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SUMMARY:School of IT seminar slot (compulsory if scheduled)
DTSTART;VALUE=DATE-TIME:20250918T110000Z
DTEND;VALUE=DATE-TIME:20250918T115000Z
UID:776373934449
DESCRIPTION:Speaker: Meke Kapepo\n\nTitle:\nA socio-technical analysis of
  workarounds to digital health interventions: Insights from case studies.
 \n\nAbstract:\n\nDigital health interventions (DHIs) are designed to autom
 ate and\nstreamline complex clinical workflows across healthcare organisat
 ions.\nHowever\, in practice\, end-users frequently encounter limitations 
 and\nconstraints  that hinder their ability to perform tasks efficiently.
 \nAs a result\, end-users  enact workarounds (improvised practices that\n
 deviate from the prescribed use ) to overcome these constraints to\ncomple
 te their clinical tasks. In some instances\, end-users may bypass\nofficia
 l systems entirely by adopting unsanctioned third-party\napplications\, kn
 own as Shadow Information Technologies\, to maintain\ncontinuity of servic
 es and care. These practices point to a mismatch\nbetween the intended des
 ign\, objectives of  DHIs and their actual use\nin public hospitals. This
  research examined healthcare providers’\nworkaround practices in Southe
 rn African public hospitals. Adopting an\ninterpretive paradigm and a mult
 iple case study approach\, the study\nprovides a theoretical elaboration o
 f how these practices emerge from\ndesign–reality gaps such as lack end-
 user involvement\, weak management\nsystems and structures\, and the absen
 ce of clear data policies which\noften lead to unintended risks related to
  data integrity\, security and\npatient safety.  Employing a socio-techni
 cal lens\, the research draws\non the Process Framework for Healthcare Inf
 ormation System Workarounds\nand Impacts \,the Systems Engineering Patient
  Safety (SEIPS 3.0 and\n101) framework and the design-reality gap framewor
 k  to develop an\nintegrative framework. Findings show that the subversio
 n of official\ndigital DHIs is a result of a mismatch between the system d
 esign and\ncontextual realities of end-users. This study provides practica
 l\ninsights for practitioners and system developers on workaround\nbehavio
 urs arising from the design-reality gaps. The research also\nhighlights th
 e importance of robust change management strategies\, that\nnot only addre
 ss technical limitations but ensure that business\nrequirements are meanin
 gfully incorporated with end-user input. By\nembracing innovation  emergi
 ng from appropriation processes\,\ndevelopers can better align the design 
 of DHIs with contextual\nrealities\, ultimately safeguarding patient safet
 y and strengthening\ndata governance in clinical settings.\n\nBiography:\n
 \nMeke Kapepo has over 18 years of experience in the higher education\nsec
 tor. Her academic journey began at the Cape Peninsula University of\nTechn
 ology (CPUT)\, where she completed both her undergraduate and\nmaster’s 
 degrees in information technology. During this period\, she\nalso served a
 s an assistant lecturer\, marking the beginning of her\nteaching career. S
 he later joined the Namibia University of Science\nand Technology\, where 
 she worked for five years\, further developing\nher academic and research 
 interests. For the past 12 years\, Meke has\nbeen a lecturer in the Depart
 ment of Information Systems (ADP) at the\nUniversity of Cape Town.  Her r
 esearch interests are on digital health\nin underserved communities\, with
  a particular focus on public health\nsystems. She is also passionate abou
 t Information Systems education\,\nparticularly in curriculum design for a
 cademic development and student\nsuccess. Meke recently completed her PhD 
 in Information Systems. Her\nThesis is titled “Investigating the Use of 
 Electronic Referrals to\nFacilitate the Patient Referral Process in Southe
 rn African Public\nHospitals.”
LOCATION:CS2A
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