Physician sensemaking and readiness for electronic medical records

Autor: Kelly Riesenmy
Rok vydání: 2010
Předmět:
Zdroj: The Learning Organization. 17:163-177
ISSN: 0969-6474
DOI: 10.1108/09696471011019871
Popis: PurposeThe purpose of this paper is to explore physician sensemaking and readiness to implement electronic medical records (EMR) as a first step to finding strategies that enhance EMR adoption behaviors.Design/methodology/approachThe case study approach provides a detailed analysis of individuals within an organizational unit. Using a theoretical lens of sensemaking and readiness for change gives a framework for triangulated inquiry.FindingsFindings reveal that physicians' key sensemaking factors are alignment, expectations, symbols (i.e. voice activation technology), outside influences, emotional arousal, trust, faith, forced implementation, controlled influence, and clarification of identity. These factors collectively describe how physician derive meaning through innovation.Research limitations/implicationsThe findings elucidate physicians as autonomous learners utilizing innovative thought processes to prepare for EMR implementation. Physicians used innovation in EMR implementation as a method of controlled influence to clarify their identity as efficient, competent professionals who demand performance excellence.Practical implicationsThese findings have implications for EMR implementation strategies and future research in innovation and EMR adoption behaviors.Originality/valueThis study provides needed information about how physicians grasp EMR technology in the practice of medicine and how it impacts their readiness to use EMR. Much is known about the barriers, difficulties, and benefits of EMR, but little is know about how physicians construct meaning from the use of this new technology.
Databáze: OpenAIRE