Corkett, Tony Peter (2021) Designing a new software system for the NHS : applying action design research work in an institutional setting. DBA thesis, University of Warwick.

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Abstract

At the juncture of new technologies becoming available with the Fourth Industrial Revolution. Global healthcare need for new technologies to support improvements in efficiency and effectiveness. Combined with the historical failures of healthcare to adopt new technologies, a different approach is required.

This thesis explores how a new Information System (IS) artefact could be designed using Action Design Research (ADR) within a complex organisation – the NHS. The qualitative case study follows the design and implementation of a new IS artefact to address the threat poised from cyber-attacks on unpatched IT systems that are vulnerable. This is a field inspired problem following the WannaCry attack on the NHS in 2017. The research uses the lens of Institutional Theory to help frame the findings for how complex organisations react to new artefacts and what can be learnt from the process for designers of new artefacts.

The findings from the study show how ADR can support the design of a new artefact even as the environment in which it is being developed changes. I identified three areas where ADR could be improved, including focusing on stakeholder and competitor analysis at the problem initiation stage. There was also an additional step for imagining the use of the artefact in its environment and any impact this would have on the design to achieve the original design objective established.

The outcome from the project was an artefact successfully deployed and in use, supporting 27,000 NHS staff and recommendations on areas to enhance the ADR methodology.

Item Type:	Thesis (DBA)
Subjects:	Q Science > QA Mathematics > QA76 Electronic computers. Computer science. Computer software R Medicine > RA Public aspects of medicine
Library of Congress Subject Headings (LCSH):	Action research in public health, Medical care -- Information technology, Computer software -- Development, Information storage and retrieval systems -- Hospitals, Computer systems -- Design
Official Date:	September 2021
Dates:	Date Event September 2021 UNSPECIFIED
Institution:	University of Warwick
Theses Department:	Warwick Business School
Thesis Type:	DBA
Publication Status:	Unpublished
Supervisor(s)/Advisor:	Oborn, Eivor
Format of File:	pdf
Extent:	377 leaves : illustrations
Language:	eng

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