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The duality of articulation work in large heterogenous settings - a study in health care

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Based on an empirical study of articulation work in a health care setting this paper discusses core characteristics of articulation work in large settings. We argue that articulation work in large-scale settings is characterized by a dual nature, especially by a duality between articulation handled internally in a local work arrangement and articulation activities undertaken across boundaries of local work arrangements appears. We suggest that our understanding of articulation activities is related to a distinction between local and global work arrangements. We illustrate how cooperating actors involved in any given trajectory (e.g., a patient trajectory) have to articulate their activities in accordance with both a local and a global dimension. The distinction between local and global is important when aiming at understanding articulation work in large-scale heterogenous settings. The differences and their consequences are discussed. The paper conclude in some reflections on the challenges implied by the local/global variations, both for the analysis of large heterogeneous work settings and for design of IT support.

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Færgemann, Louise; Schilder-Knudsen, Teresa; Carstensen, Peter (2005): The duality of articulation work in large heterogenous settings - a study in health care. ECSCW 2005: Proceedings of the Ninth European Conference on Computer-Supported Cooperative Work. DOI: 10.1007/1-4020-4023-7_9. Springer, London. ISBN: 978-1-4020-4023-8. pp. 163-183. Full Papers. Paris, France. 18–22 September 2005

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Number of citations to item: 10

  • Marie Henriette Madsen (2015): The Role of the Quality Coordinator: Articulation Work in Quality Development, In: Managing Change, doi:10.1057/9781137518163_8
  • LouAnne E. Boyd, Kyle Rector, Halley Profita, Abigale J. Stangl, Annuska Zolyomi, Shaun K. Kane, Gillian R. Hayes (2017): Understanding the Role Fluidity of Stakeholders During Assistive Technology Research "In the Wild", In: Proceedings of the 2017 CHI Conference on Human Factors in Computing Systems, doi:10.1145/3025453.3025493
  • Troels Monsted, Andreas Kaas Johansen, Frederik Lauridsen, Vlad Manea, Konstantin Slavin-Borovskij (2016): Balancing Priorities: A Field Study of Coordination in Distributed Elder Care, In: 2016 49th Hawaii International Conference on System Sciences (HICSS), doi:10.1109/hicss.2016.124
  • Kim M Unertl, Laurie L Novak, Kevin B Johnson, Nancy M Lorenzi (2010): Traversing the many paths of workflow research: developing a conceptual framework of workflow terminology through a systematic literature review, In: Journal of the American Medical Informatics Association 3(17), doi:10.1136/jamia.2010.004333
  • Allan Stisen, Nervo Verdezoto, Henrik Blunck, Mikkel Baun Kjærgaard, Kaj Grønbæk (2016): Accounting for the Invisible Work of Hospital Orderlies, In: Proceedings of the 19th ACM Conference on Computer-Supported Cooperative Work & Social Computing, doi:10.1145/2818048.2820006
  • Davina Allen, Carl May (2017): Organizing Practice and Practicing Organization: An Outline of Translational Mobilization Theory, In: Sage Open 2(7), doi:10.1177/2158244017707993
  • Alexander Boden, Bernhard Nett, Volker Wulf (2009): Trust and Social Capital: Revisiting an Offshoring Failure Story of a Small German Software Company, In: ECSCW 2009, doi:10.1007/978-1-84882-854-4_7
  • Andrew B. Neang, Will Sutherland, David Ribes, Charlotte P. Lee (2023): Organizing Oceanographic Infrastructure: The Work of Making a Software Pipeline Repurposable, In: Proceedings of the ACM on Human-Computer Interaction CSCW1(7), doi:10.1145/3579512
  • Allan Stisen, Nervo Verdezoto (2017): Clinical and Non-Clinical Handovers, In: Proceedings of the 2017 ACM Conference on Computer Supported Cooperative Work and Social Computing, doi:10.1145/2998181.2998333
  • Michael Muller, Casey Dugan, Michael Brenndoerfer, Megan Monroe, Werner Geyer (2017): What Did I Ask You to Do, by When, and for Whom?, In: Proceedings of the 2017 ACM Conference on Computer Supported Cooperative Work and Social Computing, doi:10.1145/2998181.2998251
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