Standardization of Work: Co-constructed Practice

  • Authors:
  • Gunnar Ellingsen;Eric Monteiro;Glenn Munkvold

  • Affiliations:
  • Department of Telemedicine, University of Tromsø, Tromsø, Norway;Department of Computer and Information Systems, Norwegian University of Science and Technology, Trondheim, Norway;Department of Information Technology, Nord-Trøndelag University College, Steinkjer, Norway

  • Venue:
  • The Information Society
  • Year:
  • 2007

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Abstract

There is strong pressure to achieve greater uniformity, standardization and application of best practices in the service professions, a sector that is growing in presence and importance. At the same time, there is a conflicting demand for the delivery of high-quality (or high-priced or "knowledge-intensive") specialized or localized services. Our article analyzes information systems-enabled standardizing of service work through an in-depth interpretative study of an ongoing standardization initiative within the field of nursing. Nursing provides a graphic illustration of the dilemmas involved in the standardization of service work. In nursing, standardization is commonly a feature of projects to improve both efficiency and quality in health care. In contrast to the dominant conception of standardization as a largely top-down, imposed process, we offer a view of standardization as incomplete, co-constructed with users, and with significant unintended consequences. The article contributes by (a) developing a theoretical perspective for the standardization of information-system-embedded service work and (2) providing operational and practical implications for system design and health care management.