{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,2]],"date-time":"2025-08-02T17:47:47Z","timestamp":1754156867320,"version":"3.41.2"},"reference-count":42,"publisher":"Emerald","issue":"1","license":[{"start":{"date-parts":[[2018,2,5]],"date-time":"2018-02-05T00:00:00Z","timestamp":1517788800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.emerald.com\/insight\/site-policies"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["DTA"],"published-print":{"date-parts":[[2018,2,5]]},"abstract":"<jats:sec>\n<jats:title content-type=\"abstract-subheading\">Purpose<\/jats:title>\n<jats:p>The paper reflects on the role of knowledge artefacts in the patient-provider relationship across the organisational boundaries of the clinical setting. Drawing on the analysis of the diabetes logbook, the purpose of this paper is to illustrate the role of knowledge artefacts in a fragmented system of knowledge through the study of two distinct practices: \u201clogbook compiling\u201d and \u201cconsultation in the surgery\u201d.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title content-type=\"abstract-subheading\">Design\/methodology\/approach<\/jats:title>\n<jats:p>The theoretical framework of analysis is rooted in the tradition of practice-based studies which envisions knowledge as the emerging, precarious and socially constructed product of being involved in a practice. The paper follows a designed qualitative research, conducting semi-structured interviews, participant observation and artefact analysis.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title content-type=\"abstract-subheading\">Findings<\/jats:title>\n<jats:p>The knowledge artefacts support different and partially irreducible forms of knowledge. Knowing-in-practice is accomplished by means of different activities which contribute to the reshaping of the knowledge artefact itself. The analysis of the \u201cknowledge artefact-in-use\u201d reveals that different actors (doctors and patients) adopt two different perspectives when investigating the chronic condition. Clinicians are interested in a chronological representation of patient data while patients and families are interested in making sense of specific situations, adopting a kairotic perspective (Kairos: the right moment) that emphasises the instant in which something significant for someone happens.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title content-type=\"abstract-subheading\">Originality\/value<\/jats:title>\n<jats:p>The analysis of the knowledge artefacts-in-use has a twofold outcome. On one hand, it illustrates the mutual shaping of knowing, artefacts and practices. On the other hand, it shows how knowledge artefact can become pivotal resources in a fragmented system of knowledge.<\/jats:p>\n<\/jats:sec>","DOI":"10.1108\/dta-03-2017-0018","type":"journal-article","created":{"date-parts":[[2018,1,2]],"date-time":"2018-01-02T07:26:11Z","timestamp":1514877971000},"page":"148-162","source":"Crossref","is-referenced-by-count":1,"title":["Kairotic and chronological knowing: diabetes logbooks in-and-out of the hospital"],"prefix":"10.1108","volume":"52","author":[{"given":"Enrico Maria","family":"Piras","sequence":"first","affiliation":[]}],"member":"140","reference":[{"issue":"8","key":"key2020093020090103700_ref001","doi-asserted-by":"crossref","first-page":"e202","DOI":"10.2196\/jmir.4209","article-title":"\u2018You get reminded you\u2019re a sick person\u2019: personal data tracking and patients with multiple chronic conditions","volume":"17","year":"2015","journal-title":"Journal of Medical Internet Research"},{"year":"2012","key":"key2020093020090103700_ref002","article-title":"Observations of daily living: putting the \u2018personal\u2019 in personal health records"},{"issue":"5","key":"key2020093020090103700_ref003","doi-asserted-by":"crossref","first-page":"605","DOI":"10.1287\/orsc.9.5.605","article-title":"Creativity and improvisation in jazz and organizations: implications for organizational learning","volume":"9","year":"1998","journal-title":"Organization Science"},{"issue":"6","key":"key2020093020090103700_ref004","doi-asserted-by":"crossref","first-page":"1021","DOI":"10.1177\/017084069501600605","article-title":"Knowledge, knowledge work and organizations: an overview and interpretation","volume":"16","year":"1995","journal-title":"Organization Studies"},{"issue":"1","key":"key2020093020090103700_ref005","first-page":"1","article-title":"Clinical review: the misreporting of logbook, download, and verbal self-measured blood glucose in adults and children with type I diabetes","volume":"54","year":"2016","journal-title":"Acta Diabetologica"},{"volume-title":"The Logic of Practice","year":"1990","key":"key2020093020090103700_ref006"},{"issue":"1","key":"key2020093020090103700_ref007","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1007\/s00779-014-0805-0","article-title":"Observing health in everyday living: ODLs and the care-between-the-care","volume":"19","year":"2015","journal-title":"Personal and Ubiquitous Computing"},{"issue":"1\/2","key":"key2020093020090103700_ref008","first-page":"83","article-title":"Knowing in a system of fragmented knowledge","volume":"14","year":"2007","journal-title":"Mind, Culture, and Activity"},{"first-page":"64","article-title":"\u2018Made with knowledge\u2019 \u2013 disentangling the IT knowledge artifact by a qualitative literature review","year":"2014","key":"key2020093020090103700_ref009"},{"first-page":"391","article-title":"Knowledge artifacts within knowing communities to foster collective knowledge","year":"2014","key":"key2020093020090103700_ref010"},{"issue":"4","key":"key2020093020090103700_ref011","doi-asserted-by":"crossref","first-page":"442","DOI":"10.1287\/orsc.13.4.442.2953","article-title":"A pragmatic view of knowledge and boundaries: boundary objects in new product development","volume":"13","year":"2002","journal-title":"Organization Science"},{"issue":"1\/2","key":"key2020093020090103700_ref012","first-page":"27","article-title":"L\u2019action situ\u00e9e dans le d\u00e9veloppement de l\u2019activit\u00e9","volume":"1","year":"2004","journal-title":"Activit\u00e9s"},{"issue":"3","key":"key2020093020090103700_ref013","doi-asserted-by":"crossref","first-page":"265","DOI":"10.1177\/1350507609356938","article-title":"Through the practice lens: where is the bandwagon of practice-based studies heading?","volume":"41","year":"2010","journal-title":"Management Learning"},{"key":"key2020093020090103700_ref014","doi-asserted-by":"crossref","unstructured":"Czarniawska-Joerges, B. and Joerges, B. 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