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Intended and Unintended Consequences of Implementing a Nursing App

Authors:
Gro-Hilde Severinsen
Line Silsand
Kristian Malm-Nicolaisen
Rune Pedersen
Beate Sørslett
Gunnar Ellingsen

Keywords: Intende consequences; unintended consequences; nursing app; implementation; qualitative evaluation.

Abstract:
The paper addresses socio-technical consequences from implementing a nursing app in a North Norwegian health trust. We used the NASSS-CAT (Non-adoption or abandonment of technology by individuals and difficulties achieving Scale-up, spread and sustainability) framework for evaluating the app implementation. The paper is relevant to the Nurse team application track, presenting nurses experience with adoption and use of a nursing app for monitoring progression or deterioration trough measuring vital signs. In this paper, the focus is on emerging downstream values for both the healthcare workers and the organization, since these factors are well suited to indicate whether the implementation is a success or not. From the analysis, both intended and unintended consequences of the implementation are outlined. The unintended consequences illustrated how extensive repercussions implementing a simple nursing app can have for the workflow of both nurses, doctors and leaders, as well as the communication at different healthcare levels. In addition, implementing an app for clinical practice generated improvement in the digital competence for both healthcare personnel and the organization.

Pages: 58 to 66

Copyright: Copyright (c) IARIA, 2022

Publication date: June 26, 2022

Published in: conference

ISSN: 2308-4359

ISBN: 978-1-61208-984-3

Location: Porto, Portugal

Dates: from June 26, 2022 to June 30, 2022