Constructing Technology-in-use Practices: EPR-adaptation in Canada and Norway

Nina Boulus, Pernille Bjørn

Research output: Conference Article in Proceeding or Book/Report chapterArticle in proceedingsResearchpeer-review


Investigating two longitudinal ethnographic studies of managing gradual adaptation of electronic patient records in Canada and Norway, we conduct a cross-case analysis of the enabling factors that support a continuous transformation of technology and health care practices. In line with previous research, our study shows that large-scale information systems adaptation in health care should be managed by a project-group including not only IT-developers, but also representatives of future users and management. While we also argue for the importance of these meetings, we complement and expand the notion of project meetings by providing a conceptualization of the essential aspects of these meetings. Our conceptualization is composed of continuous reflection-on-practice activities to construct technology-in-use practices. Reflection-on-action activities are internally initiated, and comprise critical reflections by the participants, who continuously evaluate and question work practices in relation to technology.
Original languageEnglish
Title of host publicationStudies in Health Technology and Informatics
EditorsJohanna, I. Westbrook, Enrico, W. Coiera, Joanne, L. Callen, Jos Aarts
Number of pages12
Place of PublicationNetherlands
PublisherIOS Press
Publication date2007
ISBN (Print)978-1-58603-777-2
Publication statusPublished - 2007
Externally publishedYes


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