Exploring learning in Patient-centered care

This paper consists of investigations into a strategic planning framework for information systems in support ofpatient-centered care (PCC) processes. The planning perspective that underpins the research includes learningtheories, organizational learning and knowledge management in general. A brief review of current PCC goalsand perspectives is used as a starting point for an investigation of PCC activities and support system. Theexamples of existing PCC activities are organized as a learning process and presented in a framework. Sevenmain points of framework includes: 1. Patient understanding and personal knowledge of his/her health situation.2. Facts/information gathering, about the condition that the patient is in. 3. Planning/Formulation of alternatives,based on facts, possible paths of action is planned. 4. Decision-making, including weighing alternatives andchoosing actions. 5. Taking action, performing what has been decided on. 6. Evaluation and record-keeping. 7.Patient interaction with health, either face-to-face experience or supported by technology

Social Media and Organizing – An Empirical Analysis of the Role of Wiki Affordances in Organizing Practices

The evolution of social media has introduced novel possibilities for work and interaction in organizations. The wiki technology is one important kind of social media technologies that is increasingly used to facilitate the creation and sharing of organizational knowledge within communities. Given the increasing use of social media in organizations and the lack of knowledge on their consequences for organizing, we use an affordance lens to explore the enactment of organizational wiki affordances. Using qualitative data obtained through interviews, field visits, and documents from two multinational organizations –CCC and IBM– we first identified eight affordances that describe various wiki possibilities and practices. We then identified four properties of these affordances including multiplicity, referential, situatedness, and communal. These properties represent the main contribution of the paper in that they extend the notion of affordance by theorizing new concepts that describe relational dynamics, situated and contextual conditions, and social factors involved in enacting, perceiving, and exploiting affordances. All correspondence must be addressed to the main author: Osama Mansour ([email protected])</p

Establishing new consulting services in health care organizations: an ANT analysis of patient-centred care

A recent trend in health care is patient-centred e-health, but are health care organizations ready to cope with that change? Changes at the patient level are one aspect but there is a need for reshaping the organization of health care. There is a need to focus much more on prevention care, helping patients to cope and become better self-managers, focusing on the patient process, working together and empowering patients. The aim of this paper is to gain a better understanding of the lack of sustainability over time in two patient-centred care (PCC) projects by using actor network theory (ANT) as an analytical framework. We use case studies from heart fibrillation and heart failure care organization in a Swedish county council. The cases concern initiatives to achieve better interactions for these patients and organize care to become more patient-centred. Both initiatives have now been partly abandoned in the organization, although research and guidelines recommend such care organizations. The analysis of the different actors dominating the translation process towards a PCC network and the way they come together in networks reveal that this is a time-consuming process, taking place long after the initial training and PCC implementation activities. We discuss the temporality of stability, the reversible process with chimerical enrolments and how a complex and changing environment demands constant re-problematization of PCC. We also include how the understanding of the translation and negotiation process can influence decisions on allocating sufficient time and resources to the process. We shed light on the importance of understanding and managing the organizational change in a PCC project and thus also of when to implement patient-centred e-health solutions

An Affordances Apparatus for Enterprise Social Media

The current paper addresses one of the core yet complex issues in the study of technology in organizations: the relationship between the social and the material. Many scholars in the field of Information Systems have used the notion of affordance as a lens to investigate and theorize this relationship. However, knowledge contributions in this area are often abstract and impractical, or at least compel further conceptual development. This paper uses a relational view of affordances to study organizational social media affordances based on empirical data collected about the use of the Wiki technology at two large multinational organizations—CCC and IBM. It theorizes four key mechanisms—referring to other affordances (referential), collectively enacting significant affordances (communal), situation-dependent exploitation of affordances (situatedness), and exploiting other opportunities for action (multiplicity), that embody the interaction between the social and the material. These mechanisms make up what is labelled in this paper as ‘the affordances apparatus’. The apparatus provides a conceptual structure for the interaction between social and material features that shows operational dynamics and processes underpinning the perception, enactment and exploitation of affordances. This apparatus is the main contribution of the paper in that it gives researchers a conceptual tool for investigating affordances as relational constructs between the social and the material. It also helps in understanding how people navigate the use of technology features relative to their intentions and goals

Taking Adaptable Co-design Action : Flexible Learning Between Health Experts, End-Users and Technology Experts in the Early Stage of eHealth Design

Co-design, as a way of integrating users’perspectives and technical possibilities, has been subject to amultitude of interpretations. To facilitate the development ofpatient-empowerment services, co-design is a central approachneeded to ensure high acceptance among users. In thisresearch, we offer a flexible co-design approach by building onadaptive and continuous planning based on sets of co-designactions directed towards participants’ mutual learning. Theresearch is based on the experiences of a co-design processwithin the area of eHealth, specifically the fall prevention area,as a special case of self-training systems and self-managementsystems. The project team comprises a variety of membergroups, including the elderly, technical developers, businessdevelopers, methods experts and project management. The keysuccess factor was identified among the persons of the differentgroups as achieving possibilities for learning. To make learningprocesses requires adaptability and flexibility in interactingdifferent planning actions in order to balance both the need fortechnology development and the understanding of users’needs.FRONT-VL, From empowerment to Viable LivingDISA eHealt

Wiki-based Community Collaboration in Organizations

ABSTRACT Social media technologies are increasingly used within organizational settings. Particularly, organizations continue to adopt and use wikis for enabling collaboration among their professional communities of practice. At this respect, the current paper reports results from an interpretive case study focusing on the use of a wiki for knowledge collaboration and sharing at a large multinational organization. It examines how the wiki is used by members of several professional communities of practice through interviews, observations, field studies, and documents. It concludes by showing that the openness of the wiki has a dual impact on wiki collaboration and also discusses how the wiki might serve as both an enabler and inhibitor for community and knowledge collaboration

Social Conceptualizations of Technology Structuring : A Comparative Analysis of Wikis at Two Global Organizations

The widespread adoption and use of social media in almost every aspect of our daily lives may outpace existing empirical understandings. In organizations, social media are increasingly used by professional individuals and communities to support dynamic collaboration and knowledge sharing. While there is a growing amount of research on this subject, still little is known on how people use different kinds of social media in practice. That is, there is a need for an empirical understanding that addresses actual use practices of social media within the formal boundaries of organizations. To this end, we report on results from a qualitative comparative study of the use of wikis at two global organizations. Our aim is to develop an empirical understanding of the enactment of structures and the ways by which people structure and organize their wiki use practices by drawing on Orlikowski's (2000) practice lens. The findings from the authors analysis suggest a number of enacted structures that reflect diverse wiki use practices. The main contribution centers on developing three key mechanisms that provide means for understanding the structuring of the use of technology

Wiki-based Community Collaboration in Organizations

Social media technologies are increasingly used within organizational settings. Particularly, organizations continue to adopt and use wikis for enabling collaboration among their professional communities of practice. At this respect, the current paper reports results from an interpretive case study focusing on the use of a wiki for knowledge collaboration and sharing at a large multinational organization. It examines how the wiki is used by members of several professional communities of practice through interviews, observations, field studies, and documents. It concludes by showing that the openness of the wiki has a dual impact on wiki collaboration and also discusses how the wiki might serve as both an enabler and inhibitor for community and knowledge collaboration.