OBJECTIVE: To develop a framework that models the impact of electronic health record (EHR) systems on healthcare professionals' well-being and their relationships with patients, using interdisciplinary insights to guide machine learning in identifying value patterns important to healthcare professionals in EHR systems. MATERIALS AND METHODS: A theoretical framework of EHR systems' implementation was developed using interdisciplinary literature from healthcare, information systems, and management science focusing on the systems approach, clinical decision-making, and interface terminologies. OBSERVATIONS: Healthcare professionals balance personal norms of narrative and data-driven communication in knowledge creation for EHRs by integrating detailed patient stories with structured data. This integration forms 2 learning loops that create tension in the healthcare professional-patient relationship, shaping how healthcare professionals apply their values in care delivery. The manifestation of this value tension in EHRs directly affects the well-being of healthcare professionals. DISCUSSION: Understanding the value tension learning loop between structured data and narrative forms lays the groundwork for future studies of how healthcare professionals use EHRs to deliver care, emphasizing their well-being and patient relationships through a sociotechnical lens. CONCLUSION: EHR systems can improve the healthcare professional-patient relationship and healthcare professional well-being by integrating norms and values into pattern recognition of narrative and data communication forms.

We employ a conversational genre of performative research in order to explore foundational issues of language and design in information system practice. Initially, Sir Geoffrey Vickers (†2004), C. West Churchman (†1999), Hans-Georg Gadamer (†1982) and Jurgen Habermas are portrayed as engaging in a roundtable discussion on the topic: “Are there Limits to Language in Doing System Design?” We employ an updated, AI-enhanced version of Memex, an intelligent agent originally described by Vannevar Bush at the end of WWII, to serve as a plausible digital platform for enabling a discussion among intelligent agents, both living and dead. The Memex system conducts a spirited conversation among the four scholars and later brings Pierre Bourdieu (†2002) and Bruno Latour into the discussion in order to enrich the unfolding conversation. After the roundtable, Jurgen Habermas and Sir Geoffrey Vickers synthesize the learning from their perspectives.

"Fake!." European Journal of Information Systems, 14(5), pp. 446–447

Complex organizations are characterized by distributed decision making, and require a sharing of perspectives among distributed decision makers if they are to coordinate activity and adapt to changing circumstances. This paper explains the process of perspective taking and its roles in human communication, mutual trust, and organizational learning. SPIDER is a software environment for enriching communication among managers by improving their ability to represent and exchange understandings of the situations they face. Cognitive maps linked to underlying assumptions are used as a basis for sharing their perspectives and enabling coordination of distributed decision making.