The negotiated order and electronic patient records: a sociomaterial perspective

Introna, L.D., Hayes, N. ORCID: 0000-0001-8718-4671 and Al-Hejin, Z., 2019. The negotiated order and electronic patient records: a sociomaterial perspective. Journal of Information Technology, 34 (4), pp. 333-349. ISSN 0268-3962

1603501_Hayes.pdf - Accepted version

Download (656kB) | Preview


In this article, we consider how the notion of the negotiated order can be reinterpreted by drawing on ideas from sociomateriality. We argue that the negotiated order is an ongoing accomplishment in which a heterogeneous set of situated sociomaterial practices (or actors) are implicated. To do this, we draw upon an in-depth study of the use of a computerised physician order entry system in a hospital in Saudi Arabia. We explore how a computerised physician order entry system, as a new sociomaterial actor, performatively repositions the actors involved and hence offers the conditions of possibility for medical work practices to be renegotiated. We show that it is often contingent, mundane, situated sociomaterial practices that enact the conditions under which the negotiated order becomes re-established in terms of division of labour, legitimacy, collaboration, and social capital. We argue that as the social and material are co-constitutive, or intra-actional, it makes more sense to talk about the negotiated intra-actional order rather than the negotiated order. Importantly, such a change in conceptual vocabulary reveals the empirical and ontological issues at stake; essential for a more nuanced understanding of change/becoming.

Item Type: Journal article
Publication Title: Journal of Information Technology
Creators: Introna, L.D., Hayes, N. and Al-Hejin, Z.
Publisher: Sage
Date: December 2019
Volume: 34
Number: 4
ISSN: 0268-3962
Divisions: Professional Services > The Directorate
Record created by: Jonathan Gallacher
Date Added: 28 Sep 2022 08:34
Last Modified: 28 Sep 2022 08:34

Actions (login required)

Edit View Edit View


Views per month over past year


Downloads per month over past year