Participatory ergonomics: What works for whom and why? A realist review

Hansen, Anne Faber; Hasle, Peter; Caroly, Sandrine; Reinhold, Karin; Järvis, Marina; Herrig, Astrid Overgaard; Heiberg, Bibi Dige; Søgaard, Karen; Punnett, Laura; Stochkendahl, Mette Jensen

doi:10.1080/00140139.2023.2202842

Cited by 5 publications

(3 citation statements)

References 46 publications

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“…The following goals were considered during the design process: (1) to change collaborative work culture by clarifying patients’ roles in contributing to medication use preferences, information accuracy, and in being prepared to participate in shared decision-making; (2) to explicitly recognize fear and reluctance in patient-professional communication by using concepts from the psychological safety literature in teamwork; (3) to set an expectation and to support learning the basics of medication use, such as the refill process and knowledge about tools to reduce unintentional errors; and (4) to encourage problem-solving in community settings, such as contacting pharmacists, who are generally more accessible than primary care providers, with medication-related questions. Participatory design methodologies [ 31 , 32 ] were used in the design and formative evaluation of the tools with older adults and PCPs. Iterative testing was conducted with users, both patients and PCPs.…”

Section: Methodsmentioning

confidence: 99%

Patient Partnership Tools to Support Medication Safety in Community-Dwelling Older Adults: Protocol for a Nonrandomized Stepped Wedge Clinical Trial

Xiao,

Fulda,

Young

et al. 2024

JMIR Res Protoc

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Background Preventable harms from medications are significant threats to patient safety in community settings, especially among ambulatory older adults on multiple prescription medications. Patients may partner with primary care professionals by taking on active roles in decisions, learning the basics of medication self-management, and working with community resources. Objective This study aims to assess the impact of a set of patient partnership tools that redesign primary care encounters to encourage and empower patients to make more effective use of those encounters to improve medication safety. Methods The study is a nonrandomized, cross-sectional stepped wedge cluster-controlled trial with 1 private family medicine clinic and 2 public safety-net primary care clinics each composing their own cluster. There are 2 intervention sequences with 1 cluster per sequence and 1 control sequence with 1 cluster. Cross-sectional surveys will be taken immediately at the conclusion of visits to the clinics during 6 time periods of 6 weeks each, with a transition period of no data collection during intervention implementation. The number of visits to be surveyed will vary by period and cluster. We plan to recruit patients and professionals for surveys during 405 visits. In the experimental periods, visits will be conducted with two partnership tools and associated clinic process changes: (1) a 1-page visit preparation guide given to relevant patients by clinic staff before seeing the provider, with the intention to improve communication and shared decision-making, and (2) a library of short educational videos that clinic staff encourage patients to watch on medication safety. In the control periods, visits will be conducted with usual care. The primary outcome will be patients’ self-efficacy in medication use. The secondary outcomes are medication-related issues such as duplicate therapies identified by primary care providers and assessment of collaborative work during visits. Results The study was funded in September 2019. Data collection started in April 2023 and ended in December 2023. Data was collected for 405 primary care encounters during that period. As of February 15, 2024, initial descriptive statistics were calculated. Full data analysis is expected to be completed and published in the summer of 2024. Conclusions This study will assess the impact of patient partnership tools and associated process changes in primary care on medication use self-efficacy and medication-related issues. The study is powered to identify types of patients who may benefit most from patient engagement tools in primary care visits. Trial Registration ClinicalTrials.gov NCT05880368; https://clinicaltrials.gov/study/NCT05880368 International Registered Report Identifier (IRRID) DERR1-10.2196/57878

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Section: Methodsmentioning

confidence: 99%

Patient Partnership Tools to Support Medication Safety in Community-Dwelling Older Adults: Protocol for a Nonrandomized Stepped Wedge Clinical Trial

Xiao,

Fulda,

Young

et al. 2024

JMIR Res Protoc

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“…PE is seen as a strategy within the field of ergonomics studies. It involves a systematic process in which all relevant stakeholders are actively engaged in collaborative problem-solving efforts 49 . Design science and ergonomics have a strong relationship since both disciplines are focused on enhancing human well-being via the application of their respective principles.…”

Section: Methodsmentioning

confidence: 99%

Promoting safety of underground machinery operators through participatory ergonomics and fuzzy model analysis to foster sustainable mining practices

Sakinala,

Paul,

Fissha

2024

Sci Rep

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One of the most vital parameters to achieve sustainability in any field is encompassing the Occupational Health and Safety (OHS) of the workers. In mining industry where heavy earth moving machineries are largely employed, ergonomic hazards turn out to be significant OHS hazards causing Musculoskeletal Disorders (MSDs) in the operators. Nevertheless, the Indian mining industry lacks a comprehensive technique of OHS risk assessment, especially for ergonomic hazards that cause MSDs. This research appraises ergonomic hazards and develops Fuzzy Musculoskeletal-disorders Index (FMI) model to evaluate ergonomic-related MSDs. Work process and work tool ergonomic risk factors were identified through literature review and directives recommended by experts. Work posture was evaluated using RULA. The data-collecting approach was implemented using participatory ergonomic and design science principles. The FMI results show average MSDs score of 3.69, indicating high to extremely high risk. Surface plots show that combined work tool and work process was the most sensitive factors to MSDs risk compared to other two combinations. A two-sample t-test validated the FMI. The findings should help safety experts and managers develop effective OHS management plans and programmes for the sustainability of Indian mining industry.

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“…In LMICs, despite the prevalence of interventions targeting road user behavior [4], road users often have a limited role in decision-making processes [20]. While understanding drivers' perspectives is crucial for insights into potential improvements [21], it is equally important to consider the perspectives of other tra c system components and involve all stakeholders for a comprehensive understanding of the complex tra c system [22], especially the end users of road safety [2,3].…”

Section: Introductionmentioning

confidence: 99%

The Silent Contributors: A Qualitative Study to Bridge the Gap between Driver Behavior and Systemic Issues Interactions to Crashes

Mortazavi,

Sadeghi-Bazargani,

Charkhabi

et al. 2024

Preprint

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Road Traffic Crashes (RTCs) disproportionately impact Low and Middle-Income Countries (LMICs). Current interventions in LMICs primarily target road user behavior, neglecting systemic issues and casting drivers as mere contributors. Given the unique cultural, financial, and social intricacies in LMICs, this study aims to explore the latent causes of RTCs, prioritizing drivers' experiences and encompassing insights from various traffic system components. Applying a qualitative approach, data were collected through 46 semi-structured interviews with 38 participants, including drivers and experts from traffic-related organizations. Content analysis identified ten themes as contributing to driving errors. Direct factors included fatigue influenced by economic and occupational conditions, distraction from internal and external sources, reckless behaviors influenced by traffic culture and environment, and Inadequate driving skills due to training. Macro-scale challenges in road infrastructure, vehicle quality, education, and accident investigations were highlighted. The lack of a centralized traffic safety authority and a predominant focus on penalizing drivers overshadowed systemic issues. The study offers valuable insights into the complex interplay of factors contributing to driving errors in LMICs, advocating for a paradigm shift towards holistic, systemic interventions beyond individual driver behavior and challenging the conventional blame-centric view associated with driving errors.

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Participatory ergonomics: What works for whom and why? A realist review

Cited by 5 publications

References 46 publications

Patient Partnership Tools to Support Medication Safety in Community-Dwelling Older Adults: Protocol for a Nonrandomized Stepped Wedge Clinical Trial

Patient Partnership Tools to Support Medication Safety in Community-Dwelling Older Adults: Protocol for a Nonrandomized Stepped Wedge Clinical Trial

Promoting safety of underground machinery operators through participatory ergonomics and fuzzy model analysis to foster sustainable mining practices

The Silent Contributors: A Qualitative Study to Bridge the Gap between Driver Behavior and Systemic Issues Interactions to Crashes

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