Overcoming challenges of implementing technical innovations in Dutch Hospitals

Last Monday we said goodbye to our intern Willem Sloet. Willem’s internship showed that nurses are happy with MedEye (8 average) and his research gave a good insight in the essential mechanisms that can be used to improve implementations of technical innovations like MedEye.

Willem did his second internship at MedEye for his master Management, Policy Analysis and Entrepreneurship in Health and Life Sciences. This is a multidisciplinary study of the VU University Amsterdam to solve complex issues from different angles and perspectives. The research was mainly about the question what the facilitators and barriers of Normalization Process Theory (NPT) mechanisms are and how they can be used to improve the process of implementation.

Resources and infrastructure essential
The study shows that resource availability, including infrastructure, are essential to implementation and should be considered thoroughly before the implementation process by the relevant stakeholders. Additionally, this study shows that support by management is an important factor for resources and being able to work independently, although the relationship with normalization success is unclear.

Nurses satisfied
Different hospitals were invited for the quantitative survey. In the survey of nurses, MedEye received an 8 for adoption and satisfaction. The survey results indicate a correlation of management support with being able to work independent, and management support with resource availability. This is supported in the literature, where Mabert et al. (2003) and Ross et al. (2016) found similar relations between management and implementations that were on-time and on or under budget. For appointment of a department for a pilot or first department for implementation should be appropriate in terms of time and motivation.

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