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Title: Tinkering Around Healthcare Infrastructures: Nursing Practices and Junction Work
Authors: Piras, Enrico Maria
Zanutto, Alberto
Issue Date: 2016
Publisher: Springer International Publishing
metadata.dc.relation.ispartof: COOP 2016: Proceedings of the 12th International Conference on the Design of Cooperative Systems
metadata.mci.reference.pages: 173-189
Abstract: Introduction of healthcare infrastructures is often accompanied by workarounds, persistence of paper-based documents and of technologies that the innovation was intended to replace, raising the question as to whether they are by-products or intrinsic to infrastructure innovation processes. This work, through a longitudinal case study of a hospital information system long in use, investigates their origin, their role in enabling the system’s affirmation, and the difficulty of eliminating them. Through a qualitative methodology, semi-structured interviews and ethnography, we reconstruct the history of the system and the information management practices around it. Our analysis reveals that the effectiveness of the tool implemented derived largely from ‘junction work’ performed by the nurses, which ensured the flow of data among different electronic and paper-based information systems. Moreover, in carrying out their junction work the nurses intervened to modify, enrich and complete the information contained in the different systems.
metadata.dc.identifier.doi: 10.1007/978-3-319-33464-6_11
ISBN: 978-3-319-33463-9
metadata.mci.conference.location: Trento, Italy 23-27 May 2016
Appears in Collections:COOP 2016: Proceedings of the 12th International Conference on the Design of Cooperative Systems

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