Presentation Session #6: Health, Care & Digitalization

When: Friday, March 13, 2026 — 13:30–15:00
Room: C.521 — Helsinki

Presentations

1. Josiane Lévesque

Title: La dynamique de négociation interne des gestionnaires face à leurs pratiques de surveillance numérique des employés

Summary: La numérisation des milieux de travail donne aux gestionnaires un accès accru à des données sur les attitudes et les comportements de leurs employés. Cette surveillance peut s’exercer au moyen de technologies explicitement conçues à cette fin, telles que les patrongiciels, ou de technologies de collaboration couramment utilisées, comme certaines fonctionnalités de Microsoft 365. Contrairement à la supervision visuelle directe, la surveillance numérique produit des données consultables à répétition et mobilisées à diverses fins par différents acteurs organisationnels. Cette étude qualitative exploratoire examine la manière dont les gestionnaires utilisent les technologies numériques pour surveiller leurs employés et comment ils négocient la légitimité de ces pratiques. S’appuyant sur 15 entretiens menés auprès de gestionnaires de divers secteurs, l’analyse met en évidence des pratiques de surveillance présentant des degrés variables d’exploration et de glissement fonctionnel. Ces pratiques sont façonnées par les conceptions du leadership et de la compétence managériale, les définitions de la performance et les contextes organisationnels. Les résultats révèlent également une ambivalence chez les gestionnaires qui mobilisent des justifications morales et normatives pour légitimer la surveillance tout en revisitant leurs croyances sur les dimensions fondamentales de la gestion (i.e., charge de travail, confiance, performance, la motivation).

2. Jamie Nam

Title: Understanding How Clinicians Respond to Perceived Threats in Electronic Health Record (EHR) Use

Summary: Electronic Health Record (EHR) systems have become ubiquitous in healthcare, yet clinicians frequently report that these systems disrupt workflows, increase administrative burden, and threaten their professional autonomy and ability to provide patient-centered care. While existing research identifies negative behaviors toward EHR. Most studies treat threat perception as a measured variable predicting acceptance rather than exploring how clinicians experience and interpret these threats through their own narratives. This research draws on lessons from my ICIS 2021 conference short paper and aims to advance it into a more rigorous contribution to information systems literature specifically in healthcare. Using a constructivist grounded theory methodology, I will inductively explore how clinicians construct meaning around perceived threats to their clinical work and what coping and adaptation strategies they employ in response. The study addresses three interrelated dimensions of complexity: (1) the multi-dimensional nature of EHR-related threats (2) how threat appraisal varies based on context and identity, and (3) the diverse coping strategies clinicians use. By grounding theory in clinician narratives and attending to organizational context, this research will provide evidence-based understanding of EHR implementation challenges and inform more effective, context-sensitive approaches to technology adoption in healthcare.

3. Victoria Oluwakemi Okesipe

Title: Designing Effective Technology-Mediated Learning Environments: A Cognitive-Affective Framework

Summary: How do ambient music, task complexity, and spaced learning influence learning performance in the context of technology-mediated learning? While prior research often treats the learner’s physical environment as neutral, this paper draws on the Cognitive-Affective Theory of Learning with Media (CATLM) to examine how task complexity, background music tempo, and spaced learning shape learning performance. Our findings reveal two distinct and somewhat surprising outcomes. First, as task complexity increases, learners’ positive mood (valence) declines, which subsequently harms performance. Second, background music tempo thus operates through a cognitive pathway: fast-tempo music increases perceived cognitive load, the mental strain experienced by learners. particularly when tasks are already complex, leading to lower performance. Finally, this study extends CATLM by showing that spaced learning, distributing study sessions over time enhances performance by sustaining attention and increasing perceived training effectiveness. Ultimately, our findings demonstrate that technology-mediated learning is an experience-sensitive process. To be effective, technology-mediated learning environments must be designed to consider learners’ cognitive effort, physical environment and their emotional well-being.

4. Félix Joly

Title: Understanding the Role of Legitimacy in the Adoption of Electronic Personal Health Records: A Multi-Stakeholder Perspective

Summary: The adoption of Electronic Personal Health Records (EPHRs) holds significant potential to enhance patient engagement, improve care coordination, and optimize health outcomes. Despite these advantages, adoption rates remain uneven, underscoring the need for a deeper understanding of factors beyond technical and individual-level barriers. This paper develops a processual framework that positions legitimacy as the central mechanism driving EPHR adoption, integrating pragmatic, moral, and cognitive dimensions. Drawing from institutional and Information Systems (IS) theories, it examines how stakeholders – patients, healthcare providers, and policymakers – construct and contest the legitimacy of EPHRs through dynamic interactions and institutional pressures. By synthesizing literature on usability, privacy concerns, ethical alignment, and social influence, this framework addresses critical gaps in existing models and provides a nuanced explanation of sustainable adoption. The paper contributes to the IS and healthcare adoption literature by offering a legitimacy-centric perspective, emphasizing the iterative nature of adoption processes and the interdependence of stakeholder perceptions.