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Healthcare Innovation Barriers Perce...

Bunting, Robert F., Jr.

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Healthcare Innovation Barriers Perceived by Risk Managers: Effects of Hospital Bed Size and Organizational Structure.

Record Type:	Language materials, printed : Monograph/item
Title/Author:	Healthcare Innovation Barriers Perceived by Risk Managers: Effects of Hospital Bed Size and Organizational Structure./
Author:	Bunting, Robert F., Jr.
Description:	192 p.
Notes:	Source: Dissertation Abstracts International, Volume: 72-07, Section: B, page: .
Contained By:	Dissertation Abstracts International72-07B.
Subject:	Sociology, Organizational. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3455053
ISBN:	9781124614342

Healthcare Innovation Barriers Perceived by Risk Managers: Effects of Hospital Bed Size and Organizational Structure.
Bunting, Robert F., Jr.

Healthcare Innovation Barriers Perceived by Risk Managers: Effects of Hospital Bed Size and Organizational Structure. - 192 p.

Source: Dissertation Abstracts International, Volume: 72-07, Section: B, page: .

Thesis (Ph.D.)--Northcentral University, 2011.

Medical errors cause significant patient injuries, including deaths. Innovations designed to improve quality and reduce risk are numerous, as are the barriers that prevent innovation implementation. The purpose of this quantitative cross-sectional survey research was to analyze the relationships, if any, between the independent variables (IVs) hospital bed size and organizational structure and the dependent variables (DVs) barriers to three innovations: (a) implementing a surgical safety checklist, (b) preventing catheter- associated urinary tract infections, and (c) adopting patient- and family-centered care. Certified risk managers employed in short-term acute care U.S. hospitals (n = 847) received the Internet survey, and 348 (41.1%) participated. Analysis of the six IV and DV combinations revealed there was no difference in the barrier factor means for five combinations. There was a significant difference in the means for the patient- and family-centered care innovation, based on hospital bed size, F(20, 555) = 1.942, p = .008. Within this combination, there was a significant difference in the communication barrier factor, F(5, 5) = 2.53, p = .03, etap 2 = 0.038, but not in the adopter, organization, and innovation barrier factors. There was a significant association between hospital bed size and organizational structure, chi2(25, n = 345) = 105.31, p < .001. Diffusion theory research often focuses on organizational culture, but the focus of this research was on three innovations. Each innovation did not have a unique set of perceived barriers. The findings strengthen and expand existing research and serve as the foundation for understanding barriers to implementation of three healthcare innovations. Future research should focus on organizational culture instead of innovation-specific barriers and should incorporate other independent variables such as organizational profitability.

ISBN: 9781124614342Subjects--Topical Terms:

1018023
Sociology, Organizational.

Healthcare Innovation Barriers Perceived by Risk Managers: Effects of Hospital Bed Size and Organizational Structure.
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100 1 $a Bunting, Robert F., Jr. $3 1682309
245 1 0 $a Healthcare Innovation Barriers Perceived by Risk Managers: Effects of Hospital Bed Size and Organizational Structure.
300 $a 192 p.
500 $a Source: Dissertation Abstracts International, Volume: 72-07, Section: B, page: .
500 $a Adviser: Lawrence Ness.
502 $a Thesis (Ph.D.)--Northcentral University, 2011.
520 $a Medical errors cause significant patient injuries, including deaths. Innovations designed to improve quality and reduce risk are numerous, as are the barriers that prevent innovation implementation. The purpose of this quantitative cross-sectional survey research was to analyze the relationships, if any, between the independent variables (IVs) hospital bed size and organizational structure and the dependent variables (DVs) barriers to three innovations: (a) implementing a surgical safety checklist, (b) preventing catheter- associated urinary tract infections, and (c) adopting patient- and family-centered care. Certified risk managers employed in short-term acute care U.S. hospitals (n = 847) received the Internet survey, and 348 (41.1%) participated. Analysis of the six IV and DV combinations revealed there was no difference in the barrier factor means for five combinations. There was a significant difference in the means for the patient- and family-centered care innovation, based on hospital bed size, F(20, 555) = 1.942, p = .008. Within this combination, there was a significant difference in the communication barrier factor, F(5, 5) = 2.53, p = .03, etap 2 = 0.038, but not in the adopter, organization, and innovation barrier factors. There was a significant association between hospital bed size and organizational structure, chi2(25, n = 345) = 105.31, p < .001. Diffusion theory research often focuses on organizational culture, but the focus of this research was on three innovations. Each innovation did not have a unique set of perceived barriers. The findings strengthen and expand existing research and serve as the foundation for understanding barriers to implementation of three healthcare innovations. Future research should focus on organizational culture instead of innovation-specific barriers and should incorporate other independent variables such as organizational profitability.
590 $a School code: 1443.
650 4 $a Sociology, Organizational. $3 1018023
650 4 $a Health Sciences, Health Care Management. $3 1017922
690 $a 0703
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710 2 $a Northcentral University. $3 1018547
773 0 $t Dissertation Abstracts International $g 72-07B.
790 1 0 $a Ness, Lawrence, $e advisor
790 $a 1443
791 $a Ph.D.
792 $a 2011
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3455053