Abstract
Using contingency theory (Damanpour, 1991) and Rogers' (1995) diffusion of innovations theory, this study: (1) determined the degree of adoption of AHCPR management of cancer pain clinical practice guideline (CPG) by hospitals; and (2) examined organizational-level and individual-level factors associated with adoption of the CPG. Organizational-level (macro) factors included: (1) structural variables—functional differentiation, vertical differentiation, centralization, external/cosmopolitan communication in a social system, and internal/local communication in a social system; (2) contextual variables—competition, size, age. Individual-level (micro) factors included moderator variables—type/characteristics of the innovation (radical/incremental, relative advantage, complexity, compatibility, trialability, observability) and time/stage of adoption.
Sigma Membership
Delta Lambda at-Large, Phi Pi
Type
Dissertation
Format Type
Text-based Document
Study Design/Type
Observational
Research Approach
Mixed/Multi Method Research
Keywords:
Policy Innovation, Hospital Policy, Pain Management Protocols
Advisor
Mary Ellen McSweeney
Degree
PhD
Degree Grantor
University of Missouri - Saint Louis
Degree Year
2000
Recommended Citation
Spies, Martha A., "Factors associated with degree of adoption by hospitals in the central states of the agency for health care policy and research clinical practice guideline for management of cancer pain" (2019). Dissertations. 699.
https://www.sigmarepository.org/dissertations/699
Rights Holder
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All permission requests should be directed accordingly and not to the Sigma Repository.
All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Review Type
None: Degree-based Submission
Acquisition
Proxy-submission
Date of Issue
2019-03-26
Full Text of Presentation
wf_yes
Description
This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 9963230; ProQuest document ID: 304648182. The author still retains copyright.