title: Standardization--the iron cage of nurses' work?
abstract: This paper explores how nursing classification has been adopted and used in a local clinical practice. The study is inspired by the socio-technical approach to information system and illustrates some of the enabling and constraining properties of standardization. Findings from the study show how international standards have been embedded into local practice. At the same time, the use of locally developed standards has increased and many of these are similar to the international classification. This indicates that we need to move beyond the dichotomous perspective on nurses' use of classification and strive for more flexible solutions.
authors.affiliation: Tromsø Telemedicine Laboratory/University of Tromsø, and University Hospital of North Norway, Trondheim, Norway.
authors.forename: Torbjørg
authors.initials: T
authors.lastname: Meum
authors.forename: Gro
authors.initials: G
authors.lastname: Wangensteen
authors.forename: Harald
authors.initials: H
authors.lastname: Igesund
authors.forename: Gunnar
authors.initials: G
authors.lastname: Ellingsen
authors.forename: Eric
authors.initials: E
authors.lastname: Monteiro
mesh_terms: D006785:Hospitals, University; D006801:Humans; D016347:Medical Records Systems, Computerized / Q000592:standards*; D009664:Norway; D009732:Nursing Care / Q000145:classification*; D048108:Nursing Informatics; D019982:Organizational Case Studies; D012985:Software Design