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Performing boundary work: The emergence of a new practice in a hybrid operating room

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  • Lindberg, Kajsa
  • Walter, Lars
  • Raviola, Elena

Abstract

This paper addresses the processes of boundary work, in relation to the introduction of new technology, unfolding during the emergence of new medical practices. Inspired by Gieryn's fluid and practical view of boundaries and boundary work, and by Actor-Network Theory's description of scripting processes, we study the processes of negotiating and (re-)constructing boundaries in order to reveal both the interactions between different kinds of boundary work and their situatedness in the context of the emerging practice. We conducted a longitudinal and qualitative study of a generic Hybrid Operating Room at a Swedish university hospital, where sophisticated imaging devices are combined with open surgery procedures in a single room; consequently, medical requirements regarding radiology, surgery and anesthesia, as well as the specificities of the new technology, all need to be met at the same time. The study shows how the visibility of boundaries is a result of as well as a condition for boundary work, how boundary work is a dynamic and iterative process, and how it unfolds in a recursive relationship between practice and boundaries.

Suggested Citation

  • Lindberg, Kajsa & Walter, Lars & Raviola, Elena, 2017. "Performing boundary work: The emergence of a new practice in a hybrid operating room," Social Science & Medicine, Elsevier, vol. 182(C), pages 81-88.
    • Handle: RePEc:eee:socmed:v:182:y:2017:i:c:p:81-88
    DOI: 10.1016/j.socscimed.2017.04.021
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    2. Miner, Skye A., 2019. "Demarcating the dirty work: Canadian Fertility professionals’ use of boundary-work in contentious egg donation," Social Science & Medicine, Elsevier, vol. 221(C), pages 19-26.
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    4. Wiltshire, Gareth & Pullen, Emma & Brown, Frankie F. & Osborn, Mike & Wexler, Sarah & Beresford, Mark & Tooley, Mark & Turner, James E., 2020. "The experiences of cancer patients within the material hospital environment: Three ways that materiality is affective," Social Science & Medicine, Elsevier, vol. 264(C).
    5. Go Jefferies, Josephine & Bishop, Simon & Hibbert, Sally, 2019. "Customer boundary work to navigate institutional arrangements around service interactions: Exploring the case of telehealth," Journal of Business Research, Elsevier, vol. 105(C), pages 420-433.
    6. Lindberg, Kajsa & Mørk, Bjørn Erik & Walter, Lars, 2019. "Emergent coordination and situated learning in a Hybrid OR: The mixed blessing of using radiation," Social Science & Medicine, Elsevier, vol. 228(C), pages 232-239.

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