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Paper abstracts

Stream 7 - Organisations

Information Technology and Organizational Change as Transformation of Accountability by Casper Bruun Jensen
Voluntary Organisations: Values and Virtuality by Eleanor Burt
Social and organisational implications of telemedicine by Tracy Ibbotson

 


Information Technology and Organizational Change as Transformation of Accountability
Casper Bruun Jensen, Stud. Mag, Institute of Information - & MediaScience, University of Aarhus, Denmark, cirdan@imv.au.dk

This paper intends to disentangle several threads of technoscientific practice, with the aim of better understanding key issues of technological and organizational debates. These key-issues can be seen as revolving around conceptions of agency, representation, and accountability.

Accountability is about the ways praise (for good performance) and blame (for failure to perform competently) is distributed among actors. This means that accountability is dependent upon whose representations, of what has taken place in this setting, gets to count. This furthermore means that representing is a deeply political activity, part of a larger moral economy, the implications for the use of ICT’s urgently need to be investigated.

Since these key-concepts are all ‘loaded’ with different meanings, depending on what specific fields of discourse one is situated within, the first part of the paper consists in explicating and defining these notions. This definitional exercise will necessarily be provisional, however, since defining what such concepts can mean is part of what is at stake in the analyses that are subsequently discussed.

After explicating the choices of analytical concepts and defining these, the paper proceeds with the following three steps.

First, Shapin’s (1995, chapter 8.) canonical analysis of ‘Invisible Technicians: Masters, Servants, and the Making of Experimental Knowledge’ on experimental practices in 17th century England, specifically in Robert Boyle’s laboratory, is read through. Shapin speaks from a point of view, roughly characterizable as SSK (Sociology of Scientific Knowledge). Speaking from a particular point of view is simultaneously an inevitable necessity (since we cannot speak from nowhere), and a selective activity (since we cannot say everything simultaneously).

One of the concerns when reading Shapin’s text, is to think about the specific interpretive choices that are made by Shapin in this analysis; why these are made; and what analytical leverage they provide him with. Such choices define who are the main-characters of his text, what questions he must necessarily ask, and also what problems are rendered invisible.

Secondly I look at Haraway’s (1997, chapter 1) re-analysis of this experimental setting, and her re-categorizations of what are taken to be relevant questions. Evidently Haraway, no more than Shapin, can escape being situated somewhere. My questions are about the ways in which her position makes her redefine Shapin’s choices, with regards to relevant characters of the experimental narrative. How does she represent the setting differently; what difference does that make?

In the final part of of these analytical results for relevant questions at hand; that is, questions of representation, agency and accountability as they emerge with the development and implementation of ICT in organizations. Specifically these issues are contextualized in relation to the implementation of the EHCR (Electronic Health Care Journal) in Danish Hospitals.

Following Latour, Haraway & Star, it is suggested that we should open our narratives for more active voices (human & non-human) and it is pointed out how this might improve our understanding of technological as well as organizational practice. This open-ended, situated, and accountable mode of inquiry is termed immanent reflexivity. the paper I open up the discussion, and try to take issue with the broader implications.

Full paper

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Voluntary Organisations: Values and Virtuality
Eleanor Burt and John Taylor (Glasgow Caledonian University)

‘Virtual’ networking holds the promise of radical innovation within voluntary organisations seeking to respond to deep shifts in the social, economic and political regimes in which they operate today. Evidence from a large-scale survey of UK voluntary organisations with incomes of £250,000 per annum to in excess of £11 million demonstrates that at a prima facie level key voluntary organisations are adopting electronic technologies in all their forms. However, the survey also shows significant disparity at the level of adoption of specific network technologies as well as in their application to key mission and business critical activities, for example, internal governance, strategic management, service provision, and forms of public policy intervention. Thus, our research indicates that key components of the sector are ‘electronically challenged’.

Values, Virtuality, and Electronic Challenges: an Institutionalist Perspective
Further case study research of a number of prominent organisations demonstrated that a range of ‘social conditions’ is active in enabling or inhibiting electronic innovations. Moreover, while ‘collision points’ between technological capability and social context exist in both ‘volunteer intensive’ and ‘professional-staff intensive’ organisations, they are acutely experienced within ‘volunteer intensive’ organisations. Here, within volunteer intensive settings we find that organisations are seeking to employ virtual responses to contemporary strategic challenges whilst, at the same time, remaining true to deeply cherished founding values. New forms of virtual organisation are perceived to undermine historically embedded ‘ways of thinking’ and ‘ways of doing’, with their seeming potential to strike to the heart of established autonomies and independences, and locally sensitive client relationships. Institutionalist theory, with its focus on the continuities and permanencies of organisational life, on the relatively settled nature of organisations, speaks to the deeply cathected commitment displayed by longstanding voluntaries to espoused missions, precepts, and principles.

In this paper we examine how these profoundly valued ways of thinking and ways of doing are being confronted by the strategic challenges of the information age, to which voluntary organisations must now respond. We witness the ‘uneasy compromise’ between virtuality and values which is developing within these organisations as they seek to adjust to the electronic challenges which they now face, and as more advanced technologies enable sophisticated electronic choices to be made.

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Social and organisational implications of telemedicine
Tracy Ibbotson, Margaret Reid, Nessa Barry (University of Glasgow) and Jane Bower (Kinnell Technologies)

An understanding of the perceived barriers and incentives for adoption of systems is a key requirement for the successful diffusion of ICTs. It is increasingly recognised that social and organisational issues play a significant role in adoption decisions (von Hippel, 1994; Leonard-Barton, 1995; O’Neill et al, 1998.). The National Health Service in Scotland (NHSiS) constitutes a particular environment in which information and communication technologies (ICTs) are being introduced. As delivery of health care by these methods becomes more widespread, interest in the social processes through which these technological innovations are mediated has increased (Bloomfield, 1991; Scott & Neuberger, 1996; Bower, 1996; Whitten & Collins 1997; Pare et Elam, 1998). User decisions are related to factors other than the technical specification of the technology, such as management systems, organisational procedures and individual perceptions of changes to the work role. Telemedicine is a ICT application which has received attention over the past ten years. While the technology for telemedicine has proliferated, the number of consultations has remained low (Elton, 1985; Noll, 1992; Tanreverdi & Iacono, 1999). This paper explores some of the complexities associated with the introduction of telemedicine.

In phase one of the study interviewees were conducted with 30 senior executives and managers in the NHSiS. In phase two, observational work was undertaken at selected telemedicine sites across Scotland and interviews were carried out with potential users. Finally, a postal survey was sent to GPs, nurses, clinicians, and radiographers across Scotland.

Preliminary analysis of the interview and questionnaire data revealed that direct experience of the telemedicine technology as a key variable. Technical problems such as confidentiality and privacy were important for those with no experience of telemedicine technologies. Those who have used the technology tend to be less concerned about technical problems. IT managers in particular emphasised the role of social rather than technical factors as key issues in the diffusion of telemedicine and thus proposed a discourse which was based on professional barriers to adoption of the technology. In particular, the position of clinicians within the hierarchical structure of the NHS was perceived as pivotal to the use of the equipment. Clinical experience was a second key variable identified from the data. Clinical managers talked about the technology as technical innovations which would not intrude on the central components of clinical practice. Although the doctor-patient relationship was of less concern for users, staff with more regular patient contact had greater concerns how the patient would react to the technology.

Findings from the questionnaire study reveal that NHS clinical staff (clinicians, GPS and nurses) do have quite varied experience of different technologies, including telemedicine and hold different views about their strengths. The empirical data supports the argument that there are competing opinions about the strengths and the problems associated with the introduction of telemedicine and that opinion is positively influenced by previous experience of the technology.

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