Changes in healthcare professional work afforded by technology: The introduction of a national electronic patient record in an English hospital

摘要: This article considers changes in healthcare professional work afforded by technology. It uses the sociology of professionals’ literature together with a theory affordances to examine how and when technology allows change work. The study draws from research into introduction national electronic patient record an English hospital. We argue that affords through its materiality as it interacts practice. Its entail some level standardisation conduct practice, curtailment autonomy, enlargement nurses’ roles redistribution clinical within across boundaries. makes contribution growing advocating cultural approach technological organisations studies explore practice conjunction Two main lines argument are developed here. First, do not solely lie nor individual perceptions, but cultivated nurtured broader cultural–institutional context, our case context use. Second, affordance is realised (individual collective) perceptions (and materiality) fit their sense (professional) self. In this respect, shows extent which plays out identity frames can cannot afford restructuring power groups.