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Beyond the office: an examination of remote work, social and job features on individual satisfaction and engagement
Personnel Review (2024)

Beyond the office: an examination of remote work, social and job features on individual satisfaction and engagement

Rossella Cappetta, Sara Lo Cascio, Massimo Magni, Alessia Marsico
This study examines the effects of remote work on employees' satisfaction and engagement, aiming to identify which factors enhance these outcomes. The research is based on a survey of 1,879 employees and 262 managers within a large company that utilizes a hybrid work model.

Problem The rapid and widespread adoption of remote work has fundamentally transformed work environments and disrupted traditional workplace dynamics. However, its effects on individual employees remain inconclusive, with conflicting evidence on whether it is a source of support or discomfort, creating a need to understand the key drivers of satisfaction and engagement in this new context.

Outcome - Remote work frequency is negatively associated with employee engagement and has no significant effect on job satisfaction.
- Positive social features, such as supportive team and leader relationships, significantly increase both job satisfaction and engagement.
- Job features like autonomy were found to be significant positive drivers for employees, but not for managers.
- A high-quality relationship between a leader and an employee (leader-member exchange) can alleviate the negative effects of exhaustion on satisfaction and engagement.
Remote work, Social exchanges, Job characteristics, Job satisfaction, Engagement
Building Habits in the Digital Age: Incorporating Psychological Needs and Knowledge from Practitioners to Inform the Design of Digital Therapeutics
International Conference on Wirtschaftsinformatik (2023)

Building Habits in the Digital Age: Incorporating Psychological Needs and Knowledge from Practitioners to Inform the Design of Digital Therapeutics

Jeannette Stark, Thure Weimann, Felix Reinsch, Emily Hickmann, Maren Kählig, Carola Gißke, and Peggy Richter
This study reviews the psychological requirements for forming habits and analyzes how these requirements are implemented in existing mobile habit-tracking apps. Through a content analysis of 57 applications, the research identifies key design gaps and proposes a set of principles to inform the creation of more effective Digital Therapeutics (DTx) for long-term behavioral change.

Problem Noncommunicable diseases (NCDs), a leading cause of death, often require sustained lifestyle and behavioral changes. While many digital apps aim to support habit formation, they often fail to facilitate the entire process, particularly the later stages where a habit becomes automatic and reliance on technology should decrease, creating a gap in effective long-term support.

Outcome - Conventional habit apps primarily support the first two stages of habit formation: deciding on a habit and translating it into an initial behavior.
- Most apps neglect the crucial later stages of habit strengthening, where technology use should be phased out to allow the habit to become truly automatic.
- A conflict of interest was identified, as the commercial need for continuous user engagement in many apps contradicts the goal of making a user's new habit independent of the technology.
- The research proposes specific design principles for Digital Therapeutics (DTx) to better support all four stages of habit formation, offering a pathway for developing more effective tools for NCD prevention and treatment.
Behavioral Change, Digital Therapeutics, Habits, Habit Apps, Non-communicable diseases
Uncovering the Structural Assurance Mechanisms in Blockchain Technology-Enabled Online Healthcare Mutual Aid Platforms
Journal of the Association for Information Systems (2025)

Uncovering the Structural Assurance Mechanisms in Blockchain Technology-Enabled Online Healthcare Mutual Aid Platforms

Zhen Shao, Lin Zhang, Susan A. Brown, Jose Benitez
This study investigates how to build user trust in online healthcare mutual aid platforms that use blockchain technology. Drawing on institutional trust theory, the research examines how policy and technology assurances influence users' intentions and actual usage by conducting a two-part field survey with users of a real-world platform.

Problem Online healthcare mutual aid platforms, which act as a form of peer-to-peer insurance, struggle with user adoption due to widespread distrust. Frequent incidents of fraud, false claims, and misappropriation of funds have created skepticism, making it a significant challenge to facilitate user trust and ensure the sustainable growth of these platforms.

Outcome - Both strong institutional policies (policy assurance) and reliable technical features enabled by blockchain (technology assurance) significantly increase users' trust in the platform.
- Higher user trust is directly linked to a greater intention to use the online healthcare mutual aid platform.
- The intention to use the platform positively influences actual usage behaviors, such as the frequency and intensity of use.
- Trust acts as a full mediator, meaning that the platform's assurances build trust, which in turn drives user intention and behavior.
Structural Assurance, Blockchain Technology, Healthcare, Trust, Behavioral Intention, Actual Usage Behaviors
Responsible AI Design: The Authenticity, Control, Transparency Theory
Journal of the Association for Information Systems (2025)

Responsible AI Design: The Authenticity, Control, Transparency Theory

Andrea Rivera, Kaveh Abhari, Bo Xiao
This study explores how to design Artificial Intelligence (AI) responsibly from the perspective of AI designers. Using a grounded theory approach based on interviews with industry professionals, the paper develops the Authenticity, Control, Transparency (ACT) theory as a new framework for creating ethical AI.

Problem Current guidelines for responsible AI are fragmented and lack a cohesive theory to guide practice, leading to inconsistent outcomes. Existing research often focuses narrowly on specific attributes like algorithms or harm minimization, overlooking the broader design decisions that shape an AI's behavior from its inception.

Outcome - The study introduces the Authenticity, Control, and Transparency (ACT) theory as a practical framework for responsible AI design.
- It identifies three core mechanisms—authenticity, control, and transparency—that translate ethical design decisions into responsible AI behavior.
- These mechanisms are applied across three key design domains: the AI's architecture, its algorithms, and its functional affordances (capabilities offered to users).
- The theory shifts the focus from merely minimizing harm to also maximizing the benefits of AI, providing a more balanced approach to ethical design.
Responsible AI, AI Ethics, AI Design, Authenticity, Transparency, Control, Algorithmic Accountability
Transforming Patient-Physician Interaction Through Asynchronous Online Health Interaction: A Relational Communication Perspective
Journal of the Association for Information Systems (2025)

Transforming Patient-Physician Interaction Through Asynchronous Online Health Interaction: A Relational Communication Perspective

Xiaofei Zhang, Yi Wu, Joseph S. Valacich, Jeffrey L. Jenkins
This study examines the key factors that influence patient satisfaction with asynchronous online health interactions (AOHIs). Using relational communication theory, the researchers developed a model based on three dimensions—interaction depth, information intensity, and relationship duration—and tested it empirically with a dataset of 79,591 patient-physician interactions from a major online healthcare platform. The study also investigates how providing medical records and having a representative interact on the patient's behalf (indirect interaction) affects these relationships.

Problem Asynchronous online health platforms have become a popular way for patients to access healthcare information, yet little is known about what makes these digital interactions successful and satisfying for patients. This research addresses the gap in understanding the specific characteristics of the online communication process that contribute to positive patient outcomes, which is critical for designing effective online healthcare services.

Outcome - Greater interaction depth (more rounds of conversation), higher information intensity (more information exchanged), and longer relationship duration all positively increase patient satisfaction.
- The positive effects of interaction depth and information intensity on satisfaction are weaker when patients provide medical records or when a representative interacts on their behalf.
- The positive effect of relationship duration on satisfaction is stronger when patients provide medical records or when a representative is involved in the interaction.
Asynchronous Online Patient-Physician Interaction, Relational Communication Theory, Interaction Process, Provision of Medical Records, Direct Interaction, Indirect Interaction, Satisfaction
Judging a Book by Its Cover: Understanding the Phenomenon of Fake News Propagation from an Evolutionary Psychology Perspective
Journal of the Association for Information Systems (2025)

Judging a Book by Its Cover: Understanding the Phenomenon of Fake News Propagation from an Evolutionary Psychology Perspective

Ashish Kumar Jha, Rohit Nishant
This study investigates why fake news spreads by examining its linguistic properties through the lens of evolutionary psychology. Using a large dataset of tweets, the researchers analyzed whether an emphasis on the future, termed Future Temporal Orientation (FTO), in news titles and content is associated with increased sharing. The study employs statistical analysis to explore the relationship between FTO, news type (real vs. fake), and user engagement.

Problem The rapid and widespread propagation of fake news on social media is a significant societal problem, yet the underlying reasons for its proliferation are not fully understood. Previous research has often overlooked the role of temporal orientation (i.e., the emphasis on past, present, or future) in how content is framed. This study addresses the gap by investigating if appealing to innate human anxieties about the future makes fake news more likely to be shared.

Outcome - Fake news is significantly more likely to have a future temporal orientation (FTO) than real news.
- Future-oriented fake news is shared more often than non-future-oriented fake news, indicating that an emphasis on the future increases user engagement.
- Fake news titles have a significantly higher FTO than the accompanying user-written text, suggesting propagandists strategically use titles to capture attention.
- The relationship between sharing and the difference in FTO between a title and its text is an inverted U-shape; a moderate difference increases sharing, but a very large difference decreases it, possibly because it appears less credible.
Fake News, Future Temporal Orientation, Evolutionary Psychology, Social Media, Twitter, Misinformation, User Engagement
An Organizational Routines Theory of Employee Well-Being: Explaining the Love-Hate Relationship Between Electronic Health Records and Clinicians
Journal of the Association for Information Systems (2025)

An Organizational Routines Theory of Employee Well-Being: Explaining the Love-Hate Relationship Between Electronic Health Records and Clinicians

Ankita Srivastava, Surya Ayyalasomayajula, Chenzhang Bao, Sezgin Ayabakan, Dursun Delen
This study investigates the causes of clinician burnout by analyzing over 55,000 online reviews from clinicians on Glassdoor.com. Using topic mining and econometric modeling, the research proposes and tests a new theory on how integrating various Electronic Health Record (EHR) applications to streamline organizational routines affects employee well-being.

Problem Clinician burnout is a critical problem in healthcare, often attributed to the use of Electronic Health Records (EHRs). However, the precise reasons for this contentious relationship are not well understood, and there is a research gap in explaining how organizational-level IT decisions, such as how different systems are integrated, contribute to clinician stress or satisfaction.

Outcome - Routine operational issues, such as workflow and staffing, were more frequently discussed by clinicians as sources of dissatisfaction than EHR-specific factors like usability.
- Integrating applications to streamline clinical workflows across departments (e.g., emergency, lab, radiology) significantly improved clinician well-being.
- In contrast, integrating applications focused solely on documentation did not show a significant impact on clinician well-being.
- The positive impact of workflow integration was stronger in hospitals with good work-life balance policies and weaker in hospitals with high patient-to-nurse ratios, highlighting the importance of organizational context.
Clinician Burnout, Organizational Routines Theory, Application Integration Theory, Technostress Theory, Well-Being, Glassdoor, Online Reviews
In Search of a “Style:” Capturing the Collective Identity of Social Movements Based on Digital Trace Data
Journal of the Association for Information Systems (2025)

In Search of a “Style:” Capturing the Collective Identity of Social Movements Based on Digital Trace Data

Theresa Henn-Latus, Sarah Tell, Julian Polenz, Thomas Kern, Oliver Posegga
This study investigates how online social movements form a collective identity, a topic of debate among scholars. Using socio-semantic network analysis of digital trace data from Twitter, the researchers conceptualize and measure the "style" of a movement, which combines both its cultural expressions and social interaction patterns. The German "Querdenken" movement, which protested COVID-19 measures, is used as a case study to demonstrate this methodology.

Problem Scholars are divided on whether online activism can foster a strong, unifying collective identity necessary for sustained action. Previous research often fails to capture the full picture by focusing on either cultural aspects (like shared hashtags) or social structures (like user networks), but not their interplay. This study addresses this gap by proposing a dual approach that examines both cultural and social dynamics together to understand how a collective identity emerges and persists online.

Outcome - The Querdenken movement successfully developed a distinct collective identity online, which manifested as recurring social and cultural patterns that persisted even as individual participants and leaders changed over time.
- The movement's social structure was a decentralized "network of networks" with leadership roles emerging temporarily and shifting between users, rather than being held by fixed individuals or official chapter accounts.
- The movement's identity was most strongly defined by its opposition to specific groups, primarily political authorities and scientific experts, whom they consistently portrayed with negative characteristics like incompetence and abuse of power.
- Culturally, the movement portrayed itself as a collective of active, rational, and critical protesters, blending organized actions like demonstrations with broad, general calls for resistance.
Collective Identity Online, Social Movements, Digital Trace Data, Socio-Semantic Networks, Connective Action, Leadership
Sunk Cost Fallacy, Price Adjustment, and Subscription Services for Information Goods
Journal of the Association for Information Systems (2025)

Sunk Cost Fallacy, Price Adjustment, and Subscription Services for Information Goods

Mingyue Zhang, Jesse Bockstedt, Tingting Song, Xuan Wei
This study investigates how adjusting the upfront subscription price for information goods, like a movie service, influences customer consumption behavior. Using a quasi-natural experiment involving a movie subscription service's sudden price drop and a follow-up randomized experiment, the research analyzes the impact on movie-watching habits through the lens of the sunk cost fallacy.

Problem Subscription services often adjust their pricing, but it remains unclear how changes in the fixed upfront fee—a sunk cost for the consumer—affect subsequent consumption. While traditional economic theory suggests sunk costs should be ignored, behavioral economics indicates people often try to 'get their money's worth'. This study addresses this gap by examining how a significant price reduction impacts user consumption and whether it's a profitable strategy for providers.

Outcome - A sharp downward price adjustment of a movie subscription fee increased box office revenues for an average movie by 12% to 35% in the following six months.
- The price drop primarily attracted highly price-conscious consumers who are more susceptible to the sunk cost fallacy, leading them to increase their consumption to justify the initial fee.
- Niche information goods, particularly those with high quality and narrow appeal, benefited the most from the price adjustment strategy.
- The impact of the price change on consumption decreases over time, a phenomenon known as 'payment depreciation,' as consumers gradually adapt to the initial cost.
Subscription Service, Sunk Cost, Price Adjustment, Quasi-Natural Experiment, Niche Information Goods, Consumer Behavior
What Is Augmented? A Metanarrative Review of AI-Based Augmentation
Journal of the Association for Information Systems (2025)

What Is Augmented? A Metanarrative Review of AI-Based Augmentation

Inès Baer, Lauren Waardenburg, Marleen Huysman
This paper conducts a comprehensive literature review across five research disciplines to clarify the concept of AI-based augmentation. Using a metanarrative review method, the study identifies and analyzes four distinct targets of what AI augments: the body, cognition, work, and performance. Based on this framework, the authors propose an agenda for future research in the field of Information Systems.

Problem In both academic and public discussions, Artificial Intelligence is often described as a tool for 'augmentation' that helps humans rather than replacing them. However, this popular term lacks a clear, agreed-upon definition, and there is little discussion about what specific aspects of human activity are the targets of this augmentation. This research addresses the fundamental question: 'What is augmented by AI?'

Outcome - The study identified four distinct metanarratives, or targets, of AI-based augmentation: the body (enhancing physical and sensory functions), cognition (improving decision-making and knowledge), work (creating new employment opportunities and improving work practices), and performance (increasing productivity and innovation).
- Each augmentation target is underpinned by a unique human-AI configuration, ranging from human-AI symbiosis for body augmentation to mutual learning loops for cognitive augmentation.
- The paper reveals tensions and counternarratives for each target, showing that augmentation is not purely positive; for example, it can lead to over-dependence on AI, deskilling, or a loss of human agency.
- The four augmentation targets are interconnected, creating potential conflicts (e.g., prioritizing performance over meaningful work) or dependencies (e.g., cognitive augmentation relies on augmenting bodily senses).
Augmentation, Artificial Intelligence, Human-AI Interaction, Metanarrative Review, Cognitive Augmentation, Work Augmentation, Organizational Performance
Toward Triadic Delegation: How Agentic IS Artifacts Affect the Patient-Doctor Relationship in Healthcare
Journal of the Association for Information Systems (2025)

Toward Triadic Delegation: How Agentic IS Artifacts Affect the Patient-Doctor Relationship in Healthcare

Pascal Fechner, Luis Lämmermann, Jannik Lockl, Maximilian Röglinger, Nils Urbach
This study investigates how autonomous information systems (agentic IS artifacts) are transforming the traditional two-way relationship between patients and doctors into a three-way, or triadic, relationship. Using an in-depth case study of an AI-powered health companion for managing neurogenic lower urinary tract dysfunction, the paper analyzes the new dynamics, roles, and interactions that emerge when an intelligent technology becomes an active participant in healthcare delivery.

Problem With the rise of artificial intelligence in medicine, autonomous systems are no longer just passive tools but active agents in patient care. This shift challenges the conventional patient-doctor dynamic, yet existing theories are ill-equipped to explain the complexities of this new three-part relationship. This research addresses the gap in understanding how these AI agents redefine roles, interactions, and potential conflicts in patient-centric healthcare.

Outcome - The introduction of an AI agent transforms the dyadic patient-doctor relationship into a triadic one, often with the AI acting as a central intermediary.
- The AI's capabilities create 'attribute interference,' where responsibilities and knowledge overlap between the patient, doctor, and AI, introducing new complexities.
- New 'triadic delegation choices' emerge, allowing tasks to be delegated to the doctor, the AI, or both, based on factors like task complexity and emotional context.
- The study identifies novel conflicts arising from this triad, including human concerns over losing control (autonomy conflicts), new information imbalances, and the blurring of traditional medical roles.
Agentic IS Artifacts, Delegation, Patient-Doctor Relationship, Personalized Healthcare, Triadic Delegation, Healthcare AI
Digital Infrastructure Development Through Digital Infrastructuring Work: An Institutional Work Perspective
Journal of the Association for Information Systems (2025)

Digital Infrastructure Development Through Digital Infrastructuring Work: An Institutional Work Perspective

Adrian Yeow, Wee-Kiat Lim, Samer Faraj
This paper investigates the complexities of developing large-scale digital infrastructure through a case study of an electronic medical record (EMR) system implementation in a U.S. hospital. It introduces and analyzes the concept of 'digital infrastructuring work'—the combination of technical, social, and symbolic actions that organizational actors perform. The study provides a framework for understanding the tensions and actions that shape the outcomes of such projects.

Problem Implementing new digital infrastructures in large organizations is challenging because it often disrupts established routines and power structures, leading to resistance and project stalls. Existing research frequently overlooks how the combination of technical tasks, social negotiations, and symbolic arguments by different groups influences the success or failure of these projects. This study addresses this gap by providing a more holistic view of the work involved in digital infrastructure development from an institutional perspective.

Outcome - The study introduces 'digital infrastructuring work' to explain how actors shape digital infrastructure development, categorizing it into three forms: digital object work (technical tasks), DI relational work (social interactions), and DI symbolic work (discursive actions).
- It finds that project stakeholders strategically combine these forms of work to either support change or maintain existing systems, highlighting the contested nature of infrastructure projects.
- The success or failure of a digital infrastructure project is shown to depend on how effectively different groups navigate the tensions between change and stability by skillfully blending technical, relational, and symbolic efforts.
- The paper demonstrates that technical work itself carries institutional significance and is not merely a neutral backdrop for social interactions, but a key site of contestation.
Digital Infrastructure Development, Institutional Work, IT Infrastructure Management, Healthcare Information Systems, Digital Objects, Case Study
Control Balancing in Offshore Information Systems Development: Extended Process Model
Communications of the Association for Information Systems (2025)

Control Balancing in Offshore Information Systems Development: Extended Process Model

Zafor Ahmed, Evren Eryilmaz, Vinod Kumar, Uma Kumar
This study investigates how project controls are managed and adjusted over time in offshore information systems development (ISD) projects. Using a case-based, grounded theory methodology, the researchers analyzed four large-scale offshore ISD projects to understand the dynamics of 'control balancing'. The research extends existing theories by explaining how control configurations shift between client and vendor teams throughout a project's lifecycle.

Problem Managing offshore information systems projects is complex due to geographic, cultural, and organizational differences that complicate coordination and oversight. Existing research has not fully explained how different control mechanisms should be dynamically balanced to manage evolving relationships and ensure stakeholder alignment. This study addresses the gap in understanding the dynamic process of adjusting controls in response to changing project circumstances and levels of shared understanding between clients and vendors.

Outcome - Proposes an extended process model for control balancing that illustrates how control configurations shift dynamically throughout an offshore ISD project.
- Identifies four distinct control orientations (strategic, responsibility, harmony, and persuasion) that explain the motivation behind control shifts at different project phases.
- Introduces a new trigger factor for control shifts called 'negative anticipation,' which is based on the project manager's perception rather than just performance outcomes.
- Finds that control configurations transition between authoritative, coordinated, and trust-based styles, and that these shifts are directly related to the level of shared understanding between the client and vendor.
- Discovers a new control transition path where projects can shift directly from a trust-based to an authoritative control style, often to repair or reassess a deteriorating relationship.
Control Balancing, Control Dynamics, Offshore ISD, IS Implementation, Control Theory, Grounded Theory Method
Conceptualizing IT Artefacts for Policymaking – How IT Artefacts Evolve as Policy Objects
Communications of the Association for Information Systems (2025)

Conceptualizing IT Artefacts for Policymaking – How IT Artefacts Evolve as Policy Objects

Karin Väyrynen, Sari Laari-Salmela, Netta Iivari, Arto Lanamäki, Marianne Kinnula
This study explores how an information technology (IT) artefact evolves into a 'policy object' during the policymaking process, using a 4.5-year longitudinal case study of the Finnish Taximeter Law. The research proposes a conceptual framework that identifies three forms of the artefact as it moves through the policy cycle: a mental construct, a policy text, and a material IT artefact. This framework helps to understand the dynamics and challenges of regulating technology.

Problem While policymaking related to information technology is increasingly significant, the challenges stemming from the complex, multifaceted nature of IT are poorly understood. There is a specific gap in understanding how real-world IT artefacts are translated into abstract policy texts and how those texts are subsequently reinterpreted back into actionable technologies. This 'translation' process often leads to ambiguity and unintended consequences during implementation.

Outcome - Proposes a novel conceptual framework for understanding the evolution of an IT artefact as a policy object during a public policy cycle.
- Identifies three distinct forms the IT artefact takes: 1) a mental construct in the minds of policymakers and stakeholders, 2) a policy text such as a law, and 3) a material IT artefact as a real-world technology that aligns with the policy.
- Highlights the significant challenges in translating complex real-world technologies into abstract legal text and back again, which can create ambiguity and implementation difficulties.
- Distinguishes between IT artefacts at the policy level and IT artefacts as real-world technologies, showing how they evolve on separate but interconnected tracks.
IT Artefact, IT Regulation, Law, Policy Object, Policy Cycle, Public Policymaking, European Al Act
Digital Sustainability Trade-Offs: Public Perceptions of Mobile Radiation and Green Roofs
Communications of the Association for Information Systems (2025)

Digital Sustainability Trade-Offs: Public Perceptions of Mobile Radiation and Green Roofs

Laura Recuero Virto, Peter Saba, Arno Thielens, Marek Czerwiński, Paul Noumba Um
This study investigates public opinion on the trade-offs between digital technology and environmental sustainability, specifically focusing on the effects of mobile radiation on green roofs. Using a survey and a Discrete Choice Experiment with an urban French population, the research assesses public willingness to fund research into the health impacts on both humans and plants.

Problem As cities adopt sustainable solutions like green roofs, they are also expanding digital infrastructure such as 5G mobile antennas, which are often placed on rooftops. This creates a potential conflict where the ecological benefits of green roofs are compromised by mobile radiation, but the public's perception and valuation of this trade-off between technology and environment are not well understood.

Outcome - The public shows a significant preference for funding research on the human health impacts of mobile radiation, with a willingness to pay nearly twice as much compared to research on plant health.
- Despite the lower priority, there is still considerable public support for researching the effects of radiation on plant health, indicating a desire to address both human and environmental concerns.
- When assessing risks, people's decisions are primarily driven by cognitive, rational analysis rather than by emotional or moral concerns.
- The public shows no strong preference for non-invasive research methods (like computer simulations) over traditional laboratory and field experiments.
- As the cost of funding research initiatives increases, the public's willingness to pay for them decreases.
Digital Sustainability, Green Roofs, Mobile Radiation, Risk Perception, Public Health, Willingness to Pay, Environmental Policy
Digital Detox? A Mixed-Method Examination of Hedonic IT Abstinence Maintenance and its Effects on Productivity and Moderation of Use
Communications of the Association for Information Systems (2025)

Digital Detox? A Mixed-Method Examination of Hedonic IT Abstinence Maintenance and its Effects on Productivity and Moderation of Use

Isaac Vaghefi, Ofir Turel
This study investigates the factors that help people successfully maintain a temporary break from using enjoyable technologies like social media, often called a "digital detox". Using a mixed-method approach, researchers first developed a theoretical framework, refined it through a qualitative study with individuals abstaining from social networking sites (SNS), and then tested the resulting model with a quantitative survey.

Problem Excessive use of technologies like social media is linked to negative outcomes such as reduced well-being, lower performance, and increased stress. While many people attempt a "digital detox" to mitigate these harms, there is limited understanding of what factors actually help them sustain this break from technology, as prior research has focused more on permanent quitting rather than temporary abstinence.

Outcome - A person's belief in their own ability to abstain (self-efficacy) is a key predictor of successfully maintaining a digital detox.
- Pre-existing, automatic habits of using technology make it harder to abstain, but successfully abstaining helps form a new counter-habit that supports the detox.
- Peer pressure from one's social circle to use technology significantly hinders the ability to maintain a break.
- Successfully maintaining a digital detox leads to increased self-reported productivity and a stronger intention to moderate technology use in the future.
Digital Detox, Abstinence, Behavior Maintenance, Social Networking Site, Hedonic IT, Productivity, Self-control
To Use or Not to Use! Working Around the Information System in the Healthcare Field
Communications of the Association for Information Systems (2024)

To Use or Not to Use! Working Around the Information System in the Healthcare Field

Mohamed Tazkarji, Craig Van Slyke, Gracia Hamadeh, Iris Junglas
This study investigates why nurses in a large hospital utilize workarounds for their electronic medical record (EMR) system, even when they generally perceive the system as useful and effective. Through a qualitative case study involving interviews with 24 nurses, the research explores the motivations, decision processes, and consequences associated with bypassing standard system procedures.

Problem Despite massive investments in EMR systems to improve healthcare efficiency and safety, frontline staff frequently bypass them. This study addresses the puzzle of why employees who accept and value an information system still engage in workarounds, a practice that can undermine the intended benefits of the technology and introduce risks to patient care and data security.

Outcome - Nurses use workarounds, such as sharing passwords or delaying data entry, primarily to save time and prioritize direct patient care over administrative tasks, especially in high-pressure situations.
- The decision to engage in a workaround is strongly influenced by group norms, habituation, and 'hyperbolic discounting,' where the immediate benefit of saving time outweighs potential long-term risks.
- Workarounds have both positive and negative consequences; they can improve patient focus and serve as a system fallback, but also lead to policy violations, security risks, and missed opportunities for process improvement.
- The study found that even an award-winning, well-liked EMR system was bypassed by 23 out of 24 nurses interviewed, highlighting that workarounds are a response to workflow constraints, not necessarily system flaws.
EMR, Workarounds, Healthcare Information Technology, Password Sharing, Workaround Consequences, Nursing, System Usage
Navigating “AI-Powered Immersiveness” in Healthcare Delivery: A Case of Indian Doctors
Communications of the Association for Information Systems (2025)

Navigating “AI-Powered Immersiveness” in Healthcare Delivery: A Case of Indian Doctors

Ritu Raj, Rajesh Chandwani
This study explores how AI-powered immersive technologies, like virtual and augmented reality, are being adopted by doctors in India. Using a qualitative approach involving 84 doctors, the research investigates the factors influencing their adoption of these new tools and how this technology is reshaping their professional identity.

Problem As AI and immersive technologies become more prevalent in healthcare, there is a gap in understanding what drives doctors to adopt them and how this integration affects their professional roles and sense of identity. Existing research often overlooks the unique challenges and identity shifts that occur when technology begins to take on tasks traditionally performed by highly skilled professionals.

Outcome - The adoption of AI-powered immersive technologies by doctors is influenced by three key areas: specific technology capabilities (like enhanced surgical planning and training), individual perceptions (such as feeling present in the virtual environment), and organizational support (including collaborative frameworks and skill development opportunities).
- Contrary to showing resistance, doctors display a spectrum of adoption behaviors, leading to the identification of four distinct professional identities: Risk-Averse Adopters, Pragmatic Adopters, Informed Enthusiasts, and Technology Champions.
- The integration of these technologies is redefining the professional identity of doctors, moving them towards hybrid roles that combine traditional clinical expertise with technological fluency.
- Ethical and privacy concerns, particularly regarding patient data, as well as questions about accountability when AI is involved in decision-making, are significant factors influencing doctors' perceptions of these technologies.
AI-powered Immersive Technology, Identity, Healthcare, Adoption, Grounded Theory, Professional Identity, Technology Adoption
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