scholarly journals Prototypical Work Situations: A Robust, Flexible Means for Representing Activity in a Work Domain

Author(s):  
Natalie C. Benda ◽  
Ann M. Bisantz

Representing the results is a key component in the analysis of cognitive work. Many structures have been developed for representing the results of Cognitive Work Analysis, but the representation of activity through “prototypical work situations” is less commonly utilized. Prototypical work situations, initially described by Rasmussen, convey summaries of actual activities that represent the key properties of work in a domain. This study illustrates the utility of prototypical work situation representations through a demonstrative case example. Specifically, representations of prototypical work situations were utilized to summarize and compare communication with patients in the emergency department across multiple situations. Via the case example, we demonstrate how representations of prototypical work situations can be leveraged to summarize results, elicit feedback, and design and test new tools to support cognitive, collaborative work. We also provide a revised structure for creating prototypical representations of work that can be adapted and utilized in future studies.

Author(s):  
Thierry Morineau ◽  
Mounia Djenidi-Delfour ◽  
Fabrice Arnault

This study describes the concept of affordance-based procedure and its implementation in a triage station in a hospital emergency department. Rather than seeking to increase operators’ adherence to procedures, an affordance-based procedure (1) aims to induce task steps using affordances that also (2) support degrees of freedom for action. The design of this procedure was guided by the application of an extended version of cognitive work analysis, named “heuristic cognitive work analysis.” This design process produced a new procedural document: a reception card. Ten months after its implementation, a qualitative evaluation with 10 triage nurses shows that the reception card is viewed as supporting coordination between the different nurses’ tasks and providing an external memory to cope with frequent interruptions during high patient inflow, even though the document is used for convenience and with unexpected and partial uses of its items. The document assessed also afforded emerging benefits, that is, acceleration of ambulance release, higher level of confidentiality, assistance for staff hand-overs. Finally, novice triage nurses are particularly sensitive to the benefits brought by this affordance-based procedure.


Author(s):  
Neelam Naikar

Cognitive work analysis (CWA) is gaining recognition as a promising approach for the analysis, design, and evaluation of complex, sociotechnical systems. However, the successful and widespread application of work domain analysis (WDA), the first phase of CWA, is limited by the lack of a coherent theoretical approach. This paper addresses a number of theoretical issues relating to WDA, including differences in the approaches of Rasmussen, Pejtersen & Goodstein (1994) and Vicente (1999), and it illustrates these theoretical issues with a work domain of a home — a 'system' that will be highly familiar to everyone. This research will help to: make WDA more accessible to researchers and practitioners who were not involved in the development of WDA or who cannot be apprenticed to experts in WDA; reduce the amount of time and effort it takes to perform WDA even for experts in the area; and facilitate the application of WDA to large-scale, industry projects.


Author(s):  
Neelam Naikar

Cognitive work analysis (CWA) is gaining recognition as a promising approach for the analysis, design, and evaluation of complex, sociotechnical systems. The successful and widespread application of CWA, however, is limited by the lack of a well-defined methodology. This paper proposes a methodology for performing work domain analysis (WDA), the first phase of CWA, and it illustrates this methodology with a work domain of a home — a 'system' that will be highly familiar to everyone. This research will help to: make WDA more accessible to researchers and practitioners who were not involved in the development of WDA or who cannot be apprenticed to experts in WDA; reduce the amount of time and effort it takes to perform WDA even for experts in the area; and facilitate the application of WDA to large-scale, industry projects.


Author(s):  
Jonathan Umansky ◽  
Esa Rantanen

Nursing is a high workload profession, and excessive workload has been shown to have an adverse effect on patient care. Prior research has focused on patient-staff ratios and skill mix to analyze the relationship of workload and degradation of care. This study used a comprehensive, multi-dimensional approach for analyzing nurses’ workload in a large general hospital. Workload drivers were introduced as unique factors that contributed to the totality of nursing workload. Cognitive Work Analysis (CWA) framework was used to map out the work domain of nurses and identify sources of workload within it. The output was a collection of diagrams, tables, and interviews that illustrated areas in nursing that produced the most workload. A detailed integration of the material supported an estimation of workload experienced by nurses.


2022 ◽  
Vol 147 ◽  
pp. 105613
Author(s):  
Elizabeth E. Austin ◽  
Brette Blakely ◽  
Paul Salmon ◽  
Jeffrey Braithwaite ◽  
Robyn Clay-Williams

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