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Learning in home care: a digital artifact as a designated boundary object-in-use
University West, School of Business, Economics and IT, Divison of Informatics.ORCID iD: 0000-0002-4563-0001
University West, School of Business, Economics and IT, Divison of Informatics. (LINA)ORCID iD: 0000-0002-6101-3054
2017 (English)In: Journal of Workplace Learning, ISSN 1366-5626, E-ISSN 1758-7859, Vol. 29, no 7-8, p. 577-587Article in journal (Refereed) Published
Abstract [en]

Purpose: The aim of this paper is to understand how the role of an mHealth artifact plays out in home care settings. An mHealth artifact, in terms of a mobile app, was tested to see how the quality of home care work practice was enhanced and changed. The research question is: In what ways does an mHealth artifact re-shape a home care practice and how does this affect the interaction between caregivers and the elderly and learning opportunities for the caregivers? Design/methodology/approach: An action research approach was taken and the study was conducted in a home care organization in a Swedish municipality. The data were collected through semi-structured interviews and observations that were conducted during home visits. Concepts of learning and boundary objects were used to analyze and distinguish interactions and conversations with the mHealth artifact. Findings: The study shows how an mHealth artifact is re-shaping a home care practice and how this affects interactions and identifies learning opportunities. Views on the mHealth artifact as a designated boundary object as well as a boundary object-in-use must co-exist. Originality/value: The study provides qualitative descriptions from using an mHealth artifact for home care, which is an emerging area of concern for both research and practice. It focuses on the interactional and organizational values generated from the actual use of the designed mobile application. © 2017, © Emerald Publishing Limited.

Place, publisher, year, edition, pages
Emerald Group Publishing Ltd. , 2017. Vol. 29, no 7-8, p. 577-587
Keywords [en]
nformal learning, Information systems, mHealth, Boundary object-in-use, Caring conversation, Designated boundary object
National Category
Nursing Interaction Technologies
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
URN: urn:nbn:se:hv:diva-11919DOI: 10.1108/JWL-04-2016-0027Scopus ID: 2-s2.0-85034839866OAI: oai:DiVA.org:hv-11919DiVA, id: diva2:1165072
Available from: 2017-12-12 Created: 2017-12-12 Last updated: 2018-08-13Bibliographically approved
In thesis
1. Platformization: Co-Designing Digital Platforms in Practice
Open this publication in new window or tab >>Platformization: Co-Designing Digital Platforms in Practice
2018 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Digital platforms are slowly becoming an important part of both research and everyday work. However, much of the research focus has been on platforms that are already established. Little focus has been on platformization (i.e., design, development and use of platforms in the nascent phases) and the socio-technical aspects of designing platforms for specific practices or purposes, i.e., practicebased platforms. While it is truly important to understand technological aspects and market logics of platform efforts, it is also to understand how platforms become platforms, when designing them alongside end-users. This thesis contributes to the platform discussion with research that focuses both on the technological sides of building platforms while also unpacking the social aspectsof the collaborative design situation (i.e., co-design) and development where endusers meet and later use the platforms. This thesis explores the research questions:How can practice-based platforms be designed and developed? What impact does end-user engagement in platformization have on the practices involved? How can platformization efforts be approached and researched? through a study of the design of platforms in care settings, one 2.5–year study within home care and one 2.5–year study within cancer rehabilitation where the end-users' practices involved in the co-design processes are caregivers and care recipients in bothstudies. This thesis thereby unpacks the platformization process through a roughly five–year longitudinal AR project, based on these two studies. With thehelp of the boundary literature, the design, development and use of platforms inthe nascent phases of platformization is analysed in these two studies. Through aco-design effort in both studies, the practices that are going to use the platforms contribute to a) the design of which boundary resources (i.e., modules in terms of code blocks) will be developed within the platform; b) the design of the boundary object (i.e., working tools in terms of apps) that they are using together inconsensus; and c) the design of a boundary practice in which they will later use the digital artifacts together. The end-users' practices had impact on the design of all layers of the platform through the co-design approach, including an influence on the boundary resources that were developed within the platform. The platforms also had impact on the practices, which designed new ways of interacting. The results thereby both show the impact of the end-users' practices (caregivers and care recipients, which are heterogeneous) on the platform design, as well as the impact of the platform on the design of their boundary practice. In this thesis, the design and development of the two platforms is thereby researched and the design of the platforms is validated by studying the use of the platformsas well. The main contribution of this thesis is a conceptualization of the platformization process where the key characteristics of designing such platforms with heavy user engagement are illustrated in a platformization model and in seven platformization principles.

Place, publisher, year, edition, pages
Trollhättan: University West, 2018. p. 123
Series
PhD Thesis: University West ; 25
Keywords
Platforms; Platformization; Co-design; Practice-based platforms; Healthcare; Care sector; Home care; Cancer rehabilitation; Nascent phases of platformization; Action research; Boundary resources; Boundary objects; Boundary practice; Platformization principles, Plattformar; Plattformisering; Co-design; Praktikplattformar; hälso- och sjukvård; Hemtjänst; Cancer rehabilitering; Tidiga faser av plattformisering; Aktionsforskning; Gränsresurser; Gränsobjekt; Gränspraktik; Plattformiseringsprinciper
National Category
Information Systems, Social aspects
Research subject
Work Integrated Learning; SOCIAL SCIENCE, Informatics
Identifiers
urn:nbn:se:hv:diva-12821 (URN)978-91-88847-02-7 (ISBN)978-91-88847-01-0 (ISBN)
Public defence
2018-08-31, Albertsalen, Trollhättan, 13:00 (English)
Opponent
Supervisors
Available from: 2018-08-13 Created: 2018-08-13 Last updated: 2018-08-13Bibliographically approved

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Islind, Anna SigridurLundh Snis, Ulrika

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