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Expectation vs reality: A case study of the impact of the da Vinci surgical robot on healthcare professionals’ work experiences

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  • Liu, Hong Yu
  • Hayton, James

Abstract

In recent years, considerable academic attention has been devoted to the use of new technology in the healthcare sector. However, there is limited empirical knowledge about how everyday professional work is affected or how professionals actually experience these changes. This article assesses the introduction of the da Vinci surgical robot in the colorectal surgery department of a National Health Service Hospital in England. It argues that the impact of technology on healthcare workers is not predetermined by the characteristics of a technology and should be understood as a combination of positive and negative experiences in specific, highly contextualised workplace settings. Benefits to patients of the da Vinci surgical robot are clinically promising, but its implementation continues to be difficult, and the trade-offs look much different for varying employee groups. Our ethnographic method enables us to present this finding in granular detail: the da Vinci surgical robot can improve the morale and occupational health of the healthcare professionals in this hospital, yet negative impacts such as anxiety associated with conducting new operation procedures are commonly experienced by surgical team members. This article covers themes such as recruitment, preparation, and training, and offers much-needed insights into the long-term development of the healthcare workforce in England and beyond.

Suggested Citation

  • Liu, Hong Yu & Hayton, James, 2025. "Expectation vs reality: A case study of the impact of the da Vinci surgical robot on healthcare professionals’ work experiences," Social Science & Medicine, Elsevier, vol. 383(C).
  • Handle: RePEc:eee:socmed:v:383:y:2025:i:c:s0277953625007683
    DOI: 10.1016/j.socscimed.2025.118437
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    References listed on IDEAS

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    1. Ulucanlar, S. & Faulkner, A. & Peirce, S. & Elwyn, G., 2013. "Technology identity: The role of sociotechnical representations in the adoption of medical devices," Social Science & Medicine, Elsevier, vol. 98(C), pages 95-105.
    2. Abrishami, Payam & Boer, Albert & Horstman, Klasien, 2014. "Understanding the adoption dynamics of medical innovations: Affordances of the da Vinci robot in the Netherlands," Social Science & Medicine, Elsevier, vol. 117(C), pages 125-133.
    3. S. A. Høyland & K. A. Holte & B. Gjerstad & I. L. Teig, 2023. "A System Perspective on Implementation and Usage of the Da Vinci Technology at a Large Norwegian Regional Hospital’," SAGE Open, , vol. 13(3), pages 21582440231, September.
    4. repec:hal:journl:hal-03278865 is not listed on IDEAS
    5. Petrakaki, Dimitra & Barber, Nick & Waring, Justin, 2012. "The possibilities of technology in shaping healthcare professionals: (Re/De-)Professionalisation of pharmacists in England," Social Science & Medicine, Elsevier, vol. 75(2), pages 429-437.
    6. Petrakaki, Dimitra & Klecun, Ela, 2015. "Hybridity as a process of technology's ‘translation’: customizing a national Electronic Patient Record," LSE Research Online Documents on Economics 60437, London School of Economics and Political Science, LSE Library.
    7. Petrakaki, Dimitra & Klecun, Ela, 2015. "Hybridity as a process of technology's ‘translation’: Customizing a national Electronic Patient Record," Social Science & Medicine, Elsevier, vol. 124(C), pages 224-231.
    8. Heloise Agreli Fernandes & Ruthanne Huising & Marina Peduzzi, 2021. "Role reconfiguration : what ethnographic studies tell us about the implications of technological change for work and collaboration in healthcare," Post-Print hal-03229513, HAL.
    Full references (including those not matched with items on IDEAS)

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