'Boundary Objects' in Archaeological Finds and Environmental Research: Using Bowker and Star's Concept of the 'Boundary Object' to Analyse and Interpret Disparate Archaeological Legacy Data

Is a big data analytical approach viable using archaeological artefact and ecofact data? In particular is it possible to use Bowker and Star's (1999) concept of the 'boundary object' to manage the issues caused by data scale, complexity, diversity and variable information standards when attempting to carry out this kind of research? This paper reviews the theoretical and methodological debates around archaeological big data as they impact upon research into assemblages of artefacts and ecofacts and presents a methodology for the construction and use of a large archaeological database of legacy artefact and ecofact data created as part of the English Landscapes and Identities Project at the University of Oxford.

The challenge of involving old patients with polypharmacy in their medication during hospitalization in a medical emergency department: An ethnographic study

Background More than 70% of patients admitted to emergency departments (EDs) in Denmark are older patients with multimorbidity and polypharmacy vulnerable to adverse events and poor outcomes. Research suggests that patient involvement and shared decision-making (SDM) could optimize the treatment of older patients with polypharmacy. The patients become more aware of potential outcomes and, therefore, often tend to choose less medication. However, implementing SDM in clinical practice is challenging if it does not fit into existing workflows and healthcare systems. Aim The aim was to explore the determinants of patient involvement in decisions made in the ED about the patient’s medication. Methods The design was a qualitative ethnographic study. We observed forty-eight multidisciplinary healthcare professionals in two medical EDs focusing on medication processes and patient involvement in medication. Based on field notes, we developed a semi-structured interview guide. We conducted 20 semi-structured interviews with healthcare professionals to elaborate on the findings. Data were analyzed with thematic analyses. Findings We found five themes (determinants) which affected patient involvement in decisions about medicine in the ED: 1) blurred roles among multidisciplinary healthcare professionals, 2) older patients with polypharmacy increase complexity, 3) time pressure, 4) faulty IT- systems, and 5) the medicine list as a missed enabler of patient involvement. Conclusion There are several barriers to patient involvement in decisions about medicine in the ED and some facilitators. A tailored medication conversation guide based on the SDM methodology combined with the patient’s printed medicine list and well-functioning IT- systems can function as a boundary object, ensuring the treatment is optimized and aligned with the patient’s preferences and goals.

Boundary work in value co-creation practices: the mediating role of cognitive assistants

PurposeHow to improve healthcare for the ageing population is attracting academia attention. Emerging technologies (i.e. robots and intelligent agents) look relevant. This paper aims to analyze the role of cognitive assistants as boundary objects in value co-creation practices. We include the perceptions of the main actors – patients, (in)formal caregivers, healthcare professionals – for a fuller network perspective to understand the potential overlap between boundary work and value co-creation practices.Design/methodology/approachWe adopted a grounded approach to gain a contextual understanding design to effectively interpret context and meanings related to human–robot interactions. The study context concerns 21 health solutions that had embedded the Watson cognitive platform and its adoption by the youngest cohort (50–64-year-olds) of the ageing population.FindingsThe cognitive assistant acts as a boundary object by bridging actors, resources and activities. It enacts the boundary work of actors (both ageing and professional, caregivers, families) consisting of four main actions (automated dialoguing, augmented sharing, connected learning and multilayered trusting) that elicit two ageing value co-creation practices: empowering ageing actors in medical care and engaging ageing actors in a healthy lifestyle.Originality/valueWe frame the role of cognitive assistants as boundary objects enabling the boundary work of ageing actors for value co-creation. A cognitive assistant is an “object of activity” that mediates in actors' boundary work by offering novel resource interfaces and widening resource access and resourceness. The boundary work of ageing actors lies in a smarter resource integration that yields broader applications for augmented agency.

Unruly Mountains: Hydropower assemblages and geological surprises in the Indian Himalayas

Despite a decades long push to develop what is seen as the vast untapped hydropower potential of the Indian Himalayas, hydropower capacity addition has been delayed and become increasingly expensive in India. Policy documents cite “poor” geology as a major reason for these delays. As hydropower in the form of run-of-river projects expand into the Himalayas, their construction activities encounter poor geology more frequently. This paper analyses hydropower development as an assemblage and examines how risk, especially geological risk, is negotiated to allow hydropower development to continue in the Indian Himalayas. We show how the category of “geological surprises” emerges as an institutional response to the problems of run-of-river based hydropower development in a seismically vulnerable landscape. We further show how “geological surprises” act as a boundary object between hydropower policy, project development, infrastructural finance, and hydropower knowledge, allowing for cooperation and negotiation, to allow hydropower development to continue in the geologically complex Himalayas.

The unfolding rationales surrounding management accounting innovations: a balanced scorecard case

PurposeThe Balanced Scorecard (BSC) possesses an inherent duality, as it has been described as a carrier of institutions (i.e. the BSC is a “management ideology” or “mode of thinking”) and a flexibly interpretive boundary object at the same time. This study examines how this inherent duality of the BSC may influence the unfolding rationales surrounding its implementation and use.Design/methodology/approachEmpirical support for this investigation is gathered from an in-depth field study. The focal firm is a Brazilian electricity distribution company that transitioned from state to private ownership under hyper-regulation, and whose holding company experienced strategic and structural changes.FindingsThe study identified a misalignment between the characteristics of the firm (e.g. organizational logics) and the perceived BSC features. This misalignment initially produced tensions and institutional logics complexity for the organization forcing the BSC implementers to rationalize it to provide meaning regarding its implementation in the firm. The findings also show why and how the promoters of the BSC conducted its “strategy of translation” in order to disentangle and reassemble both the material and symbolic components of the BSC to facilitate its implementation and use. It was found that promoters of the BSC engaged in contextualization work, which featured two main actions: a combination of coupling and selective decoupling and a change of meaning.Originality/valueThis paper advances current understanding of the process of the unfolding rationales surrounding management accounting innovations (e.g. the BSC). The study shows that the BSC unfolds in more complex, time-related and simultaneous ways than has previously been reported in the literature. Moreover, the paper contributes by explaining how the management's rationales, relating to their historical understanding, perception of legitimation needs and social skills, contributed to the continuous unfolding of the BSC. In addition, four potentially interesting areas for further research were identified.

Social Enterprise Places: A Place-Based Initiative Facilitating Syntactic, Semantic and Pragmatic Constructions of Legitimacy

Social Enterprises are becoming a significant force of social as well as economic good despite facing many difficulties that are brought about by their unique characteristics. Chief among these is the question of their perceived legitimacy that impinges upon their ability to gain funding, acquire contracts and appear as capable organisations to potential partnering institutions. This study explores the means by which Social Enterprises are legitimized through participation in the Social Enterprise Place (SEP) programme in the UK. By examining the Boundary Objects (BO) that span the intersections of the incumbent social groups it identifies three pillars upon which SEPs have facilitated SE legitimacy. These pillars comprise (i) the place-based language (syntactic BO), that enables the identification of (ii) common social goals (semantic BOs), and thereby enables the (iii) mobilization of resources toward their resolution (pragmatic BOs). This research provides insight into the facilitation of legitimacy for Social Enterprises that are engaged in a place-based initiative. By responding to Peterson’s (2016) call for macromarketers to take more note of meso level marketing dynamics in different industries the paper highlights the potential for place to facilitate the legitimacy of SEs. In addition, it reveals a further macromarketing dimension to Boundary Object plasticity whereby they may evolve through syntactic, semantic and pragmatic forms over time.

Versioning boundary objects: the citation profile of the Diagnostic and Statistical Manual for Mental Disorders (DSM)

PurposeResearch objects, such as datasets and classification standards, are difficult to be incorporated into a document-centric framework of citations, which relies on unique citable works. The Diagnostic and Statistical Manual for Mental Disorder (DSM)—a dominant classification scheme used for mental disorder diagnosis—however provides a unique lens on examining citations to a research object, given that it straddles the boundaries as a single research object with changing manifestations.Design/methodology/approachUsing over 180,000 citations received by the DSM, this paper analyzes how the citation history of DSM is represented by its various versions, and how it is cited in different knowledge domains as an important boundary object.FindingsIt shows that all recent DSM versions exhibit a similar citation cascading pattern, which is characterized by a strong replacement effect between two successive versions. Moreover, the shift of the disciplinary contexts of DSM citations can be largely explained by different DSM versions as distinct epistemic objects.Practical implicationsBased on these results, the authors argue that all DSM versions should be treated as a series of connected but distinct citable objects. The work closes with a discussion of the ways in which the existing scholarly infrastructure can be reconfigured to acknowledge and trace a broader array of research objects.Originality/valueThis paper connects quantitative methods and an important sociological concept, i.e. boundary object, to offer deeper insights into the scholarly communication system. Moreover, this work also evaluates how versioning, as a significant yet overlooked attribute of information resources, influenced the citation patterns of citable objects, which will contribute to more material-oriented scientific infrastructures.

Public art as research in the open

In 1979, the Chilean artist Alfredo Jaar staged his first public intervention in the context of military dictatorship. His inquiry on states of happiness anticipated a working method that Jaar has been following since. In taking Studies on Happiness as an early example of social aesthetics, this article will show that the work itself is not only seen as the product of making (poïesis), but that the process itself is seen as the embodiment of knowledge, the dwelling and outcome of an intended action. However, this action is not simply an act in the everyday (praxis), but as an intended action it is intelligent in itself and calls for the practical wisdom of acting (phronesis). As soon as the project includes a relational process and forms of participation, both in nature of unforeseeable outcome, the aim is no longer the production of a (common) object; rather, it is the social relation itself, established through the aesthetic or “boundary” object that puts into action the relation as well as the reflection on the conditions of its becoming. We will assess how play and phronesis can mediate between research and art by creating a situational knowledge, that is both critique and contributory: a research in the open.

Insomnia, Medicalization, and Expert Knowledge

Historians have clearly articulated the ways in which sleeplessness has long been part of the human condition. As an object of medical expertise and public health intervention, however, insomnia is a much more recent invention, having gained its status as a pathology during the 1870s. But while insomnia has attracted considerable and concerted attention from public health authorities allied with sleep medicine specialists, this phenomenon is not well explained by classical medicalization theory, in part because it is the sleepless sufferers, not the medical experts, who typically have the authority to diagnose insomnia. The dynamics of insomnia’s history are better described as those of a boundary object, around which concepts and practices of biomedicine and psychology coalesce to frame contemporary notions of self-medicalization and self-experiment.