Abstract
Workplace studies have made a major contribution to the field of CSCW, drawing attention to subtle practices that enable effective collaboration. However, workplace studies typically focus on a single setting, making it difficult to assess the generalisability of the findings. Through a multi-site workplace study, we explore a specific collaborative process, that of the handover which occurs when a patient is transferred from one hospital or ward to another. The study demonstrates that the term ‘handover’ captures a variety of collaborative practices that vary in both their form and content, reflecting aspects of the setting in which they occur. Multi-site workplace studies are shown to be essential for CSCW, not only generating findings that have relevance beyond a single setting but also focusing attention on aspects of work practice that may otherwise go unnoticed.
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Abraham, J. and M. C. Reddy (2008). Moving patients around: a field study of coordination between clinical and non-clinical staff in hospitals. Proceedings of the ACM 2008 conference on Computer supported cooperative work. CA, USA, ACM: San Diego.
Balka, E., Bjorn, P., & Wagner, I. (2008). Steps toward a typology for health informatics. Proceedings of the ACM 2008 conference on Computer supported cooperative work, San Diego, CA, USA, ACM.
Bentley, R., Hughes, J. A., Randall, D., Rodden, T., Sawyer, P., Shapiro, D., & Sommerville, I. (1992). Ethnographically-informed systems design for air traffic control. Proceedings of the 1992 ACM conference on Computer-supported cooperative work. Toronto, Ontario, Canada, ACM: 123–129.
Berndtsson, J., & Normark, M. (1999). The coordinative functions of flight strips: air traffic control work revisited. Proceedings of the international ACM SIGGROUP conference on Supporting group work. Phoenix, Arizona, United States, ACM: 101–110.
Bjørn, P., & Rødje, K. (2008). Triage drift: a workplace study in a pediatric emergency department. Computer Supported Cooperative Work, 17(4), 395–419.
Bossen, C. (2002). The parameters of common information spaces: the heterogeneity of cooperative work at a hospital ward. Proceedings of the 2002 ACM conference on Computer supported cooperative work. New Orleans, Louisiana, USA, ACM.
Bowers, J., Button, G., & Sharrock, W. (1995). Workflow from within and without: technology and cooperative work on the print industry shopfloor. Proceedings of the Fourth European Conference on Computer-Supported Cooperative Work, Stockholm, Sweden.
Chalmers, M. (2004). A historical view of context. Computer Supported Cooperative Work, 13(3–4), 223–247.
Crabtree, A., Nichols, D. M., O’Brien, J., Rouncefield, M., & Twidale, M. B. (2000). Ethnomethodologically informed ethnography and information system design. Journal of the American Society for Information Science, 51(7), 666–682.
Crabtree, A., Hemmings, T., & Rodden, T. (2002). Pattern-based support for interactive design in domestic settings. Proceedings of the 4th conference on Designing interactive systems: processes, practices, methods, and techniques. London, England, ACM.
de Souza, C. R. B., & Redmiles, D. (2007). The Awareness Network: To Whom Should I Display My Actions? And, Whose Actions Should I Monitor? ECSCW'07: Proceedings of the Tenth European Conference on Computer Supported Cooperative Work. Limerick, Ireland, Springer.
Dourish, P. (2006). Implications for design. Proceedings of the SIGCHI conference on Human Factors in computing systems. Montréal, Québec, Canada ACM.
Dourish, P. (2007). Responsibilities and implications: further thoughts on ethnography and design. Proceedings of the 2007 conference on Designing for User eXperiences. Chicago, Illinois, ACM.
Dowding, D., Mitchell, N., Randell, R., Foster, R., Lattimer, V., & Thompson, C. (2009). Nurses’ use of computerised clinical decision support systems: a case site analysis. Journal of Clinical Nursing, 18, 1159–1167.
Drew, P., & Heritage, J. (1992). Analyzing talk at work: an introduction. In P. Drew & J. Heritage (Eds.), Talk at work: Interaction in institutional settings (pp. 3–65). Cambridge: Cambridge University Press.
Emerson, R., Fretz, R., & Shaw, L. (1995). Writing ethnographic fieldnotes. Chicago: University of Chicago Press.
Erickson, T. (2000). Supporting interdisciplinary design: towards pattern languages for workplaces. In P. Luff, J. Hindmarsh, & C. Heath (Eds.), Workplace studies: recovering work practice and informing system design (pp. 252–261). Cambridge: Cambridge University Press.
Færgemann, L., Schilder-Knudsen, T., & Carstensen, P. (2005). The duality of articulation work in large heterogeneous settings – a study in health care. ECSCW 2005: Proceedings of the Ninth European Conference on Computer-Supported Cooperative Work. Paris, France.
Fitzpatrick, G. (2004). Integrated care and the working record. Health Informatics Journal, 10(4), 291–302.
Forsythe, D. E. (1999). It’s just a matter of common sense: ethnography as invisible work. Computer Supported Cooperative Work, 8(1–2), 127–145.
Garfinkel, H. (1967). Studies in ethnomethodology. Cambridge: Polity Press.
Glaser, B. G., & Strauss, A. L. (1967). The Discovery of grounded theory: Strategies for qualitative research. New York: Aldine Publishing Company.
Grayson, D., Boxerman, S., Potter, P., Wolf, L., Dunagan, C., Sorock, G., et al. (2005). Do transient working conditions trigger medical errors? Advances in Patient Safety, 1, 53–64.
Heath, C., & Luff, P. (2000). Technology in action. Cambridge: Cambridge University Press.
Johnson Pettinari, C., & Jessopp, L. (2001). Your ears become your eyes: managing the absence of visibility in NHS direct. Journal of Advanced Nursing, 36(5), 668–675.
Junior Doctors Committee. (2004). Safe handover: Safe patients. London: British Medical Association.
Kerr, M. P. (2002). A qualitative study of shift handover practice and function from a socio-technical perspective. Journal of Advanced Nursing, 37(2), 125–134.
Lamond, D. (2000). The information content of the nurse change of shift report: a comparative study. Journal of Advanced Nursing, 31(4), 794–804.
Luff, P., Hindmarsh, J., & Heath, C. (2000). Introduction. In P. Luff, J. Hindmarsh, & C. Heath (Eds.), Workplace studies: recovering work practice and informing system design (pp. 1–26). Cambridge: Cambridge University Press.
Lynch, M. (1993). Scientific practice and ordinary action: Ethnomethodology and social studies of science. Cambridge: Cambridge University Press.
Mackay, W. E. (1999). Is paper safer? The role of paper flight strips in air traffic control. ACM Transactions on Computer-Human Interaction, 6(4), 311–340.
Marcus, G. E. (1995). Ethnography in/of the world system: the emergence of multi-sited ethnography. Annual Review of Anthropology, 24, 95–117.
Martin, D., & Sommerville, I. (2004). Patterns of cooperative interaction: Linking ethnomethodology and design. ACM Transactions on Computer-Human Interaction, 11(1), 59–89.
Miles, M. B., & Huberman, A. M. (1994). Qualitative data analysis: An expanded sourcebook. Thousand Oaks: SAGE Publications.
Munkvold, G., & Ellingsen, G. (2007). Common information spaces along the illness trajectories of chronic patients. ECSCW'07: Proceedings of the Tenth European Conference on Computer Supported Cooperative Work. Limerick, Ireland.
O’Neill, J., Martin, D., Colombino, T., Watts-Perotti, J., Sprague, M. A. Woolfe, G. (2007). Asymmetrical collaboration in print shop-customer relationships. ECSCW’07: Proceedings of the Tenth European Conference on Computer Supported Cooperative Work. Limerick, Ireland, Springer.
Østerlund, C. S. (2008). Documents in place: demarcating places for collaboration in healthcare settings. Computer Supported Cooperative Work, 17, 195–225.
Payne, S., Hardey, M., & Coleman, P. (2000). Interactions between nurses during handovers in elderly care. Journal of Advanced Nursing, 32(2), 14.
Petersen, L. A., Brennan, T. A., O’Neil, A. C., Cook, E. F., & Lee, T. H. (1994). Does housestaff discontinuity of care increase the risk for preventable adverse events? Annals of Internal Medicine, 121(11), 866–872.
Plowman, L., Rogers, Y., & Ramage, M. (1995). What are workplace studies for? Proceedings of the Fourth European Conference on Computer-Supported Cooperative Work, Stockholm, Sweden.
Randell, R., Woodward, P., Wilson, S., & Galliers, J. (2008). Public yet private: the status, durability and visibility of handover sheets. 21st IEEE International Symposium on Computer-Based Medical Systems. Jyväskylä, Finland.
Randell, R., Wilson, S., Woodward, P., & Galliers, J. (2010). Beyond handover: supporting awareness for continuous coverage. Cognition, Technology & Work. doi:10.1007/s10111-010-0138-3.
Reddy, M., & Dourish, P. (2002). A Finger on the pulse: temporal rhythms and information seeking in medical work. Proceedings of the 2002 ACM conference on Computer supported cooperative work. New Orleans, Louisiana, USA, ACM.
Reddy, M. C., Dourish, P., & Pratt, W. (2001). Coordinating heterogeneous work: information and representation in medical care. ECSCW 2001: Proceedings of the seventh conference on European conference on computer supported cooperative work. Bonn, Germany, Kluwer Academic Publishers.
Rognin, L., Salembier, P., & Zouinar, M. (1998). Cooperation, interactions and socio-technical reliability: the case of air-traffic control. Comparing French and Irish settings. European Conference on Cognitive Ergonomics.
Schmidt, K. (2000). The critical role of workplace studies in CSCW. In P. Luff, J. Hindmarsh, & C. Heath (Eds.), Workplace studies: Recovering work practice and informing system design. Cambridge: Cambridge University Press.
Schmidt, K., Wagner, I., Tolar, M. (2007). Permutations of cooperative work practices: a study of two oncology clinics. Proceedings of the 2007 international ACM conference on Supporting group work. Sanibel Island, Florida, USA, ACM.
Sharrock, W., & Randall, D. (2004). Ethnography, ethnomethodology and the problem of generalisation in design. European Journal of Information Systems, 13, 186–194.
Strange, F. (1996). Handover: an ethnographic study of ritual in nursing practice. Intensive & Critical Care Nursing, 12, 106–112.
Tang, C., & Carpendale, S. (2007). An observational study on information flow during nurses' shift change. Proceedings of ACM CHI 2007 Conference on Human Factors in Computing Systems. San Jose, California, ACM.
Wilson, S., Galliers, J., & Fone, J. (2006). Not all sharing is equal: the impact of a large display on small group collaborative work. Proceedings of the 2006 20th anniversary conference on Computer supported cooperative work. Banff, Alberta, Canada, ACM.
Wilson, S., Galliers, J., & Fone, J. (2007). Cognitive artifacts in support of medical shift Handover: an in use, in situ evaluation. International Journal of Human-Computer Interaction, 22(1), 59–80.
Wilson, S., Randell, R., Galliers, J., & Woodward, P. (2009). Reconceptualising clinical handover: information sharing for situation awareness. European Conference on Cognitive Ergonomics. Otaniemi, Finland.
Yin, R. K. (2003). Case study research: design and methods. Thousand Oaks: Sage Publications.
Acknowledgements
We would like to thank the staff members in the settings who have supported this work, as well as the patients who agreed to let us observe the handovers where they were discussed. This project is funded by the Engineering and Physical Sciences Research Council (EPSRC), grant number: (EP/D078636/1).
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Randell, R., Wilson, S. & Woodward, P. Variations and Commonalities in Processes of Collaboration: The Need for Multi-Site Workplace Studies. Comput Supported Coop Work 20, 37–59 (2011). https://doi.org/10.1007/s10606-010-9127-6
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DOI: https://doi.org/10.1007/s10606-010-9127-6