Strategic technological processes in hospitals: Conflicts and personal experiences of healthcare teams

Lior Naamati-Schneider, Mirit Arazi-Fadlon, Shir Daphna-Tekoah

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Background: Global health systems operate amid dynamic factors, including demographic shifts, economic variations, political changes, technological progress, and societal trends that lead to VUCA reality (Volatility, Uncertainty, Complexity, and Ambiguity). To address these challenges, healthcare organizations are increasingly turning to Strategic Technological Processes and digital transformation. Research objective: Against this background, the current study examined the personal experiences, conflicts, difficulties, and moral dilemmas attendant upon accommodating this digital transformation of healthcare professionals. Participants: The study involved 27 healthcare professionals working in Israeli hospitals, whose experiences and perspectives were central to understanding the impact of digital transformation in healthcare settings. Research design: The study methodology rested on in-depth interviews, which were analyzed through the prism of the Listening Guide analytical technique. Ethical considerations: The research obtained pre-approval from the Ethics Committee at the researcher’s institution. Findings: The study revealed that the healthcare professionals are indeed facing ethical conflicts and personal challenges related to digitalization (such as providing the best quality of care, being the best caregiver, and acting for the betterment of the hospital). It also identified dilemmas resulting from conflicts between the needs and demands of the health system and the healthcare professionals’ values and resources. Discussion: The study findings highlight the impact of ethical and moral challenges accompanying strategic organizational and digital transformation changes implemented by healthcare organizations worldwide. These challenges arise as healthcare institutions adapt to the demands of the 21st century, potentially leading to burnout and moral distress among healthcare professionals, further exacerbating the already stressful reality they face. Conclusion: In conclusion, the study emphasizes the critical necessity for comprehensive support strategies to alleviate stress and burnout among healthcare professionals. As healthcare organizations and personnel navigate significant organizational changes to address contemporary challenges, prioritizing the well-being of healthcare workers through effective support mechanisms becomes imperative.

Original languageEnglish
JournalNursing Ethics
DOIs
StateAccepted/In press - 1 Jan 2024
Externally publishedYes

Keywords

  • Digital transformation in hospitals
  • healthcare ethical conflicts
  • listening guide
  • moral distress

ASJC Scopus subject areas

  • Issues, ethics and legal aspects

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