Objective Hospital information systems (HIS) are meant to manage complex work processes across healthcare organizations. We describe limitations of HIS to address local information requirements and how they are circumvented at different organizational levels. Results can be used to better support collaboration in socio-technical systems. Background Workarounds describe a mismatch between a technology’s purpose and its actual use, whereas shadow systems are unofficial IT systems circumventing limitations of official systems to support workflows. Boundary infrastructures are conceptualized as the entirety of all (in)formal digital and analog systems connecting different communities of practice in a socio-technical system. Methods An ethnographic study with observations and semi-structured interviews was conducted and analyzed through categorization and iterative coding. Results Several digital-analog workarounds are employed for documentation and a shared server functions as a shadow system to support workflows in ways the HIS cannot. For collaborative documentation, all (official and informal) information sources were used simultaneously as part of an interconnected boundary infrastructure. Conclusion Formal and informal IT systems are interconnected across different organizational levels and provide insights into unmet information requirements, effective and problematic work practices, and how to address them to improve system functioning. An integrated perspective on boundary infrastructures, workarounds, and shadow systems may advance system analysis, providing a more comprehensive picture of IT requirements than any concept alone. Application Workarounds and shadow systems highlight that HIS should support systemic and local needs. Customized interfaces in HIS to support search, access, and exchange of relevant data might help to mitigate current shortcomings.
Knowledge is a crucial factor in state-of-the-art product development. It is often provided by stakeholders from divers disciplinary and individual backgrounds and has to be integrated to create competitive products. Still, it is not fully understood, how knowledge is generated, transformed, transferred and integrated in complex product development processes. To investigate the dynamic interrelations between involved stakeholders, applied knowledge types and related artefacts, researchers at the TU Berlin conducted and evaluated a student experiment to study basic phenomena of development projects. In relation to research methods and instruments applied in this experiment, various improvement opportunities were identified. In this paper, the experimental setting and its results are critically analysed from a social science perspective in order to generate improved research design. Based on the results of this analysis, a first set of methods and instruments from social sciences are identified that can be applied in further experiments. The goal is to develop a methodological toolbox that can be used to approach research on knowledge dynamics in product development.
Workarounds, or practices that deviate from the official pathway to a target, are frequent phenomena in the organisational context. With respect to collaboration, they highlight an area of mismatch between normative versus lived work practices, and therefore depict a relevant research area deeply rooted in computer supported cooperative work (CSCW). Building on the theory of hierarchical opposition by Louis Dumont and empirical data collected through ethnographic research at a company classified as a small- and medium-sized enterprise (SME) in the German metal industry, this paper addresses the emergence of workarounds in collaborative work processes by setting them into the wider organisational context. The organisational layer of analysis reveals that workarounds emerge to cater for inversed information power relations and information asymmetries in the shop floor setting, which require communication to flow against the hierarchical slope between planning and execution functions. By applying an organisational lens to the concept of workarounds, this paper contributes a novel empirical analysis that confirms the value of workarounds as a source of insight into collaborative practices.
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