Caring for Computers: The Hidden Work of Clinical Nurses during the Introduction of Health Information Systems in a Teaching Hospital in Taiwan.

Implementing health information systems for enhancing patient care and management occurs worldwide. Discovering how nurses, as important system end-users, experience technology-reliant clinical practice involved focus groups (n = 25) and in-depth individual interviews with nurses (n = 4) and informatics staff (n = 3) in a major Taiwanese medical center. This qualitative study explores the unintended effects of these systems on nurses' role and clinical practice. First, nurses' additional role caring for computer devices supporting patient care involves highly-demanding invisible effort, especially when tackling system malfunctions affecting patients with urgent conditions. Second, nurses are resourceful in developing solutions to protect patients during unexpected technical malfunctions. Third, troubleshooting using telephone technical support as the first resort is problematic. It is argued that computerization requires nurses to care for co-clients: patients and computers. Managing technical malfunctions is an unintended consequence for nurses, reflecting the hidden work required by new technology.

Building Community Resilience via Developing Community Capital toward Sustainability: Experiences from a Hakka Settlement in Taiwan.

Developing community capital is widely viewed as a way to address community resilience-related issues toward sustainability. Based on a Taiwanese, peri-urban, Hakka settlement, this article presents findings on the practical factors in the development of community capital via farm-to-table and community care, and their implications for a resilient, healthy community. It shows that community capital arising from the pond farming, pond education, and community service systems can interact to support its diversity and linkability. The pond-based social network is identified as the key to mitigating the impacts of community challenges regarding food safety concerns, environmental degradation, and aging population. It argues that the pond-based food landscape, communal network, and a borderless campus can enhance community capital as well as play significant parts in achieving community sustainability by promoting residents' health and well-being.