Nurses and electronic health records in a Canadian hospital
Examining the Social Organisation and Programmed Use of Digitised Nursing Knowledge
Bibliographic Data
| ID | 2249191 |
|---|---|
| Authors | Marie Campbell (0000-0002-0903-7104, University of Victoria), Marie L Campbell (Professor Emerita University of Victoria Canada), Janet Rankin (0000-0001-5355-454X, University of Calgary), Janet M Rankin (Faulty of Nursing University of Calgary Canada) |
| Year | 2017 |
| Volume | 39 |
| Issue | 3 |
| Pages | 365-379 |
| Publication date | 2017-03-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Sociology of Health & Illness (JOURNAL) |
| Journal identifiers | ISSN: 0141-9889 • E-ISSN: 1467-9566 |
| Publisher | Wiley (PUBLISHER • GB) |
| DOI | 10.1111/1467-9566.12489 |
| PMID | 27726159 |
| OpenAlex | W2530636738 |
| Language | EN |
| Citations received | 15 |
| References cited | 34 |
Institutional ethnography (IE) is used to examine transformations in a professional nurse's work associated with her engagement with a hospital's electronic health record (EHR) which is being updated to integrate professional caregiving and produce more efficient and effective health care. We review in the technical and scholarly literature the practices and promises of information technology and, especially of its applications in health care, finding useful the more critical and analytic perspectives. Among the latter, scholarship on the activities of economising is important to our inquiry into the actual activities that transform 'things' (in our case, nursing knowledge and action) into calculable information for objective and financially relevant decision-making. Beginning with an excerpt of observational data, we explicate observed nurse-patient interactions, discovering in them traces of institutional ruling relations that the nurse's activation of theEHRcarries into the nursing setting. TheEHR, we argue, materialises and generalises the ruling relations across institutionally located caregivers; its authorised information stabilises their knowing and acting, shaping health care towards a calculated effective and efficient form. Participating in theEHR's ruling practices, nurses adopt its ruling standpoint; a transformation that we conclude needs more careful analysis and debate
Action (physics · Ethnography · Health care · Observational study · Political science · Public relations · Scholarship · Sociology · Work (physics · Electronic Health Records Systems · Ethics in Clinical Research · Law · Medicine · Nursing · Nursing Diagnosis and Documentation · Psychology
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Introduction
| Unique citing works | 15 |
|---|---|
| Citations per year | 2,14 |
| Citation span | 2019 - 2026 (8) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 14 |