TY - JOUR

T1 - The negotiated order and electronic patient records

T2 - a sociomaterial perspective

AU - Introna, Lucas

AU - Hayes, Niall

AU - Al-Hejin, Zaina

N1 - 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: https://journals.sagepub.com/home/JIN on SAGE Journals Online: http://journals.sagepub.com/

PY - 2019/12/1

Y1 - 2019/12/1

N2 - 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.

AB - 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.

KW - Negotiated order

KW - sociomateriality

KW - social capital

KW - electronic patient records

KW - computerised physician order entry system

KW - sociomaterial capital

U2 - 10.1177/0268396219870548

DO - 10.1177/0268396219870548

M3 - Journal article

VL - 34

SP - 333

EP - 349

JO - Journal of Information Technology

JF - Journal of Information Technology

SN - 0268-3962

IS - 4

ER -