Findings from the 2018 Yearbook Section on Human Factors and Organizational Issues

Pelayo, Sylvia; Kaipio, Johanna; Issues, Organizational

doi:10.1055/s-0038-1667074

Cited by 4 publications

(5 citation statements)

References 15 publications

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“…A structural and functional redesign of systems would emphasize evaluation, effectiveness, implementation, and application of process improvement [ 59 , 60 , 85 , 89 ]. It includes approaches to causal questions using cross-sectional and longitudinal dimensions, multilevel foci, and objective measures for clinical (engagement, meaningfulness of tasks, process and quality measures, and clinical and safety outcomes), human factors (workload, rewards, fitness, needs, and well-being), training, professional development, and administrative (value alignment, productivity, IS, strategic planning, resources, and participative management) workflows.…”

Section: Discussionmentioning

confidence: 99%

Findings and Guidelines on Provider Technology, Fatigue, and Well-being: Scoping Review

Hilty¹,

Armstrong²,

Smout³

et al. 2022

J Med Internet Res

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Background Video and other technologies are reshaping the delivery of health care, yet barriers related to workflow and possible provider fatigue suggest that a thorough evaluation is needed for quality and process improvement. Objective This scoping review explored the relationship among technology, fatigue, and health care to improve the conditions for providers. Methods A 6-stage scoping review of literature (from 10 databases) published from 2000 to 2020 that focused on technology, health care, and fatigue was conducted. Technologies included synchronous video, telephone, informatics systems, asynchronous wearable sensors, and mobile health devices for health care in 4 concept areas related to provider experience: behavioral, cognitive, emotional, and physical impact; workplace at the individual, clinic, hospital, and system or organizational levels; well-being, burnout, and stress; and perceptions regarding technology. Qualitative content, discourse, and framework analyses were used to thematically analyze data for developing a spectrum of health to risk of fatigue to manifestations of burnout. Results Of the 4221 potential literature references, 202 (4.79%) were duplicates, and our review of the titles and abstracts of 4019 (95.21%) found that 3837 (90.9%) were irrelevant. A full-text review of 182 studies revealed that 12 (6.6%) studies met all the criteria related to technology, health care, and fatigue, and these studied the behavioral, emotional, cognitive, and physical impact of workflow at the individual, hospital, and system or organizational levels. Video and electronic health record use has been associated with physical eye fatigue; neck pain; stress; tiredness; and behavioral impacts related to additional effort owing to barriers, trouble with engagement, emotional wear and tear and exhaustion, cognitive inattention, effort, expecting problems, multitasking and workload, and emotional experiences (eg, anger, irritability, stress, and concern about well-being). An additional 14 studies that evaluated behavioral, emotional, and cognitive impacts without focusing on fatigue found high user ratings on data quality, accuracy, and processing but low satisfaction with clerical tasks, the effort required in work, and interruptions costing time, resulting in more errors, stress, and frustration. Our qualitative analysis suggests a spectrum from health to risk and provides an outline of organizational approaches to human factors and technology in health care. Business, occupational health, human factors, and well-being literature have not studied technology fatigue and burnout; however, their findings help contextualize technology-based fatigue to suggest guidelines. Few studies were found to contextually evaluate differences according to health professions and practice contexts. Conclusions Health care systems need to evaluate the impact of technology in accordance with the Quadruple Aim to support providers’ well-being and prevent workload burden, fatigue, and burnout. Implementation and effectiveness approaches and a multilevel approach with objective measures for clinical, human factors, training, professional development, and administrative workflow are suggested. This requires institutional strategies and competencies to integrate health care quality, technology and well-being outcomes.

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Section: Discussionmentioning

confidence: 99%

Findings and Guidelines on Provider Technology, Fatigue, and Well-being: Scoping Review

Hilty¹,

Armstrong²,

Smout³

et al. 2022

J Med Internet Res

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show abstract

“…The selection here highlights a growing number of high-quality studies, based on solid well-described methodologies. This year, we saw the same trend as last year for the Human Factors and Organizational Issues section with an increase of the number of papers meeting the International Medical Informatics Association (IMIA) Yearbook scientific quality requirements 2 . However, we continue to see poorly designed health IT and negative impact on patients 3 and clinicians 4 .…”

Section: Introductionmentioning

confidence: 60%

Human Factors and Sociotechnical Issues

Pelayo

Senathirajah

Issues³

2019

Yearb Med Inform

Self Cite

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Objective: To summarize significant research contributions on human factors (HF) and organizational issues in medical informatics published in 2018. Methods: An extensive search using PubMed/Medline and Web of Science® was conducted to identify the scientific contributions published in 2018 that address human factors and organizational issues in medical informatics. The selection process comprised three steps: (i) 15 candidate best papers were first selected by the two section editors, (ii) external reviewers from internationally renowned research teams reviewed each candidate best paper, and (iii) the final selection of four best papers was conducted by the editorial board of the Yearbook. Results: The four selected best papers are excellent contributions to the HF literature: they show the added value of HF studies by providing nice illustrated and rigorous interventions. Conclusion: HF interventions are known to have great potential to contribute to efficient HIT design, but the interventions still face challenges in successfully demonstrating their value to the main stakeholders of the healthcare domain. There is a need to strengthen the demand for high-quality HF studies by increasing awareness among powerful stakeholders of the value of high-quality HF studies.

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“…These have suggested for CSW professional development, research, and training, as well as applicability toward licensure, certification, and policy (Merrill et al, 2021 ). Some organizations employ human factors engineering and usability assessments (Szalma et al, 2014 ; Pelayo et al, 2018 ). Clinicians will find work easier with teamwork and if the structure and process are aligned across settings and contexts (e.g., work, home, mobile/virtual) (Yeh et al, 2020 ).…”

Section: Resultsmentioning

confidence: 99%

“…The business culture has expanded the tetrad—research, production, and marketing, and finance – to a pentad by integrating technology rather than appending it (Ray et al, 2007 ), and employing an IT architecture (Ross et al, 2003 ). Structural and functional redesign of workflow should include evaluation, process improvement, implementation and other human factor adjustments for clinical, training/professional development, and administrative practices (Hilty et al, 2022 ; Pelayo et al, 2018 ; Proctor et al, 2010 ; Szalma et al, 2014 ).…”

Section: Discussionmentioning

confidence: 99%

Best Practices for Technology in Clinical Social Work and Mental Health Professions to Promote Well-being and Prevent Fatigue

et al. 2023

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The shift to communication technologies during the pandemic has had positive and negative effects on clinical social worker practice. Best practices are identified for clinical social workers to maintain emotional well-being, prevent fatigue, and avoid burnout when using technology. A scoping review from 2000 to 21 of 15 databases focused on communication technologies for mental health care within four areas: (1) behavioral, cognitive, emotional, and physical impact; (2) individual, clinic, hospital, and system/organizational levels; (3) well-being, burnout, and stress; and (4) clinician technology perceptions. Out of 4795 potential literature references, full text review of 201 papers revealed 37 were related to technology impact on engagement, therapeutic alliance, fatigue and well-being. Studies assessed behavioral (67.5%), emotional (43.2%), cognitive (57.8%), and physical (10.8%) impact at the individual (78.4%), clinic (54.1%), hospital (37.8%) and system/organizational (45.9%) levels. Participants were clinicians, social workers, psychologists, and other providers. Clinicians can build a therapeutic alliance via video, but this requires additional skill, effort, and monitoring. Use of video and electronic health records were associated with clinician physical and emotional problems due to barriers, effort, cognitive demands, and additional workflow steps. Studies also found high user ratings on data quality, accuracy, and processing, but low satisfaction with clerical tasks, effort required and interruptions. Studies have overlooked the impact of justice, equity, diversity and inclusion related to technology, fatigue and well-being, for the populations served and the clinicians providing care. Clinical social workers and health care systems must evaluate the impact of technology in order to support well-being and prevent workload burden, fatigue, and burnout. Multi-level evaluation and clinical, human factor, training/professional development and administrative best practices are suggested.

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Findings from the 2018 Yearbook Section on Human Factors and Organizational Issues

Abstract: The selection of the HFOI section of the 2018 IMIA Yearbook highlights a growing number of high quality studies. There are especially more studies interested in testing Human Factors and Ergonomics methods and demonstrating the benefits.

Cited by 4 publications

References 15 publications

Findings and Guidelines on Provider Technology, Fatigue, and Well-being: Scoping Review

Findings and Guidelines on Provider Technology, Fatigue, and Well-being: Scoping Review

Human Factors and Sociotechnical Issues

Best Practices for Technology in Clinical Social Work and Mental Health Professions to Promote Well-being and Prevent Fatigue

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