Document Detail


A cross-case analysis of technology-in-use practices: EPR-adaptation in Canada and Norway.
MedLine Citation:
PMID:  18674963     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To identify and characterize enabling factors that support a continuous adaptation of technology and work practices in the health care sector. METHODS: Cross-case analysis of two longitudinal ethnographic studies of managing the gradual adaptation of electronic patient records, one in Canada and one Norway. RESULTS: The cross-case analysis revealed that technology-in-use practices developed more rapidly in one of the cases, and one of the major driving forces was the establishment of a special committee and the associated project meetings. Based on the literature and grounded in the empirical observations, we complement and expand the notion of project meetings as composed of continuous reflection-on-practice activities to construct technology-in-use practices. CONCLUSION: We characterize reflection-on-practice activities as frequent encounters of negotiations of work practices and technology use, providing internal actors a space for systematic evaluation of suggested changes. Further we argue that representatives of the affected professions should not only participate, but also have a mandate to make and evaluate decisions of the technology-in-use practices of the particular group.
Authors:
Nina Boulus; Pernille Bjorn
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't     Date:  2008-07-31
Journal Detail:
Title:  International journal of medical informatics     Volume:  79     ISSN:  1872-8243     ISO Abbreviation:  Int J Med Inform     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-05-03     Completed Date:  2010-08-19     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9711057     Medline TA:  Int J Med Inform     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  e97-108     Citation Subset:  IM    
Copyright Information:
Copyright 2008 Elsevier Ireland Ltd. All rights reserved.
Affiliation:
School of Communication, Simon Fraser University, Burnaby, BC, Canada. ninab@sfu.ca
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MeSH Terms
Descriptor/Qualifier:
Anthropology, Cultural
Attitude of Health Personnel
Attitude to Computers
Canada
Epidemiologic Research Design*
Ethnic Groups / statistics & numerical data*
Humans
Longitudinal Studies
Medical Records Systems, Computerized / organization & administration*
Norway
Physician's Practice Patterns
Questionnaires

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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