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1.
Sci Eng Ethics ; 30(2): 13, 2024 Apr 04.
Artigo em Inglês | MEDLINE | ID: mdl-38575812

RESUMO

Controversies surrounding social media platforms have provided opportunities for institutional reflexivity amongst users and regulators on how to understand and govern platforms. Amidst contestation, platform companies have continued to enact projects that draw upon existing modes of privatized governance. We investigate how social media companies have attempted to achieve closure by continuing to set the terms around platform governance. We investigate two projects implemented by Facebook (Meta)-authenticity regulation and privacy controls-in response to the Russian Interference and Cambridge Analytica controversies surrounding the 2016 U.S. Presidential Election. Drawing on Goffman's metaphor of stage management, we analyze the techniques deployed by Facebook to reinforce a division between what is visible and invisible to the user experience. These platform governance projects propose to act upon front-stage data relations: information that users can see from other users-whether that is content that users can see from "bad actors", or information that other users can see about oneself. At the same time, these projects relegate back-stage data relations-information flows between users constituted by recommendation and targeted advertising systems-to invisibility and inaction. As such, Facebook renders the user experience actionable for governance, while foreclosing governance of back-stage data relations central to the economic value of the platform. As social media companies continue to perform platform governance projects following controversies, our paper invites reflection on the politics of these projects. By destabilizing the boundaries drawn by platform companies, we open space for continuous reflexivity on how platforms should be understood and governed.


Assuntos
Mídias Sociais , Humanos , Política , Privacidade
2.
Qual Sociol ; 47(1): 69-94, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38500842

RESUMO

The article extends the literature on the construction of "diversity management" by personnel managers in corporate America. Such research has highlighted that Human Resource (HR) specialists draw heavily on social-scientific thinking in implementing various remedies against discrimination. However, it has paid less attention to how such esoteric views of reality, comprising such "things" as "structural barriers" impeding occupational advancement and "diversity sensitivity," have been successfully established as a self-evident reality in the workplace. In order to more thoroughly investigate how the world of diversity management is established outside the circle of academic specialists, the article employs perspectives from science and technology studies on the ways in which sociotechnical assemblages, i.e., networks of human actors and material devices, enact scientific ontologies. It applies such perspectives to a German case of diversity management, a program of "intercultural opening" that seeks to make bureaucracies of the welfare state more accessible to immigrants. The article delineates the specific ontology behind this version of diversity management, rooted in sociological perspectives on social mobility, and explores the various techniques and instruments through which officers of intercultural opening establish this ontology as a visible reality in municipal administrations.

3.
Public Underst Sci ; : 9636625231220219, 2024 Feb 02.
Artigo em Inglês | MEDLINE | ID: mdl-38305243

RESUMO

Research about science and publics in the COVID-19 pandemic often focuses on public trust and on identifying and correcting public attitudes. Drawing on qualitative interviews with 209 residents in six countries-Austria, Bolivia, Germany, Italy, Mexico, and Portugal-this article uses the concept of performativity to explore how participants understand, and relate to science, in the COVID-19 context. By performativity, we mean the ways by which participants understand themselves as particular sorts of publics through identification with, and differentiation from, various other actors in matters that are perceived as controversies surrounding science: COVID-19 vaccination, media communication of science, and the interactions between governments and scientists. The criteria used to construct the similarities and differences among publics were heterogeneous and fluid, showing how epistemic beliefs about the nature of, and trust in, scientific knowledge are intermingled with social and cultural memberships embedded in specific contexts and across disparate places.

4.
Soc Sci Med ; 343: 116596, 2024 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-38246108

RESUMO

Loneliness is one of the most pressing and rapidly growing contemporary social challenges around the world. Yet we still lack a good understanding of how loneliness is constituted and experienced by those most affected. We conducted semi-structured interviews with 40 people with chronic illness who were experiencing loneliness to explore what loneliness means to them and how it impacts in their daily lives. Drawing on ideas around liquidity and performativity, we identified the relational, temporal and social layers of loneliness. Our analysis revealed the interconnectedness of chronic illness and loneliness in participants' daily lives, as well as how chronic illness shifts temporal orientation, and transforms interpersonal relationships and relationship with self, contributing to the experiences of loneliness. Though participants described the many social conditions that restricted their opportunities for social participation, giving them a sense of being left behind and spectating the social life of others, a rhetoric of loneliness as a problem and responsibility of the individual was still prominent. A narrative of the need to perform social connection emerged in the absence of meaningful social bonds with others. We argue that normative ideals of wellness and positivity circulating in chronic illness communities and society more broadly are implicated in the experience of loneliness for people with chronic conditions. We conclude by considering how more expansive representations of how to live well with chronic illness may be important in reducing personal and collective loneliness.


Assuntos
Relações Interpessoais , Solidão , Humanos , Pesquisa Qualitativa , Comportamento Social , Participação Social
5.
Soins Psychiatr ; 44(349): 17-22, 2023.
Artigo em Francês | MEDLINE | ID: mdl-37926495

RESUMO

An experimental art-mediated psychotherapy workshop is offered to patients who, after a stroke, find their physical and mental capacities diminished. The traumatic experience of this brutal event and the resulting handicaps are a source of psycho-affective disorders that can hinder favorable motor recovery. The workshop's ethnoscenological approach provides an integrative reading of the psychological mechanisms at play, enabling us to work psychologically with the modified body through experiential performative practice and stage exercises that encourage the embodiment of the imaginary.


Assuntos
Técnicas de Exercício e de Movimento , Psicoterapia , Humanos , Psicoterapia/métodos , Imaginação
6.
Int J Equity Health ; 22(1): 139, 2023 07 27.
Artigo em Inglês | MEDLINE | ID: mdl-37501204

RESUMO

Gender-transformative health interventions that involve men and boys are gaining global reach, adaptability to specific geographical, population and epidemiological contexts, public endorsement, and conceptual sophistication. However, the ways in which masculinities are conceptualised and operationalised in theory and practice across these interventions remains unclear. The purpose of this scoping review is to map intervention studies that conceptually grapple with masculinities and analyse: a) how the concept of masculinities is adapted and operationalised in gender-transformative interventions, with respect to intervention population and context, b) what the relationship between the concept of masculinities and its wider theoretical embedding is, and c) on which levels transformation can be observed when working with 'masculinities'.We conducted a search in APA Psych Articles, APA PsycINFO, and CINAHL via EBSCO, MedLine, PubMed, and Web of Sciences (December 2021) looking for peer-reviewed studies on gender-transformative health interventions which engaged with masculinities conceptually. There were no restrictions regarding language, publication date, or geography. Forty-two articles were included in this review. Our abductive analysis finds that 'hegemonic masculinities' is a central concept in almost all included studies. This shows how the concept is adaptable to a range of different intervention contexts. The review further identifies five theoretical approaches, that help operationalise masculinities on an analytical level: feminist framework, affect theory, critical pedagogy, theories of social change, and ecological approaches. Lastly, this review draws out six levels on which transformation can be observed in the intervention outcomes: relational level, symbolic level, material level, affective level, cognitive-behavioural level, and community-structural level. The discussion underlines that processes and practices of (gender) transformation also require engagement with theories of transformation more widely and advocates for theoretical pluralism. Lastly, implications for practice, including preventative, ecological and community-based care models, are drawn out.


Assuntos
Masculinidade , Homens , Masculino , Humanos , Mudança Social
7.
Nurs Philos ; : e12452, 2023 Jun 19.
Artigo em Inglês | MEDLINE | ID: mdl-37334499

RESUMO

This paper presents an overview of the process of entanglement at the 25th International Philosophy of Nursing Conference (IPNC) at University of California at Irvine held on August 18, 2022. Representing collective work from the US, Canada, UK and Germany, our panel entitled 'What can critical posthuman philosophies do for nursing?' examined critical posthumanism and its operations and potential in nursing. Critical posthumanism offers an antifascist, feminist, material, affective, and ecologically entangled approach to nursing and healthcare. Rather than focusing on the arguments of each of the three distinct but interrelated panel presentation pieces, this paper instead focuses on process and performance (per/formance) and performativity as relational, connected and situated, with connections to nursing philosophy. Building upon critical feminist and new materialist philosophies, we describe intra-activity and performativity as ways to dehierarchise knowledge making practices within traditional academic conference spaces. Creating critical cartographies of thinking and being are actions of possibility for building more just and equitable futures for nursing, nurses, and those they accompany-including all humans, nonhumans, and more than human matter.

8.
Violence Against Women ; 29(8): 1541-1561, 2023 06.
Artigo em Inglês | MEDLINE | ID: mdl-36916223

RESUMO

Systemic gendered violence at the borders of the Global North is perpetrated by state actors and their proxies, and yet remains underdiscussed. This article presents numerous cases of such violence to argue that it is not random, does not occur in a vacuum or at the whim of wayward officers. Rather, this gendered state violence is the expression of a patriarchal and hegemonic state that positions the woman at the border as out of place. Deploying performative theories, this article unmasks the masculine agenda enacted at the border to reveal that its violent exhibition of power serves many purposes.


Assuntos
Identidade de Gênero , Violência , Feminino , Humanos , Agressão
9.
Eur J Philos Sci ; 13(1): 6, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-36714209

RESUMO

Philosophers of science typically focus on the epistemic performance of scientific models when evaluating them. Analysing the effects that models may have on the world has typically been the purview of sociologists of science. We argue that the reactive (or "performative") effects of models should also figure in model evaluations by philosophers of science. We provide a detailed analysis of how models in financial economics created the impetus for the growing importance of the phenomenon of "passive investing" in financial markets. Considering this case motivates the position that we call contextualism about model evaluation, or model contextualism for short. Model contextualism encompasses standard analyses of the epistemic performance of the model, but also includes their reactive aspects. It entails identifying the epistemic and contextual import of the model, the ways in which a model can engender change in the world (which we call the channels of transmission), and the interactions between the epistemic and reactive import of a model.

10.
J Homosex ; 70(10): 2050-2071, 2023 Aug 24.
Artigo em Inglês | MEDLINE | ID: mdl-35289733

RESUMO

Given the regression in empowering representations of queer women in the literary and, more generally, the cultural life of the modern Arab world, this article spotlights the hitherto under-researched literary portrayals of female homosexuality as a site of redemptive and/or reparative, queer(ed) home in 21st-century Syria. Through a close reading of Samar Yazbek's Ra'ihat al-Qirfa (2008), and, for added nuance, its English translation Cinnamon (2012), the study explores the novel's curation of home in and through the protagonist Aliyah's same-sex relationship with her employer Hanan al-Hashimi. Using Roberta Rubenstein's and Sara Ahmed's notions of fixing past homes, and of queer(ing) home, respectively, the article shows how the sense of home cushioned by the same-sex affair transcends social class and domination/submission binaries. I thus argue that even as the same-sex relationship in Yazbek's novel may not be performative from a contemporary lesbian feminist perspective, it kneads hope, not desolation, into the plot and the real-life setting it extrapolates, since it responds to the local context the characters inhabit.


Assuntos
Homossexualidade Feminina , Minorias Sexuais e de Gênero , Feminino , Humanos , Cinnamomum zeylanicum , Síria , Identidade de Gênero
11.
J Homosex ; 70(4): 587-611, 2023 Mar 21.
Artigo em Inglês | MEDLINE | ID: mdl-34723775

RESUMO

This paper explored how UK trans* youth experienced Physical Education (PE) during secondary school, and its impact on remaining physically active. Seven self-identified trans* people aged 14-25 took part in semi-structured interviews. Findings show participants' performances of gender were restricted by practices privileging the "natural" gender binary. Following school, medical procedures or other physical changes were desired in order to "pass" as their chosen gender before physical activity could occur. Recommendations are presented for improvements to PE policy for trans* youth.


Assuntos
Minorias Sexuais e de Gênero , Esportes , Transexualidade , Adolescente , Humanos , Identidade de Gênero , Exercício Físico
12.
Soc Stud Sci ; 53(1): 121-145, 2023 02.
Artigo em Inglês | MEDLINE | ID: mdl-36227023

RESUMO

Our article traces the representation of pandemic modelling in UK print media from the emergence of Covid-19 to the early stages of implementing the first UK-wide lockdown in late March 2020. Covid modelling, it is widely assumed, has shaped policy decisions and public responses to the pandemic in unprecedented ways. We analyse how the UK print media has configured modelling as a significant evidence tool in the representation of the pandemic. Interrogating assumptions about infectious disease modelling, we ask why models became the trusted tool of choice for knowing and responding to the Covid pandemic in the UK. Our analysis has yielded four different periods in the evolution of intersecting policy and media frames. Initially, modellers, policymakers and media alike emphasized uncertainty about available data, and hence the speculative character of modelled projections, thus justifying a 'wait and see' approach to government intervention. With growing public pressure for government action, policy and media frames were adjusted to emphasize the importance of timing interventions for best effect, with modelling evidence mobilized to justify inaction. This gave way to a period of crisis, as the press increasingly questioned the reliability of the existing models and policies, leading modellers and policy makers to dramatically revise their projections. Finally, with the imposition of the first UK lockdown, policy and media frames were brought back into alignment with one another, in a process of domestication through which the language of modelling became a basic resource for the discussion of the epidemic. Our epistemological microhistory thus challenges general accounts of the impacts of pandemic modelling and instead emphasizes contingency and interpretative flexibility.


Assuntos
COVID-19 , Humanos , COVID-19/epidemiologia , Reprodutibilidade dos Testes , Controle de Doenças Transmissíveis , Política de Saúde , Pandemias , Reino Unido/epidemiologia
13.
Soc Stud Sci ; 53(1): 3-28, 2023 02.
Artigo em Inglês | MEDLINE | ID: mdl-36377598

RESUMO

The metrics used in environmental management are performative. That is, the tools deployed to classify and measure the natural world interact with the things they were designed to observe. The idea of performativity also captures the way these interactions shape or distort the governance activities that metrics are used to inform. The performativity of metrics reveals how mundane practices of measurement and auditing are inscribed with substantial power. This has proven particularly true for the global warming metrics, like GWP100, that are central to the management of anthropogenic climate change. Greenhouse gases are materially heterogenous, and the metrics used to commensurate their various warming impacts influence the distribution of both culpability and capital in climate policy and markets. The publication of a new warming metric, GWP* (or GWP Star), has generated a modest scientific controversy, as a diverse cast of stakeholders recognize this performativity seek to influence the metrological regime under which they live. We analyse this controversy, particularly as it unfolded in the fractious discourse around sustainable food and farming, to develop the concept of reflexive performativity: where actors are anticipatory and strategic in their engagement with the metrics that are used to govern their lives. We situate this idea in relation to, and in tentative evidential support of, the concept of reflexive modernization.


Assuntos
Conservação dos Recursos Naturais , Aquecimento Global , Benchmarking , Política Ambiental , Políticas
14.
Early Child Educ J ; : 1-15, 2022 Aug 22.
Artigo em Inglês | MEDLINE | ID: mdl-36033929

RESUMO

Detrimental circumstances (e.g., poverty, homelessness) may affect parents, parenting, and children. These circumstances may lead to children being labeled "at risk" for school failure. To ameliorate this risk, more school and school earlier (e.g., Head Start) is offered. To improve child outcomes, Head Start teachers are expected to bolster children?s academic readiness in a manner that is beneficially warm, circulating warmth in their classrooms to sustain positive teacher-child relationships and the positive climate of the classroom. The Classroom Assessment Scoring System (CLASS; Pianta et al., 2008) is one tool by which these domains of warmth are assessed. There are, however, significant personal and professional stressors with which Head Start teachers contend which the CLASS (Pianta et al., 2008) does not consider in its scoring methods. Uplifting the voices of six Head Start teachers, the present study implemented individual and focus group interviews during the summer and fall months of 2020 during the COVID-19 pandemic, asking (a) What were the stories, histories, and lived experiences of these Head Start teachers with regard to stress and warmth in a time of crisis? and (b) How did these teachers understand and approach the CLASS (Pianta et al., 2008) and its measures of their warmth? Data demonstrated Head Start teachers engaged in a type of performativity to 1) mask their stress, potentially worsening their levels of stress in order to maintain warmth for their students' sake, and 2) outwit the prescribed CLASS (Pianta et al., 2008) observations. Implications and insights are discussed. Supplementary Information: The online version contains supplementary material available at 10.1007/s10643-022-01387-2.

15.
Stud Hist Philos Sci ; 94: 121-132, 2022 08.
Artigo em Inglês | MEDLINE | ID: mdl-35749830

RESUMO

Chronic pain entails a large burden of disease and high social costs, but is seldom 'in the picture' and barely understood. Until recently, it was not systematically classified but instead viewed as a symptom or sign. In the new International Classification of Diseases, (ICD)-11, to be implemented in 2022, 'chronic' pain is now classified as a separate disease category and, to a certain extent, approached as a 'disease in its own right'. Reasons that have been given for this are not based so much on new scientific insights, but are rather of pragmatic nature. To explore the background of these recent changes in definition and classification of chronic pain, this paper provides a historical-philosophical analysis. By sketching a brief history of how pain experts have been working on the definition and taxonomy since the 1970s, we demonstrate the various social and practical functions that underlie the new ICD-11 classification of chronic pain. Building on this historical-empirical basis, we discuss philosophical issues regarding defining and classifying chronic pain, in particular performativity and pragmatism, and discuss their implications for the broader philosophical debate on health and disease.


Assuntos
Dor Crônica , Classificação Internacional de Doenças , Dor Crônica/diagnóstico , Humanos
16.
J Clin Anesth ; 80: 110884, 2022 09.
Artigo em Inglês | MEDLINE | ID: mdl-35597003

RESUMO

INTRODUCTION: Discrimination toward sex and gender minority anesthesiologists and anesthesia trainees exists. Potential reasons for this discrimination are unclear and incompletely characterized. This study sought to better understand what discrimination looks like for sex and gender minorities in anesthesiology and the culture within anesthesiology that allows this discrimination to occur. MATERIALS AND METHODS: With institutional research ethics board approval and informed consent, we performed a qualitative analysis of free-text responses from a previously-published internet-based cross-sectional survey distributed to Canadian anesthesiology residents, fellows, and staff. The purpose of this survey was to characterize intersections between respondent gender or sexuality with experiences of discrimination in the workplace. Separate analysis of qualitative and quantitative components of this survey was planned a priori, and the quantitative component was published elsewhere. Free-text responses were independently coded by two researchers and subsequently synthesized into emerging themes using latent projective content analysis sensitized by Butler's theory of performativity. RESULTS: Out of 490 free-text responses from 171 respondents [140 (81.9%) identifying as heterosexual], two themes emerged: i) fitting in: performativity reinforcing the status quo, and ii) standing out: performativity as a means of disruptive social change. Power structures were observed to favour individuals who "fit in" with the normative performances of gender and/or sexuality. DISCUSSION: Our study illuminates how individuals whose performances of gender and sexuality "fit in" with those expected normative performances reinforce a workplace culture that advantages them, whereas individuals whose performances of gender and sexuality "stand out" disproportionately experience discrimination. The dismantling of bias and discrimination in the anesthesiology workplace requires individuals (a) who are empowered within their workplace because they "fit in" with the majority; (b) who recognize discrimination toward communities of their peers and/or colleagues; and (c) who actively choose to "stand out".


Assuntos
Anestesiologistas , Minorias Sexuais e de Gênero , Canadá , Estudos Transversais , Feminino , Humanos , Masculino , Inquéritos e Questionários
17.
GeoJournal ; 87(Suppl 1): 63-71, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35574258

RESUMO

This paper illustrates the performative nature of participatory video (PV), drawing on JL Austin's well-known work on speech acts, utterances, and performative sentences, as well as Butler's reworking and application of the notion of performativity. During recent research I used PV as a method. Sub-Saharan African refugee research participants who had not known each other before the PV project negotiated issues to be filmed and made a short film together, creating a small community where none existed before, who are taking steps to organize collective action. The emergence of this new community in and through the making of the film during the fieldwork illustrates the performativity of PV, what is accomplished in and through its making. This performativity works not only through people who take part in creating a video, distributing the video, and watching the video, but also may have effects on people who have never seen the given video, as they are in a landscape and embedded in social relations affected by people who took part in it or saw it. PV is thus both a way of gathering data to learn about the world, and it also is involved in changing it, bringing forth new relationships and new ways of being.

18.
Soc Stud Sci ; 52(3): 376-398, 2022 06.
Artigo em Inglês | MEDLINE | ID: mdl-35373632

RESUMO

How is objectivity accomplished in laboratory economic experiments? To address this question, this paper focuses on a modest and mundane thing: the written instructions that guide experimental subjects in the lab. In a material-semiotic perspective, these instructions can be understood as text-devices. We follow text-devices 'on the move' from their very writing, through the lab, the review process and out into the journal article. To do so, we analyse 'text-author ensembles', which are journal articles together with practice-oriented interviews with their authors. We show that instructions act not simply as texts, but as experimental instruments that also perform the procedure of experimental economics. They draw together the procedural, material and rhetorical dimensions of experimental work in economics, and link the lab setting to collective validation procedures within the discipline of economics. To achieve this, experimental economists rely on qualitative writing skills refined in collective writing and reviewing practices. These text-devices 'on the move' alert us not only to the role of writing and writing skills in the production of scientific knowledge, but to the role of texts as material and semiotic objects that can produce facts as well as labs and disciplines, and that are key to the accomplishment of objectivity in experimental economics.


Assuntos
Laboratórios , Redação , Humanos
19.
Perspect Psychol Sci ; 17(5): 1490-1505, 2022 09.
Artigo em Inglês | MEDLINE | ID: mdl-35245130

RESUMO

Although psychology's recent crisis has been attributed to various scientific practices, it has come to be called a "replication crisis," prompting extensive appraisals of this putatively crucial scientific practice. These have yielded disagreements over what kind of replication is to be preferred and what phenomena are being explored, yet the proposals are all grounded in a conventional philosophy of science. This article proposes another avenue that invites moving beyond a discovery metaphor of science to rethink research as enabling realities and to consider how empirical findings enact or perform a reality. An enactment perspective appreciates multiple, dynamic realities and science as producing different entities, enactments that ever encounter differences, uncertainties, and precariousness. The axioms of an enactment perspective are described and employed to more fully understand the two kinds of replication that predominate in the crisis disputes. Although the enactment perspective described here is a relatively recent development in philosophy of science and science studies, some of its core axioms are not new to psychology, and the article concludes by revisiting psychologists' previous calls to apprehend the dynamism of psychological reality to appreciate how scientific practices actively and unavoidably participate in performativity of reality.


Assuntos
Filosofia , Psicologia , Humanos
20.
JMIR Form Res ; 6(1): e23236, 2022 Jan 04.
Artigo em Inglês | MEDLINE | ID: mdl-34982713

RESUMO

BACKGROUND: The unexpected outbreak of the COVID-19 pandemic and the preventive measures of physical distancing have further necessitated the application of information and communication technologies (ICTs) to enhance the efficiency of work activities in health care. Although the interplay between human agency and technology performativity is critical to the success or failure of ICTs use in routine practice, it is rarely explored when designing health ICTs for hospital settings within the sub-Saharan Africa context. OBJECTIVE: The objective of this study is to explore how the service delivery quality is being influenced by the technology-enabled activities of health care professionals at points of care using a service design strategy. METHODS: An interpretivist stance was assumed to understand the socially constructed realities of health care professionals at points of care in a hospital setting. A service design strategy was identified as suitable for engaging health care professionals in co-design sessions to collect data. A purposive sampling technique was used to identify the participants. Open-ended questions were administered to gain insights into the work activities of physicians and nurses at points of care. Qualitative (textual) data were analyzed using thematic analysis. Ethical concerns about the safety and privacy of participants' data were addressed as per the university ethics review committee and provincial department of health. RESULTS: The findings show that the attributes of human agency and technology features that drive technology performativity result in an interplay between social concepts and technical features that influence the transformation of human-machine interactions. In addition, the interplay of the double dance of agency model can be divided into 2 successive phases: intermediate and advanced. Intermediate interplay results in the perceived suitability or discomfort of health ICTs as experienced by health care professionals at initial interactions during the execution of work activities. Subsequently, the advanced interplay determines the usefulness and effectiveness of health ICTs in aiding task performance, which ultimately leads to either the satisfaction or dissatisfaction of health care professionals in the completion of their work activities at points of care. CONCLUSIONS: The adopted service design strategy revealed that the interaction moments of the tasks performed by health care professionals during the execution of their work activities at point of care determine the features of health ICTs relevant to work activities. Consequently, the ensuing experience of health care professionals at the completion of their work activities influences the use or discontinuation of health ICTs. Health care professionals consider the value-added benefits from the automation of their work activities to ultimately influence the quality of service delivery. The major knowledge contribution of this study is the awareness drawn to both the intermediate and advanced interplay of human-machine interaction when designing health ICTs.

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