Department of Social and Behavioural Studies, University West, Trollhättan, Sweden.
J Health Organ Manag. 2010;24(4):412-27. doi: 10.1108/14777261011065011.
Earlier studies have identified artefacts, but have only to a lesser degree looked at their effects. The purpose of this paper is to investigate how artefacts contribute to organisation.
DESIGN/METHODOLOGY/APPROACH: A trauma team at a university hospital has been observed and its members interviewed.
The trauma team showed itself to be rich on artefacts since it had strong internal driving forces, high legitimacy, and tried to live up to high expectations from the outside. Its members were motivated to be in the forefront of trauma care. Through renewal, the team succeeded in maintaining demarcation. It also succeeded in systemising internal work tasks and made for itself a position in relation to the outside. The team's capacity, however, came to be limited by internal conflicts and battles for prestige.
The study shows that informal logic has a strong influence on teams. Teamwork contributed to the development of organisational structure and motivation for the personnel.
ORIGINALITY/VALUE: Earlier studies advocate the important role of artefacts in order to communicate, collaborate, negotiate or coordinate activities. The conclusion is that artefacts also have an organising and developing effect on teams in a fragmented and differentiated healthcare.
早期研究已经确定了人工制品，但只是在较小程度上研究了它们的影响。本文旨在探讨人工制品如何促进组织的发展。
设计/方法/途径：观察了一所大学医院的创伤小组，并对其成员进行了访谈。
由于具有强大的内部驱动力、高度的合法性，并试图满足外界的高期望，创伤小组表现出丰富的人工制品。其成员有动力成为创伤护理的前沿。通过更新，该团队成功地保持了分工。它还成功地将内部工作任务系统化，并为自己在外部建立了一个位置。然而，团队的能力受到内部冲突和争夺声誉的限制。
该研究表明，非正式逻辑对团队有很强的影响。团队合作促进了组织结构的发展和人员的积极性。
原创性/价值：早期的研究主张人工制品在沟通、协作、谈判或协调活动方面的重要作用。结论是，在碎片化和差异化的医疗保健环境中，人工制品对团队也具有组织和发展的作用。
