What Influences the Adoption of Innovations in Healthcare in Wales

Bell, Harry

doi:10.23889/SUthesis.61910

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What Influences the Adoption of Innovations in Healthcare in Wales / Harry Bell

Swansea University Author: Harry Bell

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Copyright: The author, Harry J. Bell, 2022. Released under the terms of a Creative Commons Attribution-Only (CC-BY) License. Third party content is excluded for use under the license terms.
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DOI (Published version): 10.23889/SUthesis.61910

Abstract

In a time of limited resources, but increased complexity and demand, innovation presents a pathway to improve quality and efficiency in the provision of healthcare in the National Health Service (NHS) in Wales. There is little scarcity in the availability of quality innovations to the NHS, but there...

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Published:	Swansea 2022
Institution:	Swansea University
Degree level:	Doctoral
Degree name:	Ph.D
Supervisor:	Huxtable-Thomas, Louisa A. ; Rich, Nick L. ; Rees, Dan J.
URI:	https://cronfa.swan.ac.uk/Record/cronfa61910

first_indexed	2022-11-14T16:35:52Z
last_indexed	2023-01-13T19:23:00Z
id	cronfa61910
recordtype	RisThesis
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spelling	2022-11-14T16:46:32.0323421 v2 61910 2022-11-14 What Influences the Adoption of Innovations in Healthcare in Wales 7938d213eb3bbc24241772bc850eef03 Harry Bell Harry Bell true false 2022-11-14 CBAE In a time of limited resources, but increased complexity and demand, innovation presents a pathway to improve quality and efficiency in the provision of healthcare in the National Health Service (NHS) in Wales. There is little scarcity in the availability of quality innovations to the NHS, but there is a clear gap in the ability of the organisation to effectively adopt and spread these innovations into wider use. Research into the adoption of innovations across multiple disciplines has been extensive. Numerous influences have been investigated via mainly quantitative approaches that utilise an array of technology adoption theories. This study explored the adoption of innovation in healthcare in Wales via a pragmatic mixed methods approach using the Technology-Organisation-Environment framework as a theoretical basis. Semi-structured open-ended interviews were conducted with participants experienced in healthcare innovation in Wales. Findings were analysed by a combination coding approach and content analysis. Forty-four factors of influence were discovered, including sixteen novel factors that were not identified in relevant literature. The high importance of individuals and the interactions between people was easily apparent. Therefore, the conceptual framework of ‘People-Organisation-Environment-Technology’, or the ‘POET’ framework, was developed. Theoretical support for this was provided by the Socio-technical systems theory, which acknowledges the importance of people in the social subsystem of an organisation. The POET framework builds upon previous theory by adding the relative levels of importance of and overlap between the four contexts. Second stage analysis assessed the relative importance of factors, their interrelationships, and their propensity to act as barriers or enablers to adoption. The POET framework embraces the complexity in innovation adoption in Wales and is effective for investigating and analysing cases in this setting, and has the potential for generalisability. The findings indicate that NHS Wales should invest in and investigate the influence of people to support innovation adoption. E-Thesis Swansea Technology adoption, diffusion of innovation, innovation, healthcare, Wales 7 11 2022 2022-11-07 10.23889/SUthesis.61910 COLLEGE NANME Management School COLLEGE CODE CBAE Swansea University Huxtable-Thomas, Louisa A. ; Rich, Nick L. ; Rees, Dan J. Doctoral Ph.D 2022-11-14T16:46:32.0323421 2022-11-14T16:20:08.6718159 Faculty of Humanities and Social Sciences School of Management - Business Management Harry Bell 1 61910__25777__ce42ab955f604451abd9b78acc708d3e.pdf Bell_Harry_J_PhD_Thesis_Final_Cronfa.pdf 2022-11-14T16:45:35.0105768 Output 4517893 application/pdf E-Thesis – open access true Copyright: The author, Harry J. Bell, 2022. Released under the terms of a Creative Commons Attribution-Only (CC-BY) License. Third party content is excluded for use under the license terms. true eng https://creativecommons.org/licenses/by/4.0/
title	What Influences the Adoption of Innovations in Healthcare in Wales
spellingShingle	What Influences the Adoption of Innovations in Healthcare in Wales Harry Bell
title_short	What Influences the Adoption of Innovations in Healthcare in Wales
title_full	What Influences the Adoption of Innovations in Healthcare in Wales
title_fullStr	What Influences the Adoption of Innovations in Healthcare in Wales
title_full_unstemmed	What Influences the Adoption of Innovations in Healthcare in Wales
title_sort	What Influences the Adoption of Innovations in Healthcare in Wales
author_id_str_mv	7938d213eb3bbc24241772bc850eef03
author_id_fullname_str_mv	7938d213eb3bbc24241772bc850eef03_***_Harry Bell
author	Harry Bell
author2	Harry Bell
format	E-Thesis
publishDate	2022
institution	Swansea University
doi_str_mv	10.23889/SUthesis.61910
college_str	Faculty of Humanities and Social Sciences
hierarchytype
hierarchy_top_id	facultyofhumanitiesandsocialsciences
hierarchy_top_title	Faculty of Humanities and Social Sciences
hierarchy_parent_id	facultyofhumanitiesandsocialsciences
hierarchy_parent_title	Faculty of Humanities and Social Sciences
department_str	School of Management - Business Management{{{_:::_}}}Faculty of Humanities and Social Sciences{{{_:::_}}}School of Management - Business Management
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description	In a time of limited resources, but increased complexity and demand, innovation presents a pathway to improve quality and efficiency in the provision of healthcare in the National Health Service (NHS) in Wales. There is little scarcity in the availability of quality innovations to the NHS, but there is a clear gap in the ability of the organisation to effectively adopt and spread these innovations into wider use. Research into the adoption of innovations across multiple disciplines has been extensive. Numerous influences have been investigated via mainly quantitative approaches that utilise an array of technology adoption theories. This study explored the adoption of innovation in healthcare in Wales via a pragmatic mixed methods approach using the Technology-Organisation-Environment framework as a theoretical basis. Semi-structured open-ended interviews were conducted with participants experienced in healthcare innovation in Wales. Findings were analysed by a combination coding approach and content analysis. Forty-four factors of influence were discovered, including sixteen novel factors that were not identified in relevant literature. The high importance of individuals and the interactions between people was easily apparent. Therefore, the conceptual framework of ‘People-Organisation-Environment-Technology’, or the ‘POET’ framework, was developed. Theoretical support for this was provided by the Socio-technical systems theory, which acknowledges the importance of people in the social subsystem of an organisation. The POET framework builds upon previous theory by adding the relative levels of importance of and overlap between the four contexts. Second stage analysis assessed the relative importance of factors, their interrelationships, and their propensity to act as barriers or enablers to adoption. The POET framework embraces the complexity in innovation adoption in Wales and is effective for investigating and analysing cases in this setting, and has the potential for generalisability. The findings indicate that NHS Wales should invest in and investigate the influence of people to support innovation adoption.
published_date	2022-11-07T06:34:04Z
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What Influences the Adoption of Innovations in Healthcare in Wales / Harry Bell

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