In this article, we consider how the notion of the negotiated order can be reinterpreted by drawing on ideas from sociomateriality. We argue that the negotiated order is an ongoing accomplishment in which a heterogeneous set of situated sociomaterial practices (or actors) are implicated. To do this, we draw upon an in-depth study of the use of a computerised physician order entry system in a hospital in Saudi Arabia. We explore how a computerised physician order entry system, as a new sociomaterial actor, performatively repositions the actors involved and hence offers the conditions of possibility for medical work practices to be renegotiated. We show that it is often contingent, mundane, situated sociomaterial practices that enact the conditions under which the negotiated order becomes re-established in terms of division of labour, legitimacy, collaboration, and social capital. We argue that as the social and material are co-constitutive, or intra-actional, it makes more sense to talk about the negotiated intra-actional order rather than the negotiated order. Importantly, such a change in conceptual vocabulary reveals the empirical and ontological issues at stake; essential for a more nuanced understanding of change/becoming.

中文翻译：

---

协商订单和电子病历：社会物质视角

在本文中，我们考虑如何通过借鉴社会物质性的思想来重新解释协商秩序的概念。我们认为，协商秩序是一项持续的成就，其中涉及到一组异质的社会物质实践（或行动者）。为此，我们深入研究了沙特阿拉伯一家医院计算机化医嘱录入系统的使用情况。我们探索了一个计算机化的医嘱录入系统，作为一个新的社会物质参与者，如何以表演方式重新定位所涉及的参与者，从而为重新谈判医疗工作实践提供了可能性。我们表明，往往是偶然的、平凡的、情境化的社会物质实践，制定了条件，在此条件下，谈判秩序在劳动分工、合法性、合作和社会资本。我们认为，由于社会和物质是共同构成的或行动内的，谈论协商的行动内秩序而不是协商的秩序更有意义。重要的是，概念词汇的这种变化揭示了处于危险之中的经验和本体论问题；对于更细致地理解变化/成为必不可少的。