Beyond Expertise Seeking: A Field Study of the Informal Knowledge Practices of Healthcare IT Teams

CSCW has long been concerned with formal and informal knowledge practices in organizations, examining both the social and technical aspects of how knowledge is sought, shared, and used. In this study, we are interested in examining the set of activities that occur when co-located knowledge workers manage and resolve issues by seeking, sharing, and applying their informal knowledge. Informal knowledge seeking involves more than identifying the expert who has the knowledge or accessing the knowledge through physical artifacts. It also involves working with that expert to identify and apply the appropriate knowledge to the particular situation. However, our understandings of how people collaboratively work together to find, share and apply this knowledge are less well understood. To investigate this phenomenon, we conducted a field study of how professionals in three IT teams of a regional hospital managed and resolved IT issues. These knowledge workers used various collaborative practices such as creation of ad-hoc teams and the use of email to identify, share, and use informal knowledge to resolve IT issues. In addition, particular team practices such as how issues are assigned affected these knowledge activities. Our findings highlight how informal knowledge activities are affected by a variety of implicit and sometimes subtle features of the organization and that organizational knowledge management systems should support informal knowledge seeking activities and collaboration amongst the knowledge sharers.

[1]  Kate Ehrlich,et al.  Turning Information into Knowledge: Information Finding as a Collaborative Activity , 1994 .

[2]  Madhu C. Reddy,et al.  Temporality in Medical Work: Time also Matters , 2006, Computer Supported Cooperative Work (CSCW).

[3]  Steffen Staab,et al.  Knowledge Processes and Ontologies , 2001, IEEE Intell. Syst..

[4]  Karl Aberer,et al.  Automatic Expansion of Manual Email Classifications Based on Text Analysis , 2003, OTM.

[5]  David W. Bates,et al.  Bmc Medical Informatics and Decision Making the Quality Case for Information Technology in Healthcare , 2002 .

[6]  Alan F. Blackwell,et al.  Tangible interface for collaborative information retrieval , 2004, CHI EA '04.

[7]  John C. Tang,et al.  Tag-it, snag-it, or bag-it: combining tags, threads, and folders in e-mail , 2008, CHI Extended Abstracts.

[8]  Jonas Landgren,et al.  Making action visible in time-critical work , 2006, CHI.

[9]  I. Nonaka,et al.  A firm as a knowledge-creating entity: a new perspective on the theory of the firm , 2000 .

[10]  Julita Vassileva,et al.  The Intelligent Helpdesk: Supporting Peer-Help in a University Course , 1998, Intelligent Tutoring Systems.

[11]  David M. Nichols,et al.  Designing interfaces to support collaboration in information retrieval , 1998, Interact. Comput..

[12]  Phil Hodkinson,et al.  The interrelationships between informal and formal learning , 2003 .

[13]  M. Harrison Pace and interaction , 2000 .

[14]  Daniel J. Alberts A model of multidiscipline teams in knowledge‐creating organizations , 2007 .

[15]  Lorne Olfman,et al.  Organizational Memory , 1998, Proceedings of the Thirty-First Hawaii International Conference on System Sciences.

[16]  Eric Horvitz,et al.  SearchTogether: an interface for collaborative web search , 2007, UIST.

[17]  J. Howells Tacit Knowledge, Innovation and Economic Geography , 2002 .

[18]  Lawrence R. James,et al.  The cross‐level effects of culture and climate in human service teams , 2002 .

[19]  Ruth C. Carter,et al.  Brainstorming , 2002 .

[20]  Kate Ehrlich,et al.  Searching for experts in the enterprise: combining text and social network analysis , 2007, GROUP.

[21]  D. Leonard,et al.  The Role of Tacit Knowledge in Group Innovation , 1998 .

[22]  Christine Halverson,et al.  Organizational Memory as Objects, Processes, and Trajectories: An Examination of Organizational Memory in Use , 2004, Computer Supported Cooperative Work (CSCW).

[23]  C. Burke,et al.  The impact of cross-training on team effectiveness. , 2002, The Journal of applied psychology.

[24]  Madhu C. Reddy,et al.  Understanding together: sensemaking in collaborative information seeking , 2010, CSCW '10.

[25]  Swee C. Goh,et al.  Managing effective knowledge transfer: an integrative framework and some practice implications , 2002, J. Knowl. Manag..

[26]  Stephanie D. Teasley,et al.  Proceedings of the 2009 International ACM SIGGROUP Conference on Supporting Group Work, GROUP 2009, Sanibel Island, Florida, USA, May 10-13, 2009 , 2009, GROUP.

[27]  Tracee Vetting Wolf,et al.  Leveraging digital backchannels to enhance user experience in electronically mediated communication , 2006, CSCW '06.

[28]  Madhu C. Reddy,et al.  The influence of boundary objects on group collaboration in construction project teams , 2009, GROUP.

[29]  Volker Wulf,et al.  IT to support knowledge sharing in communities, towards a social capital analysis , 2006, J. Inf. Technol..

[30]  Bernard J. Jansen,et al.  A model for understanding collaborative information behavior in context: A study of two healthcare teams , 2008, Inf. Process. Manag..

[31]  Madhu C. Reddy,et al.  Finding Answers: Information Needs of a Multidisciplinary Patient Care Team in an Emergency Department , 2006, AMIA.

[32]  Gina J. Medsker,et al.  RELATIONS BETWEEN WORK TEAM CHARACTERISTICS AND EFFECTIVENESS: A REPLICATION AND EXTENSION , 1996 .

[33]  Mark S. Ackerman,et al.  Achieving safety: a field study of boundary objects in aircraft technical support , 2002, CSCW '02.

[34]  A. Strauss,et al.  Basics of qualitative research: Grounded theory procedures and techniques. , 1993 .

[35]  Mark S. Ackerman,et al.  Just talk to me: a field study of expertise location , 1998, CSCW '98.

[36]  Mark S. Ackerman,et al.  Answer Garden 2: merging organizational memory with collaborative help , 1996, CSCW '96.

[37]  Madhu C. Reddy,et al.  Asking questions: information needs in a surgical intensive care unit , 2002, AMIA.

[38]  K. D. Joshi,et al.  Knowledge transfer within information systems development teams: Examining the role of knowledge source attributes , 2007, Decis. Support Syst..

[39]  Susan Leigh Star,et al.  The Structure of Ill-Structured Solutions: Boundary Objects and Heterogeneous Distributed Problem Solving , 1989, Distributed Artificial Intelligence.

[40]  Stefania Bandini,et al.  The role of knowledge artifacts in innovation management: the case of a chemical compound designer CoP , 2003 .

[41]  Volker Wulf,et al.  Pruning the Answer Garden: Knowledge Sharing in Maintenance Engineering , 2003, ECSCW.

[42]  Wayne G. Lutters,et al.  Structuring cross-organizational knowledge sharing , 2007, GROUP.

[43]  Mark S. Ackerman,et al.  Beyond Boundary Objects: Collaborative Reuse in Aircraft Technical Support , 2007, Computer Supported Cooperative Work (CSCW).

[44]  Richard A. Guzzo,et al.  Group performance and intergroup relations in organizations. , 1992 .

[45]  M. D. Dunnette Handbook of Industrial and Organizational Psychology , 2005 .

[46]  M. S. Ackerman,et al.  Answer Garden: a tool for growing organizational memory , 2015, COCS '90.

[47]  Kimitake Hasuike,et al.  Cellular Phone as a Collaboration Tool that Empowers and Changes the Way of Mobile Work: Focus on Three Fields of Work , 2005, ECSCW.

[48]  Marvin Theimer,et al.  Designing and implementing asynchronous collaborative applications with Bayou , 1997, UIST '97.

[49]  Volkmar Pipek,et al.  Supporting expertise awareness: finding out what others know , 2007, CHIMIT '07.

[50]  Christine Halverson,et al.  Considering an organization's memory , 1998, CSCW '98.

[51]  Alan Dix,et al.  Pace and interaction , 1993 .

[52]  P. R. Balasubramanian,et al.  Process-oriented knowledge management: a case study , 2003, J. Oper. Res. Soc..

[53]  E. Salas,et al.  Shared mental models in expert team decision making. , 1993 .

[54]  Stefane M. Kabene,et al.  Creating a Culture for Interdisciplinary Collaborative Professional Practice , 2005, Medical education online.

[55]  David G. Mathiasen Groups that work (and those that Don't): Creating Conditions for Effective Teamwork, edited by J. Richard Hackman. San Francisco, CA: Jossey-Bass 1990, 512 pp. Price: $39.95 cloth , 1991 .

[56]  Carla Simone,et al.  Active artifacts as bridges between context and community knowledge sources , 2009, C&T.

[57]  Eduardo Salas,et al.  Training team problem solving skills: an event-based approach ? ? The views herein are those of the , 1999 .

[58]  Angel Cabrera,et al.  Fostering knowledge sharing through people management practices , 2005 .