Discretionary technology bootlegging tensions in institutional healthcare work

Daskalopoulou, Athanasia ORCID: 0000-0003-0859-1143, Palmer, Mark, Keeling, Kathy and Pritchard-Jones, Rowan (2019) Discretionary technology bootlegging tensions in institutional healthcare work New Technology, Work and Employment, 34 (1). pp. 73-89. ISSN 0268-1072, 1468-005X

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Abstract

We explore individuals who take some of their technology use ‘underground’, described as ‘bootlegging’, to enhance healthcare work. We find that healthcare professionals’ informal use of mobile applications in healthcare work sometimes ‘sticks out’ and this produces professional identity tensions: (a) conflict with perceptions of professional behavior, and (b) defilement of expert judgment. Our analysis, moreover, reveals that identity work (i.e., ‘accepting’ and ‘sensemaking’) provides a coping mechanism to deal with these unresolved professional identity tensions. This paper contributes to a better understanding of the constitutive entanglements and two-way interactions of discretionary technology bootlegging, professional identity and autonomy in institutional healthcare work.

Item Type:	Article
Additional Information:	Source info: New Technology, Work and Employment, Vol. 34, Issue 1, pp. 73-89, 2019
Uncontrolled Keywords:	healthcare, autonomy, professional identity, invisible work, institutions, institutional voids, healthcare work, bootlegging
Depositing User:	Symplectic Admin
Date Deposited:	19 Feb 2019 16:12
Last Modified:	01 Mar 2026 08:28
DOI:	10.1111/ntwe.12133
Related Websites:	Author Publisher
URI:	https://livrepository.liverpool.ac.uk/id/eprint/3032533
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