The innovation-decision process and factors that influence computer implementation by medical school faculty
Marcia Lichty, Wayne State University, United States
Wayne State University . Awarded
The common theme throughout the medical education reform literature is to reduce lecture and structured hours of instruction for medical students and to develop opportunities for independent self-directed learning using the power of computer-based technologies. The focal point of this research was to identify which factors, both facilitators and barriers, influence the innovation-decision process for implementing computer based technologies for medical education.
Ninety-nine faculty members at Wayne State University, School of Medicine, Detroit, Michigan responded to a survey, providing an overall response rate of 45%. It specifically surveyed medical faculty teaching medical students in Years I and II during the 1998–99 academic year. Three research questions were posed: (1) Which of the variables—computer attitudes, self-efficacy, or personal and professional characteristics—either singly or in combination, contribute to the innovation-decision stage? (2) Which stage in the innovation-decision process (knowledge, persuasion, decision, implementation, and confirmation) did the faculty members identify as characteristic of the group (Rogers, 1995)? (3) How similar are the faculty members' responses to those published in the ACME-TRI (1992) report of faculty beliefs and attitudes toward reducing lecture hours and use of computer-based technologies?
The findings can be summarized as follows: (1) There was a significant correlation between self-efficacy for using computers for instruction (r = .43, p < .001) and between the number of computer applications used and the innovation-decision process (r = .42, p < .001); (2) Persuasion was identified by the group I as the innovation-decision stage; (3) There was evidence of a change in the beliefs of the faculty related to the use of lectures and the integration of computers in medical education from earlier reports.
Lichty, M. The innovation-decision process and factors that influence computer implementation by medical school faculty. Ph.D. thesis, Wayne State University.
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