این فایل شامل مقاله و پاورپوینت مربوط به آن میباشد

Objective: The purpose of this paper is to demonstrate how current visual representations of
organizational and technological processes do not fully account for the variability present
in everyday practices. We further demonstrate how narrative networks can augment these
representations to indicate potential areas for successful or problematic adoption of new
technologies and potential needs for additional training.
Methods: We conducted a qualitative study ofthe processes and routines at a major academic
medical center slated to be supported by the development and installation ofa new compre
hensive HIT system. We used qualitative data collection techniques including observations
of the activities to be supported by the new system and interviews with department heads,
researchers, and both clinical and non-clinical staff. We conducted a narrative network anal
ysis of these data by choosing exemplar processes to be modeled, selecting and analyzing
narrative fragments, and developing visual representations of the interconnection of these
i