Please use this identifier to cite or link to this item:

The influence of information systems affordances on work practices in high velocity, high reliability organizations : a relational coordination approach

File Description Size Format  
Sebastian_Ina_r.pdf Version for non-UH users. Copying/Printing is not permitted 2.04 MB Adobe PDF View/Open
Sebastian_Ina_uh.pdf Version for UH users 2.13 MB Adobe PDF View/Open

Item Summary Sebastian, Ina M. 2015-10-02T20:52:50Z 2015-10-02T20:52:50Z 2014-08
dc.description Ph.D. University of Hawaii at Manoa 2014.
dc.description Includes bibliographical references.
dc.description.abstract This dissertation research investigates the interrelationships between information systems affordances and relational coordination in high velocity, high reliability organizations. Based on a qualitative case study of an intensive care unit and a general medical /surgical unit, I identified a set of nine distinct foundational information systems affordances for coordination related to accessibility and integration of information. Four affordances (i.e., Immediacy, Comprehensiveness, Interpretability, Visibility) were particularly essential for effective coordination in the high velocity environment. Enactments of information systems affordances within groups depended on feature fit as defined in the information systems affordance literature, but as importantly also on use of the electronic health record system by others and rules and regulations. Enactment variations of the four essential information systems affordances enabled or constrained relational coordination on a day-to-day practice level, depending on how team members incorporated verbal communication with adaptive or non-adaptive enactments of the meta-level affordances for Facilitation, Supplementation or Substitution of verbal communication in situations with varying time constraints and complexity. This research contributes to the literature on information systems affordances by highlighting the importance of use variations by team members in addition to feature fit, and by proposing a meta level of affordances that contextualizes effects of foundational affordances on relational coordination. It further contributes to the literature on the implications of health IT on practices by showing how enactment variations of information systems affordances reflected collaborative relationships among professional groups and reinforced rather than mitigated challenging relationships among team members. Finally, this study contributes to the literature on Relational Coordination Theory by proposing an additional, distinct communication dimension 'comprehensive communication', which was critical for enabling the relational dimensions in day-to-day practice. The research highlights the importance of the practice level to examine effects of health IT on the relational dimensions of relational coordination.
dc.language.iso eng
dc.publisher [Honolulu] : [University of Hawaii at Manoa], [August 2014]
dc.relation Theses for the degree of Doctor of Philosophy (University of Hawaii at Manoa). International Management.
dc.rights All UHM dissertations and theses are protected by copyright. They may be viewed from this source for any purpose, but reproduction or distribution in any format is prohibited without written permission from the copyright owner.
dc.subject intensive care unit
dc.title The influence of information systems affordances on work practices in high velocity, high reliability organizations : a relational coordination approach
dc.type Thesis
dc.type.dcmi Text
Appears in Collections: Ph.D. - International Management

Please email if you need this content in ADA-compliant format.

Items in ScholarSpace are protected by copyright, with all rights reserved, unless otherwise indicated.