Conditioning the Work of Colleagues: Health Professionals' Explorative Work in Technology Design

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Title: Conditioning the Work of Colleagues: Health Professionals' Explorative Work in Technology Design
Language: English
Authors: Christopher Sadorge (ORCID 0000-0003-3471-6958), Monika Nerland (ORCID 0000-0003-2154-0842), Åsa Mäkitalo (ORCID 0000-0003-3711-3781)
Source: Vocations and Learning. 2024 17(1):101-122.
Availability: Springer. Available from: Springer Nature. One New York Plaza, Suite 4600, New York, NY 10004. Tel: 800-777-4643; Tel: 212-460-1500; Fax: 212-460-1700; e-mail: customerservice@springernature.com; Web site: https://link.springer.com/
Peer Reviewed: Y
Page Count: 22
Publication Date: 2024
Document Type: Journal Articles
Reports - Research
Descriptors: Allied Health Occupations, Foreign Countries, Health Services, Patients, Database Design, Information Technology, Technology Integration, Technology Planning, Vocational Education, Professional Education
Geographic Terms: Norway
DOI: 10.1007/s12186-023-09331-0
ISSN: 1874-785X
1874-7868
Abstract: Professional learning at work is related to the opportunities to participate in explorative and constructive practices. Co-designing tools and technologies to support work offers such opportunities, which need to be better understood in the field of professional and vocational learning. As digitalisation initiatives become more ambitious and aim at wider service reorganisation, more professionals from nontechnical domains become involved in the work of designing technologies and developing routines for their practice. This study explores how health professionals participate in the design of a technology for the registration and sharing of patient information across healthcare units in a Norwegian city. Over a year, we observed the design meetings with a team of health professionals and IT developers. The health professionals were mandated this task as part of their regular work to ensure that the way of categorising and displaying patient information would serve the services' needs. The interactions in the design meetings were analysed to examine how categories of patient information were explored and negotiated as objects of design. Our findings show how the team needed to test candidate categories for various contexts of use. This implied both negotiation of future service routines and efforts to reconfigure tasks and responsibilities in multiple service contexts. This work brings extended responsibilities and opportunities for learning to health professionals. We discuss how their decisions are consequential beyond their own workplace as the information system and its categories condition the work of colleagues in the wider service chain.
Abstractor: As Provided
Entry Date: 2024
Accession Number: EJ1417304
Database: ERIC
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  Data: <searchLink fieldCode="AR" term="%22Christopher+Sadorge%22">Christopher Sadorge</searchLink> (ORCID <externalLink term="http://orcid.org/0000-0003-3471-6958">0000-0003-3471-6958</externalLink>)<br /><searchLink fieldCode="AR" term="%22Monika+Nerland%22">Monika Nerland</searchLink> (ORCID <externalLink term="http://orcid.org/0000-0003-2154-0842">0000-0003-2154-0842</externalLink>)<br /><searchLink fieldCode="AR" term="%22Åsa+Mäkitalo%22">Åsa Mäkitalo</searchLink> (ORCID <externalLink term="http://orcid.org/0000-0003-3711-3781">0000-0003-3711-3781</externalLink>)
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  Data: Springer. Available from: Springer Nature. One New York Plaza, Suite 4600, New York, NY 10004. Tel: 800-777-4643; Tel: 212-460-1500; Fax: 212-460-1700; e-mail: customerservice@springernature.com; Web site: https://link.springer.com/
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  Data: Professional learning at work is related to the opportunities to participate in explorative and constructive practices. Co-designing tools and technologies to support work offers such opportunities, which need to be better understood in the field of professional and vocational learning. As digitalisation initiatives become more ambitious and aim at wider service reorganisation, more professionals from nontechnical domains become involved in the work of designing technologies and developing routines for their practice. This study explores how health professionals participate in the design of a technology for the registration and sharing of patient information across healthcare units in a Norwegian city. Over a year, we observed the design meetings with a team of health professionals and IT developers. The health professionals were mandated this task as part of their regular work to ensure that the way of categorising and displaying patient information would serve the services' needs. The interactions in the design meetings were analysed to examine how categories of patient information were explored and negotiated as objects of design. Our findings show how the team needed to test candidate categories for various contexts of use. This implied both negotiation of future service routines and efforts to reconfigure tasks and responsibilities in multiple service contexts. This work brings extended responsibilities and opportunities for learning to health professionals. We discuss how their decisions are consequential beyond their own workplace as the information system and its categories condition the work of colleagues in the wider service chain.
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