How do Sociomaterial Networks Involving Large-Scale Automation, Come into Being, Persist and Change Over Time, Within a Healthcare Environment?

摘要: The aim of this thesis is to develop a theoretical model explore how sociomaterial networks, involving large-scale automation, come into being, persist and change over time, within healthcare environment. It does so by bridging the gap between design, implementation use pathology automation (LSPA) two United Kingdom (UK) National Health Service (NHS) laboratories. A longitudinal, multi-site, ethnographic approach was used, along with semi-structured interviews, template analysis participant observation LSPA ‘in-practice’. This research has suggested that design features, embedded material properties LSPA, were purposefully intended bring about organisational change. In both user organisations, affordances resulted in anticipated skill mix changes. However, constraints required enforcement changes routines, creating operational difficulties, which then subsequently transferred across boundaries by researcher/manager. identification these constraints, conjunction humans acting as boundary objects, had unintended consequence influencing strategic decision making initiating structural cultural change. The development practical application resulting SociomANTerial allowed researcher trace analytical history time consider impact broader social structures such power. Ultimately it greater emphasis on collaboration users, designers corporate agents will result more innovative approaches for technology adoption improved design.