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: (1) conflict with perceptions of professional behaviour, and (2) 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.

中文翻译：

---

机构卫生保健工作中的自由裁量技术走私紧张

我们探索了一些将自己的某些技术用于“地下”（称为“盗版”）来增强医疗保健工作的个人。我们发现，医疗保健专业人员在医疗保健工作中对移动应用程序的非正式使用有时会“突出”，这会引起专业人士的身份紧张：（1）与对专业行为的看法相冲突，（2））污专家的判断力。此外，我们的分析表明，身份工作（即“接受”和“制造”）提供了应对这些未解决的专业身份紧张局势的应对机制。本文有助于更好地理解机构医疗保健工作中的酌处性技术盗版，专业身份和自主权的本构纠缠和双向相互作用。