Health IT Implementation and the Impact of the COVID-19 Pandemic on Clinician-IT Dynamics: Qualitative Study
BackgroundThe COVID-19 pandemic necessitated the rapid development and implementation of health ITs to support health care delivery. Health IT implementation is difficult at the best of times, due to complex sociotechnical challenges that vary across contexts and settings; ho...
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| Format: | Article |
| Language: | English |
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JMIR Publications
2025-02-01
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| Series: | Journal of Medical Internet Research |
| Online Access: | https://www.jmir.org/2025/1/e57847 |
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| author | Adeola Bamgboje-Ayodele Adrian Boscolo Mitchell Burger Owen Hutchings Miranda Shaw Tim Shaw Amina Tariq Sundresan Naicker Steven McPhail Melissa Baysari |
| author_facet | Adeola Bamgboje-Ayodele Adrian Boscolo Mitchell Burger Owen Hutchings Miranda Shaw Tim Shaw Amina Tariq Sundresan Naicker Steven McPhail Melissa Baysari |
| author_sort | Adeola Bamgboje-Ayodele |
| collection | DOAJ |
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BackgroundThe COVID-19 pandemic necessitated the rapid development and implementation of health ITs to support health care delivery. Health IT implementation is difficult at the best of times, due to complex sociotechnical challenges that vary across contexts and settings; however, it is currently unclear how the pandemic impacted health IT implementation processes. The aim of this study was to explore the impact of the pandemic on health IT implementation processes, including pre- and postimplementation phases, and identify the sociotechnical factors that shaped health IT implementation during an unprecedented circumstance.
ObjectiveThis study aimed to explore the impact of the pandemic on HIT implementation processes, including pre- and postimplementation phases, and identify the socio-technical factors that shaped health IT implementation during an unprecedented circumstance.
MethodsParticipants were from one of two teams: (1) health care staff members (doctors, nurses, nurse unit managers, and support staff members) from a virtual hospital in Australia; and (2) IT professionals within the broader health care organization assigned to the hospital. Participants took part in an interview or focus group from July to November 2022. Participants were asked to describe the process used for rapid health IT design and implementation during the COVID-19 pandemic. Qualitative data were analyzed thematically.
ResultsA total of 15 participants took part in the study. Both internal and external team structures, and the communication pathways that underpinned these, were reported to influence the health IT lifecycle, which in turn impacted outcomes, particularly when perceived normal ways of working were challenged during the pandemic. Across the pre-post lifecycle, preimplementation processes were viewed to be most impacted by the COVID-19 pandemic. Participants reported that their roles and responsibilities changed during health IT implementations in the pandemic, impacting co-design processes and highlighting the need for health IT implementation processes to cater for new work and the redistribution of existing work.
ConclusionsOur study uncovered the negative impact of the COVID-19 pandemic on team structures, communication pathways, and health IT preimplementation processes (project management and co-design). While health care organizations are keen to transition beyond the ways of working during the pandemic, it is imperative to learn from the health IT implementation successes and failures that occurred in the pandemic via process evaluations. Our evaluation offers learnings for research (an adapted interdisciplinary team communication framework), practice (the need for health care organizations to review their communication structures, IT staff skills, and proposed processes), and education (the need for better education and training of IT professionals working in clinical settings on health concepts) on health IT implementations as the world transitions to the “new norm.” |
| format | Article |
| id | doaj-art-a108d5f7c7254dacb4408442e4b3400e |
| institution | Kabale University |
| issn | 1438-8871 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | JMIR Publications |
| record_format | Article |
| series | Journal of Medical Internet Research |
| spelling | doaj-art-a108d5f7c7254dacb4408442e4b3400e2025-02-11T20:30:32ZengJMIR PublicationsJournal of Medical Internet Research1438-88712025-02-0127e5784710.2196/57847Health IT Implementation and the Impact of the COVID-19 Pandemic on Clinician-IT Dynamics: Qualitative StudyAdeola Bamgboje-Ayodelehttps://orcid.org/0000-0002-5629-1236Adrian Boscolohttps://orcid.org/0009-0007-4779-6324Mitchell Burgerhttps://orcid.org/0000-0002-1335-7274Owen Hutchingshttps://orcid.org/0000-0002-2793-0027Miranda Shawhttps://orcid.org/0000-0002-9358-8258Tim Shawhttps://orcid.org/0000-0003-0783-1918Amina Tariqhttps://orcid.org/0000-0002-2415-8246Sundresan Naickerhttps://orcid.org/0000-0002-2392-4981Steven McPhailhttps://orcid.org/0000-0002-1463-662XMelissa Baysarihttps://orcid.org/0000-0003-1645-9126 BackgroundThe COVID-19 pandemic necessitated the rapid development and implementation of health ITs to support health care delivery. Health IT implementation is difficult at the best of times, due to complex sociotechnical challenges that vary across contexts and settings; however, it is currently unclear how the pandemic impacted health IT implementation processes. The aim of this study was to explore the impact of the pandemic on health IT implementation processes, including pre- and postimplementation phases, and identify the sociotechnical factors that shaped health IT implementation during an unprecedented circumstance. ObjectiveThis study aimed to explore the impact of the pandemic on HIT implementation processes, including pre- and postimplementation phases, and identify the socio-technical factors that shaped health IT implementation during an unprecedented circumstance. MethodsParticipants were from one of two teams: (1) health care staff members (doctors, nurses, nurse unit managers, and support staff members) from a virtual hospital in Australia; and (2) IT professionals within the broader health care organization assigned to the hospital. Participants took part in an interview or focus group from July to November 2022. Participants were asked to describe the process used for rapid health IT design and implementation during the COVID-19 pandemic. Qualitative data were analyzed thematically. ResultsA total of 15 participants took part in the study. Both internal and external team structures, and the communication pathways that underpinned these, were reported to influence the health IT lifecycle, which in turn impacted outcomes, particularly when perceived normal ways of working were challenged during the pandemic. Across the pre-post lifecycle, preimplementation processes were viewed to be most impacted by the COVID-19 pandemic. Participants reported that their roles and responsibilities changed during health IT implementations in the pandemic, impacting co-design processes and highlighting the need for health IT implementation processes to cater for new work and the redistribution of existing work. ConclusionsOur study uncovered the negative impact of the COVID-19 pandemic on team structures, communication pathways, and health IT preimplementation processes (project management and co-design). While health care organizations are keen to transition beyond the ways of working during the pandemic, it is imperative to learn from the health IT implementation successes and failures that occurred in the pandemic via process evaluations. Our evaluation offers learnings for research (an adapted interdisciplinary team communication framework), practice (the need for health care organizations to review their communication structures, IT staff skills, and proposed processes), and education (the need for better education and training of IT professionals working in clinical settings on health concepts) on health IT implementations as the world transitions to the “new norm.”https://www.jmir.org/2025/1/e57847 |
| spellingShingle | Adeola Bamgboje-Ayodele Adrian Boscolo Mitchell Burger Owen Hutchings Miranda Shaw Tim Shaw Amina Tariq Sundresan Naicker Steven McPhail Melissa Baysari Health IT Implementation and the Impact of the COVID-19 Pandemic on Clinician-IT Dynamics: Qualitative Study Journal of Medical Internet Research |
| title | Health IT Implementation and the Impact of the COVID-19 Pandemic on Clinician-IT Dynamics: Qualitative Study |
| title_full | Health IT Implementation and the Impact of the COVID-19 Pandemic on Clinician-IT Dynamics: Qualitative Study |
| title_fullStr | Health IT Implementation and the Impact of the COVID-19 Pandemic on Clinician-IT Dynamics: Qualitative Study |
| title_full_unstemmed | Health IT Implementation and the Impact of the COVID-19 Pandemic on Clinician-IT Dynamics: Qualitative Study |
| title_short | Health IT Implementation and the Impact of the COVID-19 Pandemic on Clinician-IT Dynamics: Qualitative Study |
| title_sort | health it implementation and the impact of the covid 19 pandemic on clinician it dynamics qualitative study |
| url | https://www.jmir.org/2025/1/e57847 |
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