The covid-19 pandemic crisis presents unprecedented challenges and has profound implications for the way people live and work. Information and communication technologies have been playing a crucial role in ensuring business continuity as lockdown measures have suddenly forced employees from across the globe to telework, often leaving them unprepared and ill-equipped. This paper develops an epidemic-induced telework adjustment model derived from the theory of Work Adjustment and the Interactional Model of Individual Adjustment. It is tested on a sample of 1574 teleworkers in France. The results demonstrate the superiority of the influence of crisis-specific variables that are professional isolation, telework environment, work increase and stress. Implications for research are discussed while concrete and actionable recommendations for organisations are provided.

Purpose High-quality employee motivation can contribute to an organization’s long-term success by supporting employees’ well-being and performance. Nevertheless, there is a paucity of research concerning how organizations motivate workers in non-traditional work contexts. In the algocratic context of the gig-economy, the purpose of this paper is to understand the role that technology can play in motivating workers. Design/methodology/approach Drawing on the self-determination theory, job-characteristic theory and enterprise social media research, this conceptual paper explores how the architecture of the digital labor platforms underlying the gig-economy (and the characteristics of jobs mediated through these IT artifacts) can impact key antecedents of self-motivation. Findings Combining theory and empirical evidence, this paper develops a mid-range theory demonstrating how organizations can support the self-motivation of gig-workers through the thoughtful design of their digital labor platforms and the integration of two social media tools (namely, social networking and social badging). Research limitations/implications This paper answers calls for psychologically-based research exploring the consequences of gig-work as well as research studying the impacts of advanced technologies in interaction with work contexts on motivation. In theorizing around a large set of social-contextual variables operating at different levels of analysis, this paper demonstrates that individual-level motivation can be influenced by both task-based and organizational-level factors, in addition to individual-level factors. Originality/value The proposed theory provides novel insight into how gig-organizations can leverage widely accessible social media technology to motivate platform workers in the absence of human supervision and support. Theoretical and practical implications are discussed.

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BackgroundNumerous calls have been made for greater assimilation of information technology in healthcare organizations in general, and in primary care settings in particular. Considering the levels of IT investment and adoption in primary care medical practices, a deeper understanding is needed of the factors leading to greater performance outcomes from EMR systems in primary care. To address this issue, we developed and tested a research model centered on the concept of Extended EMR Use.MethodsAn online survey was conducted of 331 family physicians in Canadian private medical practices to empirically test seven research hypotheses using a component-based structural equation modeling approach.ResultsFive hypotheses were partially or fully supported by our data. Family physicians in our sample used 67% of the clinical and 41% of the communicational functionalities available in their EMR systems, compared to 90% of the administrative features. As expected, extended use was associated with significant improvements in perceived performance benefits. Interestingly, the benefits derived from system use were mainly tied to the clinical support provided by an EMR system. The extent to which physicians were using their EMR systems was influenced by two system design characteristics: functional coverage and ease of use. The more functionalities that are available in an EMR system and the easier they are to use, the greater the potential for exploration, assimilation and appropriation by family physicians.ConclusionsOur study has contributed to the extant literature by proposing a new concept: Extended EMR Use. In terms of its practical implications, our study reveals that family physicians must use as many of the capabilities supported by their EMR system as possible, especially those which support clinical tasks, if they are to maximize its performance benefits. To ensure extended use of their software, vendors must develop EMR systems that satisfy two important design characteristics: functional coverage and system ease of use.

BackgroundThere has been indisputable growth in adoption of electronic medical record (EMR) systems in the recent years. However, physicians’ progress in using these systems has stagnated when measured with maturity scales. While this so-called ceiling effect has been observed and its consequences described in previous studies, there is a paucity of research on the elements that could explain such an outcome. We first suggest that in the context of EMR systems we are in presence of a “tiered ceiling effect” and then we show why such phenomenon occurs.MethodsWe conducted in-depth case studies in three primary care medical practices in Canada where physicians had been using EMR systems for 3 years or more. A total of 37 semi-structured interviews were conducted with key informants: family physicians (about half of the interviews), nurses, secretaries, and administrative managers. Additional information was obtained through notes taken during observations of users interacting with their EMR systems and consultation of relevant documents at each site. We used abductive reasoning to infer explanations of the observed phenomenon by going back and forth between the case data and conceptual insights.ResultsOur analysis shows that a ceiling effect has taken place in the three clinics. We identified a set of conditions preventing the users from overcoming the ceiling. In adopting an EMR system, all three clinics essentially sought improved operational efficiency. This had an influence on the criteria used to assess the systems available on the market and eventually led to the adoption of a system that met the specified criteria without being optimal. Later, training sessions focussed on basic functionalities that minimally disturbed physicians’ habits while helping their medical practices become more efficient. Satisfied with the outcome of their system use, physicians were likely to ignore more advanced EMR system functionalities. This was because their knowledge about EMR systems came almost exclusively from a single source of information: their EMR system vendors. This knowledge took the form of interpretations of what the innovation was (know-what), with little consideration of the rationales for innovation adoption (know-why) or hands-on strategies for adopting, implementing and assimilating the innovation in the organization (know-how).ConclusionsThis paper provides a holistic view of the technological innovation process in primary care and contends that limited learning, satisficing behaviours and organizational inertia are important factors leading to the ceiling effect frequently experienced in the EMR system assimilation phase.