Boundary Crossing and Learning in Creation of New Work Practice: Creation and Re-creation of Routines during Tool Implementation

The following theoretical challenges concerning organizational learning are examined in the study. Firstly, organizational learning is not only formation of collective routines, it is also tool-creation and implementation. Secondly, tools evolve as they are implemented. Thirdly, tools become powerful when they become interconnected instrumentality and constellations. Tool-creation and implementation are examined when a new set of tools is being appropriated for collaboration between primary and secondary health care. Boundary crossings in the interaction of the multiple providers are focused as an essential context of use during implementation. Findings of the study concern the productivity of the resistance, the importance of turning points, the formation of the new instrumentality, discovery of the gaps, and the necessity of stabilization in organizational learning.