research-article

Accounting for the Invisible Work of Hospital Orderlies: Designing for Local and Global Coordination

Authors:

Nervo Verdezoto,

Mikkel Baun Kjærgaard,

Kaj GrønbækAuthors Info & Claims

CSCW '16: Proceedings of the 19th ACM Conference on Computer-Supported Cooperative Work & Social Computing

Pages 980 - 992

https://doi.org/10.1145/2818048.2820006

Published: 27 February 2016 Publication History

Abstract

The cooperative, invisible non-clinical work of hospital orderlies is often overlooked. It consists foremost of transferring patients between hospital departments. As the overall efficiency of the hospital is highly dependent on the coordination of the work of orderlies, this study investigates the coordination changes in orderlies' work practices in connection to the implementation of a workflow application at the hospital. By applying a mixed methods approach (both qualitative and quantitative studies), this paper calls for attention to the changes in orderlies' coordination activities while moving from a manual and centralized form to a semi-automatic and decentralized approach after the introduction of the workflow application. We highlight a set of cross-boundary (spatial and organizational) information-sharing breakdowns and the challenges of orderlies in maintaining local and global coordination. We also present design recommendations for future design of coordination tools to support orderlies' work practices.

References

[1]

Joanna Abraham and Madhu C. Reddy. 2008. Moving patients around: a field study of coordination between clinical and non-clinical staff in hospitals. In Proc. CSCW, ACM, 225-228. 10.1145/1460563.1460598

Digital Library

[2]

Joanna Abraham and Madhu C. Reddy. 2013. Recoordinating activities: an investigation of articulation work in patient transfers. In Proc. CSCW, ACM, 67-78. 10.1145/2441776.2441787

Digital Library

[3]

Jørgen Bansler, Erling Havn, Troels Mønsted, Kjeld Schmidt and JesperHastrup Svendsen. 2013. Physicians' Progress Notes. In Proc. ECSCW, Springer, 123-142. 10.1007/978-1-4471-5346-7_7

[4]

Jakob E Bardram and Thomas R Hansen. 2004. The AWARE architecture: supporting context-mediated social awareness in mobile cooperation. In Proc. CSCW, ACM, 192-201. 10.1145/1031607.1031639

Digital Library

[5]

Jakob E. Bardram. 1997. "I love the system - I just don't use it!". In Proc. SIGGROUP, ACM, 251-260. 10.1145/266838.266922

Digital Library

[6]

JakobE Bardram and Claus Bossen. (2005) Mobility Work: The Spatial Dimension of Collaboration at a Hospital. Comput Supported Coop Work, 14 (2). 131160.

Digital Library

[7]

Marc Berg. (1999) Patient care information systems and health care work: a sociotechnical approach. Int J Med Inform, 55 (2). 87-101.

[8]

Jeanette Blomberg and Helena Karasti. (2013) Reflections on 25 Years of Ethnography in CSCW. Comput Supported Coop Work, 22 (4-6). 373-423.

Digital Library

[9]

Alexander Boden, Frank Rosswog, Gunnar Stevens and Volker Wulf. 2014. Articulation spaces: bridging the gap between formal and informal coordination. In Proc. CSCW, ACM, 1120-1130.

Digital Library

[10]

1145/2531602.2531621 10. Alexander Boden, Frank Rosswog, Gunnar Stevens and Volker Wulf. 2014. Articulation spaces: bridging the gap between formal and informal coordination. In CSCW, ACM, 1120-1130. 10.1145/2531602.2531621

Digital Library

[11]

Claus Bossen. 2002. The parameters of common information spaces:: the heterogeneity of cooperative work at a hospital ward. In Proc. CSCW, ACM, 176185. 10.1145/587078.587104

Digital Library

[12]

Claus Bossen, Lotte Groth Jensen and Flemming Witt Udsen. (2014) Boundary-Object Trimming: On the Invisibility of Medical Secretaries' Care of Records in Healthcare Infrastructures. Comput. Supported Coop. Work, 23 (1). 75-110.

Digital Library

[13]

John Bowers, Graham Button and Wes Sharrock. 1995. Workflow From Within and Without: Technology and Cooperative Work on the Print Industry Shopfloor. In Proc. ECSCW, Springer, 51-66. 10.1007/978-94-011-0349-7_4

Digital Library

[14]

Virginia Braun and Victoria Clarke. (2006) Using Thematic Analysis in Psychology Qualitative Research in Psychology, 3, 77-101. ISI.

[15]

Federico Cabitza and Carla Simone. 2013. 'Drops Hollowing the Stone': Workarounds as Resources for Better Task-Artifact Fit. In Proc. ECSCW, Springer, 103-122. 10.1007/978-1-4471-5346-7_6

[16]

Yunan Chen, Charlotte Tang, Karen Cheng and Sun Young Park. 2012. Bridging clinical and non-clinical health practices: opportunities and challenges. In Proc. EA, ACM, 2723-2726. 10.1145/2212776.2212705

Digital Library

[17]

Gunnar Ellingsen and Kristoffer Røed. (2010) The Role of Integration in Health-Based Information Infrastructures. Comput Supported Coop Work, 19 (6). 557-584.

Digital Library

[18]

Louise Færgemann, Teresa Schilder-Knudsen and Peter H Carstensen. 2005. The Duality of Articulation Work in Large Heterogeneous Settings — a Study in Health Care. In Proc. ECSCW, Springer, 163-183. 10.1007/1-4020-4023-7_9

[19]

Geraldine Fitzpatrick and Gunnar Ellingsen. (2013) A Review of 25 Years of CSCW Research in Healthcare: Contributions, Challenges and Future Agendas. Comput Supported Coop Work, 22 (4-6). 609-665.

Digital Library

[20]

Nikolaos F. Giannelos and Michael C. Georgiadis. (2002) A Simple New Continuous-Time Formulation for Short-Term Scheduling of Multipurpose Batch Processes. Ind. Eng. Chem. Res., 41 (9). 2178-2184.

[21]

Víctor M. González, Mónica E. Tentori, Elisa B. Morán, Jesús Favela and Ana I. Martínez. 2005. Understanding mobile work in a distributed information space: implications for the design of ubicomp technology. In Proc. CLIHC, ACM, 52-63. 10.1145/1111360.1111366

Digital Library

[22]

Jane Grimson, William Grimson and Wilhelm Hasselbring. (2000) The SI challenge in health care. Commun. ACM, 43 (6). 48-55.

Digital Library

[23]

Ole Hanseth. (2000) The economics of standards. From control to drift: The dynamics of corporate information infrastructures. 56-70.

[24]

Naja L Holten Møller and Signe Vikkelsø. 2012. The Clinical Work of Secretaries: Exploring the Intersection of Administrative and Clinical Work in the Diagnosing Process. In Proc. COOP, Springer, 33-47. 10.1007/978-1-4471-4093-1_3

[25]

Joakim Klemets and Katrien De Moor. (2015) Patient responsibility reallocation: a user-centered approach to support nurses' handling of nurse calls. Personal Ubiquitous Comput., 19 (3-4). 601-621.

Digital Library

[26]

Susan Leigh Star. (2010) This is Not a Boundary Object: Reflections on the Origin of a Concept. Science, Technology & Human Values, 35 (5). 601617.

[27]

Naja Holten M and Paul Dourish. 2010. Coordination by avoidance: bringing things together and keeping them apart across hospital departments. In Proc. GROUP, ACM, 65-74. 10.1145/1880071.1880081

Digital Library

[28]

Randi Markussen. (1996) Politics of intervention in design: Feminist reflections on the Scandinavian tradition. AI & Soc, 10 (2). 127-141.

Digital Library

[29]

Alison R. Murphy, Madhu C. Reddy and Nathan J. McNeese. 2014. Exploring the perceptions and use of electronic medical record systems by non-clinicians. In Proc. DIS, ACM, 429-432. 10.1145/2598510.2600884

Digital Library

[30]

Ehsan Nazarian and Jeonghan Ko. (2013) Robust manufacturing line design with controlled moderate robustness in bottleneck buffer time to manage stochastic inter-task times. Journal of Manufacturing Systems, 32 (2). 382-391.

[31]

Christopher Nemeth, Michael O'Connor, P. Allan Klock and Richard Cook. (2006) Discovering Healthcare Cognition: The Use of Cognitive Artifacts to Reveal Cognitive Work. Organization Studies, 27 (7). 1011-1035.

[32]

Sun Young Park, Katie Pine and Yunan Chen. 2013. Local-universality: designing EMR to support localized informal documentation practices. In Proc CSCW, ACM, 55-66. 10.1145/2441776.2441786

Digital Library

[33]

Michael Quinn Patton. (1990) Qualitative evaluation and research methods. SAGE Publications, Published.

[34]

Rebecca Randell, Stephanie Wilson and Peter Woodward. (2011) Variations and Commonalities in Processes of Collaboration: The Need for Multi-Site Workplace Studies. Comput Supported Coop Work, 20 (1-2). 37-59.

Digital Library

[35]

Madhu Reddy and Paul Dourish. 2002. A finger on the pulse: temporal rhythms and information seeking in medical work. In Proc. CSCW, ACM, 344-353. 10.1145/587078.587126

Digital Library

[36]

MadhuC Reddy, Paul Dourish and Wanda Pratt. 2001. Coordinating Heterogeneous Work: Information and Representation in Medical Care. In Proc. ECSCW, Springer, 239-258. 10.1007/0-306-48019-0_13

Digital Library

[37]

Wolfgang Reitberger, Martin Kastenmiller and Geraldine Fitzpatrick. 2013. Invisible Work: An Ambient System for Awareness and Reflection of Household Tasks. In Proc. Persuasive Technology, Springer, 180-191. 10.1007/978-3-642-37157-8_22

Digital Library

[38]

Joshua E. Richardson and Joan S. Ash. 2008. The Effects of Hands Free Communication Devices on Clinical Communication: Balancing Communication Access Needs with User Control. In Proc. AMIA Annu Symp, AMIA, 621-625.

[39]

Kjeld Schmidt and Carla Simonee. (1996) Coordination mechanisms: Towards a conceptual foundation of CSCW systems design. Comput Supported Coop Work, 5 (2-3). 155-200.

Digital Library

[40]

Roy G. Soto, Larry F. Chu, Julian M. Goldman, Ira J. Rampil and Keith J. Ruskin. (2006) Communication in Critical Care Environments: Mobile Telephones Improve Patient Care. Anesthesia & Analgesia, 102 (2). 535-541.

[41]

Susan Leigh Star and Anselm Strauss. (1999) Layers of Silence, Arenas of Voice: The Ecology of Visible and Invisible Work. Comput Supported Coop Work, 8 (12). 9-30.

Digital Library

[42]

Allan Stisen, Henrik Blunck, Mikkel Baun Kjærgaard and Kaj Grønbæk. 2014. Handheld versus wearable interaction design for professionals: a case study of hospital service work. In Proc. OzCHI, ACM, 260-269. 10.1145/2686612.2686651

Digital Library

[43]

L Strauss Anselm. 1993. Continual permutations of action, New York: Aldine de Gruyter, Published.

[44]

Anselm Leonard Strauss, Shizuko Y Fagerhaugh, Suczek Barbara and Wiener Carolyn. (1997) Social organization of medical work. Transaction Publishers, Published.

[45]

Lucy Suchman. (1995) Making work visible. Commun. ACM, 38 (9). 56-64.

Digital Library

[46]

Charlotte Tang and Sheelagh Carpendale. 2008. Evaluating the deployment of a mobile technology in a hospital ward. In Proc. CSCW, ACM, 205-214. 10.1145/1460563.1460596

Digital Library

[47]

Stqan Timinerrnans and Marc Berg Tenrple University Press. (2004) The Gold Standard-The Challenge of Evidence-Based Medicine and Standardization in Health Care. Journal for Healthcare Quality, 26 (4). 60.

[48]

Kenton T. Unruh and Wanda Pratt. 2008. The Invisible Work of Being a Patient and Implications for Health Care: '{the doctor is} my business partner in the most important business in my life, staying alive.'. In Proc. Ethnogr Prax Ind Conf, Blackwell Publishing Ltd, 40-50. http://dx.doi.org/10.1111%2Fj.15598918.2008.tb00093.x

[49]

Signe Vikkelsø. (2005) Subtle redistribution of work, attention and risks: Electronic patient records and organisational consequences. Scandinavian Journal of Information Systems, 17 (1). 10.

[50]

Robert L Wears, Shawna J Perry, Stephanie Wilson, Julia Galliers and James Fone. (2007) Emergency department status boards: user-evolved artefacts for inter- and intra-group coordination. Cogn Tech Work, 9 (3). 163-170.

Digital Library

[51]

Eviatar Zerubavel. (1979) Patterns of time in hospital life: A sociological perspective. University of Chicago Press, Published.

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Ming JGong DNgai CSterling MVashistha ADell N(2024)Wage Theft and Technology in the Home Care ContextProceedings of the ACM on Human-Computer Interaction10.1145/36374288:CSCW1(1-30)Online publication date: 26-Apr-2024
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cover image ACM Conferences

CSCW '16: Proceedings of the 19th ACM Conference on Computer-Supported Cooperative Work & Social Computing

February 2016

1866 pages

ISBN:9781450335928

DOI:10.1145/2818048

General Chairs:
Darren Gergle
Northwestern University
,
Meredith Ringel Morris
Microsoft Research
,
Program Chairs:
Pernille Bjørn
University of Copenhagen
,
Joseph Konstan
University of Minnesota

Copyright © 2016 ACM.

Permission to make digital or hard copies of all or part of this work for personal or classroom use is granted without fee provided that copies are not made or distributed for profit or commercial advantage and that copies bear this notice and the full citation on the first page. Copyrights for components of this work owned by others than the author(s) must be honored. Abstracting with credit is permitted. To copy otherwise, or republish, to post on servers or to redistribute to lists, requires prior specific permission and/or a fee. Request permissions from [email protected].

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Published: 27 February 2016

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The Danish Council for Strategic Research
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CSCW '16

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CSCW '16: Computer Supported Cooperative Work and Social Computing

February 27 - March 2, 2016

California, San Francisco, USA

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CSCW '16 Paper Acceptance Rate 142 of 571 submissions, 25%;

Overall Acceptance Rate 2,235 of 8,521 submissions, 26%

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Cited By

Ming JGong DNgai CSterling MVashistha ADell N(2024)Wage Theft and Technology in the Home Care ContextProceedings of the ACM on Human-Computer Interaction10.1145/36374288:CSCW1(1-30)Online publication date: 26-Apr-2024
https://dl.acm.org/doi/10.1145/3637428
Orii LFeldacker CTweya HAnderson R(2024)eHealth Data Security and Privacy: Perspectives from Diverse Stakeholders in MalawiProceedings of the ACM on Human-Computer Interaction10.1145/36373238:CSCW1(1-26)Online publication date: 26-Apr-2024
https://dl.acm.org/doi/10.1145/3637323
Ming JKuo EGo KTseng EKallas JVashistha ASterling MDell N(2023)"I Go Beyond and Beyond" Examining the Invisible Work of Home Health AidesProceedings of the ACM on Human-Computer Interaction10.1145/35794927:CSCW1(1-21)Online publication date: 16-Apr-2023
https://dl.acm.org/doi/10.1145/3579492
Farshchian BMikalsen M(2023)Using a Service Lens to Better Understand Practices –and Vice VersaComputer Supported Cooperative Work (CSCW)10.1007/s10606-023-09478-3Online publication date: 19-Aug-2023
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Ming JKamath SKuo ESterling MDell NVashistha A(2022)Invisible Work in Two Frontline Health ContextsProceedings of the 5th ACM SIGCAS/SIGCHI Conference on Computing and Sustainable Societies10.1145/3530190.3534814(139-151)Online publication date: 29-Jun-2022
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Maldonado Belmonte EOtón Tortosa SRuggia Frick R(2021)Proposal for a Standard Architecture for the Integration of Clinical Information Systems in a Complex Hospital EnvironmentInformatics10.3390/informatics80400878:4(87)Online publication date: 15-Dec-2021
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Uhde ALaschke MHassenzahl M(2021)Design and Appropriation of Computer-supported Self-scheduling Practices in Healthcare Shift WorkProceedings of the ACM on Human-Computer Interaction10.1145/34492195:CSCW1(1-26)Online publication date: 22-Apr-2021
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Verdezoto NBagalkot NAkbar SSharma SMackintosh NHarrington DGriffiths P(2021)The Invisible Work of Maintenance in Community HealthProceedings of the ACM on Human-Computer Interaction10.1145/34491655:CSCW1(1-31)Online publication date: 22-Apr-2021
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