Walking the line: Mindfulness with IT in hospital medication routines

IF 5.7 2区 管理学 Q1 INFORMATION SCIENCE & LIBRARY SCIENCE Information and Organization Pub Date : 2023-09-01 DOI:10.1016/j.infoandorg.2023.100475
Valentina Lichtner , Stan Karanasios , Federico Iannacci
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Abstract

This paper addresses the dilemma that organizations face when they introduce information technology (IT) to standardize and guide operations and improve performance, while also supporting staff mindfulness in using IT and questioning it, to safeguard against errors. People are warned to be mindful in using the information provided by IT, yet IT may contribute to their mindlessness. Organizational operations involve routine work, where work is distributed across roles, in space and time. To fully understand mindfulness or mindlessness with IT at work it is necessary to consider the routines in which they are embedded. We sought to investigate what factors might influence mindfulness or mindlessness with IT in the context of organizational routines. We carried out an in-depth study of clinicians using technology during medications routines in a UK hospital. The IT in this context aimed to guide and standardize clinical work to improve medication safety. The study uncovered several factors influencing mindfulness and mindlessness with IT: not only the IT design but also task design, individual experience and history of IT use, distribution of work, and the situation at hand. These are interacting influences on mindfulness and mindlessness with IT, each embodying a tension, as each may influence both mindfulness and mindlessness. The distribution of work and the dynamics of the routine over time mean that individuals in the routine may (mindlessly) entrust mindfulness in using IT to others, or to other moments in time. The study highlights the complexity of achieving mindfulness with IT in organizations, and a nuanced relation between mindfulness and IT in a routine work context.

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坚持到底:医院药物常规中的正念与IT
本文解决了组织在引入信息技术(IT)来规范和指导操作并提高性能时所面临的困境,同时也支持员工在使用IT和质疑IT时的专注,以防止错误。人们被警告在使用IT提供的信息时要小心,然而IT可能会导致他们的粗心大意。组织操作包括日常工作,其中工作在空间和时间上分布在各个角色之间。为了充分理解IT工作中的正念或无意识,有必要考虑它们所嵌入的常规。我们试图调查在组织惯例的背景下,哪些因素可能影响IT的正念或无意识。我们对英国一家医院的临床医生在常规用药过程中使用技术进行了深入研究。在此背景下,信息技术旨在指导和规范临床工作,提高用药安全。该研究揭示了影响正念和无意识的几个因素:不仅是IT设计,还有任务设计、个人经验和使用IT的历史、工作分配和手头的情况。这些都是对IT的正念和无意识的相互影响,每一个都体现了一种张力,因为每一个都可能影响正念和无意识。随着时间的推移,工作的分配和日常生活的动态意味着,日常生活中的个人可能(无意识地)将使用IT的专注力委托给他人,或委托给其他时刻。该研究强调了在组织中利用IT实现正念的复杂性,以及在日常工作环境中正念与IT之间的微妙关系。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
11.20
自引率
1.60%
发文量
18
期刊介绍: Advances in information and communication technologies are associated with a wide and increasing range of social consequences, which are experienced by individuals, work groups, organizations, interorganizational networks, and societies at large. Information technologies are implicated in all industries and in public as well as private enterprises. Understanding the relationships between information technologies and social organization is an increasingly important and urgent social and scholarly concern in many disciplinary fields.Information and Organization seeks to publish original scholarly articles on the relationships between information technologies and social organization. It seeks a scholarly understanding that is based on empirical research and relevant theory.
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