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dc.contributor.authorHämäläinen, Antti
dc.contributor.authorHirvonen, Helena
dc.date.accessioned2020-11-04T09:25:07Z
dc.date.available2020-11-04T09:25:07Z
dc.date.issued2020
dc.identifier.citationHämäläinen, A., & Hirvonen, H. (2020). Electronic Health Records reshaping the socio-technical practices in Long-Term Care of older persons. <i>Technology in society</i>, <i>62</i>, Article 101316. <a href="https://doi.org/10.1016/j.techsoc.2020.101316" target="_blank">https://doi.org/10.1016/j.techsoc.2020.101316</a>
dc.identifier.otherCONVID_41595467
dc.identifier.urihttps://jyx.jyu.fi/handle/123456789/72480
dc.description.abstractElectronic Health Records (EHRs) in Long-Term Care (LTC) of older persons are expected to improve resident-centered care by reducing ambiguities in information coordination between LTC workers and organisations. While there are research findings concerning such intended outcomes, we are interested in analysing what sort of other, possibly unanticipated outcomes the use of EHRs in LTC may produce. We argue that the scrutiny of EHRs in LTC requires an understanding of their implementation as socio-technical processes, whereby EHRs are perceived as performative artifacts of LTC rather than technological tools or passive objects. While EHRs have been extensively studied in health-care settings, few studies have concentrated on eldercare settings. We aim to fill these gaps by drawing from a qualitative interview study (n = 25) conducted with Finnish LTC workers in 2018. Using thematic content analysis, we analyse how LTC workers negotiate and interpret socio-technical practices of EHR-use at their workplace. Our findings suggest that, along with improving workers’ accountability, EHRs are also considered disorganised, unrefined and burdening, thereby disrupting both the intended effects of EHRs and the continuity and the nuanced characteristics of caring.en
dc.format.mimetypeapplication/pdf
dc.languageeng
dc.language.isoeng
dc.publisherElsevier
dc.relation.ispartofseriesTechnology in society
dc.rightsCC BY-NC-ND 4.0
dc.subject.otherelectronic health records
dc.subject.otherlong-term care
dc.subject.otherSTS
dc.subject.othercare technology
dc.subject.otherqualitative methods
dc.titleElectronic Health Records reshaping the socio-technical practices in Long-Term Care of older persons
dc.typearticle
dc.identifier.urnURN:NBN:fi:jyu-202011046516
dc.contributor.laitosYhteiskuntatieteiden ja filosofian laitosfi
dc.contributor.laitosDepartment of Social Sciences and Philosophyen
dc.type.urihttp://purl.org/eprint/type/JournalArticle
dc.type.coarhttp://purl.org/coar/resource_type/c_2df8fbb1
dc.description.reviewstatuspeerReviewed
dc.relation.issn0160-791X
dc.relation.volume62
dc.type.versionacceptedVersion
dc.rights.copyright© 2020 Elsevier Ltd. All rights reserved.
dc.rights.accesslevelopenAccessfi
dc.relation.grantnumber312367
dc.relation.grantnumber327149
dc.subject.ysopitkäaikaishoito
dc.subject.ysopotilastietojärjestelmät
dc.subject.ysoterveyskertomukset
dc.subject.ysovanhustenhuolto
dc.subject.ysoikääntyneet
dc.subject.ysohyvinvointiteknologia
dc.format.contentfulltext
jyx.subject.urihttp://www.yso.fi/onto/yso/p24898
jyx.subject.urihttp://www.yso.fi/onto/yso/p28119
jyx.subject.urihttp://www.yso.fi/onto/yso/p1301
jyx.subject.urihttp://www.yso.fi/onto/yso/p12787
jyx.subject.urihttp://www.yso.fi/onto/yso/p2433
jyx.subject.urihttp://www.yso.fi/onto/yso/p12902
dc.rights.urlhttps://creativecommons.org/licenses/by-nc-nd/4.0/
dc.relation.doi10.1016/j.techsoc.2020.101316
dc.relation.funderResearch Council of Finlanden
dc.relation.funderResearch Council of Finlanden
dc.relation.funderSuomen Akatemiafi
dc.relation.funderSuomen Akatemiafi
jyx.fundingprogramCentre of Excellence, AoFen
jyx.fundingprogramStrategic research programmes, AoFen
jyx.fundingprogramHuippuyksikkörahoitus, SAfi
jyx.fundingprogramStrategisen tutkimuksen ohjelmat STN, SAfi
jyx.fundinginformationThis work was supported by the Strategic Research Council at the Academy of Finland (project 327145 and 327149) and the Academy of Finland's Centre of Excellence in Research on Ageing and Care (project 312367).
dc.type.okmA1


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