University of Twente Student Theses


Technology paradoxes in the practice of healthcare

Morren, L.H. (2019) Technology paradoxes in the practice of healthcare.

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Abstract:The healthcare sector deals with increasing costs and demands. Information and communication technologies (ICT) could provide a solution, however, questions arise about how these technologies are used in daily practices, where technology, users and context interact. This study aims to provide nuanced insights into how healthcare workers use ICT in daily work practices. Practice theory is used as a theoretical basis to enable a deeper understanding of technology use. Specifically, the study focuses on how facilities, norms and interpretive schemes interact and hereby cause technology paradoxes that shape technology use. The study’s technology case was an electronic patient record for self-managed teams in extramural care. In the data collection phase, an explorative qualitative approach was used with a combination of participant observations, semi-structured interviews and document analysis. The findings show how technology paradoxes arise when users, technology and institutional context interact, and how these paradoxes play a role in technology use. Moreover, the findings demonstrate how these interactions occur between and within facilities, norms and interpretive schemes. Hence, the study shows how nurses establish and re-establish a structure of technology use based on technology paradoxes that they encounter when users, technology and context interact.
Item Type:Essay (Master)
Faculty:BMS: Behavioural, Management and Social Sciences
Subject:05 communication studies
Programme:Communication Studies MSc (60713)
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