Instant messengers and health professionals' agency in Russian clinical settings
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View abstract on PubMed
Summary
This summary is machine-generated.Russian healthcare professionals use instant messaging group chats to enhance work regulation and share medical knowledge. This digital tool empowers frontline staff against administrative pressure, fostering a new, reflexive professionalism.
Area Of Science
- Medical Sociology
- Digital Health
- Healthcare Management
Background
- Instant messaging (IM) is increasingly used in professional settings.
- The specific impact of IM group chats on healthcare professionals' agency in Russia is underexplored.
- Understanding technology adoption in state-dominated healthcare systems is crucial.
Purpose Of The Study
- To investigate how Russian healthcare professionals utilize IM group chats for work-related tasks.
- To analyze the influence of IM group chats on professional control in work regulation and medical knowledge dissemination.
- To explore the implications for professionalism in post-socialist healthcare.
Main Methods
- Qualitative interviews with Russian doctors and nurses in spring 2020.
- Analysis of the informal implementation and use of IM group chat functions.
- Thematic analysis of interview data.
Main Results
- Healthcare professionals use IM group chats for horizontal networking, sharing regulatory information, and addressing organizational issues.
- Hospital management uses IM for top-down employee control.
- IM facilitates the sharing of clinical recommendations and experiences, fostering solidarity and international connections.
- IM assists disempowered professionals in managing challenges and increases discretion under administrative pressure.
Conclusions
- Instant messaging adoption in Russian healthcare is context-dependent, influencing both control and agency.
- IM group chats empower healthcare professionals by facilitating knowledge sharing and navigating complex landscapes.
- The use of IM fosters a trans-local, reflexive form of professionalism in Russian healthcare.
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