Discretionary Technology Bootlegging Tensions in Institutional Healthcare Work

17 Pages Posted: 12 Mar 2019

See all articles by Athanasia Daskalopoulou

Athanasia Daskalopoulou

University of Liverpool - Management School (ULMS)

Mark Palmer

Queen's Management School; Queen's University Belfast - Queen's Management School

Kathy Keeling

University of Manchester - Alliance Manchester Business School

Rowan Pritchard Jones

University of Liverpool

Date Written: March 2019

Abstract

We explore individuals who take some of their technology use ‘underground’, described as ‘bootlegging’, to enhance healthcare work. We find that healthcare professionals’ informal use of mobile applications in healthcare work sometimes ‘sticks out’ and this produces professional identity tensions: (1) conflict with perceptions of professional behaviour, and (2) defilement of expert judgment. Our analysis, moreover, reveals that identity work (i.e. ‘accepting’ and ‘sensemaking’) provides a coping mechanism to deal with these unresolved professional identity tensions. This paper contributes to a better understanding of the constitutive entanglements and two‐way interactions of discretionary technology bootlegging, professional identity and autonomy in institutional healthcare work.

Keywords: healthcare, autonomy, professional identity, invisible work, institutions, institutional voids, healthcare work, bootlegging

Suggested Citation

Daskalopoulou, Athanasia and Palmer, Mark and Keeling, Kathy and Pritchard Jones, Rowan, Discretionary Technology Bootlegging Tensions in Institutional Healthcare Work (March 2019). New Technology, Work and Employment, Vol. 34, Issue 1, pp. 73-89, 2019. Available at SSRN: https://ssrn.com/abstract=3349343 or http://dx.doi.org/10.1111/ntwe.12133

Athanasia Daskalopoulou (Contact Author)

University of Liverpool - Management School (ULMS) ( email )

Chatham Street
Liverpool, L69 7ZH
United Kingdom

Mark Palmer

Queen's Management School ( email )

25 University Square
Belfast, BT7 1NN
Ireland

Queen's University Belfast - Queen's Management School

Riddel Hall
185 Stranmillis Road
Belfast, BT9 5EE
United Kingdom

Kathy Keeling

University of Manchester - Alliance Manchester Business School ( email )

Booth Street West
Manchester, M15 6PB
United Kingdom

Rowan Pritchard Jones

University of Liverpool

Chatham Street
Liverpool, L69 7ZA
United Kingdom

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