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User-Centered Mapping of Nurses' Workarounds to Design Principles for Interactive Systems in Home Wound Care

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User-Centered Mapping of Nurses' Workarounds to Design Principles for Interactive Systems in Home Wound Care. / Al-Masslawi, Dawood; Handfield, Shannon; Fels, Sidney et al.
Proceedings - 2017 IEEE International Conference on Healthcare Informatics, ICHI 2017. ed. / Mollie Cummins; Julio Facelli; Gerrit Meixner; Christophe Giraud-Carrier; Hiroshi Nakajima. Institute of Electrical and Electronics Engineers Inc., 2017. p. 314-323 8031161 (Proceedings - 2017 IEEE International Conference on Healthcare Informatics, ICHI 2017).

Research output: Contribution in Book/Report/Proceedings - With ISBN/ISSNConference contribution/Paperpeer-review

Harvard

Al-Masslawi, D, Handfield, S, Fels, S, Lea, R & Currie, LM 2017, User-Centered Mapping of Nurses' Workarounds to Design Principles for Interactive Systems in Home Wound Care. in M Cummins, J Facelli, G Meixner, C Giraud-Carrier & H Nakajima (eds), Proceedings - 2017 IEEE International Conference on Healthcare Informatics, ICHI 2017., 8031161, Proceedings - 2017 IEEE International Conference on Healthcare Informatics, ICHI 2017, Institute of Electrical and Electronics Engineers Inc., pp. 314-323, 5th IEEE International Conference on Healthcare Informatics, ICHI 2017, Park City, United States, 23/08/17. https://doi.org/10.1109/ICHI.2017.22

APA

Al-Masslawi, D., Handfield, S., Fels, S., Lea, R., & Currie, L. M. (2017). User-Centered Mapping of Nurses' Workarounds to Design Principles for Interactive Systems in Home Wound Care. In M. Cummins, J. Facelli, G. Meixner, C. Giraud-Carrier, & H. Nakajima (Eds.), Proceedings - 2017 IEEE International Conference on Healthcare Informatics, ICHI 2017 (pp. 314-323). Article 8031161 (Proceedings - 2017 IEEE International Conference on Healthcare Informatics, ICHI 2017). Institute of Electrical and Electronics Engineers Inc.. https://doi.org/10.1109/ICHI.2017.22

Vancouver

Al-Masslawi D, Handfield S, Fels S, Lea R, Currie LM. User-Centered Mapping of Nurses' Workarounds to Design Principles for Interactive Systems in Home Wound Care. In Cummins M, Facelli J, Meixner G, Giraud-Carrier C, Nakajima H, editors, Proceedings - 2017 IEEE International Conference on Healthcare Informatics, ICHI 2017. Institute of Electrical and Electronics Engineers Inc. 2017. p. 314-323. 8031161. (Proceedings - 2017 IEEE International Conference on Healthcare Informatics, ICHI 2017). doi: 10.1109/ICHI.2017.22

Author

Al-Masslawi, Dawood ; Handfield, Shannon ; Fels, Sidney et al. / User-Centered Mapping of Nurses' Workarounds to Design Principles for Interactive Systems in Home Wound Care. Proceedings - 2017 IEEE International Conference on Healthcare Informatics, ICHI 2017. editor / Mollie Cummins ; Julio Facelli ; Gerrit Meixner ; Christophe Giraud-Carrier ; Hiroshi Nakajima. Institute of Electrical and Electronics Engineers Inc., 2017. pp. 314-323 (Proceedings - 2017 IEEE International Conference on Healthcare Informatics, ICHI 2017).

Bibtex

@inproceedings{4df68de495d14644bf1496eeed20b828,
title = "User-Centered Mapping of Nurses' Workarounds to Design Principles for Interactive Systems in Home Wound Care",
abstract = "The trend to discharge patients early from acute care settings to the home has increased the demand put on homecare nurses. Substantial portions of homecare patients have chronic or difficult to heal wounds. Homecare nurses use electronic patient documentation systems to input data, to support clinical decisions and to provide appropriate care for patients. These systems often do not support aspects of nurses' clinical work. Finding themselves facing barriers related to these systems, nurses create and use alternatives to overcome the barriers. These alternatives are called workarounds. The study presented here aims to identify possible mappings of workarounds as user feedback to design principles for wound documentation applications. Homecare nurses providing wound care were followed for 120 hours. Workarounds created and used by these nurses to provide care for patients with wounds were identified and mapped to design principles. The instances of workarounds were topically coded to identify their attributes. These attributes were used to extend previous work situation analysis models and form a new conceptual model called the 'workaround situation model'. The workaround situation model was used to identify the most common workaround situations and these were validated using a follow-up survey. After validation, a mapping process was formalized to identify and contextualize relevant design principles for patient documentation systems with the attributes of common workaround situations. The results were a set of mapped patient documentation system design principles for patients with wounds. Our results indicate it is possible that use of the workarounds as user feedback can inform new design principles and support nurse-centered design.",
keywords = "Community health, Healthcare applications, Home care, Nursing, Speech recognition, User-centered design, Wearables, Workarounds",
author = "Dawood Al-Masslawi and Shannon Handfield and Sidney Fels and Rodger Lea and Currie, {Leanne M.}",
note = "Publisher Copyright: {\textcopyright} 2017 IEEE.; 5th IEEE International Conference on Healthcare Informatics, ICHI 2017 ; Conference date: 23-08-2017 Through 26-08-2017",
year = "2017",
month = sep,
day = "8",
doi = "10.1109/ICHI.2017.22",
language = "English",
isbn = "9781509048823",
series = "Proceedings - 2017 IEEE International Conference on Healthcare Informatics, ICHI 2017",
publisher = "Institute of Electrical and Electronics Engineers Inc.",
pages = "314--323",
editor = "Mollie Cummins and Julio Facelli and Gerrit Meixner and Christophe Giraud-Carrier and Hiroshi Nakajima",
booktitle = "Proceedings - 2017 IEEE International Conference on Healthcare Informatics, ICHI 2017",

}

RIS

TY - GEN

T1 - User-Centered Mapping of Nurses' Workarounds to Design Principles for Interactive Systems in Home Wound Care

AU - Al-Masslawi, Dawood

AU - Handfield, Shannon

AU - Fels, Sidney

AU - Lea, Rodger

AU - Currie, Leanne M.

N1 - Publisher Copyright: © 2017 IEEE.

PY - 2017/9/8

Y1 - 2017/9/8

N2 - The trend to discharge patients early from acute care settings to the home has increased the demand put on homecare nurses. Substantial portions of homecare patients have chronic or difficult to heal wounds. Homecare nurses use electronic patient documentation systems to input data, to support clinical decisions and to provide appropriate care for patients. These systems often do not support aspects of nurses' clinical work. Finding themselves facing barriers related to these systems, nurses create and use alternatives to overcome the barriers. These alternatives are called workarounds. The study presented here aims to identify possible mappings of workarounds as user feedback to design principles for wound documentation applications. Homecare nurses providing wound care were followed for 120 hours. Workarounds created and used by these nurses to provide care for patients with wounds were identified and mapped to design principles. The instances of workarounds were topically coded to identify their attributes. These attributes were used to extend previous work situation analysis models and form a new conceptual model called the 'workaround situation model'. The workaround situation model was used to identify the most common workaround situations and these were validated using a follow-up survey. After validation, a mapping process was formalized to identify and contextualize relevant design principles for patient documentation systems with the attributes of common workaround situations. The results were a set of mapped patient documentation system design principles for patients with wounds. Our results indicate it is possible that use of the workarounds as user feedback can inform new design principles and support nurse-centered design.

AB - The trend to discharge patients early from acute care settings to the home has increased the demand put on homecare nurses. Substantial portions of homecare patients have chronic or difficult to heal wounds. Homecare nurses use electronic patient documentation systems to input data, to support clinical decisions and to provide appropriate care for patients. These systems often do not support aspects of nurses' clinical work. Finding themselves facing barriers related to these systems, nurses create and use alternatives to overcome the barriers. These alternatives are called workarounds. The study presented here aims to identify possible mappings of workarounds as user feedback to design principles for wound documentation applications. Homecare nurses providing wound care were followed for 120 hours. Workarounds created and used by these nurses to provide care for patients with wounds were identified and mapped to design principles. The instances of workarounds were topically coded to identify their attributes. These attributes were used to extend previous work situation analysis models and form a new conceptual model called the 'workaround situation model'. The workaround situation model was used to identify the most common workaround situations and these were validated using a follow-up survey. After validation, a mapping process was formalized to identify and contextualize relevant design principles for patient documentation systems with the attributes of common workaround situations. The results were a set of mapped patient documentation system design principles for patients with wounds. Our results indicate it is possible that use of the workarounds as user feedback can inform new design principles and support nurse-centered design.

KW - Community health

KW - Healthcare applications

KW - Home care

KW - Nursing

KW - Speech recognition

KW - User-centered design

KW - Wearables

KW - Workarounds

U2 - 10.1109/ICHI.2017.22

DO - 10.1109/ICHI.2017.22

M3 - Conference contribution/Paper

AN - SCOPUS:85032368329

SN - 9781509048823

T3 - Proceedings - 2017 IEEE International Conference on Healthcare Informatics, ICHI 2017

SP - 314

EP - 323

BT - Proceedings - 2017 IEEE International Conference on Healthcare Informatics, ICHI 2017

A2 - Cummins, Mollie

A2 - Facelli, Julio

A2 - Meixner, Gerrit

A2 - Giraud-Carrier, Christophe

A2 - Nakajima, Hiroshi

PB - Institute of Electrical and Electronics Engineers Inc.

T2 - 5th IEEE International Conference on Healthcare Informatics, ICHI 2017

Y2 - 23 August 2017 through 26 August 2017

ER -