A1 Alkuperäisartikkeli tieteellisessä aikakauslehdessä
Electronic Health Records reshaping the socio-technical practices in Long-Term Care of older persons (2020)

Hämäläinen, A., & Hirvonen, H. (2020). Electronic Health Records reshaping the socio-technical practices in Long-Term Care of older persons. Technology in society, 62, Article 101316. https://doi.org/10.1016/j.techsoc.2020.101316

Tutkimusta rahoitti strategisen tutkimuksen neuvosto, joka toimii Suomen Akatemian yhteydessä.

JYU-tekijät tai -toimittajat

Julkaisun tiedot

Julkaisun kaikki tekijät tai toimittajat: Hämäläinen, Antti; Hirvonen, Helena

Lehti tai sarja: Technology in society

ISSN: 0160-791X

eISSN: 1879-3274

Julkaisuvuosi: 2020

Volyymi: 62

Artikkelinumero: 101316

Kustantaja: Elsevier

Julkaisumaa: Britannia

Julkaisun kieli: englanti

DOI: https://doi.org/10.1016/j.techsoc.2020.101316

Julkaisun avoin saatavuus: Ei avoin

Julkaisukanavan avoin saatavuus: 

Julkaisu on rinnakkaistallennettu (JYX): https://jyx.jyu.fi/handle/123456789/72480

Tiivistelmä

Electronic Health Records (EHRs) in Long-Term Care (LTC) of older persons are expected to improve resident-centered care by reducing ambiguities in information coordination between LTC workers and organisations. While there are research findings concerning such intended outcomes, we are interested in analysing what sort of other, possibly unanticipated outcomes the use of EHRs in LTC may produce. We argue that the scrutiny of EHRs in LTC requires an understanding of their implementation as socio-technical processes, whereby EHRs are perceived as performative artifacts of LTC rather than technological tools or passive objects. While EHRs have been extensively studied in health-care settings, few studies have concentrated on eldercare settings. We aim to fill these gaps by drawing from a qualitative interview study (n = 25) conducted with Finnish LTC workers in 2018. Using thematic content analysis, we analyse how LTC workers negotiate and interpret socio-technical practices of EHR-use at their workplace. Our findings suggest that, along with improving workers’ accountability, EHRs are also considered disorganised, unrefined and burdening, thereby disrupting both the intended effects of EHRs and the continuity and the nuanced characteristics of caring.

YSO-asiasanat: vanhustenhuolto; ikääntyneet; pitkäaikaishoito; potilastietojärjestelmät; terveyskertomukset; hyvinvointiteknologia

Vapaat asiasanat: electronic health records; long-term care; STS; care technology; qualitative methods

Liittyvät organisaatiot

Hankkeet, joissa julkaisu on tehty

OKM-raportointi: Kyllä

VIRTA-lähetysvuosi: 2020

JUFO-taso: 1