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Emergent coordination and situated learning in a Hybrid OR: The mixed blessing of using radiation

Journal article
Authors Kajsa Lindberg
B. E. Mork
Lars Walter
Published in Social Science & Medicine
Volume 228
Pages 232-239
ISSN 0277-9536
Publication year 2019
Published at Department of Business Administration
Pages 232-239
Language en
Keywords Sweden, Situated learning, Communities of practice, Emergent coordination, New technology, Qualitative study, power relations, communities, knowledge, organizations, innovations, technology, Public, Environmental & Occupational Health, Biomedical Social Sciences
Subject categories Health Sciences


Mobilising knowledge and coordinating actions in order to make use of new innovations and technologies is a major challenge in the health care sector. Drawing upon a longitudinal, qualitative study of a Hybrid Operating Room in Sweden, we illustrate how the staff from a variety of medical specialties need to coordinate their tasks and competencies, and learn how to use the technology in a safe way. This study shows that learning across highly-professionalized communities is a recursive process of emergent coordination and situated learning, which includes the acknowledgement of others' expertise, task interdependence, and the pragmatic accommodation of latitude and control. Moreover, there was continuous negotiations between the different communities about what should constitute approved practice based on the task being performed. This obstructed the development of a dominant community with the authority to independently exclude other communities. We thus conclude that emergent coordination of tasks and expertise is an important aspect of learning how to use technologies that break with conventions of established and previously separated practices.

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Utskriftsdatum: 2020-05-29