Socio-technical Issues Research Articles

Narrating the sociotechnical mess

Abstract This article investigates how the core features of narratives and the logic of storytelling are manifested in stories told by the developers and users of an information system and how they may adversely affect their perceptions of the ongoing implementation process. Information systems and the way they operate create a negative cycle where primarily problems possess tellability. We identify a negative masterplot dominating the narratives surrounding information system projects. We examine an ongoing public sector healthcare information system project by analysing both the written narratives of frustrated health and social care professionals on a social media channel and the oral narratives told by employees of the project organisation. These stories reveal a narrative struggle and various strategies, such as positioning, used in sense-making. We suggest that a better understanding of how narratives function could help disentangle the sociotechnical issues involving information system developers and users.

Identifying Facilitators and Barriers to Implementation of AI-Assisted Clinical Decision Support in an Electronic Health Record System.

Recent advancements in computing have led to the development of artificial intelligence (AI) enabled healthcare technologies. AI-assisted clinical decision support (CDS) integrated into electronic health records (EHR) was demonstrated to have a significant potential to improve clinical care. With the rapid proliferation of AI-assisted CDS, came the realization that a lack of careful consideration of socio-technical issues surrounding the implementation and maintenance of these tools can result in unanticipated consequences, missed opportunities, and suboptimal uptake of these potentially useful technologies. The 48-h Discharge Prediction Tool (48DPT) is a new AI-assisted EHR CDS to facilitate discharge planning. This study aimed to methodologically assess the implementation of 48DPT and identify the barriers and facilitators of adoption and maintenance using the validated implementation science frameworks. The major dimensions of RE-AIM (Reach, Effectiveness, Adoption, Implementation, Maintenance) and the constructs of the Consolidated Framework for Implementation Research (CFIR) frameworks have been used to analyze interviews of 24 key stakeholders using 48DPT. The systematic assessment of the 48DPT implementation allowed us to describe facilitators and barriers to implementation such as lack of awareness, lack of accuracy and trust, limited accessibility, and transparency. Based on our evaluation, the factors that are crucial for the successful implementation of AI-assisted EHR CDS were identified. Future implementation efforts of AI-assisted EHR CDS should engage the key clinical stakeholders in the AI tool development from the very inception of the project, support transparency and explainability of the AI models, provide ongoing education and onboarding of the clinical users, and obtain continuous input from clinical staff on the CDS performance.

Moving beyond Technical Issues to Stakeholder Involvement: Key Areas for Consideration in the Development of Human-Centred and Trusted AI in Healthcare

Discussion around the increasing use of AI in healthcare tends to focus on the technical aspects of the technology rather than the socio-technical issues associated with implementation. In this paper, we argue for the development of a sustained societal dialogue between stakeholders around the use of AI in healthcare. We contend that a more human-centred approach to AI implementation in healthcare is needed which is inclusive of the views of a range of stakeholders. We identify four key areas to support stakeholder involvement that would enhance the development, implementation, and evaluation of AI in healthcare leading to greater levels of trust. These are as follows: (1) aligning AI development practices with social values, (2) appropriate and proportionate involvement of stakeholders, (3) understanding the importance of building trust in AI, (4) embedding stakeholder-driven governance to support these activities.

“The facts alone will not save us”

This workshop aims to explore speculative fiction as a form of educational enquiry and practice. In this pursuit it draws upon the provocative contention of Ruha Benjamin (2016) that “the facts, alone, will not save us.” Instead, she argues, “social change requires novel fictions that reimagine and rework all that is taken for granted about the current structure of society. Such narratives are not meant to convince others of what is, but to expand our own visions of what is possible” (Benjamin, 2016).The ethical implications of educational technologies (EdTech) from simple classroom tools to almighty platforms are raising increasing concerns. These are postdigital concerns insofar as they are inescapable yet also emergent and ongoing. They are amplified by the power and influence of AI (Bozkurt et al, 2023; Cox et al 2023) with its implications for fraud, scams, surveillance, privacy and more fundamentally encodings of privileged norms of race, gender, sexuality, religion and so on. In addition the material and carbon costs of digital learning may force us to reckon with EdTech as inherently ecologically destructive (Selwyn, 2021).Is this to say that all our futures are grim and that hope has been foreclosed? Or if not, how can we work together to plot our way out of these problems? Indeed, would trying to solve all of this too quickly be part of the problem and start another round of techno-solutionism? One approach that has seen increasing attention is the use of storytelling as a sense-making activity that may allow us to first “stay with the trouble” (Harraway, 2020) and describe it, before rushing to the fix. This recent speculative turn has seen educational researchers attempt to cast themselves as writers of fictions that can explore the multitude of interrelated socio-technical issues that are characteristic of complex contemporary networked learning environments (Houlden & Veletsianos, 2023; Hrastinski, 2023; Selwyn et al., 2020; Macgilchrist et al., 2020). It has seen teachers and educators developing or adopting speculative scenarios as tools for students to explore the types of socio-technical entanglements that our world now involves (Krutka et al., 2022).In this workshop participants will co-create speculative fictions that explore hopeful and dystopic possibilities of education. Participants will explore the development of educational fictions based on speculative futuring, of no-yet-ness (Ross, 2017), but also alternative histories that might allow us see the prospective tools of our work, including texts, as neither neutral nor ahistorical. The concept of anti-patterns and deliberately destructive design will be introduced to allow participants to pull on conceptual threads that help unravel education as a relentless and progressive assembly and instead see it as a story that may be unlearned and retold.In summary this workshop provides an invitation to participants to use their deep imaginative capabilities to dream new educational interfaces, via speculative fiction, that allow us to be more awake and alive to ourselves, our students and the communities we serve.

IT Research in Marginalized Contexts: An Evolving Landscape

Information systems (IS) scholars are gradually conducting research on socio-technical issues in marginalized contexts to uncover inequities and injustices and empower them through technology. In support of the evolving IS research landscape, a dedicated track on IT, social justice, and marginalized contexts was organized at HICSS 2024 that would allow the IS community to attract, promote, and grow research on marginalized contexts systematically and deliberately. This editorial presents a brief overview of the ten mini-tracks accepted as a part of this special HICSS 2024 track and highlights the prominent themes showcased in the 39 accepted papers. The editorial calls for IS scholars to challenge the hegemonic conduct of IS research and advance scholarship in this space by prioritizing intellectual conversations that mitigate the risks of constructing a future where technological spaces, digital applications, and machine intelligence mirror a narrow and privileged vision of society with its biases and stereotypes. The editorial concludes with a call to collectively seed a scholarly legacy in IT research within marginalized contexts at HICSS.

Engineering for Whom? Investigating How Engineering Students Develop and Apply Technoskeptical Thinking

College engineering education prioritizes technical knowledge and skills, but there is growing recognition that it must also address the social and societal implications of engineering work. Beyond professional ethics, engineers need to develop broader understandings of how engineering and technology interact with and impact individuals and communities. This study focuses on the development of engineering students’ ‘technoskeptical’ ways of thinking, defined as their ability to think about technologies as more than neutral tools and analyze their complex interactions with sociotechnical systems and values. Students in the study were incoming first-year engineering students who participated in a four-week summer bridge program. The program included a course called ‘engineering design for humans and the environment,’ which foregrounded sociotechnical issues and was designed to promote technoskeptical thinking. To assess students’ uptake of technoskepticism, they completed a pre and post task on which they analyzed the unintended effects of outdoor street lighting. Although students engaged in similar technoskeptical inquiries during the design course, this study found that students tended not to transfer those emergent skills to the street lighting task. The results indicate a need to expand instructional efforts so that students more fully internalize technoskeptical practices and apply them to novel situations.

The ritualisation of the surgical safety checklist and its decoupling from patient safety goals.

Patient harm, patient safety and their governance have been ongoing concerns for policymakers, care providers and the public. In response to high rates of adverse events/medical errors, the World Health Organisation (WHO) advocated the use of surgical safety checklists (SSC) to improve safety in surgical care. Canadian health authorities subsequently made SSC use a mandatory organisational practice, with public reporting of safety indicators for compliance tied to pre-existing legislation and to reimbursements for surgical procedures. Perceived as the antidote for socio-technical issues in operating rooms (ORs), much of the SSC-related research has focused on assessing clinical and economic effectiveness, worker perceptions, attitudes and barriers to implementation. Suboptimal outcomes are attributed to implementations that ignored contexts. Using ethnographic data from a study of SSC at an urban teaching hospital (C&C), a critical lens and the concepts of ritual and ceremony, we examine how it is used, and theorise the nature and implications of that use. Two rituals, one improvised and one scripted, comprised C&C's SSC ceremony. Improvised performances produced dislocations that were ameliorated by scripted verification practices. This ceremony produced causally opaque links to patient safety goals and reproduced OR/medical culture. We discuss the theoretical contributions of the study and the implications for patient safety.

A case study on the implementation of location tracking technologies for productivity monitoring: understanding workers’ acceptance and socio-technical implications

Automated real-time data collection is becoming more prevalent in construction, with workers’ location data being a pivotal component in detecting poor logistics and inefficient construction flows. However, the collection of location data for productivity monitoring raises significant concerns about privacy and wellbeing implications for workers. Implementing such technological solutions requires an understanding of how humans may respond to sensor-based automated data collection, making this a socio-technical issue. This study identifies the drivers of construction workers’ acceptance of radio-based location tracking technology for productivity measurement using a modified Technology Acceptance Model (TAM) and offers a sociotechnical understanding of technology acceptance with implications for managing how new technologies are introduced on construction projects. Using a large residential project in Lima, Peru as a case study, construction workers were monitored using Bluetooth Low Energy (BLE) technology, and data were gathered using mixed methods. A k-means clustering analysis showed two forms of acceptance among workers: supporters (37%) and acceptance with reservations (63%). Partial least squares Structural Equation Modelling (PLS-SEM) results showed that perceived usefulness and perceived stress underpinned workers’ attitudes and intention to accept the technology. Perceived privacy risk, however, emerged as the sole most significant predictor at the end of the monitoring process. Findings further suggest that workers’ acceptance of the technology is influenced by the perception that it is also beneficial for safety management. Building on the preceding, the paper highlights the need for employee orientation focused on addressing perceived privacy concerns by leveraging positive perceptions about using monitoring technologies for improving onsite safety, logistics and productivity. This requires management of construction firms to develop narratives that reflect their goals for rolling out technologies in ways that ensure workers’ buy-in, and a re-focus on problem framing and collective approaches to identifying functional and less intrusive forms of monitoring technologies.

Transitioning to a Commercial Dashboarding System: Socio-Technical Observations and Opportunities.

Many long-established, traditional manufacturing businesses are becoming more digital and data-driven to improve their production. These companies are embracing visual analytics in these transitions through their adoption of commercial dashboarding systems. Although a number of studies have looked at the technical challenges of adopting these systems, very few have focused on the socio-technical issues that arise. In this paper, we report on the results of an interview study with 17 participants working in a range of roles at a long-established, traditional manufacturing company as they adopted Microsoft Power BI. The results highlight a number of socio-technical challenges the employees faced, including difficulties in training, using and creating dashboards, and transitioning to a modern digital company. Based on these results, we propose a number of opportunities for both companies and visualization researchers to improve these difficult transitions, as well as opportunities for rethinking how we design dashboarding systems for real-world use.

“Garbage Bags Full of Files”: Exploring Sociotechnical Perceptions of Formats within the Recovery and Reuse of Scientific Data

ABSTRACTThis paper explores the social and technical perceptions of physical and digital formats as they relate to work in the recovery and reuse of scientific data, specifically historical, archival, and defunct data sources. Proprietary and obsolete formats, or formats that need significant transformation work, stand out as central challenges for scientists and data curators who are recovering reusable data from archival or legacy data sources. The challenges confronting data sharing and reuse of contemporary scientific data are already known to be myriad; formats often pose a major, compounding challenge to retrospective data curation research and practice. Based on 23 qualitative interviews with practitioners conducting data recovery and reuse, ranging from marine biologists to data librarians, we study how they understand, engage with, and utilize formats within their data curation work. This paper enumerates the formats deployed throughout the scientific data curation process and explores how practitioners creating and curating scientific data based on historical and archival materials encounter, make sense of, and utilize formats. The paper focuses on practitioner perceptions of formats around the following themes: how practitioners' historical relationships to certain challenging formats inform their ongoing curation practices; the importance of contexts in prioritizing or ignoring formats within scientific curation work; and how formats reveal larger sociotechnical issues. The paper concludes by with practical and theoretical implications of navigating formats within the recovery and reuse of scientific data and offers suggestions for reconfiguring formats within broader data curation lifecycles.

Metaphors in Voice User Interfaces: A Slippery Fish

We explore a range of different metaphors used for Voice User Interfaces (VUIs) by designers, end-users, manufacturers, and researchers using a novel framework derived from semi-structured interviews and a literature review. We focus less on the well-established idea of metaphors as a way for interface designers to help novice users learn how to interact with novel technology, and more on other ways metaphors can be used. We find that metaphors people use are contextually fluid, can change with the mode of conversation, and can reveal differences in how people perceive VUIs compared to other devices. Not all metaphors are helpful, and some may be offensive. Analyzing this broader class of metaphors can help understand, perhaps even predict problems. Metaphor analysis can be a low-cost tool to inspire design creativity and facilitate complex discussions about sociotechnical issues, enabling us to spot potential opportunities and problems in the situated use of technologies.

Nuclear waste as a socio-technical problem

In public discussion, high-level nuclear waste is often referred to as an exceptional environmental problem. It is indeed an exceptional problem, but not primarily because of the permanent threat that nuclear waste poses to future generations, as is usually argued. Its exceptionality rather stems from socio-technical factors that create deadlocks and dilemmas, thus hampering and delaying decision-making. This article provides an overview of major socio-technical issues pertaining to nuclear waste, including some that have been neglected in previous literature, and thus contributes to technology assessment in this field.

Understanding Contexts and Challenges of Information Management for Epilepsy Care.

Epilepsy is a common chronic neurological disease. People with epilepsy (PWE) and their caregivers face several challenges related to their epilepsy management, including quality of care, care coordination, side effects, and stigma management. The sociotechnical issues of the information management contexts and challenges for epilepsy care may be mitigated through effective information management. We conducted 4 focus groups with 5 PWE and 7 caregivers to explore how they manage epilepsy-related information and the challenges they encountered. Primary issues include challenges of finding the right information, complexities of tracking and monitoring data, and limited information sharing. We provide a framework that encompasses three attributes - individual epilepsy symptoms and health conditions, information complexity, and circumstantial constraints. We suggest future design implications to mitigate these challenges and improve epilepsy information management and care coordination.

Ten years after ImageNet: a 360° perspective on artificial intelligence.

It is 10 years since neural networks made their spectacular comeback. Prompted by this anniversary, we take a holistic perspective on artificial intelligence (AI). Supervised learning for cognitive tasks is effectively solved-provided we have enough high-quality labelled data. However, deep neural network models are not easily interpretable, and thus the debate between blackbox and whitebox modelling has come to the fore. The rise of attention networks, self-supervised learning, generative modelling and graph neural networks has widened the application space of AI. Deep learning has also propelled the return of reinforcement learning as a core building block of autonomous decision-making systems. The possible harms made possible by new AI technologies have raised socio-technical issues such as transparency, fairness and accountability. The dominance of AI by Big Tech who control talent, computing resources, and most importantly, data may lead to an extreme AI divide. Despite the recent dramatic and unexpected success in AI-driven conversational agents, progress in much-heralded flagship projects like self-driving vehicles remains elusive. Care must be taken to moderate the rhetoric surrounding the field and align engineering progress with scientific principles.

“I am formal, what comes next?”: A proposed framework for achieving sustainable artisanal and small-scale mining formalization in Peru

Artisanal and small-scale gold mining (ASGM) continues to exponentially increase in developing countries. However, the majority (70–80%) of ASGM operations around the world continue to operate informally without any permits or licenses. In recent years, Peru has had relative success in its ASGM formalization efforts based on the number of formalized miners (10,554 as of May 2022). However, aside from the number of formalized miners, analyses of the persistent socio-technical issues present among formalized ASGM operations are nonexistent. The article draws on four years of field-based research analyzing formalized ASGM operations in three of the most important ASGM regions in Peru (Arequipa, Puno, and Madre de Dios), which account for almost half (46%) of all formalized miners in the country. This article proposes a framework for post-formalization needs, focusing on three-pillars that can support formalized ASGM operations to remain in compliance and improve their practices. The three pillars we develop within the framework are Mining Operations, Business Development, and Partnerships and Collaborations. This research underscores the importance of post-formalization strategies and provides a starting point for host governments including specific elements that should be considered in the development of these plans.

Lithium mining, water resources, and socio-economic issues in northern Argentina: We are not all in the same boat

Lithium mining in Argentina is often associated to social injustices, unequal access to information, and conflicts around issues such as water consumption. Different stakeholders hold different perceptions around the pros and cons of lithium mining. We identify here concerns regarding water resources, technical aspects of lithium mining, and social and economic aspects in four different sources of information: (1) Scientific articles; (2) Government reports; (3) Corporate reports; and (4) Newspaper articles. We found differences between the groups of documents analyzed. Scientific and newspaper articles share a wide spectrum of issues. Corporate and government reports are more focused and relate more heavily to social and economic aspects. Socio-technical issues, frequent in government reports and the media, do not seem relevant in corporate reports. Concerns about water resources and lithium mining are most prominent in scientific and newspaper articles. Government reports were the least concerned about water and the socio-environmental impacts of lithium mining, but focused on global markets, employment and technical development. Analyzing stakeholders’ concerns in the Argentine Puna region can help reveal power structures, connections, and discourses across different sectors and scales.

Designing and implementing smart glass technology for emergency medical services: a sociotechnical perspective.

This study aims to investigate key considerations and critical factors that influence the implementation and adoption of smart glasses in fast-paced medical settings such as emergency medical services (EMS). We employed a sociotechnical theoretical framework and conducted a set of participatory design workshops with 15 EMS providers to elicit their opinions and concerns about using smart glasses in real practice. Smart glasses were recognized as a useful tool to improve EMS workflow given their hands-free nature and capability of processing and capturing various patient data. Out of the 8 dimensions of the sociotechnical model, we found that hardware and software, human-computer interface, workflow, and external rules and regulations were cited as the major factors that could influence the adoption of this novel technology. EMS participants highlighted several key requirements for the successful implementation of smart glasses in the EMS context, such as durable devices, easy-to-use and minimal interface design, seamless integration with existing systems and workflow, and secure data management. Applications of the sociotechnical model allowed us to identify a range of factors, including not only technical aspects, but also social, organizational, and human factors, that impact the implementation and uptake of smart glasses in EMS. Our work informs design implications for smart glass applications to fulfill EMS providers' needs. The successful implementation of smart glasses in EMS and other dynamic healthcare settings needs careful consideration of sociotechnical issues and close collaboration between different stakeholders.

Technology, Megatrends and Work: Thoughts on the Future of Business Ethics

To commemorate 40 years since the founding of the Journal of Business Ethics, the editors in chief of the journal have invited the editors to provide commentaries on the future of business ethics. This essay comprises a selection of commentaries aimed at creating dialogue around the theme Technology, Megatrends and Work. Of all the profound changes in business, technology is perhaps the most ubiquitous. There is not a facet of our lives unaffected by internet technologies and artificial intelligence. The Journal of Business Ethics established a dedicated section that focuses on Technology and Business Ethics, yet issues related to this phenomenon run right through all the sections. Kirsten Martin, editor of the Technology and Business Ethics section, joins our interim social media editor, Hannah Trittin-UIbrich, to advance a human-centric approach to the development and application of digital technologies that places Business Ethics at centre of the analysis. For Shuili Du, technology is the defining condition for a new era of Corporate Social Responsibility—CSR 3.0—which she defines as “a company’s socially responsible strategies and practices that deal with key ethical and socio-technical issues associated with AI and related technologies on the one hand and leverage the power of AI and related technologies to tackle social and environmental problems on the other hand.” It is not just technologies that are a determining feature of our lives but technology companies, an argument made by Glen Whelan as he examines Big Business and the need for a Big Business Ethics as we try to understand the impact of Big Tech on our post-work world. Indeed, as noted by Ernesto Noronha and Premilla D’Cruz, megatrends in addition to advancement in technologies, namely globalization, the greening of economies, and changes in demographics and migration, are shaping the future for workers in ways previously unimaginable. Contributing to this important debate, Praveen Parboteeah considers the influence of another longstanding but oft overlooked megatrend, the role of religion in the workplace. Given the enormity of the influence of technology and other megatrends in our world, it is not surprising that this essay introduces ground-breaking ideas that speak to the future of business ethics research.

Digital vaccine passports and digital health diplomacy: an online model WHO simulation.

In the wake of Coronavirus disease 2019 (COVID-19), several nations have sought to implement digital vaccine passports (DVPs) to enable the resumption of international travel. Comprising a minimum dataset for each unique individual, DVPs have the makings of a global electronic health record, broaching key issues involved in building a global digital health ecosystem. Debate simulations offer a safe, interactive space to foster participatory policy discussions for advancing digital health diplomacy. This study used an online simulation of a Model World Health Assembly to critically analyze the sociotechnical issues associated with the global implementation of DVPs, and to generate useful insights and questions about the role of diplomacy in global digital health. The debate arguments addressed and provided insights into the technological, scientific, ethical, legal, policy, and societal aspects of DVPs. Reflecting on the simulation, we discuss its opportunities and challenges for the digitalization, decolonization, decentralization, and democratization of participatory policymaking.

Research-Creation about and with Food: Diffraction, Pluralism, and Knowing

A hybrid approach for artistic-academic investigation, research-creation has proven effective in addressing complex socio-technical issues while usefully undoing the dualities that emerge within more conventional research practice. In the realm of food, this is particularly relevant, given that the knowledges that constitute food culture and food systems are pluralistic. Moreover, food embeds some of our most critical contemporary challenges, such as hunger, migration, trade, climate change, and justice. Methods that address the subjective and relational nature of food, such as those of research-creation, are therefore critical. This exposition presents two food-centered research-creation projects, created by the two co-authors, each of which aimed at three objectives: (a) the pluralization of methods, knowledge, and outputs; (b) collaboration in meaning-making, reflection, and feedback; and (c) ongoing epistemic and personal transformation. Geneviève Sicotte’s Signes de vie / Vital Signs is a digital, multimedia exhibition, largely presented through verbal, visual, and auditory content. David Szanto’s The Gastronome in You is a series of three performances about death, life, and the microbiome, using the materiality of a sourdough starter to activate the gustatory and haptic senses. By bringing these two projects into dialogue with each other, and through an experimental, “diffractive analysis” process, we present ways in which research-creation can help illuminate new forms of knowledge that engage with the distinct challenges and opportunities within food studies and for the future of food-and-human relations.