Discretionary technology bootlegging tensions in institutional healthcare work

Athanasia  Daskalopoulou; Mark Palmer; Kathy Keeling; Rowan Pritchard Jones

doi:10.1111/ntwe.12133

Discretionary technology bootlegging tensions in institutional healthcare work

Athanasia Daskalopoulou, Mark Palmer, Kathy Keeling, Rowan Pritchard Jones

Queen's Business School (QBS)

Research output: Contribution to journal › Article › peer-review

6 Citations (Scopus)

241 Downloads (Pure)

Abstract

We explore individuals who take some of their technology use ‘underground’, described as ‘bootlegging’, to enhance healthcare work. We find that healthcare professionals’ informal use of mobile applications in healthcare work sometimes ‘sticks out’ and this produces professional identity tensions: (a) conflict with perceptions of professional behavior, and (b) defilement of expert judgment. Our analysis, moreover, reveals that identity work (i.e., ‘accepting’ and ‘sensemaking’) provides a coping mechanism to deal with these unresolved professional identity tensions. This paper contributes to a better understanding of the constitutive entanglements and two-way interactions of discretionary technology bootlegging, professional identity and autonomy in institutional healthcare work.

Original language	English
Pages (from-to)	73-89
Number of pages	17
Journal	New Technology, Work and Employment
Volume	34
Issue number	1
DOIs	https://doi.org/10.1111/ntwe.12133
Publication status	Published - 08 Mar 2019

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10.1111/ntwe.12133Licence: Unspecified

Discretionary Technology Bootlegging Tensions in Institutional Healthcare Work
© 2019 Brian Towers (BRITOW) and John Wiley & Sons Ltd. This work is made available online in accordance with the publisher’s policies. Please refer to any applicable terms of use of the publisher.
Accepted author manuscript, 204 KBLicence: Unspecified

Building the institutional infrastructure for the geothermal sector in Northern Ireland
Palmer, M. (Participant), Ireland, J. (Participant), Ofterdinger, U. (Participant) & Zhang, M. (Participant)
Impact: Public Policy Impact, Environmental Impact, Societial Impact

Cite this

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title = "Discretionary technology bootlegging tensions in institutional healthcare work",

abstract = "We explore individuals who take some of their technology use {\textquoteleft}underground{\textquoteright}, described as {\textquoteleft}bootlegging{\textquoteright}, to enhance healthcare work. We find that healthcare professionals{\textquoteright} informal use of mobile applications in healthcare work sometimes {\textquoteleft}sticks out{\textquoteright} and this produces professional identity tensions: (a) conflict with perceptions of professional behavior, and (b) defilement of expert judgment. Our analysis, moreover, reveals that identity work (i.e., {\textquoteleft}accepting{\textquoteright} and {\textquoteleft}sensemaking{\textquoteright}) provides a coping mechanism to deal with these unresolved professional identity tensions. This paper contributes to a better understanding of the constitutive entanglements and two-way interactions of discretionary technology bootlegging, professional identity and autonomy in institutional healthcare work. ",

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Discretionary technology bootlegging tensions in institutional healthcare work

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Impacts

Building the institutional infrastructure for the geothermal sector in Northern Ireland

Cite this