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
Hauptverfasser: Strong, Diane, Volkoff, Olga, Johnson, Sharon, Pelletier, Lori, Tulu, Bengisu, Bar-On, Isa, Trudel, John, Garber, Lawrence
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container_issue 2
container_start_page 53
container_title Journal of the Association for Information Systems
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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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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. 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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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