ABSTRACT

This session problematizes the notion of computerization systems and their organizations in hospitals. The implementation of computers in the 1970s in hospitals brought about many changes in their organizational structure. Furthermore, it can be said that computerizing nursing care units has become a key step for rationalism and control within the medical profession, which includes also nursing practices. A problem, however, was always the term productivity in hospitals, which would be better off if it could be linked with the whole social function of these institutions. Social function and social relations and the role of information technology is an interesting approach, and as M.L. Campbell in an international colloquium in the Austrian Academy of Science (1990:24) pointed out:

Systematization of nursing knowledge and nursing practice has a history that predates computerization of Canadian hospitals. Computers have sped up the process and extended it for new purposes. Nurses thought that identifying and codifying the knowledge base of their practice would help free them from medical domination, from being seen as simply an extension of medical practice. In profession-enhancing research over the past several decades, nurse scholars, mainly American, have attempted to objectify and capture nurses’ knowledge and reformulate it into conceptual models of nursing.