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Replace an Old Functioning Information System with a New One-What Does it Take?
Responsible organisation
2009 (English)In: Handbook of Research on Advances in Health Informatics and Electronic Healthcare Applications: Global Adoption and Impact of Information Communication Technologies / [ed] Khoumbati, Khalil; Dwivedi, Yogesh Kumar; Srivastava, Aradhana; Lal, Banita, Hershey - New York: Medical Information Science Reference , 2009Chapter in book (Refereed)Alternative title
Vad krävs det för att ersätta ett gammalt fungerande informationssystem med ett nytt? (Swedish)
Abstract [en]

This chapter addresses a problem that is often experienced when ICT systems are being implemented in a work practice. Posed as a question, it might be formulated like this: What does it take to replace an old functioning information system with a new one? Findings are grounded on a long-term case study at a community elder care. Chapter used the Development Work Research (DWR) approach that is an interventionist methodology comprising ethnography as well as design experiment. During the case study, a new digital case book for the community wound care was developed. However, as it turned out, the nurses´ established practice favored the old-fashioned mobile information system. First conclusion of this chapter is that an old-fashioned information system within health care work will not successfully be replaced by a new one, unless the new is better “as a whole”, that is, better supports work practices of a range of occupational and professional workers. Second conclusion is that when designing information system for the public sector, system designers will almost always face dilemmas based on a contradiction between central, high level interest and local level work-practice perspectives. The third conclusion is that in order to succeed in the design of new information and communication system, the distinctive features of the work activities in question have to be delineated by ethnographic studies, and taken into consideration in the design process.

Abstract [sv]

Kapitlet handlar om ett återkommande problem när IT-system implementeras i en arbetspraktik. Det kan formuleras som en fråga: Vad krävs det för att ersätta ett gammalt fungerande informationssystem med ett nytt? Resultaten grundas på en långtidsstudie inom kommunal omsorg. I kapitlet används forskningsansatsen Utvecklande Arbetsforskning (Developmental Work Research) som är en intervenerande metod som innebär både etnografi och designexperiment. Den första slutsatsen är att ett äldre informationssystem kan inte ersättas på ett framgångsrikt sätt om inte det nya är bättre "i sin helhet". Vidare så summeras att det finns alltid ett dilemma vid design av IT-system för den offentliga sektorn i motsättningen mellan högre placerade intressen och den lokala arbetspraktikens perspektiv. För att lyckas med design av nya ICT-system måste distinkta särdrag av den aktuella arbetspraktiken bli framtagna i etnografiska studier och övervägda i designprocessen.

Place, publisher, year, edition, pages
Hershey - New York: Medical Information Science Reference , 2009.
Keyword [en]
Artefacts, Clusters of artefacts, Case book, Community elder care, Cultural-historical activity theory (CHAT), Developmental work research (DWR), Ethnographic investigation, Participatory design (PD), Shop floor work.
National Category
Human Aspects of ICT Computer Science Nursing
URN: urn:nbn:se:bth-7945Local ID: 978-1-60566-030-1OAI: diva2:835624
Medical Information Science Reference; 1 edition (July 31, 2009) 628 pages ISBN: 978-1-60566-030-1Available from: 2012-09-18 Created: 2009-10-14 Last updated: 2015-06-30Bibliographically approved

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