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Virtual Society? Get Real!
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 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. Voluntary Organisations: Values and Virtuality ‘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 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. Social and organisational implications of telemedicine 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.
Casper Bruun Jensen, Stud. Mag, Institute of Information - & MediaScience, University of Aarhus, Denmark, cirdan@imv.au.dk
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Eleanor Burt and John Taylor (Glasgow Caledonian University)
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.
Tracy Ibbotson, Margaret Reid, Nessa Barry (University of Glasgow) and Jane Bower (Kinnell Technologies)
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