Abstract
An understanding of the ways in which work coordination is achieved in practice is essential to the development of effective CSCW technologies. However, previous studies are limited in their focus on small, self-contained work groups. In this analysis of work coordination in a hospital context, a broader perspective was adopted, allowing examination of activities across time, group and location. The use of a relevant structured methodology and a focus on deviations from formal procedures enabled the consideration of a range of contextual factors in interaction: Important aspects of work coordination to emerge included: status influences on the effectiveness of working practices; the social and political uses of information; conflicts between work goals and between motivations for coordinating activities; the role of informal practices; and the use of formal procedures to regulate inter-group relations. The implications of these issues for CSCW design in the hospital context are illustrated.
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Andriessen, J. H. E. (1995): Evaluating Group Support Technology. Paper presented at the 7th European Congress on Work and Organizational Psychology, Gyor, Hungary, 19th–22nd April, 1995.
Bannon, L. and K. Schmidt (1991): CSCW: Four Characters in Search of a Context. In Studies in Computer Supported Cooperative Work, eds. J. Bowers, and S. Benford, Amsterdam: North Holland/Elsevier Science Publishers, pp. 3–16.
Barley, S. (1988): On Technology, Time and Social Order: Technically Induced Change in the Temporal Organization of Radiological Work. In Making Time: Ethnographies of High Technology Organizations, ed. F. Dubinskas, Philadelpia: Temple University Press, pp. 123–169.
Blackler, F. (1994): Post(-)modern Organizations: Understanding How CSCW Affects Organizations. Journal of Information Technology, vol. 9, pp. 129–136.
Brunsson, N. (1985): The Irrational Organization. Chichester: Wiley.
Child, J. (1984): Organization. Second Edition. London: Harper Row.
Cicourel, A. (1990): The Integration of Distributed Knowledge in Collaborative Medical Diagnosis. In Intellectual Teamwork: Social and Technological Foundations of Cooperative Work, eds. J. Galegher, R. Kraut, and C. Egido, Hillsdale, NJ: Lawrence Erlbaum, pp. 221–242.
Cooley, M. (1987): Architect or Bee? Second Edition. London: Hogarth.
Department of Health (1990): Framework for Information Systems: The Next Steps. London: HMSO.
Easterbrook, S. M., E. E. Beck, J. S. Goodlet, M. Plowman, M. Sharples, and C.C. Wood (1993): A Survey of Empirical Studies of Conflict. In CSCW. Cooperation or Conflict?, ed. S. M., Easterbrook, London: Springer-Verlag, pp. 1–68.
Eldridge, M. A., P J. Barnard, and D. A. Bekerian (1994): Autobiographical Memory and Daily Schemes at Work. Memory, vol. 2, pp. 51–74.
Feldman, M. and J. March (1981): Information in Organizations as Signal and Symbol. Administrative Science Quarterly, vol. 26, pp. 171–186.
Finholt, T., L. Sproull, and S. Kiesler (1990): Communication and Performance in ad hoc Task Groups. In Intellectual Teamwork: Social and Technological Foundations of Cooperative Work, eds. J. Galegher, R. Kraut, and C. Egido, Hillsdale, NJ: Lawrence Erlbaum, pp. 291–325.
Grudin, J. (1994): Groupware and Social Dynamics: Eight Challenges for Developers. Communications of the ACM, vol. 37, pp. 92–105.
Harper, R. (1993): Looking at Ourselves: An Examination of the Social Organization of Two Research Laboratories. In Proceedings of the Third European Conference on Computer Supported Cooperative Work, eds. G. De Michelis, C. Simone, and K. Schmidt, Dordrecht: Kluwer Academic Publishers, pp. 330–337.
Harper, R. and J. Hughes (1993): ‘What a F-ing System! Send 'em All to the Same Place and Then Expect Us to Stop'em Hitting’: Making Technology Work in Air Traffic Control. In Technology in Working Order: Studies of Work, Interaction and Technology, ed. G. Button, London: Routledge, pp. 127–144.
Heath, C. C. and P. Luff (1992): Collaboration and Control: Crisis Management and Multimedia Technology in London Underground Line Control Rooms. Computer Supported Cooperative Work, vol. 1, pp. 69–94.
Holand, U. and T. Danielsen (1991): Describing Cooperation — The Creation of Different Psychological Phenomena. In Studies in Computer Supported Cooperative Work, eds. J. Bowers and S. Benford, Amsterdam: North-Holland/Elsevier Science Publishers, pp. 17–27.
Hornby, P. and G. Symon (1994): Tracer Studies. In Qualitative Methods in Organizational Research: A Practical Guide, eds. C. Cassell and G. Symon, London: Sage Publications, pp. 167–188.
Hutchins, E. (1990): The technology of team navigation. In Intellectual Teamwork: Social and Technological Foundations of Cooperative Work, eds. J. Galegher, R. Kraut, and C. Egido, Hillsdale, NJ: Lawrence Erlbaum, pp. 191–220.
Jirotka, M., N. Gilbert, and P. Luff (1992): On the Social Organization of Organizations. Computer-Supported Cooperative Work, vol. 1, pp. 95–118.
Kling, R. (1988): Remarks in Panel Discussion on ‘CSCW: What Does It Mean?’. In Proceedings of the Conference on Computer Supported Cooperative Work. New York: ACM.
Luff, P., C. Heath, and D. Greatbatch (1992): Tasks-in-Interaction: Paper and Screen-Based Documentation in Collaborative Activity. In Proceedings of the Conference on Computer Supported Cooperative Work, eds. J. Turner and R. Kraut, New York: ACM Press, pp. 163–170.
Long, K., J. Ellis, and G. Symon (1996): Work Coordination in a Hospital Context: Insights from a Social Psychological Perspective. In preparation.
Malone, T. W. and K. Crowston (1990): What Is Coordination Theory and How Can It Help Design Cooperative Work Systems. In Proceedings of the Conference on Computer Supported Cooperative Work, ed. F. Halasz, Los Angeles, CA: ACM Press, pp. 357–370.
March, J. (1988): Decisions and Organizations. Oxford: Blackwell.
McCarthy, J. (1994): The State-of-the-Art of CSCW: CSCW Systems, Cooperative Work, and Organization. Journal of Information Technology, vol. 9, pp. 73–83.
Morgan, G. (1986): Images of Organization. London: Sage.
Morgan, M. (1991): Hospitals and Patients. In Sociology as Applied to Medicine, ed. G. Scrambler, London: Bailliere Tindall, pp. 65–80.
Nystrom, P. and W. Starbuck (1981): Handbook of Organizational Design. London: Oxford University Press.
Olson, G., J. Olson, M. Carter, and M. Storrøsten (1992): Small group design meetings: An analysis of collaboration. Human Computer Interaction, vol. 7, pp. 347–374.
Orlikowski, W. (1992): Learning from NOTES: Organizational Issues in Groupware Implementation. In Proceedings of the Conference on Computer Supported Cooperative Work, eds. J. Turner and R. Kraut, New York: ACM Press, pp. 163–170.
Polanyi, M. (1962): Tacit Knowing: Its Bearing on Some Problems of Philosophy. Review of Modern Physics, vol. 34, pp. 601–616.
Richman, J. (1987): Medicine and Health. London: Longman.
Robinson, M. (1991): Electronic Mail and Post Modern Organization. In Human Jobs and Computer Interfaces, eds. M.I. Nurimen and G. R. S. Weir, Amsterdam: North Holland/Elsevier Science Publishers, pp. 183–200.
Rogers, Y (1993): Coordinating Computer-Mediated Work. Computer Supported Cooperative Work, vol. 1, pp. 295–315.
Schein, E. (1990): Organizational Culture. American Psychologist, vol. 45, pp. 109–119.
Schmidt, K. and L. Bannon (1992): Taking CSCW Seriously. Computer Supported Cooperative Work, vol. 1, pp. 7–40.
Schneider, K. and I. Wagner (1993): Constructing the ‘Dossier Représentatif’: Computer-Based Information-Sharing in French Hospitals. Computer Supported Cooperative Work, vol. 1, pp. 229–253.
Sharples, M. (1993): A Study of Breakdowns and Repairs in a Computer-Mediated Communication System. Interacting with Computers, vol. 5, pp. 61–77.
Star, S. (1993): Cooperation without Consensus in Scientific Problem Solving: Dynamics of Closure in Open Systems. In CSCW: Cooperation or Conflict?, ed. S. M. Easterbrook, London: Springer-Verlag, pp. 93–206.
Strauss, A., S. Fagerhaugh, B. Suczek, and C. Weiner (1985): The Social Organization of Medical Work. Chicago: University of Chicago Press.
Turner, B. (1987): Medical Power and Social Knowledge. London: Sage.
Weisband, S., S. Schneider, and T. Connolly (1993): Participation Equality and Influence: Cues and Status in Computer-Supported Cooperative Work Groups. In Proceedings of the Third European Conference on Computer Supported Cooperative Work, eds. G. De Michelis, C. Simone, and K. Schmidt, Dordrecht: Kluwer Academic Publishers, pp. 265–279.
Winograd, T. (1988): A Language/Action Perspective on the Design of Cooperative Work. Human Computer Interaction, vol. 3, pp. 3–30.
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Symon, G., Long, K. & Ellis, J. The coordination of work activities: Cooperation and conflict in a hospital context. Comput Supported Coop Work 5, 1–31 (1996). https://doi.org/10.1007/BF00141934
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DOI: https://doi.org/10.1007/BF00141934