Working IT out in medical practice: IT systems design and development as co-realisation
Working IT out in medical practice: IT systems design and development as co-realisation
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DOI：
10.1055/s-0038-1634235
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发表时间：
2003-01-01
影响因子：
1.7
通讯作者：
Voss, A
中科院分区：
文献类型：
--
作者：
Hartswood, MJ;Procter, RN;Voss, A
目的：本文探讨了定位IT设计和开发工作的使用范围内的可能性，以支持共同实现的技术和“使用中的设计”。其目的是在信息技术专业人员和用户之间建立一种新的理解，这种理解是基于后者在努力解决应用信息技术的问题时所发生的事情，将其功能和启示融入他们的工作实践和关系中。在讨论了参与式设计和民族方法学之后，一种称为共同实现的新方法，旨在提供前述方法的综合，建议作为替代方案。通过讨论的结果，从案例研究的IT系统的设计和开发在医疗保健，我们展示了如何共同实现的方法可能会提供工作负担系统，以及如何用户设计师的关系可能会重新制定。我们建议，工作提供系统可以通过部署一个从事促进者谁与用户一起工作，以解开工作现场的具体潜力的技术。结果：案例研究表明，如何通过发展伙伴关系，以及促进者在工作场所的存在如何利用在那里进行的日常工作，以及促进者如何与用户开发支持这项工作的人工制品，而不是重新配置它。结论：案例研究说明了共同实现的行动，以及它如何可能被视为重新配置用户和设计师之间的关系的方式，似乎生产力。共同实现有助于解决医疗保健领域广泛存在的IT系统故障问题。
Objectives: The paper explores possibilities for situating IT design and development work within the context of use so as to support the co-realisation of technology and 'design in use'. The aim is to build a new understanding between IT professionals and users which is grounded upon what happens as the latter grapple with the problems of applying IT, appropriating its functionalities and affordances into their work practices and relations.Methods: Following a discussion of participatory design and ethnomethodology, a novel method called co-realisation, which aims to provide a synthesis of the preceding methods, is suggested as an alternative. Through a discussion of findings from a case study of IT systems design and development in healthcare we show how the co-realisation approach might provide work-affording systems and how user-designer relations might be reformulated. We suggest that work-affording systems con be developed through the deployment of an engaged facilitator who works with the users to unpack the work site-specific potentialities of technology.Results: The case study shows how risk of non-adoption might be minimised through the development of partnerships, and how the presence of the facilitator in the workplace capitalises on the mundane work undertaken therein and how the facilitator might work with the users to develop artefacts that support this work as opposed to reconfiguring it.Conclusions: The case study illustrates co-realisation in action and how it might be seen to reconfigure relations between users and designers in a way that appears productive. Co-realisation con help address the widely observed problem of IT systems failures in healthcare.