ABSTRACT This study draws upon sensemaking theory to (a) explore the cues healthcare providers extract from their workplace environment to make sense of their advanced information technology (AIT) workarounds and (b) offer an AIT workaround sensemaking model for future research. A thematic analysis was conducted using interview data from 27 (N = 27) physicians and nurses in one hospital organization. In addition to understanding how AIT-use issues are bracketed and labeled, this study demonstrates the important role workplace communication factors play in providers’ retrospective AIT workaround sensemaking. Providers frequently made sense of their AIT workarounds by claiming AIT use (a) negatively impacts organizational communication and (b) constrains verbal and nonverbal immediacy with patients – both of which conflicted with their acquired mental models for patient care. Theoretical and practical implications for healthcare leaders are offered in addition to future directions.

中文翻译：

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“我现在可以告诉您，EHR无法改善沟通。它不会改善医疗保健'：了解提供商如何理解高级信息技术的解决方法

摘要本研究基于感官分析理论，（a）探索医疗保健提供者从其工作场所环境中提取的线索，以理解其先进的信息技术（AIT）解决方法；以及（b）为未来的研究提供一种AIT解决方法感官模型。使用来自一个医院组织的27位（N = 27）医师和护士的访谈数据进行了主题分析。除了了解如何对AIT使用问题进行分类和标记外，本研究还证明了工作场所沟通因素在提供商追溯性AIT解决方法意义上的重要作用。提供者常常声称AIT的使用（a）对组织的沟通产生负面影响，并且（b）限制对患者的言语和非言语直接性，这常常使他们理解AIT的变通方法-两者都与他们获得的用于患者护理的心理模型相矛盾。除了未来的方向，还为医疗保健领导者提供了理论和实践意义。