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Understanding the dynamics of learning across social worlds: A case study from implementing IS in the Ethiopian public health care system

机译：了解跨社会世界学习的动力：以在埃塞俄比亚公共卫生保健系统中实施信息系统为例

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摘要

This paper adopts a novel learning perspective on information systems development. Building on the works of Anselm Strauss we conceptualize development processes as "negotiated orders" where members from different "social worlds" encounter and negotiate differences and tensions. We argue that processes of inquiry and action are interwoven, and this is what facilitates and stimulates learning. Based on a case study where different versions of open source software were customized, further developed and implemented in the Ethiopian public health care system, this paper explores the interplay between participation, politics and learning in IS implementation and use. We consider learning to be an integral part of the social practice, and it occurs mainly through encounters and negotiations between actors from different social worlds who might have competing interests and values. The paper also analyzed how the software in question functioned as a boundary object, not just in the traditional sense by facilitating cooperation among these actors. An even more significant role of the boundary object was in bringing the existing differences to the foreground and thus stimulating negotiations and learning. As such, this paper contributes to three discourses: organizational learning, boundary objects and health information systems in developing countries in particular and more specifically to IS implementation in settings with scarce resources, heterogeneous stakeholders, and diverse interests.
机译：本文采用了关于信息系统开发的新颖学习视角。在安塞尔姆·斯特劳斯（Anselm Strauss）的作品的基础上，我们将发展过程概念化为“谈判秩序”，来自不同“社会世界”的成员会遇到并谈判分歧和紧张关系。我们认为探究和行动的过程是交织在一起的，这就是促进和激发学习的原因。基于对不同版本的开源软件进行定制，进一步开发并在埃塞俄比亚公共卫生保健系统中进行案例研究，本文探讨了信息系统实施和使用中参与，政治和学习之间的相互作用。我们认为学习是社会实践中不可或缺的一部分，学习主要是通过来自不同社会世界的参与者之间可能的冲突和谈判而进行的，这些参与者可能有相互竞争的利益和价值观。本文还通过促进这些参与者之间的合作，不仅在传统意义上分析了所讨论的软件如何充当边界对象。边界对象的一个​​甚至更重要的作用是将现有的差异置于前台，从而促进谈判和学习。因此，本文对以下三个方面做出了贡献：特别是发展中国家的组织学习，边界对象和卫生信息系统，更具体地说，是在资源稀缺，利益相关者多样化和利益不同的环境中实施信息系统。

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