s):  
Novi Arteti ◽  
Syafwandi . ◽  
Budi Susetyo
Keyword(s):  
Research And Development ◽  
Technology Implementation ◽  
Structural Equation ◽  
Service Providers ◽  
New Technology ◽  
Policy Research ◽  
Equation Model ◽  
Public Works ◽  
Infrastructure Development ◽  
Development Agency

The application of new technology as a result of research and development carried out by the Research and Development Agency of the Ministry of Public Works and Public Housing is one of the efforts for technological needs in infrastructure development. The implementation of technology implementation activities still faces many obstacles, one of which is the tender process. Project Characteristics Factors, Capability of Contractors and Application of New Technology can influence whether the contractor will continue or stop the tender process. This research is based on a sample of respondents from related parties including goods / service providers (contractors), work owners and groups of goods / services procurement units. The results of the data obtained were analyzed with the partial least-squares structural equation model (PLS-SEM). The analysis shows that the ability of the Contractor has the greatest influence on the Tender Process. This means that the contractor's resources are the main force to carry out the project so that it is not too dependent on other parties. Thus, it can be concluded that the consideration of ownership of the contractor's resources becomes a factor for the contractor to continue the tender process that he follows by making an offer. Because with its capital and equipment, the contractor will be able to offer more efficiently. 

Implementation of New Technology

2001 ◽  
Vol 45 (16) ◽  
pp. 1254-1258
Author(s):  
Dennis R. Jones ◽  
Michael J. Smith
Keyword(s):  
Technology Implementation ◽  
New Technologies ◽  
New Technology ◽  
Implementation Process ◽  
Organization Structure ◽  
Global Marketplace ◽  
Cooperative Approach ◽  
Current State ◽  
Methods And Techniques ◽  
Big Picture

New technology is dramatically changing the workplace in order to allow companies to increase efficiency, productivity, quality, safety, and overall profitability. An effective new technology implementation is necessary in order for companies to compete successfully in the global marketplace. Time and money wasted on unsuccessful and improper new technology implementation is counterproductive to the overall goal of improving the competitiveness and profitability of the company. Therefore this new technology challenges the current state of traditional implementation methods and techniques. To effectively utilize these new technologies it is best to consider all of the factors involved in the implementation process, such as: new technology characteristics, organization structure, task factors, and environmental characteristics, and most importantly the human elements involved. It is also recommended to utilize a cooperative approach to new technology implementation, which relies heavily on soliciting employee input and participation throughout the entire process. By taking a holistic “big picture” planned view of the situation; and being sensitive to the interactions that exist; it is hoped that the new technology can be implemented in the most effective way possible.

Examining explorative and exploitative uses of smartphones: a user competence perspective

2015 ◽  
Vol 28 (1) ◽  
pp. 133-162 ◽  
Author(s):  
Chulmo Koo ◽  
Namho Chung ◽  
Hee-Woong Kim
Keyword(s):  
Technology Acceptance ◽  
Technology Implementation ◽  
Structural Equation ◽  
Service Providers ◽  
Implementation Process ◽  
Perceived Usefulness ◽  
Equation Modeling ◽  
Smart Devices ◽  
Content Type ◽  
Usage Behavior

Purpose – The purpose of this paper is to investigate the effects of user competence on two different usage variables related to information systems (IS) infusion: explorative use and exploitative use. Design/methodology/approach – Structural equation modeling is used to construct a predictive model of user competence toward IS infusion. Individuals’ responses to questions about attitude and intention to use smartphone were collected and analyzed. Findings – The results showed that all first-order factors of user competence were significantly linked to the second-order factor. User competence is then significantly related to IS infusion, both explorative use and exploitative use. Research limitations/implications – This study discusses individual usage behavior related to IS infusion usage. The authors conceptualized that exploitative use is different from explorative use. The findings in this study suggest that user competence must be included in IS usage models, especially IS infusion model. Practical implications – The results associated with exploitation are more certain and closer in time, while those associated with exploration are more variable. That is, users are likely to innovate through their smart devices related to IS infusion. Smartphone developers and the relevant service providers should decide which factors are more important along the stages of the information technology implementation process. As indicated in this study, knowledge-based user competence together with perceived usefulness influences the usage behavior of smartphone users. Industry players need to consider user competence when they promote their smartphone services. Originality/value – The proposed model brings together extant research on IS use and technology acceptance.

scholarly journals Talking about quality: how ‘quality’ is conceptualized in nursing homes and homecare

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ingunn Aase ◽  
Eline Ree ◽  
Terese Johannessen ◽  
Torunn Strømme ◽  
Berit Ullebust ◽  
...  
Keyword(s):  
Nursing Homes ◽  
Healthcare Professionals ◽  
Daily Practice ◽  
Patient Centered ◽  
Cross Sectional ◽  
Individual Interviews ◽  
Centered Care ◽  
Perception Of Quality ◽  
Professional Pride ◽  
The Right

Abstract Background The delivery of high-quality service in nursing homes and homecare requires collaboration and shared understanding among managers, employees, users and policy makers from across the healthcare system. However, conceptualizing healthcare professionals’ perception of quality beyond hospital settings (e.g., its perspectives, defining attributes, quality dimensions, contextual factors, dilemmas) has rarely been done. This study therefore explores the meaning of “quality” among healthcare managers and staff in nursing homes and homecare. Methods The study applies a cross-sectional qualitative design with focus groups and individual interviews, to capture both depth and breadth of conceptualization of quality from healthcare professionals in nursing homes and homecare. We draw our data from 65 managers and staff in nursing homes and homecare services in Norway and the Netherlands. The participants worked as managers (n = 40), registered nurses (RNs) or assistant nurses (n = 25). Results The analysis identified the two categories and four sub-categories: “Professional issues: more than firefighting” (subcategories “professional pride” and “competence”) and “patient-centered approach: more than covering basic needs” (subcategories “dignity” and “continuity”). Quality in nursing homes and homecare is conceptualized as an ongoing process based on having the “right competence,” good cooperation across professional groups, and patient-centered care, in line with professional pride and dignity for the patients. Conclusion Based on the understanding of quality among the healthcare professionals in our study, quality should encompass the softer dimensions of professional pride and competence, as well as a patient-centered approach to care. These dimensions should be factors in improvement activities and in daily practice.

English Vocabulary in the Mind of Student

2019 ◽  
Vol 7 (2) ◽  
pp. 150-159
Author(s):  
Suharyanto H Soro
Keyword(s):  
Data Collection ◽  
Foreign Language ◽  
Participant Observation ◽  
Teaching English ◽  
Individual Interviews ◽  
English Class ◽  
Actual Application ◽  
Concrete Form ◽  
The Many ◽  
The Mind

Lecturer plays an important role in teaching Englishas a foreign language, in spite of the success of teaching English itself depends on the many factors, one of them is students’ participation in the English class. In the other words, the teaching of English becomes useful and more systematically when the lecturer is fully aware of the aims and values of teaching of English subject since the core principle of any teaching  is “know what you do and only do what you know”. Hence it is essential to understand the aims and values of teaching English. In linguistics study,performance and competence are different, competence is study about language rules in the abstract form or one’s capacity to use a language, while performance is the application of one’s ability in the concrete form, or the actual application of this competence in speaking or listening. Chomsky (1965:18) said that  performance is the effect or the application of competence. Further he said that clearly, the actual data of linguistic performance will provide much evidence for determining the correctness of hypotheses about underlining linguistic structure. Notice the following figure. The data collection procedures in the present study are based on classroom participant observation, student interviews, and questionnaire  are the primary sources of data collection. As a point of departure, unstructured interviews conducted with English and students to gain initial understanding of the learning English as a foreign language. This also serves as a pilot study, paving the way for designing the guidelines for the semi structured individual interviews. Notes taken in these unstructured interviews were included in the data analysis. Taking lecture involves the lecturer and the students in formal setting. Lecturer is one who transfers special knowledge (English teaching materials) to his students in form of academic setting. They are engaged in academic norms, for example lecturer has qualified education (magister or doctorate degree) and the students  have already registered their status as a university student. The lecturer’s function is threefold. In the presentation stage of the material, the lecturer serves as a model, setting up situations in which the need for the target structure is created and modeling the new structure for students to repeat. The lecturer was required to be skillful manipulator, using questions, commands, and other cues to elicit correct sentences from the students. The students wanted the lecturer to give more opportunities for English practice. They can learn from mistakes and develop in real situation. Role play is one of methods can be applied in teaching English. The students like this methods (96%) because they can imitate and practice their English pronunciation.

CHALLENGES TO BUILDING AUTHENTIC PARTNERSHIPS: LESSONS FROM BHAMBAYI, KWAZULU-NATAL, SOUTH AFRICA

2017 ◽  
Vol 26 (2) ◽  
pp. 124-140 ◽  
Author(s):  
Tanusha Raniga ◽  
Barbara Simpson ◽  
Ntokozo Mthembu
Keyword(s):  
South Africa ◽  
Social Services ◽  
Service Providers ◽  
Informal Settlement ◽  
Mutual Trust ◽  
Open Communication ◽  
Community Based ◽  
Individual Interviews ◽  
Kwazulu Natal ◽  
Qualitative Phase

In contemporary South Africa, partnerships between service providers in government, non-governmental organisations, the private sector and community based organisations have been identified as a means to strengthen communities and the sustainability of social services. However, the unequal power relations that exists between and within these organisations often leads to fragmentation, duplication, and lack of coordination of social services. Using Fowler’s (1998) conceptualisation of authentic partnerships, this qualitative phase of a larger study explored the challenges of building authentic partnerships in Bhambayi, a predominantly informal settlement in KwaZulu-Natal, South Africa. Individual interviews and a focus group held with nine service providers revealed that intraorganisational challenges, cross-boundary and inter-organisational relations as well as political influences were obstacles to the development of authentic partnerships. The article suggests that open communication, clarity of roles and mutual trust between service providers is vital.

scholarly journals Antibiotic Susceptibility of Common Organisms Isolated from Urine Cultures of Nursing Home Residents

2020 ◽  
Vol 41 (S1) ◽  
pp. s118-s120
Author(s):  
Austin R. Penna ◽  
Taniece R. Eure Eure ◽  
Nimalie D. Stone ◽  
Grant Barney ◽  
Devra Barter ◽  
...  
Keyword(s):  
Nursing Home ◽  
Nursing Homes ◽  
Antibiotic Susceptibility ◽  
Clinical Decision Making ◽  
Service Providers ◽  
Urine Culture ◽  
Nursing Home Residents ◽  
Antibiotic Prescribing ◽  
E Coli ◽  
Susceptibility Data

Background: With the emergence of antibiotic resistant threats and the need for appropriate antibiotic use, laboratory microbiology information is important to guide clinical decision making in nursing homes, where access to such data can be limited. Susceptibility data are necessary to inform antibiotic selection and to monitor changes in resistance patterns over time. To contribute to existing data that describe antibiotic resistance among nursing home residents, we summarized antibiotic susceptibility data from organisms commonly isolated from urine cultures collected as part of the CDC multistate, Emerging Infections Program (EIP) nursing home prevalence survey. Methods: In 2017, urine culture and antibiotic susceptibility data for selected organisms were retrospectively collected from nursing home residents’ medical records by trained EIP staff. Urine culture results reported as negative (no growth) or contaminated were excluded. Susceptibility results were recorded as susceptible, non-susceptible (resistant or intermediate), or not tested. The pooled mean percentage tested and percentage non-susceptible were calculated for selected antibiotic agents and classes using available data. Susceptibility data were analyzed for organisms with ≥20 isolates. The definition for multidrug-resistance (MDR) was based on the CDC and European Centre for Disease Prevention and Control’s interim standard definitions. Data were analyzed using SAS v 9.4 software. Results: Among 161 participating nursing homes and 15,276 residents, 300 residents (2.0%) had documentation of a urine culture at the time of the survey, and 229 (76.3%) were positive. Escherichia coli, Proteus mirabilis, Klebsiella spp, and Enterococcus spp represented 73.0% of all urine isolates (N = 278). There were 215 (77.3%) isolates with reported susceptibility data (Fig. 1). Of these, data were analyzed for 187 (87.0%) (Fig. 2). All isolates tested for carbapenems were susceptible. Fluoroquinolone non-susceptibility was most prevalent among E. coli (42.9%) and P. mirabilis (55.9%). Among Klebsiella spp, the highest percentages of non-susceptibility were observed for extended-spectrum cephalosporins and folate pathway inhibitors (25.0% each). Glycopeptide non-susceptibility was 10.0% for Enterococcus spp. The percentage of isolates classified as MDR ranged from 10.1% for E. coli to 14.7% for P. mirabilis. Conclusions: Substantial levels of non-susceptibility were observed for nursing home residents’ urine isolates, with 10% to 56% reported as non-susceptible to the antibiotics assessed. Non-susceptibility was highest for fluoroquinolones, an antibiotic class commonly used in nursing homes, and ≥ 10% of selected isolates were MDR. Our findings reinforce the importance of nursing homes using susceptibility data from laboratory service providers to guide antibiotic prescribing and to monitor levels of resistance.Disclosures: NoneFunding: None

Sign in / Sign up

Export Citation Format

Share Document