A Theory of Organization-EHR Affordance Actualization
While organizations implement information technology (IT) to effect change, current theories of IT-associated organizational change pay insufficient attention to the change goals, the role of IT in organizational change, and the multilevel nature of change processes. We take a fresh look at IT-assoc...
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Veröffentlicht in: | Journal of the Association for Information Systems 2014-02, Vol.15 (2), p.53-85 |
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creator | Strong, Diane Volkoff, Olga Johnson, Sharon Pelletier, Lori Tulu, Bengisu Bar-On, Isa Trudel, John Garber, Lawrence |
description | While organizations implement information technology (IT) to effect change, current theories of IT-associated organizational change pay insufficient attention to the change goals, the role of IT in organizational change, and the multilevel nature of change processes. We take a fresh look at IT-associated organizational change using grounded theory methods. Our longitudinal study of an electronic health record (EHR) system implementation in a multi-site medical group found user behaviors that did not fit well with existing theories. Instead, we found that they fit better with the concept of affordances from ecological psychology. In developing our affordance-based theory of IT-associated organizational change from our field data, we discovered three gaps in the affordance literature; namely, the lack of theory for (1) the process of actualizing an affordance's potential, (2) affordances in an organizational context, and (3) bundles of interrelated affordances. This paper extends the theory of affordances to handle these three gaps and, in doing so, develops a mid-range theory for EHR-associated organizational change in a healthcare organization. While the resulting theory is specific to EHR implementations, it offers a template for other mid-range affordance-actualization theories and a more general affordance-actualization lens. Our affordance-actualization lens considers the materiality of the IT artifact, the non-deterministic process by which IT leads to organizational effects, the multilevel nature of IT-associated change processes, and the intentionality of managers and users as agents of change, and thus addresses important criteria for theories of IT effects in organizations. The paper also provides practical guidance for implementing EHR systems and other organizational systems. [PUBLICATION ABSTRACT] |
doi_str_mv | 10.17705/1jais.00353 |
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We take a fresh look at IT-associated organizational change using grounded theory methods. Our longitudinal study of an electronic health record (EHR) system implementation in a multi-site medical group found user behaviors that did not fit well with existing theories. Instead, we found that they fit better with the concept of affordances from ecological psychology. In developing our affordance-based theory of IT-associated organizational change from our field data, we discovered three gaps in the affordance literature; namely, the lack of theory for (1) the process of actualizing an affordance's potential, (2) affordances in an organizational context, and (3) bundles of interrelated affordances. This paper extends the theory of affordances to handle these three gaps and, in doing so, develops a mid-range theory for EHR-associated organizational change in a healthcare organization. While the resulting theory is specific to EHR implementations, it offers a template for other mid-range affordance-actualization theories and a more general affordance-actualization lens. Our affordance-actualization lens considers the materiality of the IT artifact, the non-deterministic process by which IT leads to organizational effects, the multilevel nature of IT-associated change processes, and the intentionality of managers and users as agents of change, and thus addresses important criteria for theories of IT effects in organizations. The paper also provides practical guidance for implementing EHR systems and other organizational systems. [PUBLICATION ABSTRACT]</description><identifier>ISSN: 1536-9323</identifier><identifier>EISSN: 1536-9323</identifier><identifier>DOI: 10.17705/1jais.00353</identifier><language>eng</language><publisher>Atlanta: Association for Information Systems</publisher><subject>Animals ; Electronic health records ; Grounded theory ; Health care industry ; Information systems ; Information technology ; Longitudinal studies ; Organization theory ; Organizational change ; Studies ; Technology adoption ; User behavior</subject><ispartof>Journal of the Association for Information Systems, 2014-02, Vol.15 (2), p.53-85</ispartof><rights>Copyright Association for Information Systems Feb 2014</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c301t-f128a48ae37da3b68b3f3987b089d3dc8dcc70359ded11b6dd3931c02f068e7f3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids></links><search><creatorcontrib>Strong, Diane</creatorcontrib><creatorcontrib>Volkoff, Olga</creatorcontrib><creatorcontrib>Johnson, Sharon</creatorcontrib><creatorcontrib>Pelletier, Lori</creatorcontrib><creatorcontrib>Tulu, Bengisu</creatorcontrib><creatorcontrib>Bar-On, Isa</creatorcontrib><creatorcontrib>Trudel, John</creatorcontrib><creatorcontrib>Garber, Lawrence</creatorcontrib><creatorcontrib>UMass Memorial Healthcare</creatorcontrib><creatorcontrib>Worcester Polytechnic Institute</creatorcontrib><creatorcontrib>Simon Fraser University</creatorcontrib><creatorcontrib>Reliant Medical Group</creatorcontrib><title>A Theory of Organization-EHR Affordance Actualization</title><title>Journal of the Association for Information Systems</title><description>While organizations implement information technology (IT) to effect change, current theories of IT-associated organizational change pay insufficient attention to the change goals, the role of IT in organizational change, and the multilevel nature of change processes. We take a fresh look at IT-associated organizational change using grounded theory methods. Our longitudinal study of an electronic health record (EHR) system implementation in a multi-site medical group found user behaviors that did not fit well with existing theories. Instead, we found that they fit better with the concept of affordances from ecological psychology. In developing our affordance-based theory of IT-associated organizational change from our field data, we discovered three gaps in the affordance literature; namely, the lack of theory for (1) the process of actualizing an affordance's potential, (2) affordances in an organizational context, and (3) bundles of interrelated affordances. This paper extends the theory of affordances to handle these three gaps and, in doing so, develops a mid-range theory for EHR-associated organizational change in a healthcare organization. While the resulting theory is specific to EHR implementations, it offers a template for other mid-range affordance-actualization theories and a more general affordance-actualization lens. Our affordance-actualization lens considers the materiality of the IT artifact, the non-deterministic process by which IT leads to organizational effects, the multilevel nature of IT-associated change processes, and the intentionality of managers and users as agents of change, and thus addresses important criteria for theories of IT effects in organizations. The paper also provides practical guidance for implementing EHR systems and other organizational systems. [PUBLICATION ABSTRACT]</description><subject>Animals</subject><subject>Electronic health records</subject><subject>Grounded theory</subject><subject>Health care industry</subject><subject>Information systems</subject><subject>Information technology</subject><subject>Longitudinal studies</subject><subject>Organization theory</subject><subject>Organizational change</subject><subject>Studies</subject><subject>Technology adoption</subject><subject>User behavior</subject><issn>1536-9323</issn><issn>1536-9323</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNpNkE9Lw0AQxRdRsFZvfoCAV1NnMm52cwylWqFQkHpeNvtHE2q27qaH-uktaQ-e3oP3eDP8GLtHmKEQwJ-w022aARCnCzZBTmVeUUGX__w1u0mpA0COgk8Yr7PNlwvxkAWfreOn7ttfPbShzxfL96z2PkSre-Oy2gx7vT2Ht-zK621yd2edso-XxWa-zFfr17d5vcoNAQ65x0LqZ6kdCaupKWVDniopGpCVJWukNUYcn62ss4hNaS1VhAYKD6V0wtOUPZx2dzH87F0aVBf2sT-eVMihKqCQXB5bj6eWiSGl6LzaxfZbx4NCUCMYNYJRIxj6AxZLVUI</recordid><startdate>20140201</startdate><enddate>20140201</enddate><creator>Strong, Diane</creator><creator>Volkoff, Olga</creator><creator>Johnson, Sharon</creator><creator>Pelletier, Lori</creator><creator>Tulu, Bengisu</creator><creator>Bar-On, Isa</creator><creator>Trudel, John</creator><creator>Garber, Lawrence</creator><general>Association for Information Systems</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>4T-</scope><scope>4U-</scope><scope>7WY</scope><scope>7WZ</scope><scope>7XB</scope><scope>87Z</scope><scope>8AL</scope><scope>8FE</scope><scope>8FG</scope><scope>8FK</scope><scope>8FL</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BEZIV</scope><scope>BGLVJ</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FRNLG</scope><scope>F~G</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>JQ2</scope><scope>K60</scope><scope>K6~</scope><scope>K7-</scope><scope>L.-</scope><scope>M0C</scope><scope>M0N</scope><scope>P5Z</scope><scope>P62</scope><scope>PQBIZ</scope><scope>PQBZA</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope></search><sort><creationdate>20140201</creationdate><title>A Theory of Organization-EHR Affordance Actualization</title><author>Strong, Diane ; 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subjects | Animals Electronic health records Grounded theory Health care industry Information systems Information technology Longitudinal studies Organization theory Organizational change Studies Technology adoption User behavior |
title | A Theory of Organization-EHR Affordance Actualization |
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