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Diffusion of technology innovation.

C A Romano
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Abstract

Within the context of nursing informatics as a field that addresses the use of information technology by nurses as they care for patients, carry out administrative tasks in health facilities, and educate others in the discipline, this article presents the theoretic perspectives of the adoption and implementation of such technologies. Research in the area of diffusion of innovations is reviewed from the perspective of classical diffusion theory and organizational theory. The state of the art and methodological issues of research in this area are addressed. Areas for future study are proposed.

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CommunicationDecision Making, OrganizationalDiffusion of InnovationHealth Facility AdministrationHumansInformation SystemsMedical Laboratory ScienceModels, TheoreticalNursesNursing ResearchOrganizational InnovationResearchTime FactorsJournal Article

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BibTeXRIS

C A Romano. 1990. Diffusion of technology innovation.. https://doi.org/10.1097/00012272-199012000-00003

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Information-sharing among couples considering multifetal pregnancy reduction.

OBJECTIVE: To determine the information-sharing strategies of couples considering fetal reduction, and the impact of these strategies on the chances of encountering hostility in their social networks. DESIGN: Cross-sectional design of semistructured qualitative interviews, coded with respect to sharing strategies and level of personally directed hostility encountered. SETTING: Multiple Pregnancy Management Program, Comprehensive Genetics, New York, New York. PATIENT(S) AND INTERVENTION(S): Fifty women and their partners who were making a first visit to our maternal-fetal management facility, in order to consider the possibility of multifetal reduction as a pregnancy-management strategy. MAIN OUTCOME MEASURE(S): Development of information-sharing strategies, and the chances of encountering personally directed hostility regarding multifetal reduction associated with more and less selective strategies. RESULT(S): Four information-sharing strategies emerged from the analysis. Two of these strategies were relatively open (extended network, and both parents). Two other strategies were relatively selective (qualified family and friends, and defended relationship). The selective strategies were significantly less likely to encounter to encounter personally directed hostility (odds ratio, 3.88; 95% confidence intervals, 0.87-17.30). CONCLUSION(S): Selective sharing of information for couples considering multifetal prgnancy reduction is a potentially useful strategy for moderating potentially stressful relationships in their social networks. Clinics should find a way of integrating the discussion of selective sharing into their clinic's cultural repertoire of patient-support services.

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