Design Against Fragmentation: Case Study of ICT in Healthcare

How does information and communication technology (ICT), such as telephones and computers, create interruptions for people at work, and how can fragmentation be counteracted? Empirical material was collected during 17 observation and interview sessions, at two surgical wards and one reception. The results show that the most important factor for counteracting fragmented work is that someone takes responsibility for the full picture when developing ICT. A naive user-centered design can produce applications that work well on its own but don’t work well together.

[1]  D. Kirsh A Few Thoughts on Cognitive Overload , 2000 .

[2]  Víctor M. González,et al.  No task left behind?: examining the nature of fragmented work , 2005, CHI.

[3]  Mattias Arvola,et al.  A Use-Qualities Approach : Judgements in Interactive Media Design , 2007 .

[4]  Daniel C. McFarlane,et al.  Coordinating the Interruption of People in Human-Computer Interaction , 1999, INTERACT.

[5]  Susanne Bødker,et al.  Applying Activity Theory to Video Analysis , 1996 .

[6]  Liam Bannon,et al.  Evaluation and analysis of users' activity organization , 1983, CHI '83.

[7]  Mary Czerwinski,et al.  A diary study of task switching and interruptions , 2004, CHI.

[8]  H. Chaiklin Communication and Medical Practice: Social Relations in the Clinic , 1988 .

[9]  E. Coiera When conversation is better than computation. , 2000, Journal of the American Medical Informatics Association : JAMIA.

[10]  J. G. Hollands,et al.  Engineering Psychology and Human Performance , 1984 .

[11]  Wendy A. Kellogg,et al.  "I'd be overwhelmed, but it's just one more thing to do": availability and interruption in research management , 2002, CHI.

[12]  Susanne Bødker,et al.  A Human Activity Approach to User Interfaces , 1989, Hum. Comput. Interact..

[13]  Margaret Anzul,et al.  Doing Qualitative Research: Circles Within Circles , 1991 .

[14]  Yan Xiao,et al.  Artifacts and collaborative work in healthcare: methodological, theoretical, and technological implications of the tangible , 2005, J. Biomed. Informatics.

[15]  Laurence Alpay,et al.  Supporting healthcare communication enabled by Information and Communication Technology: can HCI and related cognitive aspects help? , 2004 .

[16]  J G Hollands,et al.  ENGINEERING PSYCHOLOGY AND HUMAN PERFORMANCE - THIRD EDITION , 2000 .

[17]  Susanne Bødker,et al.  Applying activity theory to video analysis: how to make sense of video data in human-computer interaction , 1995 .

[18]  David Silverman,et al.  Communication and Medical Practice: Social Relations in the Clinic , 1988 .

[19]  Kara A. Latorella,et al.  The Scope and Importance of Human Interruption in Human-Computer Interaction Design , 2002, Hum. Comput. Interact..

[20]  M. Csíkszentmihályi Flow: The Psychology of Optimal Experience , 1990 .