The Natural Hospital Environment: A socio-technical-material perspective

Research output: Contribution to journalArticleResearchpeer-review

Abstract

This paper introduces two concepts into analyses of information security and hospital-based information systems - a Socio-Technical-Material theoretical framework and the Natural Hospital Environment. Method: The research is grounded in a review of pertinent literature with previously published Australian (Victoria) case study data to analyse the way clinicians work with privacy and security in their work. The analysis was sorted into thematic categories, providing the basis for the Natural Hospital Environment and Socio-Technical-Material framework theories discussed here. Results: Natural Hospital Environments feature inadequate yet pervasive computer use, aural privacy shortcomings, shared workspace, meagre budgets, complex regulation that hinders training outcomes and out-dated infrastructure and are highly interruptive. Discussion: Working collaboratively in many cases, participants found ways to avoid or misuse security tools, such as passwords or screensavers for patient care. Workgroup infrastructure was old, architecturally limited, haphazard in some instances, and was less useful than paper handover sheets to ensure the quality of patient care outcomes. Despite valiant efforts by some participants, they were unable to control factors influencing the privacy of patient health information in public hospital settings. Conclusion: Future improvements to hospital-based organisational frameworks for e-health can only be made when there is an improved understanding of the Socio-Technical-Material theoretical framework and Natural Hospital Environment contexts. Aspects within control of clinicians and administrators can be addressed directly although some others are beyond their control. An understanding and acknowledgement of these issues will benefit the management and planning of improved and secure hospital settings
Original languageEnglish
Pages (from-to)140 - 158
Number of pages19
JournalInternational Journal of Medical Informatics
Volume83
Issue number2
DOIs
Publication statusPublished - 2014

Cite this

@article{2a73618afb4f4a098c9c9e5982fa8843,
title = "The Natural Hospital Environment: A socio-technical-material perspective",
abstract = "This paper introduces two concepts into analyses of information security and hospital-based information systems - a Socio-Technical-Material theoretical framework and the Natural Hospital Environment. Method: The research is grounded in a review of pertinent literature with previously published Australian (Victoria) case study data to analyse the way clinicians work with privacy and security in their work. The analysis was sorted into thematic categories, providing the basis for the Natural Hospital Environment and Socio-Technical-Material framework theories discussed here. Results: Natural Hospital Environments feature inadequate yet pervasive computer use, aural privacy shortcomings, shared workspace, meagre budgets, complex regulation that hinders training outcomes and out-dated infrastructure and are highly interruptive. Discussion: Working collaboratively in many cases, participants found ways to avoid or misuse security tools, such as passwords or screensavers for patient care. Workgroup infrastructure was old, architecturally limited, haphazard in some instances, and was less useful than paper handover sheets to ensure the quality of patient care outcomes. Despite valiant efforts by some participants, they were unable to control factors influencing the privacy of patient health information in public hospital settings. Conclusion: Future improvements to hospital-based organisational frameworks for e-health can only be made when there is an improved understanding of the Socio-Technical-Material theoretical framework and Natural Hospital Environment contexts. Aspects within control of clinicians and administrators can be addressed directly although some others are beyond their control. An understanding and acknowledgement of these issues will benefit the management and planning of improved and secure hospital settings",
author = "Fernando, {Juanita Isabelle Esther} and Dawson, {Linda Louise}",
year = "2014",
doi = "10.1016/j.ijmedinf.2013.10.008",
language = "English",
volume = "83",
pages = "140 -- 158",
journal = "International Journal of Medical Informatics",
issn = "1386-5056",
publisher = "Elsevier",
number = "2",

}

The Natural Hospital Environment: A socio-technical-material perspective. / Fernando, Juanita Isabelle Esther; Dawson, Linda Louise.

In: International Journal of Medical Informatics, Vol. 83, No. 2, 2014, p. 140 - 158.

Research output: Contribution to journalArticleResearchpeer-review

TY - JOUR

T1 - The Natural Hospital Environment: A socio-technical-material perspective

AU - Fernando, Juanita Isabelle Esther

AU - Dawson, Linda Louise

PY - 2014

Y1 - 2014

N2 - This paper introduces two concepts into analyses of information security and hospital-based information systems - a Socio-Technical-Material theoretical framework and the Natural Hospital Environment. Method: The research is grounded in a review of pertinent literature with previously published Australian (Victoria) case study data to analyse the way clinicians work with privacy and security in their work. The analysis was sorted into thematic categories, providing the basis for the Natural Hospital Environment and Socio-Technical-Material framework theories discussed here. Results: Natural Hospital Environments feature inadequate yet pervasive computer use, aural privacy shortcomings, shared workspace, meagre budgets, complex regulation that hinders training outcomes and out-dated infrastructure and are highly interruptive. Discussion: Working collaboratively in many cases, participants found ways to avoid or misuse security tools, such as passwords or screensavers for patient care. Workgroup infrastructure was old, architecturally limited, haphazard in some instances, and was less useful than paper handover sheets to ensure the quality of patient care outcomes. Despite valiant efforts by some participants, they were unable to control factors influencing the privacy of patient health information in public hospital settings. Conclusion: Future improvements to hospital-based organisational frameworks for e-health can only be made when there is an improved understanding of the Socio-Technical-Material theoretical framework and Natural Hospital Environment contexts. Aspects within control of clinicians and administrators can be addressed directly although some others are beyond their control. An understanding and acknowledgement of these issues will benefit the management and planning of improved and secure hospital settings

AB - This paper introduces two concepts into analyses of information security and hospital-based information systems - a Socio-Technical-Material theoretical framework and the Natural Hospital Environment. Method: The research is grounded in a review of pertinent literature with previously published Australian (Victoria) case study data to analyse the way clinicians work with privacy and security in their work. The analysis was sorted into thematic categories, providing the basis for the Natural Hospital Environment and Socio-Technical-Material framework theories discussed here. Results: Natural Hospital Environments feature inadequate yet pervasive computer use, aural privacy shortcomings, shared workspace, meagre budgets, complex regulation that hinders training outcomes and out-dated infrastructure and are highly interruptive. Discussion: Working collaboratively in many cases, participants found ways to avoid or misuse security tools, such as passwords or screensavers for patient care. Workgroup infrastructure was old, architecturally limited, haphazard in some instances, and was less useful than paper handover sheets to ensure the quality of patient care outcomes. Despite valiant efforts by some participants, they were unable to control factors influencing the privacy of patient health information in public hospital settings. Conclusion: Future improvements to hospital-based organisational frameworks for e-health can only be made when there is an improved understanding of the Socio-Technical-Material theoretical framework and Natural Hospital Environment contexts. Aspects within control of clinicians and administrators can be addressed directly although some others are beyond their control. An understanding and acknowledgement of these issues will benefit the management and planning of improved and secure hospital settings

UR - http://goo.gl/UgDr6G

U2 - 10.1016/j.ijmedinf.2013.10.008

DO - 10.1016/j.ijmedinf.2013.10.008

M3 - Article

VL - 83

SP - 140

EP - 158

JO - International Journal of Medical Informatics

JF - International Journal of Medical Informatics

SN - 1386-5056

IS - 2

ER -