Discretionary technology bootlegging tensions in institutional healthcare work

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

Research output: Contribution to journalArticlepeer-review

4 Citations (Scopus)
172 Downloads (Pure)


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 languageEnglish
Pages (from-to)73-89
Number of pages17
JournalNew Technology, Work and Employment
Issue number1
Publication statusPublished - 08 Mar 2019


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