tacit knowledge

Eye Tracking in Medical Ethnography: Evaluating Evidence for Perception, Action, and Collaboration in Healthcare Professions

LARRY S. MCGRATH Design Science Consulting, Inc. Using eye tracking in ethnographic research poses numerous theoretical and practical challenges. How might devices originally intended to record individuals' vision of two-dimensional planes be useful in interpersonal contexts with dynamic visual interfaces? What would the technology reveal about collegial environments in which different levels of knowledge and expertise come together and inform decision-making processes? Why would pupil movement show us anything that conventional ethnographic methods could not? In this paper, I argue that these challenges are not intractable. When tailored to specific questions about perception, action, and collaboration, eye trackers can reveal behaviors that elude ethnographers' gaze. In so doing, the devices enrich the observational and interview-based methods already employed in ethnographic studies of workplace dynamics. Hospitals are a fruitful context in which to test the value of eye-tracking evidence. Healthcare professionals look, interpret,...

The Virtues of the Visceral

Soldiers check papers and take valuables at the checkpoint at A Day in the Life of a Refugee.
by SIMON ROBERTS, Stripe Partners The news on BBC Radio this morning: The Syrian crisis enters its seventh year with 400,000 dead and little hope that this complex catastrophe will be untangled any time soon. The scale of suffering is huge, but Syria accounts for just a fraction of an even more staggering number – the UNHCR estimates there are 65 million refugees or internally displaced people worldwide. Like many others I watch the steady stream of grisly news from Syria – it comes to us in facts, figures, infographics, human stories and historical comparisons. I've been shocked. But I am also inoculated. Whatever the quality of the reporting, however harrowing the scenes, our attention moves on. It is difficult to truly grasp the scale of what we have seen, hard to understand what it must be like to be a refugee. In an age when a seemingly limitless amount of information is at our fingertips, when we can know more than ever about events around the world, we still fail to understand. Here’s the challenge of contemporary...

Strategy as an Unfolding Network of Associations

TOM HOY Stripe Partners TOM ROWLEY Stripe Partners Cast Study—This case explores a business strategy development project run by Stripe Partners for a London-based online healthcare company, Dr Ed. The first part lays out the details of the process: an intense four-day ethnographic research programme called the ‘Studio’ involving the Dr Ed senior management team. The second half reflects on the outcomes of the process one year on through a series of management interviews, and evaluates the contribution the Studio made in relation to the new business strategy. The evidence from the case suggests that the concept of strategy can be reappraised. From strategy as a static set of choices made at a specific point in time to strategy as an unfolding network of people, shared experiences and artefacts that is constantly being remade. The primary benefit of the Studio approach is its capacity to initiate, align and catalyse a ‘strategy network’. Studios are effective because they combine ethnographic encounters with collective problem...