Investigating two longitudinal ethnographic studies of managing gradual adaptation of electronic patient records in Canada and Norway, we conduct a cross-case analysis of the enabling factors that support a continuous transformation of technology and health care practices. In line with previous research, our study shows that large-scale information systems adaptation in health care should be managed by a project-group including not only IT-developers, but also representatives of future users and management. While we also argue for the importance of these meetings, we complement and expand the notion of project meetings by providing a conceptualization of the essential aspects of these meetings. Our conceptualization is composed of continuous reflection-on-practice activities to construct technology-in-use practices. Reflection-on-action activities are internally initiated, and comprise critical reflections by the participants, who continuously evaluate and question work practices in relation to technology.
|Titel||Information Technology in Health Care 2007|
|Redaktører||Johanna I. Westbrook, Enrico W. Coiera, Joanne L. Callen, Jos Aarts|
|Status||Udgivet - 2007|
|Navn||Studies in Health Technology and Informatics|
Boulus-Rødje, N., & Bjørn, P. (2007). Constructing Technology-in-use Practices: EPR-adaptation in Canada and Norway. I J. I. Westbrook, E. W. Coiera, J. L. Callen, & J. Aarts (red.), Information Technology in Health Care 2007 (s. 143-155). IOS Press. Studies in Health Technology and Informatics, Bind. 130