Change Theories in healthcare informatics

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Annotated Bibliography

Vladimir Belyaev

Liberty University

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Statement of Topic

This paper will seek to provide a perspective on planned change, diffusion of innovation, change theories, and the five stages of the innovation decision-making process. The development and applications of innovations in healthcare information systems will undergo a series of research, modifications, and trials before adopting or rejecting them. Improving healthcare involves conducting research, including policymakers, and applying theories.

Planned Change

Booth, B.J., Zwar, N. & Harris, M.F. (2013). Healthcare improvement as planned system change or complex responsive processes? A longitudinal case study in general practice. BMC Fam Pract 14, 51. https://doi.org/10.1186/1471-2296-14-51

This article confirms that the current discourse of stepwise and planned change in strategically targeted areas of practice activity did not provide an accurate explanation of organization reality of healthcare improvement. The study used a qualitative approach using pattern-matching logic that compared an empirically based pattern with two alternative predictions (complex responsive processes or planned system change) defined before data collection. The complexity concepts expressed in human terms as complex responsive processes of relating matched more accurately with the pattern of change. They proved to inform how providers, policymakers, and researchers participate in improving healthcare.

Boustani, M. A., Munger, S., Gulati, R., Vogel, M., Beck, R. A., & Callahan, C. M. (2010). Selecting a change and evaluating its impact on the performance of a complex adaptive health care delivery system. Clinical interventions in aging, 5, 141–148. https://doi.org/10.2147/cia.s9922

The article suggests that the Complex Adaptive System (CAS) nature of healthcare delivery systems and the current research infrastructure are not well designed to sustain the translational "discovery to delivery" practice that is aimed at reducing the existing and future burden of chronic care epidemics that poses a threat to the American society. The study uses complex adaptive system (CAS) theory to provide a framework to select, implement, and evaluate the new models of care delivery with the potential of satisfying the Institute of Medicine's (IOM) recommendations (Boustani et al., 2010). The article helps one to understand that changing the healthcare delivery system into a complex adaptive system might transform the healthcare system into a new integrated adaptive system that is capable of improving the quality, cost-utility, and safety of the American healthcare system.

Corace, K.M, Srigley, J.A., Hargadon, D.P., et al. (2016). Using behavior change frameworks to improve healthcare worker influenza vaccination rates: A systematic review. Vaccine. 2016;34(28):3235-3242. doi:10.1016/j.vaccine.2016.04.071

This article explains how influenza vaccination of healthcare workers can be critical for protecting both patients and staff even though the vaccine coverage among HCW is yet to reach the recommended patient safety targets. During the study, a team of experienced librarians study searched electronic databases using a defined literature search strategy. According to Corace et al., (2016), patient safety’s improvement using behavior change theories are frameworks for designing interventions, while increasing the rate of HCW vaccination should be evaluated. (Corace et al., 2016). Even though the study suggests that vaccination is a complex behavior, it also explains how psychological theories of behavior change can get used as the best tools to increase the uptake of HCW influenza vaccination.

Pawson R, Greenhalgh J, Brennan C, Glidewell E. (2014). Do reviews of healthcare interventions teach us how to improve healthcare systems?. Soc Sci Med;114:129-137. doi:10.1016/j.socscimed.2014.05.032

This article aims to answer the question of whether reviews of healthcare interventions do teach people how to enhance healthcare systems. The study attempted to analyze the problems faced by managers, policymakers, and planners in new health services from the perspective of evidence-based policy. The study concludes that reviews of healthcare programs lack the vital lessons to explain the ways to improve healthcare systems (Pawson et al., 2014). The article is essential because it helps people to understand that lasting system transformation depends on changes in healthcare systems.

Terglav, B., Selak, Š., Vrdelja, M., Kaučič, B., & Gabrovec, B. (2019). Patient satisfaction with the level of being informed about the changes in Slovenian healthcare system, Pielegniarstwo XXI wieku / Nursing in the 21st Century, 18(1), 37-41. doi:  https://doi.org/10.2478/pielxxiw-2019-0003

The article suggests that the information about the residents' satisfaction with the healthcare system is important for healthcare policymakers. The study focused on determining whether the residents of the Republic of Slovenia were satisfied with the current healthcare system and whether they are informed or aware of the proposed draft law changes (Terglav et al., 2019). The study used a structured survey questionnaire that applied quantitative research, a method of non-experimental sampling. The residents were required to answer thirty-eight questions and statements divided into four segments. The study found that the residents of Slovenia support the public healthcare system to a higher extend, but they are less in favor of the private healthcare system. They are satisfied with the current healthcare system. This article is essential because it determines the satisfaction level of residents with the healthcare system.

Dark, F., Whiteford, H., Ashkanasy, N.M., et al. (2017). The impact of organisational change and fiscal restraint on organizational culture. Int J Ment Health Syst 11, 11. https://doi.org/10.1186/s13033-016-0116-0

The article attempts to explain the relationship between organizational change and organizational culture. The study involves an examination of changes given organizational culture in two community mental health services that applied cognitive therapies in their daily psychosis care for more than three years. The study administered a survey of organizational culture to the clinical staff of each service at an interval of one year for over three years. The study concluded that organizational culture is relatively resilient and robust (Dark et al., 2017). The results did not show any difference between the two services of the organizational culture. This article is essential because it helps individuals to understand the relationship between the planned organizational change and the organizational culture.

Johnson, M. J., & May, C. R. (2015). Promoting professional behaviour change in healthcare: what interventions work, and why? A theory-led overview of systematic reviews. BMJ open, 5(9), e008592.

This article aims at establishing the features of successful behavior change interventions in the healthcare system. The study used a theory led-analysis using the concepts of normalization process theory (NPT). The study used a logical overview of systematic reviews that helped to determine how effective behavior change interventions exist. The study used patients and healthcare professionals from both primary and secondary care (Johnson & May, 2015). Out of the 4724 articles searched, 67 of them met the inclusion criteria. The theory-led analysis suggested that some interventions can offer the best chances of success.