The negotiated order and electronic patient records : a sociomaterial perspective

Introna, Lucas and Hayes, Niall and Al-Hejin, Zaina (2019) The negotiated order and electronic patient records : a sociomaterial perspective. Journal of Information Technology, 34 (4). pp. 333-349. ISSN 0268-3962

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In this article, we consider how the notion of the negotiated order can be reinterpreted by drawing on ideas from sociomateriality. We argue that the negotiated order is an ongoing accomplishment in which a heterogeneous set of situated sociomaterial practices (or actors) are implicated. To do this, we draw upon an in-depth study of the use of a computerised physician order entry system in a hospital in Saudi Arabia. We explore how a computerised physician order entry system, as a new sociomaterial actor, performatively repositions the actors involved and hence offers the conditions of possibility for medical work practices to be renegotiated. We show that it is often contingent, mundane, situated sociomaterial practices that enact the conditions under which the negotiated order becomes re-established in terms of division of labour, legitimacy, collaboration, and social capital. We argue that as the social and material are co-constitutive, or intra-actional, it makes more sense to talk about the negotiated intra-actional order rather than the negotiated order. Importantly, such a change in conceptual vocabulary reveals the empirical and ontological issues at stake; essential for a more nuanced understanding of change/becoming.

Item Type:
Journal Article
Journal or Publication Title:
Journal of Information Technology
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The final, definitive version of this article has been published in the Journal, Journal of Information Technology, 34 (4), 2019, © SAGE Publications Ltd, 2019 by SAGE Publications Ltd at the Journal of Information Technology page: on SAGE Journals Online:
Uncontrolled Keywords:
?? negotiated ordersociomaterialitysocial capitalelectronic patient recordscomputerised physician order entry systemsociomaterial capitalbusiness, management and accounting(all)strategy and managementlibrary and information sciencesinformation systemsdiscipl ??
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Deposited On:
04 Sep 2019 14:55
Last Modified:
31 Dec 2023 01:07