L'innovazione tecnologica nelle organizzazioni sanitarie. L'integrazione della cartella informatizzata infermieristica in Svizzera: un'analisi sociologica

The subject of this thesis is technological innovation in health organizations, in particular I will focus on the computerized nursing record and its implications with nursing work and nursing professional practices. The chosen methodology is a mixed-method approach, a questionnaire was administered on a model based on 4 determining factors: resources, micro-relevance, micro-property, macro-relevance, which allows to measure the adoptability of an information system . The correlation between determinants and causalities was observed, using linear regression methods. To detect and study how technological innovation relates to the professional and organizational processes of the organizational actors, 5 focus groups were carried out. The studied context is in Italian Switzerland, it is a multi-site hospital that includes nine nursing institutions. The analysis was developed in three phases: in the first one the data from the questionnaires were analyzed, then the information obtained through the focus groups, and finally they were identified, themes and convergent data combined and analyzed through a mixed approach. The results made it possible to identify the micro-relevance as the fundamental variable for predicting and evaluating the adoptability of an information system in the healthcare environment, and the micro-property as the second variable in importance. Qualitative research has revealed themes such as information, time, interpersonal relationships, which characterize changes in professional practices, and were then crossed with sub-groups of variables taken from the questionnaire. In conclusion, the adoptability of an information system, must include changes to the organization, implies changes in the role and culture of nursing and must be accompanied by training activities for the various actors involved.