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首页> 外文会议>IFIP(International Federation for Information Processing) TC8 WG8.2 International Working Conference; 20080810-13; Toronto(CA) >TRANSFORMING WORK PRACTICES IN A COMPLEX ENVIRONMENT
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TRANSFORMING WORK PRACTICES IN A COMPLEX ENVIRONMENT

机译：在复杂环境中转变工作实践

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摘要

Nursing work is intertwined with a number of technologies. This paper explores the work practices in apediatric intensive care unit, and discusses some possible directions for introducing new technologies. Work in intensive care is approached as a set of complex and networked practices that are characterized by dynamism and reflexivity of situated action. We observed how, in the intensive care unit, the emerging issues and complexity of organizational action are anticipated with situational adaptability and self-ordering of action. Although the nurses are capable of adapting to rapidly changing situations, at the same time, the nursing practices are bounded by the situational rationalities, such as the information available on the patient. With new technologies, we see several opportunities for change in time-place arrangements, in coordination and communication practices, and in information sharing practices. The roles and tasks of the various octants may reformulate, and thereby possibly their skills and professional identities as well. All of this will take place when work practices, new technologies, and care processes are negotiated and made irreversible through the actions of the participants.
机译：护理工作与许多技术交织在一起。本文探讨了儿科重症监护室的工作实践，并讨论了引入新技术的一些可能方向。重症监护室的工作是通过一系列复杂且网络化的做法来进行的，这些做法的特征是情境动作的动力和自反性。我们观察到在重症监护病房中，如何根据情况的适应性和行动的自我顺序来预测新出现的问题和组织行动的复杂性。尽管护士能够适应快速变化的情况，但同时，护理实践也受到情境合理性（例如患者可用信息）的限制。借助新技术，我们看到了在时间安排，协调和沟通实践以及信息共享实践方面发生变化的几种机会。各个八分位的角色和任务可能会重新制定，因此也可能会重新定义他们的技能和专业身份。所有这些都将在工作实践，新技术和护理流程经过谈判并通过参与者的行动使其不可逆转时发生。

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