title: Constructing technology-in-use practices: EPR-adaptation in Canada and Norway.
abstract: 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.
authors.affiliation: School of Communication, Simon Fraser University, Burnaby, BC, Canada. ninab@sfu.ca
authors.forename: Nina
authors.initials: N
authors.lastname: Boulus
authors.forename: Pernille
authors.initials: P
authors.lastname: Bjorn
mesh_terms: D000884:Anthropology, Cultural; D001291:Attitude of Health Personnel; D001292:Attitude to Computers; D002170:Canada; D004059:Diffusion of Innovation; D006282:Health Personnel; D006801:Humans; D016347:Medical Records Systems, Computerized / Q000458:organization & administration*; D009664:Norway