60 research outputs found

    Actor-Network Theory and its role in understanding the implementation of information technology developments in healthcare

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    <p>Abstract</p> <p>Background</p> <p>Actor-Network Theory (ANT) is an increasingly influential, but still deeply contested, approach to understand humans and their interactions with inanimate objects. We argue that health services research, and in particular evaluations of complex IT systems in health service organisations, may benefit from being informed by Actor-Network Theory perspectives.</p> <p>Discussion</p> <p>Despite some limitations, an Actor-Network Theory-based approach is conceptually useful in helping to appreciate the complexity of reality (including the complexity of organisations) and the active role of technology in this context. This can prove helpful in understanding how social effects are generated as a result of associations between different actors in a network. Of central importance in this respect is that Actor-Network Theory provides a lens through which to view the role of technology in shaping social processes. Attention to this shaping role can contribute to a more holistic appreciation of the complexity of technology introduction in healthcare settings. It can also prove practically useful in providing a theoretically informed approach to sampling (by drawing on informants that are related to the technology in question) and analysis (by providing a conceptual tool and vocabulary that can form the basis for interpretations). We draw on existing empirical work in this area and our ongoing work investigating the integration of electronic health record systems introduced as part of England's National Programme for Information Technology to illustrate salient points.</p> <p>Summary</p> <p>Actor-Network Theory needs to be used pragmatically with an appreciation of its shortcomings. Our experiences suggest it can be helpful in investigating technology implementations in healthcare settings.</p

    From Interactions to Institutions: Microprocesses of Framing and Mechanisms for the Structuring of Institutional Fields

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    Despite the centrality of meaning to institutionalization, little attention has been paid to how meanings evolve and amplify to become institutionalized cultural conventions. We develop an interactional framing perspective to explain the microprocesses and mechanisms by which this occurs. We identify three amplification processes and three ways frames stack up or laminate that become the building blocks for diffusion and institutionalization of meanings within organizations and fields. Although we focus on “bottom-up” dynamics, we argue that framing occurs in a politicized social context and is inherently bidirectional, in line with structuration, because microlevel interactions instantiate macrostructures. We consider how our approach complements other theories of meaning making, its utility for informing related theoretical streams, and its implications for organizing at the meso and macro levels

    A Study of the Suspension Polymerization of Styrene

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    A touch of brimstone

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    Institutions and Work

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    In this article, we argue that the flowering conversation under the label of “institutional work” can be productively enriched by segregating the notions of “institutions” and “work, and by engaging more fully with both micro- and macro-sociological contributions of the “old institutionalism.” We illustrate the value of these extensions by discussing three areas of theoretical and empirical interest: methodological groupism, the relationship between social structure and social process at both micro and macro levels, and the relationship between social analysis and social critique. By pursuing these directions, we believe the notion of institutional work can avoid conflation with variants of methodological individualism, and might usefully contribute to ongoing conversations about agency across the social sciences. </jats:p
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