Improving the state of citizens’ health is an urgent priority in many low and middle income countries (LMICs), and health management information systems (HMIS) are widely seen as valuable tools for pursuing this priority. Yet, the potential of HMIS has been difficult to materialize in the LMIC context since routines and practices that work against effective use of HMIS are often deeply embedded in historical institutions and, consequently, are difficult to change. Using a longitudinal case study of HMIS in Kenya, we investigate the crucial role of identity work as a mechanism that links information technology (IT) affordances to institutions. In particular, our study revealed four types of identity work (disruptive, legitimizing, reinforcing, and transformative) that, through different affordances, led to distinct institutional consequences in terms of either maintaining or deinstitutionalizing existing dysfunctional HMIS-related routines and practices. We demonstrate the importance of context for theorizing the societal and development impact of IT and the role of IT materiality in influencing deinstitutionalization.

Today’s healthcare workers, specifically nurses, are experiencing technostress associated with the use of healthcare information technology (HIT). Technostress is often characterized by IS researchers as negative, or as being on the “dark side” of technology. However, a broader reading of the stress literature suggests that technostress may be both positive and negative, and can therefore have a “bright side” in addition to a dark side. The objective of this study is to conceptualize a holistic technostress process that includes positive and negative components of technostress embedded in two subprocesses: the techno-eustress subprocess and the techno-distress subprocess, respectively. The study instantiates this holistic technostress model through a sequential mixed-methods research design in the context of HIT. Phase 1 of the design is a qualitative, interpretive case study involving interviews with 32 nurses. Based on the findings from the case study, the paper builds a research model that operationalizes the concepts embedded in the holistic technostress model and identifies contextually relevant challenge and hindrance technostressors and outcomes. In Phase 2, the research model is empirically validated by analyzing survey data collected from 402 nurses employed in the United States. Results reveal that several challenge and hindrance technostressors are related to positive and negative psychological responses, respectively, and that such responses are related to job satisfaction and attrition, which impact turnover intention. Contributions to theory and practice are also discussed.

The sociotechnical perspective is often seen as one of the foundational viewpoints—or an “axis of cohesion”— for the Information Systems (IS) discipline, contributing to both its distinctiveness and its ability to coherently expand its boundaries. However, our review of papers in the two leading IS journals from 2000 to 2016 suggests that IS research has lost sight of the discipline’s sociotechnical character—a character that was widely acknowledged at the discipline’s inception. This is a problem because an axis of cohesion can be fundamental to a discipline’s long-term vitality. In order to address this issue, we offer ways to renew the sociotechnical perspective so that it can continue to serve as a distinctive and coherent foundation for the discipline. Our hope is that the renewed sociotechnical frame for the IS discipline discussed in the paper holds potential to contribute to the enduring strength of our diverse, distinctive, yet unified discipline. It also prompts members of the discipline to think more deeply about what it means to be an IS scholar.

Contemporary business organizations are increasingly turning their attention to jointly creating value with a variety of stakeholders, such as individual customers and other business organizations. However, a review of the literature reveals that very few studies have systematically examined value cocreation within business-to-business (B2B) contexts. Using a revelatory case study of the relationship between an ERP vendor with a global reputation and its partners, and informed by the resource-based view of the firm and related theoretical perspectives, we develop an understanding of value cocreation in B2B alliances associated with selling, extending, and implementing packaged software, specifically ERP systems. Our study reveals that there are different mechanisms underlying value cocreation within B2B alliances, and also points to several categories of contingency factors that influence these mechanisms. In addition to providing insights about the phenomenon of cocreation itself, the study contributes to the stream of packaged software literature, where the implications of value cocreation in alliances between packaged software vendors and their partners for the client organizations have not been sufficiently explored.

As the highest level of cloud computing delivery model, Software-as-a-Service (SaaS) has gained considerable popularity in the industry as a new way of deploying IT solutions, due to its low cost and high elasticity. However, the new business model associated with SaaS highlights the importance for SaaS vendors to understand how to retain customers in a hyper-competitive market. In particular, increasing customer retention and preventing customers from replacing the adopted SaaS applications has become a crucial task for all SaaS vendors. In this study, using a mixed-methods approach, and drawing on the cognitive–affective–conative– action (CACA) framework, we investigate the IS replacement phenomenon in the context of SaaS-delivered applications. Our qualitative study allows us to develop an IS-centric view of customer commitment by differentiating between organizations’ commitment to the SaaS application and to the cloud computing technology in general, while the subsequent quantitative study validates the difference between the two types of commitment and helps understand how they together influence organizations’ intentions to replace a SaaS application. Our results generate important theoretical implications for research on IS replacement and clarifies the concept of customer commitment. We also offer practical guidelines to SaaS vendors on how to retain customers so as to survive/thrive in this competitive market.

Value destruction is intertwined with value co-creation in the technology alliances and ecosystems; this is a key reason that most partnerships fail in the real world. Managers and policymakers will be enabled to identify destructive behavioral signals right from the onset drawing on our findings that opportunism, unjust appropriation of rents, shirking, exploitation of asymmetric power, and undue dependence can initiate the value destruction process. For the partners in an ecosystem, our findings underscore that opportunistic and exploitative behaviors do not pay off in the long run as these result in collateral and unintended losses for all. Dominant partner’s opportunism and exploitation of power asymmetry could give rise to a proverbial “pack of wolves,” a collective of resentful partners, for “challenging/killing the lion”—replacing the hub firm itself. In this vicious cycle, original intent of value co-creation gets lost with multidimensional losses on multiple fronts to the extent that opportunities open up even for the competitors with the help of hub’s former resentful complementors. Equipped with this knowledge, leaders can proactively manage ecosystem relationships keeping them on the path of originally intended value co-creation by remaining alert toward catching the signals of value destruction and reverting it deftly toward value co-creation.

Funding: A. Susarla was funded by an R01 grant from the National Library of Medicine, through [Grant R01LM013443].

This editorial introduces a conceptual framework that reimagines research on Information and Communication Technologies for Development (ICT4D) as “digital development,” recognizing the inseparable intertwining of digital and development trajectories. This framing is aimed at the broader information systems (IS) research community, which includes ICT4D researchers, based both in the Global South and the Global North. Digital development encompasses three dimensions: digital in development (institutional use), digital for development (conscious design for outcomes), and development in a digital world (digital entanglement in development practice.). We argue that this reimagination is necessary for three reasons. First, digital technologies are becoming increasingly entangled with many development initiatives, implying the need to be studied as a duality, not a dualism. Second, we are witnessing the rising complexity of contemporary and emergent development challenges, which are not just limited to the Global South, but to the world at large. Third, the IS and ICT4D research fields have long worked in relative isolation from each other, but they need to synergistically create new theories and methods to address the rising complexities inherent in the “digital” and “development.” We provide a brief overview of the existing ICT4D field to identify critical areas for reconceptualization and expansion. This is then illustrated by examples from four empirical domains, namely humanitarian governance, global health, financial inclusion, and digital nomadism, which are representative of contemporary and emerging digital development challenges. This leads to the development of theoretical, policy and practice, and methodological implications, which provide a basis to formulate a research agenda for digital development.