The construction of knowledge in neurology: implications for hypermedia system development

Nyce, James M.; Graves, William

doi:10.1016/0933-3657(90)90006-d

Cited by 17 publications

(9 citation statements)

References 9 publications

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“…Only by avoiding the tendency to overly structure the EPR, and by allowing flexibility in roles and task sequences will it become possible to develop a record system that supports the work that is performed on the wards. We do not need to start from scratch here: there is a growing body of literature that takes the nature of work practices as described above as a starting point for adequate design (Nyce and Graves 1990; Schmidt and Bannon 1992; Schneider and Wagner 1993; Berg 1998; Bowker et al 1997). Yet the issues are far from easy: how can an EPR facilitate the storage and retrieval of patient information in a way that matches doctors’ and nurses’ practical working routines and needs?…”

Section: Conclusion and Considerations For Designmentioning

confidence: 99%

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Modelling nursing activities: electronic patient records and their discontents

Goorman

Berg

2000

Nursing Inquiry

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A fully integrated and operating EPR in a clinical setting is hard to find: most applications can be found in outpatient or general practice settings or in isolated hospital wards. In clinical work practice problems with the electronic patient record (EPR) are frequent. These problems are at least partially due to the models of health care work embedded in EPRs. In this paper we will argue that these problems are at least partially due to the models of health care work embedded in current EPRs. We suggest that these models often contain projections of nurses' and doctors' work as it should be performed on the ward, rather than depicting how work is actually performed. We draw upon sociological insights to elucidate the fluid and pragmatic nature of healthcare work and give recommendations for the development of an empirically based EPR, which can support the work of nurses and other health care providers. We argue that these issues are of great importance to the nursing profession, since the EPR will help define the worksettings of the future. Since it is a tool that will impact the development of the nursing profession, nurses have and should have a stake in its development.

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Section: Conclusion and Considerations For Designmentioning

confidence: 99%

“…Many different reasons for these problems are suggested, varying from shortcomings in present‐day technology to psychological factors such as fear of change. Sociological studies suggest that problems with implementation and use of EPRs are partly related to the models that EPRs are based on (Nyce and Graves 1990; Forsythe et al 1992; Berg et al. 1998).…”

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confidence: 99%

Modelling nursing activities: electronic patient records and their discontents

Goorman

Berg

2000

Nursing Inquiry

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“…Observation of medical personnel at work yields the image that they are continually struggling to make a patient's case work: to keep a patient's trajectory "on track" [27][28][29]. In this process, historical information, examination results and medical criteria are not so much "uncovered" or "given" but are continuously (re)constructed [30][31][32][33][34][35][36][37][38][39]. In the next fragment, taken flOm [40], Daton and Beatty can be seen to construct their respective sets of medical data:…”

Section: A Sociological View On Medical Work: Managing Patient's Trajmentioning

confidence: 99%

Medical Work and the ComputerBased Patient Record: A Sociological Perspective

Berg¹

1998

Methods Inf Med

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The computer-based patient record (CPR) is a tool likely to have great impact on the practice of medicine in the years to come. Yet, clinical settings with a fully integrated CPR are hard to find. This paper takes a sociological look at the attempts to construe and introduce CPRs. It is argued that part of the current trouble in getting these tools to work lies in the model of medical work that is inscribed in many (attempted) CPRs. A more sociological perspective on medical work should be able to offer points of departure for the construction of systems wh ich might fit the needs of health care workers better. Based on participatory observation, the paper outlines what it is medical work comes down to from a sociological perspective, and how the medical record figures in this work. Finally, some consequences this depiction has for current discussions on and (proposed) implementations of CPRs are described.

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“…Lorenzi gives an overview of organizational theory influences [10,140], and Kaplan of social science ones [42,87]. Earlier examples of work based in the social sciences and communications include works cited in [31,87] as well as [4,5,24,25,[141][142][143][144][145][146][147][148][149][150][151].…”

Section: Social and Behavioral Sciencesmentioning

confidence: 99%

Future Directions in Evaluation Research: People, Organizational, and Social Issues

Kaplan

Shaw

2004

Methods Inf Med

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Evaluation research is key in identifying how people, organizational, and social issues - all crucial to system design, development, implementation, and use - interplay with informatics projects. Building on a long history of contributions and using a variety of methods, researchers continue developing evaluation theories and methods while producing significant interesting studies. We recommend that future research: 1) Address concerns of the many individuals involved in or affected by informatics applications. 2) Conduct studies in different type and size sites, and with different scopes of systems and different groups of users. Do multi-site or multi-system comparative studies. 3) Incorporate evaluation into all phases of a project. 4) Study failures, partial successes, and changes in project definition or outcome. 5) Employ evaluation approaches that take account of the shifting nature of health care and project environments, and do formative evaluations. 6) Incorporate people, social, organizational, cultural, and concomitant ethical issues into the mainstream of medical informatics. 7) Diversify research approaches and continue to develop new approaches. 8) Conduct investigations at different levels of analysis. 9) Integrate findings from different applications and contextual settings, different areas of health care, studies in other disciplines, and also work that is not published in traditional research outlets. 10) Develop and test theory to inform both further evaluation research and informatics practice.

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The construction of knowledge in neurology: implications for hypermedia system development

Cited by 17 publications

References 9 publications

Modelling nursing activities: electronic patient records and their discontents

Modelling nursing activities: electronic patient records and their discontents

Medical Work and the ComputerBased Patient Record: A Sociological Perspective

Future Directions in Evaluation Research: People, Organizational, and Social Issues

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