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Same System – Different Experiences: Physicians' and Nurses' Experiences in Using IT Systems
Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Computerized Image Analysis and Human-Computer Interaction.
Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Computerized Image Analysis and Human-Computer Interaction.
2011 (English)Conference paper, Published paper (Refereed)
Abstract [en]

In this paper we use a sociotechnical approach and theories about group processes to analyse how two main clinician groups, nurses and physicians, are influenced by their main IT tool, the Electronic Patient Record (EPR), in their clinical practice. The paper is based on interviews with 19 physicians and 17 nurses that work at a Swedish university hospital. The clinicians considered the use of an EPR system necessary, but experienced the need to change their clinical practice to less efficient work routines in order for the EPR system to support them. The main result of the paper is that the EPR system affected nurses and physicians differently. The physicians were more frustrated and experienced that the EPR system worsened their clinical practice and a decreased status among the other clinical professions. The nurses on the other hand experienced that their work became more visible than before and found it easier to claim the importance of their work towards the physicians.

Place, publisher, year, edition, pages
New York: ACM Press, 2011. 166-172 p.
Keyword [en]
electronic patient records, group and organization interfaces, group processes, health care, sociotechnical system, studies of organisations, technology and work, usability
National Category
Human Computer Interaction
Identifiers
URN: urn:nbn:se:uu:diva-163527DOI: 10.1145/2071536.2071562ISBN: 978-1-4503-1090-1 (print)OAI: oai:DiVA.org:uu-163527DiVA: diva2:464234
Conference
23rd Australian Computer-Human Interaction Conference
Available from: 2011-12-13 Created: 2011-12-13 Last updated: 2013-04-29
In thesis
1. Evolving Systems – Engaged Users: Key Principles for Improving Region-wide Health IT Adoption
Open this publication in new window or tab >>Evolving Systems – Engaged Users: Key Principles for Improving Region-wide Health IT Adoption
2013 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Many countries have formulated their eHealth visions and billions of dollars have been spent on supporting the eHealth development throughout the world. An important part of the development is the electronic patient record (EPR). To enable sharing and increase cooperation between care providers, most Swedish county councils have decided to use a region-wide EPR. The health professionals often experience numerous problems and consider the region-wide EPR to be too generic and require them to tailor their practices instead of the system evolving towards supporting their needs.

The aim of the PhD research is to gain knowledge of adoption when deploying and using region-wide health IT systems. This is accomplished by studying, analysing and reflecting upon what region-wide health IT systems are and how professionals use them in their practice. In the research a grounded theory method has been used, which means that the empirical data, not theories and hypotheses, have driven the research process. The data-gathering methods have been interviews, observations, participating in meetings, questionnaires, seminars and conducting literature reviews.

In order to be able to improve the adoption, a set of four key principles has been identified: (1) Evolving systems-Engaged users, (2) Treat IT deployment and usage as part of organisational development, (3) Identify, respect and support differences, and (4) Identify what must be customised and what can be centralised.

These four principles challenge the traditional way of developing enterprise-wide IT and emphasise the importance that users must engage in the development, procurement and deployment process to identify their similar and unique needs and procedures. It is crucial that both the similarities and uniqueness are respected and supported. The similarities can be supported by a centralised, standardised solution, while uniqueness requires a customised solution. In order to accomplish that, the IT deployment and usage needs to be treated as an important part of the on-going organisational development, and the IT systems must evolve, i.e., be continuously developed in order to engage the users to participate. 

Place, publisher, year, edition, pages
Uppsala: Acta Universitatis Upsaliensis, 2013. 85 p.
Series
Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Science and Technology, ISSN 1651-6214 ; 1030
Keyword
HCI, eHealth, EPR, sociotechnical systems, enterprise-wide systems, deployment, change management, usability, health care
National Category
Human Computer Interaction
Research subject
Computer Science with specialization in Human-Computer Interaction
Identifiers
urn:nbn:se:uu:diva-196510 (URN)978-91-554-8623-5 (ISBN)
Public defence
2013-05-24, Auditorium Minus, Museum Gustavianum, Akademigatan 3, Uppsala, 13:30 (Swedish)
Opponent
Supervisors
Available from: 2013-05-02 Created: 2013-03-11 Last updated: 2014-07-21Bibliographically approved

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Janols, RebeckaGöransson, Bengt

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  • Other locale
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  • asciidoc
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