PURPOSE:While most patients on cancer treatment receive their injection in a conventional hospital setting, Hospital At Home (HAH) is an alternative solution. This research aims to describe the management of care involving HAH, highlight the expectations and needs of each stakeholder, and identify the key elements of home cancer care compared to the conventional hospital setting. METHODS:Qualitative, prospective, and exploratory study between patients with active multiple myeloma treated exclusively in a day hospital setting versus patients alternating between a day hospital and HAH. It was based on semi-structured interviews conducted in several hospitals, in the community, and at home with patients, informal caregivers, and healthcare professionals. Grounded Theory was used for analysis. RESULTS:Five main dimensions of management of care emerged from the 35 interviews: (i) the hospital decided on patient care regardless of location, (ii) cancer care excluded general practitioners but the HAH intervention improved their involvement, (iii) strong collaboration required between HAH and the hospital for quality and safety of care, (iv) HAH, a way to stay at home but with a complex organization (v) the profile of patients potentially eligible for home cancer injection. CONCLUSION:Our study highlights the benefits and drawbacks of home-based care delivery from the perspective of patients with multiple myeloma, informal caregivers, and healthcare professionals. To promote home-based cancer injections, primary care services should be strengthened in relation to hospitals to achieve an optimal logistical organization for home delivery of care, and to better identify patients eligible for transfer to HAHs.

Espousing the view that resistance is not an instinctive reaction that users have when a new information technology (IT) is implemented, our first objective was to uncover and synthesize the explanatory models of user resistance to IT that the literature offers. Because we observed that the models we reviewed did not share the same conceptualization of resistance – that is, resistance as behavior, resistance as intention, and resistance as a negative perception – we undertook a second reading of the literature to unpack the concept of resistance to IT, which led us to identifying several additional conceptualizations, including resistance as a cognition, as an attitude, and as a mindset. From these two different readings of the literature, we identified gaps that are also research opportunities. We then analyzed the literature with a different perspective, that of problematization. This led us to identify two well-received assumptions about resistance to IT – managers fully embrace the new IT and technology is good. In line with the problematization approach, we suggest that relaxing either assumption might lead researchers to offer new and insightful explanations of the phenomenon.

The widespread use of information technology has led to undesirable consequences, particularly in the form of IT addiction. Despite recent attention to corrective behaviors that counter IT addiction, a process-based longitudinal overview of IT addiction recovery is still lacking. A process model of IT addiction recovery was developed based on qualitative narrative data obtained from interviews and published blogs and Bandura's theory of self-regulation as the baseline. It highlights the four stages of observing, assessing, adjusting, and reflecting, through which recovery efforts unfold gradually. In each stage, essential elements underlying successful completion and advancement to the next stage, particularly those that are related to IT artifact, are identified. The findings provide a richer understanding of the IT addiction recovery process and carry important implications for users who struggle with IT addiction, designers, and industry regulators.

Addiction to hedonic information systems yields significant negative consequences for users. Although we know about the causes of addictions, particularly those related to individual differences, recent evidence suggests that addiction evolves gradually over time and is rooted in shared characteristics of users and technology. This paper provides a longitudinal perspective over how and why hedonic information systems (IS) use addiction develops. Based on our analysis, we break down this process into three phases characterized by different types of use, whether nominal, compulsive, or addicted. Each phase highlights salient psychological needs that motivate, technology features that enable, and affordances that are actualized into each type of use. We also provide a detailed account of individuals’ self-control mechanisms, explaining how deficiencies in sensing, comparing, or regulating behavior facilitate one’s transition toward addiction. These insights are applicable to other hedonic IS that are similar in terms of ubiquity and constant access through mobile apps. They point to heterogeneous (preventive or intervening) strategies that can be used to help people regain their control over use, depending on where they are in their trajectory toward addicted use. Our findings carry implications for the design of systems and features that can help reduce the likelihood of addiction development.

Physicians' resistance towards Lean is often viewed as an important barrier to its successful implementation in healthcare organisations. However, there exists a dearth of knowledge regarding what influences reactions from physicians towards Lean and what organisations can do about it. This study adopts a behavioural perspective and focuses on the triggers of physicians' resistance towards Lean. Using longitudinal qualitative data from multiple case studies of Canadian hospitals, 15 behavioural triggers are identified. A cross-case analysis reveals that core-technical and efficiency-driven changes clash with medical professionalism and generate active resistance from physicians, while leadership and familiarity with Lean are linked to championing behaviours that mitigate it. This study provides a deeper understanding of physicians' behaviours during Lean transformations and the factors that drive resistance. It also provides insight into how organisations can better engage their medical staff in their Lean efforts by focussing on the process of change to offset resistance.

Championing is key to the success of an IT implementation. Recently, changes in the nature of technologies used in organizational contexts and changing organizational structures call for a renewed focus on IT championing to explain its distributed nature. Following an analytic induction approach and drawing from semi-structured interviews with 37 practitioners (physicians, residents, nurses, IT staff, and administrators) in three healthcare-related settings, the study conceptualizes distributed IT championing as a process constituted of multiple individuals' behaviors, unfolding over time, that proactively go beyond formal job requirements in support of an IT implementation. While multiple individuals may enact similar championing behaviors, the data indicate that multiple individuals may also enact distinct, yet complementary, championing behaviors over the course of the IT implementation. Overall, distributed IT championing evolves through cycles of distinct stages of bridging-in, bonding, and bridging-out, with each stage being shaped by different dimensions of social capital. Also, IT artifacts that are particularly generative appear more conducive to distributed IT championing than closed ones. This article contributes to extant literature on IT championing by developing a process model of distributed IT championing in the context of an IT implementation.

This research aimed to better understand how institutions are maintained, and the role of materiality in this institutional work. More specifically, the present qualitative case study analyzed how different actors in a large academic hospital in Canada worked together (i.e. accomplished institutional work) to maintain the institution of medical record keeping as a new clinical information system (computerized physician order entry-the material entity) was enacted. The study reveals that, to maintain the institution at stake, the intertwinement of processes of creating and maintaining institutions took place. In fact, different forms of institutional work interact Results also strongly suggest that the design of computerized physician order entry and its implementation (i.e. the materiality involved in this institutional change) played an important role in the maintenance of the institution of medical record keeping: on the one hand, it was particularly present in three types of institutional work, namely enabling, policing, and deterring; on the other hand, it appeared to be an essential component of the routinization of work by allowing a better fit between the new technology and the organization of work.

Employees' compliance with Information Systems Security Policies (ISP) is critical for protecting organizational data.Both the technical side and the social aspects of IT-use were shown to have significant influence on ISP-compliance.However, they have been mostly studied in isolation, despite the literature's emphasis on the socio-technical nature of security.Also, while the technical side has been extensively explored, there is a scarcity of research on the social mechanisms that underlie ISP-compliance.Here, we aim at bridging the gap between the technical and social sides of compliance.We also build upon Social Impact Theory to provide a more nuanced understanding of the social influence on ISP-compliance.We suggest that transparency of use is associated with the three pivotal elements of social influence, namely, perceived strength, immediacy, and number of influencing sources, which trigger normative and informational forces towards compliance.The influence of organizational ISP-compliance culture is also discussed.

In the face of ever-growing IS-security breaches and their substantial impacts on organizations and societies, the necessity of enhancing organizational IS-security becomes paramount. Meanwhile, the employees' compliance with organizational IS-security policies (ISSP) is known to be critical for ensuring security. However, the extant knowledge about ISSP-compliance has remained scattered and inconclusive, and the social aspects of compliance are mostly underexplored despite their importance and impact. Moreover, there is a need for more studies that bridge the gap between the design side and the behavioral sides of IS-security; such a gap has created both conceptual and practical shortfalls within the literature. In this paper, we address these gaps by first introducing an enhanced unified framework of ISSP-compliance and, second, by theorizing a model where we propose that transparency of use enacts four distinct social practices, which, in turn, increase the employees' compliance with ISSP. Future avenues of research are also suggested.

Despite the progress that research has made on acceptance and resistance, a need to further clarify what behaviors they translate into and their impacts beyond face value remains. Based on the extant literature on user acceptance and resistance, we developed a framework in which we map user behaviors in light of their conformity/non-conformity to organizational intent. Mapping the literature in this framework revealed mixed study results on impacts of IT user behaviors. Overall, we suggest that one should understand the impacts of user behaviors in light of organizational intent, which organizations’ IT terms of use generally embody. This new lens allows one to understand the contradictions in extant research results and to articulate a more nuanced account of IT use impacts. To conclude, we propose that researchers could add much value to current knowledge in this area by: 1) exploring how acceptance and resistance IT user behaviors relate to conformity/non-conformity with IT terms of use and delving in their impacts, 2) explaining the sometimes paradoxical impacts of conforming/non-conforming IT user behaviors, and 3) investigating the role of individual and organizational agency in relation with IT terms of use.

Introduction: Drones are already being used in medicine. They are employed to transport blood products and laboratory samples in rural and remote areas and they are increasingly being tested to deliver external defibrillators outside the hospital to patients with cardiac arrest. As this technology rapidly develops and attracts the attention of the scientific community, we present a rapid systematic review protocol that aims to synthesize the scientific evidence that has tested the use of drones to provide emergency medical care. Methods: A search strategy incorporating the concepts of ‘drone’ and ‘emergency medicine’ was launched in 52 bibliographic databases, including CINAHL and PubMed. Using the artificial intelligence module included in DistillerSR, a reviewer completed the first screening phase by reading the title and abstract of the retrieved articles. To be included, articles had to report empirical research projects that tested the potential uses of drones to improve the quality and accessibility of emergency medical care. These selection criteria were applied to the full text of the included articles during the second screening phase by a single reviewer. The results of these two screening phases will be validated by a second independent reviewer. The bibliography of included studies, relevant scientific journals and literature reviews will be manually searched for relevant articles. Results: The search strategy retrieved 1809 articles, of which 22 met our inclusion criteria in the first and second screening phases. Of these, one study used an empirical research design (qualitative interviews) to evaluate the usefulness of drones in emergency medicine, 17 used simulations or scenarios, and four were comprehensive literature reviews on the use of drones to provide healthcare. The final review will synthesize evidence related to the use of drones in emergency medicine and its impact on emergency medical services: nature of the emergency situation (cardiac arrest, blood transfusion), type of drone (fixed wing, quadcopter), tasks performed by drones (transport, surveillance), improvement in access or quality of care (patient's health, time saved in providing services). Conclusion: Drone technology is evolving rapidly and the indications for its use in providing emergency care is increasing. This rapid systematic review will focus on scientific studies aimed at testing the effectiveness of drones to improve the quality and access to emergency medical care.

BACKGROUND:Passive dissemination of information in healthcare refers to the publication or mailing of newly established guidelines or recommendations. It is one of the least costly knowledge translation activities. This approach is generally considered to be ineffective or to result in only small changes in practice. Recent research, however, suggests that passive dissemination could, under certain conditions, result in modifications of practice, similar to more active dissemination approaches. The objective of our study was to uncover the conditions associated with the change in primary care practice, namely Family Medicine Groups (FMGs) in Quebec (Canada), following the passive dissemination of recommendations for the diagnosis and management of Alzheimer's disease and related dementia (AD).METHODS:We used a three-step, innovative, convergent mixed methods design based on a multiple case study in eight FMGs. Two studies were conducted in parallel: (1) a before and after retrospective chart review and a cluster analysis of FMGs performed on two clinical performance indicators-the rate of AD diagnosis and the quality of follow-up care; (2) a qualitative descriptive study using interviews and focus groups with FMG clinicians and healthcare managers. The results were integrated using joint displays.RESULTS:After the passive dissemination of the recommendations, some FMGs started to implement the recommendations while other FMGs did not change their practice with respect to the AD diagnosis rate and quality of follow-up care. Three interrelated conditions were identified for the successful passive dissemination of clinical recommendations: (1) FMG clinicians with a moderate to high baseline expertise and confidence, which was linked to their existing collaboration with hospital-based specialists in dementia and their motivation; (2) the presence of a self-identified champion (individual champion or collective championship) in the FMGs taking the lead, motivating the clinical staff or organizing training; (3) the availability of sufficient clinical staff enabled these two conditions to have an impact on the implementation of recommendations through passive dissemination.CONCLUSIONS:Passive dissemination of clinical recommendations, a low-cost knowledge translation approach, may lead to practice change under some specific conditions. More active dissemination efforts may only be needed in sites where these conditions are absent.

In light of the inherent shortcomings of single-perspective approaches in IT diffusion research, in this paper, we develop a multi-perspective framework for studying the diffusion of IT management techniques. The framework is then applied to explain the diffusion of capability maturity model (CMM). This research contributes to information systems theory by (a) illustrating how several different theoretical perspectives (i.e., forced-selection, efficient choice, fashion, and fad) can be used to explain an IT management innovation diffusion; (b) identifying the specific limitations of each perspective; and (c) demonstrating how these perspectives can be reconciled and yield a holistic understanding of the diffusion trajectory. Building on 20+ years of CMM research, the propositions of this paper shed more light on the underlying dynamics driving the adoption decision among software vendors, and will inform IS scholars and practitioners about the types of actions that can foster the dissemination of emerging IT management techniques.