Knowledge worker constraints in the productive use of information technology

1999 ◽  
Vol 19/20 (4/1) ◽  
pp. 21-42 ◽  
Author(s):  
D. H. Drury ◽  
A. Farhoomand
Keyword(s):  
Information Technology ◽  
Knowledge Worker

scholarly journals Disappearing expertise in clinical automation: Barcode medication administration and nurse autonomy

2020 ◽  
Author(s):  
Jennifer Y Hong ◽  
Catherine H Ivory ◽  
Courtney B VanHouten ◽  
Christopher L Simpson ◽  
Laurie Lovett Novak
Keyword(s):  
Information Technology ◽  
Medical Center ◽  
Social Systems ◽  
Academic Medical Center ◽  
Knowledge Worker ◽  
Medication Administration ◽  
Task Completion ◽  
Nurse Satisfaction ◽  
Practice Nurses ◽  
Nurse Autonomy

Abstract Objective Using the case of barcode medication administration (BCMA), our objective is to describe the challenges nurses face when informatics tools are not designed to accommodate the full complexity of their work. Materials and Methods Autonomy is associated with nurse satisfaction and quality of care. BCMA organizes patient information and verifies medication administration. However, it presents challenges to nurse autonomy. Qualitative fieldwork, including observations of everyday work and interviews, was conducted during the implementation of BCMA in a large academic medical center. Fieldnotes and interview transcripts were coded and analyzed to describe nurses’ perspectives on medication safety. Results Nurses adopt orienting frames to structure work routines and require autonomy to ensure safe task completion. Nurses exerted agency by trusting their own judgment over system information when the system did not consider workload complexity. Our results indicate that the system’s rigidity clashed with adaptive needs embodied by nurses’ orienting frames. Discussion Despite the fact that the concept of nurse as knowledge worker is foundational to informatics, nurses may be perceived as doers, rather than knowledge workers. In practice, nurses not only make decisions, but also engage in highly complex task-related work that is not well supported by process-oriented information technology tools. Conclusions Information technology developers and healthcare organization managers should engage and better understand nursing work in order to develop technological and social systems to support it.

scholarly journals The Model of Intellectual Capital based Information Technology and Its Implication on Employees Performance

2021 ◽  
Vol 12 (4) ◽  
pp. 1605-1617
Author(s):  
Odang Kusmayadi, Et. al.
Keyword(s):  
Information Technology ◽  
Human Development ◽  
Intellectual Capital ◽  
Structural Equation ◽  
Knowledge Worker ◽  
Equation Model ◽  
Performance Level ◽  
Survey Method ◽  
Core Knowledge ◽  
The Impact

This research  focused on  higher of job rejection result and low of coordination among unit in problem solving of all the projects which is tend to decline of employees performance. The main issues discussed  in this reseach is factors influence it, namely human procurement ,development  and  intellectual capital based information technology.The research aims to analyze, describe and test the impact of   human procurement, development on intellectual capital and its implication on employees performance at  Indonesian Aerospace,Ltd. The research used was descriptive and explanatory survey method, so the research attempts to collect, present, analyze, and test hypotheses,  to make a consclusions were used  Structural Equation Model (SEM) approach. The design of  study is a survey reseach, the unit analysis selected were  core knowledge worker with a sample size of 303 from 1245 employees, based on Slovin’s formula. The results indicated  that human procurement, development have a simultaneously positive and significant effect on intellectual capital based information technology, and human procurement, development are either partialy or simultaneously have a positive and significant effect on employees performance level throught intellectual capital based information technology. The findings  are:(1) human procurement indicates low contribution on either  intellectual capital based information technology or employees performance, the highest score of human procurement dimension is selection and the lowest is recruitment dimension. 2) human development indicates low contribution on either intellectual capital or employees performance, the highest score of human development  dimension is education and the lowest is training dimension (3) intellectual capital based information technology  indicates moderate scores on employees performance level, the highest score of intellectual capital dimension is social capital  and the lowest is structure capital dimension. (4) the highest score size of employees performance dimension based on  employees perception  is goal and the lowest is motive dimension.

Business: The Electronic Health Record: Front Line Experience

2011 ◽  
Vol 21 (1) ◽  
pp. 18-22
Author(s):  
Rosemary Griffin
Keyword(s):  
Health Care ◽  
Information Technology ◽  
Electronic Health Record ◽  
Financial Incentives ◽  
Best Practice ◽  
Health Care Systems ◽  
The United States ◽  
Health Record ◽  
Health Trends ◽  
Electronic Health

National legislation is in place to facilitate reform of the United States health care industry. The Health Care Information Technology and Clinical Health Act (HITECH) offers financial incentives to hospitals, physicians, and individual providers to establish an electronic health record that ultimately will link with the health information technology of other health care systems and providers. The information collected will facilitate patient safety, promote best practice, and track health trends such as smoking and childhood obesity.

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