Pratiques de gestion mobilisatrices et implantation d’un système d’information : Une évaluation qualitative

Dans cet article, nous présentons une partie des résultats d’une recherche qualitative dont l’un des objectifs était de mettre en évidence le rôle joué par certaines pratiques de gestion mobilisatrices, comme la communication, la participation, la formation, le soutien et la reconnaissance des efforts, dans l’adhésion des employés à l’implantation d’un système d’information (SI). Cependant, ces pratiques peuvent être perçues différemment par chaque employé selon leur crédibilité, adéquation, pertinence ou opportunité et prises en compte dans le processus d’évaluation qui conduit à la formation de son attitude à l’égard du SI. Pour explorer ce phénomène, nous avons réalisé deux études de cas dans deux organismes publics au Québec au cours desquelles nous avons effectué des entrevues semi-structurées en profondeur auprès de vingt employés. Ce texte présente les résultats de l’analyse du contenu de ces entrevues.Following the research of Lawler III (1992), several authors have acknowledged a mobilization potential in human resources processes and management practices related to communication, training, support, participation, and recognition of effort. In this article, we present part of the results of a qualitative research project of which one of the objectives was to underline the role potentially played by these management practices in employee support for implementation of an information system (IS).Starting from the alarming record of failure in the implementation of information systems within organizations (O’Conner, Parsons and Liden, 1992; Henderson, Deane and Ward, 1995; Standish Group, 1999, 2001), and the highlighting of the importance of the role of human factors in the failure or the success of these technological changes, notably those related to the acceptance and the adaptation of information system users (Paré and Elam, 1995; Martinsons and Chong, 1999; Guérin et al., 2001), we postulated the consideration of human factors in the framework of HR mobilization strategies as the prerequisite and necessary condition to the efficient and effective usage of an IS, which is also recognized as a success criterion for the implementation of an IS (DeLone and MacLean, 1992, 2003).From this angle, and in the framework of an IS implementation, communication may be designed to bring employees closer to their managers and directors, to explain the organizational vision, the reasons, the goals, and the anticipated results or effects of the technological change, on the basis of credible and accurate information which does not hide the risks, the difficulties and the potential negative aspects for employees. IS training can be planned to develop the employee’s competencies, on the basis of his level of education and the experience he has already acquired, and to prepare him in this way to use the IS while at the same time developing his self-confidence, and his sense of personal efficiency. Human and technical support may reassure the employee as to his capacities and encourage him or her to persevere in his utilization of the system when the time comes. The employee’s participation, at any level, in decisions concerning the implementation project can only stimulate his interest and his involvement as related to the IS. Finally, recognition for adaptation efforts put forth may improve employee commitment towards his managers, and their organizational objectives. However, all of these practices are perceived in a particular way by each individual employee according to their credibility, adequacy, pertinence, opportunity or interest and are taken into account in the evaluation process which leads to the development of the employee’s attitude and his intention as concerns the IS and its utilization. Thus, the objective of this research is precisely to explore this phenomenon so as to identify the conditions which could encourage user support and thus improve the success of IS implementations. To this end, we carried out two case studies of IS implementations in two public sector organizations in Quebec. Ten employees took part in in-depth and semi-structured interviews at the implementation phase of the IS in each of the two organizations concerned.The analysis of the interview content shows that those management practices evaluated in a very opposite way by positive and negative employees are training, support received, incentives or recognition of effort. Employees who are positive towards the IS are generally very satisfied with training and support received, and are also quite aware of moral recognition (non-monetary), whereas the negative employees are very dissatisfied with training and support received, and are quite aware of the absence of monetary incentives or recognition. Communication and participation prove to be the preoccupations more specifically raised by employees having a negative attitude towards IS, and about which they express strong dissatisfaction, while the attitude of positive employees does not seem to be truly influenced by these two factors, except perhaps in that which concerns participation of key users.The limits of the research are pointed out and several recommendations have been made to assist managers involved in the management of an IS implementation within their organization to facilitate its acceptance by employees. The contribution of this research lies in the continuity of research on the acceptance or the adoption of new technologies by their users (Davis et al., 1989) while putting forward the influence of mobilization strategies on the support or on the rejection of the IS by users through personal and perceptual variables such as the sense of personal efficiency, personal involvement, the perceived quality of the IS, personal attitude and the image of superiors. The importance of this last factor seems to us to be able to rehabilitate interest in continuing to consider the role of social influence of organizational origin in the support and the mobilization of employees for using the IS, in conformity with the theory of reasoned action of Fishbein and Ajzen (1975). A model of emerging research has been proposed for future validation.Presentamos en este articulo una parte de los resultados de una investigación cualitativa que tuvo como uno de sus objetivos el poner en evidencia el rol jugado por ciertas prácticas de gestión movilizadoras como la comunicación, la participación, la formación, el soporte y el reconocimiento de los esfuerzos, para fomentar la adhesión de los empleados a la implantación de un sistema de información. Sin embargo, estas prácticas pueden ser percibidas de manera diferente por cada empleado según la credibilidad, adecuación, pertinencia u oportunidad de aquellas y ello puede ser tomado en cuenta en el proceso de evaluación que conduce a la formación de su actitud respecto al sistema de información. Para explorar este fenómeno, hemos realizado dos estudios de caso en dos organizaciones públicas de Quebec durante los cuales hemos efectuado entrevistas semi-estructuradas y en profundidad con veinte empleados. Este texto presenta los resultados del análisis de contenido de dichas entrevistas

Stratégies d’intégration des services en réseau, régulation et moteurs d’implantation de changement

Les réseaux intégrés de services sont présentés comme l'une des principales voies de solutions pour accroître l'efficience, la pertinence et la cohérence du système de santé dans le contexte actuel d'augmentation de la demande et de contraintes budgétaires. Dans le domaine de la santé mentale, l'intégration s'inscrit aussi dans une tentative de répondre aux besoins multiples de la population cible, plus spécifiquement les personnes souffrant de troubles mentaux graves. Cet article décrit les balises du concept de réseau intégré de services en santé mentale, les principales stratégies qui en favorisent le développement et les modèles de régulation qui permettent leur élaboration. L'article aborde aussi les difficultés et les enjeux de ce mode d'organisation et plus particulièrement les défis liés à l'implantation de changement et de transformation des systèmes.Network of integrated services : regulation and driving force of implementation of change Networks of integrated services are often presented as a major path of solution to increase efficiency, relevance and coherence of health systems especially in the current context of increasing demand and budgetary restraint. In the mental health field, integation also attempts to answer the numerous needs of a targeted population and more specifically, people with serious mental disorders. This article describes the markers of the concept of network of integrated services in mental health, the major strategies favoring development and models of regulation allowing their elaboration. The article discusses difficulties and stakes of this mode of organization and more particularly the challenges linked to implementation of change and transformation of systems.Estrategias de integración de servicios en red, regulación y motores de establecimiento de cambio Las redes integradas de servicios estan presentadas como una de las vias principales de soluciónes para aumentar la eficiencia, la pertinencia y la coherencia del sistema de salud en el contexto actual de aumentación de la demanda y de los limites de los presupuestos. En el campo de la salud mental la integración se inscribe tambien en una tentativa de respuesta a las necesidades multiples de la población, más especificamente las personas que padecen de problemas mentales graves. Este articulo describe las grandes lineas del concepto de la red integrada de servicios en salud mental, las estrategias principales que favorecen el desarrollo y los modelos de regulación cuales permiten su elaboración. El articulo trata tambien las dificultades y las cuestiones relacionadas a este modo de organisación y especificamente los desafios del establecimiento del cambio y de transformación de sistemas.Estratégias de integração das redes de serviços, regulamentação e agentes de implantação de mudanças A integração das redes de serviços é uma das principais soluções para aumentar a eficiência, a pertinência e a coerência do sistema de saúde no contexto atual de aumento da demanda e de problemas orçamentários. Na área da saúde mental, a integração também engloba a tentativa de atender às necessidades do público alvo, principalmente, das pessoas que sofrem de problemas mentais graves. Este artigo descreve algumas linhas básicas do conceito de integração das redes de serviços em saúde mental, as principais estratégias que favorecem o desenvolvimento e os modelos de regulamentação que permitem sua elaboração. O artigo trata também das dificuldades e problemas deste modo de organização e, mais especificamente, dos desafios relacionados com a implantação de mudanças e a transformação dos sistemas

Atención farmacéutica en la bibliografía nacional e internacional

Identifcation of factors for a successful implementation of medication reviews in community pharmacies: Using Positive Deviance in pharmaceutical care. Waltering, I., Schwalbe, O., Hempel, G. International Journal of Clinical Pharmacy (2022) 44:79–89 https://doi.org/10.1007/s11096-021-01315-1 Will the Public Engage with New Pharmacy Roles? Assessing Future Uptake of a Community Pharmacy Health Check Using a Discrete Choice Experiment.  Chua, G.N., Bond, C., Porteous, T. y col. Patient 15, 473–483 (2022). https://doi.org/10.1007/s40271-021-00566-4 A pilot study of Pharmacist-Dietician Collaborative support and Advice (PDCA) for patients with type 2 diabetes in community pharmacy: A single-arm, pre-post study.  Shoji M, Sakane N, Ito N, Sunayama K, Onda M. Pharm Pract (Granada). 2022 Jul. 4;20(2):2657. https://pharmacypractice.org/index.php/pp/article/view/265

Atención farmacéutica en la bibliografía nacional e internacional

Assessing the pharmaceutical care provision to suspected COVID‑19 patients in community pharmacies: a simulated patient study. Karout y col. BMC Health Services Research (2022) 22:467. https://doi.org/10.1186/s12913-022-07870-1 The Quality of Counseling for Headache OTC Medications in German Community Pharmacies Using a Simulated Patient Approach: Are There Differences between Self-Purchase and Purchase for a Third Party? Langer, B. y Kunow, C. The Scientific World Journal, vol. 2022, ID del artículo: 5851117, 14 pag. https://doi.org/10.1155/2022/5851117 Opioid treatment program prescribing of methadone with community pharmacy dispensing: Pilot study of feasibility and acceptability. Brooner, R K. y col. Drug and Alcohol Dependence Reports, Volume 3, June 2022, 100067, ISSN 2772-7246 https://doi.org/10.1016/j.dadr.2022.10006

Atención farmacéutica en la bibliografía nacional e internacional

Quality of Life Assessment in Patients Using Benzodiazepines during the COVID-19 Pandemic in a Community Pharmacy Using EuroQol 5D-3L. Alberto Armas, D.; Santana Ayala, J.R.; Román Castillo, Y.; Hardisson de la Torre, A.; Rubio Armendáriz, C.  Pharmacy 2023, 11, 19. https://doi.org/10.3390/ pharmacy1101001

Atención farmacéutica en la bibliografía nacional e internacional

Identifcation of factors for a successful implementation of medication reviews in community pharmacies: Using Positive Deviance in pharmaceutical care. Waltering, I., Schwalbe, O., Hempel, G. International Journal of Clinical Pharmacy (2022) 44:79–89 https://doi.org/10.1007/s11096-021-01315-1 Will the Public Engage with New Pharmacy Roles? Assessing Future Uptake of a Community Pharmacy Health Check Using a Discrete Choice Experiment.  Chua, G.N., Bond, C., Porteous, T. y col. Patient 15, 473–483 (2022). https://doi.org/10.1007/s40271-021-00566-4 A pilot study of Pharmacist-Dietician Collaborative support and Advice (PDCA) for patients with type 2 diabetes in community pharmacy: A single-arm, pre-post study.  Shoji M, Sakane N, Ito N, Sunayama K, Onda M. Pharm Pract (Granada). 2022 Jul. 4;20(2):2657. https://pharmacypractice.org/index.php/pp/article/view/265

Atención farmacéutica en la bibliografía nacional e internacional

Quality of Life Assessment in Patients Using Benzodiazepines during the COVID-19 Pandemic in a Community Pharmacy Using EuroQol 5D-3L. Alberto Armas, D.; Santana Ayala, J.R.; Román Castillo, Y.; Hardisson de la Torre, A.; Rubio Armendáriz, C.  Pharmacy 2023, 11, 19. https://doi.org/10.3390/ pharmacy1101001

Atención farmacéutica en la bibliografía nacional e internacional

Revisión bibliográfica de los artículos: The feasibility and acceptability of a brief psychological intervention for adults with long-term health conditions and subthreshold depression delivered via community pharmacies: a mixed methods evaluation—the Community Pharmacies Mood Intervention Study (CHEMIST). Chew-Graham, C.A., Kitchen, C.E.W., Gascoyne, S. y col. Pilot Feasibility Stud 8, 27 (2022). Demand of COVID‑19 medicines without prescription among community pharmacies in Jodhpur, India: Findings and implications. Dutta, S. y col Journal of Family Medicine and Primary Care: February 2022 – 11-2. P. 503-511 Implementation of a Pharmacogenomic Testing Service through Community Pharmacy in the Netherlands: Results from an Early Service Evaluation. Thornley, T.; Esquivel, B.; Wright, D.J.; Dop, H.v.d.; Kirkdale, C.L.; Youssef, E. Pharmacy 2021, 9, 38