Peer influence as a driver of technological innovation in the UK National Health Service: a qualitative study of clinicians' experiences and attitudes. Issue 2 (6th February 2018)

• Record Type: Journal Article
• Authors: Greszczuk, Claire; Mughal, Faraz; Mathew, Rammya; Rashid, Ahmed
• Is Part Of: BMJ innovations. Volume 4:Issue 2(2018)
• Page Start: 68
• Page End: 74
• Publication Date: 2018-02-06
• Subjects: accessible -- affordable -- delivery -- inventions; Medicine -- Research -- Periodicals; 610.72
• DOI: 10.1136/bmjinnov-2017-000208
• Languages: English
• ISSNs: 2055-8074

Abstract

Abstract : Background: Accelerating innovation to improve quality is a key policy target for healthcare systems around the world. Effectively influencing individuals' behaviour is crucial to the success of innovation initiatives. This study explores UK clinicians' lived experiences of, and attitudes towards, clinical peers endorsing healthcare innovations. Methods: Qualitative interviews with UK-based clinicians in one of two groups: (1) clinicians working in 'front-line' service provision and (2) clinicians in strategic leadership roles within health institutions. Participants were identified through purposive sampling, and participated in semistructured telephone interviews. Thematic analysis was used to identify and analyse themes in the data. Results: 17 participants were recruited: eight clinicians from front-line UK healthcare settings and nine clinicians in leadership roles. Two major themes were identified from the interviews: power and trust. Participants recognised and valued peers' powerful influence, exerted in person via social networks and routine work-related activities. Peers were implicitly trusted, although often on condition of their credibility and deservingness of respect, supporting evidence and absence of conflict of interest. While the groups shared similar views, they diverged on the subject of institutions, felt to be powerful by strategic leaders yet scarcely mentioned by front-line clinicians. Conclusions: UK clinicians view peers as a powerful and trustworthy source to promote innovative technologies. Policies that aim to support this process should seek to control the wider conditions that nurture peer-to-peer influence. Further research into interpersonal influence in health settings may improve implementation of change initiatives.