Collective mindfulness in post-implementation IS adaptation processes

Data Evolution in Times of Crisis: an Organisational Mindfulness Perspective

The Covid-19 pandemic illustrates that we are never far away from situations that have a scale and impact, which are difficult to predict. Positioned at the intersection of crisis management and resilience, this insider case-study provides the opportunity for a more complete understanding of the organisation-adversity relationship (Williams et al., 2017), by focusing on the third Covid19 wave in Ireland (Dec 2020) and resulting response by an Intensive Care Unit crisis team. The study examines the evolution of seven data supply chains that were developed to support the ICU crisis team through the surge of cases which put the highest level of strain on the Irish health system since the pandemic began. The study focuses on 289 data reviews, which triggered 63 changes each requiring a new iteration of a data supply chain. Incorporating Organisational Mindfulness as the theoretical framework, the study provides an insight into the realities of data management during a crisis but also provides a rich awareness of the complexities of data management that often go unrecognised. In doing so, the study contributes the concept of 'mindful data', which aids managers to understand the key characteristics of resilient data supply chains. The study also provides a rare first-hand insight into how mindful data was constructed, presented, and evolved into an essential element within the critical care environment.

The Role of Mindfulness in Mitigating the Negative Consequences of Technostress

IT offers significant benefits both to individuals and organisations, such as during the Covid-19 pandemic where technology played a primary role in aiding remote working environments; however, IT use comes with consequences such as 'technostress' - stress arising from extended use of technology. Addressing the paucity of research related to this topic, in this study, we examine the role of mindfulness and IT mindfulness to both mitigate the impact of technostress and alleviate its negative consequences; revealing that mindfulness can reduce technostress and increase job satisfaction, while IT mindfulness can enhance user satisfaction and improve task performance. Moreover, our work sheds light on the under-researched relationship between mindfulness and IT mindfulness; showing that the latter has a stronger influence on IT related outcomes; revealing the valuable role of mindfulness and IT mindfulness in the workplace and offering important implications to theory and practice.

Putting Sense and Mind into Your Enterprise Systems: A Qualitative Study of IS Assimilation in Large Public Organizations in India

The purpose of this paper is to investigate the information systems (IS) assimilation level of an enterprise system in the post-implementation phase, through the lens of IS governance mechanisms and IS support structures, impacted by the socio-cognitive processes. The research follows a qualitative approach and builds on semi-structured interviews with enterprise system stakeholders in large public sector organizations in India. The study posits that high levels of IS governance mechanisms and high levels of IS support structures lead to a high level of IS assimilation only in the presence of higher level socio-cognitive processes. A not-so-higher level of socio-cognitive fabric results in low or moderate IS assimilation levels in spite of high levels of IS governance and/or IS support structures.

Despite close to a couple of decades of IS research on enterprise systems, IS assimilation is still an enigma for practitioners and academicians. The generalizability of the results of this study may be applicable to any public organization in a developing country, like India, which are using enterprise system solutions but are yet to reap the potential benefits. The results present a way forward for practitioners to ensure optimal resources and focus for the triad- IS governance, IS support structures and socio-cognitive processes.

Challenges in user-driven optimization of EHR: A case study of a large Epic implementation in Denmark

BACKGROUND

Research suggests that capturing the benefits of electronic health records (EHR) requires systematic and ongoing optimization of technology configuration and use after implementation. However, little is known about EHR optimization in a hospital context.

OBJECTIVE

To explore the issues and challenges involved in organizing and managing a systematic user-driven EHR optimization program.

METHODS

A longitudinal case study of an EHR optimization program launched in two large Danish hospital systems was undertaken. It involved interviewing 28 key managers, clinicians and IT staff, participating in formal and informal meetings, and reviewing policy documents, meeting minutes, teaching materials and other relevant documents.

FINDINGS

The two hospital systems are struggling to find the best way to organize and manage the optimization program. So far, the program has been a mixed success. Involving clinicians in EHR optimization poses serious dilemmas for hospital managers, who must manage two related tensions: between standardization and adaptation, and between centralized control and local autonomy.

CONCLUSION

The findings highlight the significant challenges in designing a successful EHR optimization program and underscore the importance of developing more sophisticated strategies for clinical standardization and innovation.

Sharing Frailty-related information in perioperative care: an analysis from a temporal perspective

BACKGROUND

Especially patients older than 65 years undergoing surgery are prone to develop frailty-related complications that may go far beyond the index hospitalization (e.g., cognitive impairment following postoperative delirium). However, aging-relevant information are currently not fully integrated into hospitals' perioperative processes.

METHODS

We introduce a temporal perspective, which focuses on the social construction of time, to better understand existing barriers to the exchange of frailty-related data, targeting complexity research. Our chosen context is perioperative care provided by a tertiary hospital in Germany that has implemented a special track for patients over 65 years old undergoing elective surgery. The research followed a participatory modelling approach between domain and modelling experts with the goal of creating a feedback loop model of the relevant system relationships and dynamics.

RESULTS

The results of the study show how disparate temporal regimes, understood as frameworks for organizing actions in the light of time constraints, time pressure, and deadlines, across different clinical, ambulant, and geriatric care sectors create disincentives to cooperate in frailty-related data exchanges. Moreover, we find that shifting baselines, meaning continuous increases in cost and time pressure in individual sectors, may unintentionally reinforce - rather than discourage - disparate temporal regimes.

CONCLUSIONS

Together, these results may (1) help to increase awareness of the importance of frailty-related data exchanges, and (2) impel efforts aiming to transform treatment processes to go beyond sectoral boundaries, taking into account the potential benefits for frail patients arising from integrated care processes using information technology.