Moving the Implementation Line: A Nursing Home’s Path to Success with IT

Andrea Carugati, Antonio Giangreco, Antonio Sebastiano

Résumé


Les organisations sont confrontées à un besoin permanent de mettre à jour et de moderniser leur infrastructure organisationnelle et technologique afin de maintenir un avantage compétitif. Cependant, les objectifs classiques du développement des SI se sont longtemps limités à la satisfaction d’un certain nombre de besoins stables plutôt qu’évolutifs. Cet article répond à ce besoin de développer des systèmes évolutifs dans les organisations en perpétuel changement, en identifiant les principaux facteurs conduisant au développement continu des systèmes – le long d’une ligne d’implémentation en perpétuel mouvement – au sein de l’organisation. Pour ce faire, nous nous appuyons sur l’analyse longitudinale du cas d’une maison de retraite occidentale classique, qui s’est engagée au cours des 12 dernières années dans le développement interne d'un système de gestion en constante évolution. Notre analyse montre que quatre facteurs permettent ce changement simultané: (1) l'appréciation interne du changement, (2) l'appréciation externe du changement, (3) une gestion éclairée, et (4) la présence d’employés émancipés. Les résultats suggèrent qu’en contrôlant ces deux derniers facteurs, les managers peuvent contribuer à la motivation des employés sur le long terme et limiter ainsi les réactions négatives aux technologies de l’information. D’un point de vue théorique, il apparaît qu’éviter intentionnellement de se focaliser sur l’idée de ligne d’implémentation dans l’analyse des données fournit un dispositif de recherche constructif. Alors que cette construction semble plausible dans le cadre de certaines études du changement technologique dans l’organisation, elle semble requise dans les études portant sur l’étude des systèmes d’information évolutifs dans les organisations émergentes.

Mots-clés


Maison de retraite, soins de longue durée, Changement fondé sur les TI, Développement des systèmes, Ligne de mise en oeuvre, Emancipation.D

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