IT-adoption and the interaction of task, technology and individuals: a fit framework and a case study
Open Access
- 9 January 2006
- journal article
- research article
- Published by Springer Science and Business Media LLC in BMC Medical Informatics and Decision Making
- Vol. 6 (1), 3
- https://doi.org/10.1186/1472-6947-6-3
Abstract
Factors of IT adoption have largely been discussed in the literature. However, existing frameworks (such as TAM or TTF) are failing to include one important aspect, the interaction between user and task. Based on a literature study and a case study, we developed the FITT framework to help analyse the socio-organisational-technical factors that influence IT adoption in a health care setting. Our FITT framework ("F it between I ndividuals, T ask and T echnology") is based on the idea that IT adoption in a clinical environment depends on the fit between the attributes of the individual users (e.g. computer anxiety, motivation), attributes of the technology (e.g. usability, functionality, performance), and attributes of the clinical tasks and processes (e.g. organisation, task complexity). We used this framework in the retrospective analysis of a three-year case study, describing the adoption of a nursing documentation system in various departments in a German University Hospital. We will show how the FITT framework helped analyzing the process of IT adoption during an IT implementation: we were able to describe every found IT adoption problem with regard to the three fit dimensions, and any intervention on the fit can be described with regard to the three objects of the FITT framework (individual, task, technology). We also derive facilitators and barriers to IT adoption of clinical information systems. This work should support a better understanding of the reasons for IT adoption failures and therefore enable better prepared and more successful IT introduction projects. We will discuss, however, that from a more epistemological point of view, it may be difficult or even impossible to analyse the complex and interacting factors that predict success or failure of IT projects in a socio-technical environment.Keywords
This publication has 29 references indexed in Scilit:
- Visions and strategies to improve evaluation of health information systems: Reflections and lessons based on the HIS-EVAL workshop in InnsbruckInternational Journal of Medical Informatics, 2004
- Factors Affecting and Affected by User Acceptance of Computer-based Nursing Documentation: Results of a Two-year StudyJournal of the American Medical Informatics Association, 2003
- A socio‐technical framework for quality assessment of computer information systemsIndustrial Management & Data Systems, 2001
- User evaluations of IS as surrogates for objective performanceInformation & Management, 2000
- A Theory of Task/Technology Fit and Group Support Systems EffectivenessMIS Quarterly, 1998
- Information Technology in Complex Health Services: Organizational Impediments to Successful Technology Transfer and DiffusionJournal of the American Medical Informatics Association, 1997
- Health‐promoting nursing practice: the demise of the nursing process?Journal of Advanced Nursing, 1996
- Task-Technology Fit and Individual PerformanceMIS Quarterly, 1995
- User acceptance of information technology: system characteristics, user perceptions and behavioral impactsInternational Journal of Man-Machine Studies, 1993
- Information Systems Success: The Quest for the Dependent VariableInformation Systems Research, 1992