This study discusses how professionalism and work ethics influence how health care professionals work around new technologies. When people avoid using technologies, they are not necessarily ceasing to engage in their work activities. The workaround strategies presented here are rather practical expressions of professionals’ active encounter with the complexity of work situations, and can therefore be important signs of professional ethical judgement. Drawing on science and technology studies and the concept of invisible work, the study discusses workaround situations that arise in health care work in Denmark. The aim and contribution of the study is twofold. First, it attempts to revitalise the discussion on technology workaround strategies as responsible professionalism. Second, it will direct attention to and contribute to an understanding of how the normativity embedded in technological development in the health care sector is central to the work of health care professionals.

The article highlights the importance of silence in the change process of organizations, making the claim that silence distributes authority and decision-making processes. It thus adds to existing organization literature that applies a performative approach to silence as neither static nor neutral. It creates new realities. Silence as an act, rather than a noun, is conceptualized as central to organizational change. Through an ethnographic study in a mental healthcare organization, it is shown how different performances of silence make new decision-making processes available and influence new work practices that are central to understanding the particular characteristics of psychiatric organizations. Although the performance of silence can have somewhat immaterial and mundane connotations, when one uses an actor-network theory approach to organization studies, the performance of silence becomes helpful in conceptualizing how new and old practices are often imbedded into each other.

Drawing on actor-network theory (ANT) and science and technology studies (STS) and on ethno

In this article, we examine how employees experience different types of work commitment at an IT consultancy company using agility to give staff greater autonomy and decision-making latitude. We analyze its agile practices through an in-depth case study comprising interviews and non-participative observation of managers and employees, concluding that the company aims to increase autonomy and decision-making latitude by introducing agile approaches to project management, but thereby risks eroding its employees’ commitment. Indeed, the new social dynamics engender new professional insecurities and decision-making passivity and appear to lack a clear organizational purpose, thus challenging certain aspects of employee commitment.

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