Walking the line: balancing performance barriers and facilitators in an augmented reality mobile application for paediatric code cart training

Wooldridge, Abigail R.; Ramadhani, Widya; Hanson, Keith; Vazquez-Melendez, Elsa; Kendhari, Harleena; Shaikh, Nadia; Riech, Teresa; Mischler, Matthew; Krzyzaniak, Sara; Barton, Ginger; Formella, Kyle T.; Abbott, Zachary R.; Farmer, John N.; Ebert-Allen, Rebecca; Croland, Trina

doi:10.1080/00140139.2021.1954685

Cited by 3 publications

(7 citation statements)

References 29 publications

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“…The application was convenient-it could be used when and where users preferred-which supported use without increasing high demands during work. When used as an optional supplement, this was not problematic, as previously noted (Wooldridge et al, 2021). It was also not integrated in existing educational programs, either by requirement or by access through a learning platform in use.…”

Section: Recommendations To Improve Ar Applicationmentioning

confidence: 99%

“…Incorporating additional clinical scenarios may be particularly helpful for residents to provide additional clinical knowledge in addition to knowledge about the code cart, supporting multiple learning objectives from their perspective as trainees (e.g., adapting the interface and content to fit with their perceptions and attitudes towards the code cart, resuscitation, and training). These improvements, in addition to following broader principles of designing AR technology for health care (Wooldridge et al, 2021), will prevent exacerbation of workload and support overall system balance…”

Section: Recommendations To Improve Ar Applicationmentioning

confidence: 99%

“…Wooldridge and colleagues (2021) conducted interviews and focus groups to identify barriers and facilitators experienced by users while they used the application. These barriers and facilitators were grouped into dimensions, which are defined in Table 1; examples of barriers and facilitators in each dimension are also included in Table 1.…”

Section: Introductionmentioning

confidence: 99%

“…Wooldridge and colleagues (2021) reported that 52% of the excerpts from the interviews and focus groups that included any barrier and facilitator actually contained two or more barriers and facilitators. They conducted a network analysis of dimensions mentioned together in three groups of excerpts: (1) excerpts describing more than one barrier, (2) excerpts describing more than one facilitator, and (3) excerpts describing one or more barriers and one or more facilitators.…”

Section: Introductionmentioning

confidence: 99%

“…Definitions, Distribution and Examples of Dimensions of Barriers and Facilitators(Wooldridge et al, 2021) …”

mentioning

confidence: 99%

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Interactions in Sociotechnical Systems: Achieving Balance in the Use of an Augmented Reality Mobile Application

Wooldridge

Morgan²,

Ramadhani

et al. 2022

Hum Factors

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Objective We explore relationships between barriers and facilitators experienced by users to understand dynamic interactions in sociotechnical systems and improve a mobile phone-based augmented reality application that teaches users about the contents of a standardized pediatric code cart. Background Understanding interactions between performance obstacles and facilitators can provide guidance to (re)designing sociotechnical systems to improve system outcomes. Clinicians should know about contents and organization of code carts, and an augmented reality mobile application may improve that knowledge but changes the sociotechnical system in which they learn. Prior work identified barriers and facilitators impacting the use of this application—participants described dimensions together, indicating interactions that are explored in the current study. Method We conducted four focus groups (number of clinicians = 18) and two interviews with clinicians who used the application. We performed a secondary analysis of focus group data exploring interactions between previously identified barriers and facilitators to application use. We used epistemic network analysis to visualize these interactions. Results Work system barriers interacted with barriers and facilitators interacted with facilitators to amplify cumulative negative or positive impact, respectively. Facilitators balanced barriers, mitigating negative impact. Facilitators also exacerbated barriers, worsening negative impact. Conclusion Barriers and facilitators interact and can amplify, balance, and exacerbate each other—notably, positives are not always positive. To obtain desired outcomes, interactions must be further considered in sociotechnical system design, for example, the potential improvements to the application we identified.

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Section: Recommendations To Improve Ar Applicationmentioning

confidence: 99%

Section: Recommendations To Improve Ar Applicationmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…Definitions, Distribution and Examples of Dimensions of Barriers and Facilitators(Wooldridge et al, 2021) …”

mentioning

confidence: 99%

See 3 more Smart Citations

Interactions in Sociotechnical Systems: Achieving Balance in the Use of an Augmented Reality Mobile Application

Wooldridge

Morgan²,

Ramadhani

et al. 2022

Hum Factors

Self Cite

View full text Add to dashboard Cite

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Professional Differences in Use and Perceptions of an Augmented Reality Code Cart Application

Wooldridge,

Morgan,

Ramadhani

et al. 2023

Springer Series in Design and Innovation

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Migrating Mobile Applications to the Web

Formella,

Borissov,

Cordes

et al. 2024

CIN: Computers, Informatics, Nursing

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Nurses and clinicians require knowledge and training of their facilities' code blue response cart to manage emergency scenarios. However, the nurses who access the carts change frequently through turnover and role changes. An augmented reality training solution was built for mobile devices, but encountered distribution and access challenges. This study evaluated the conversion of the mobile application to a desktop-based version deployed via a learning management system. Eight hundred fifty clinicians were assigned the interactive learning product, which collected anonymous usage data and an optional feedback survey within the module. Of 850 assigned users, 468 completed the module, and 338 completed the feedback survey. Respondents indicated a positive difference of 25.3% in retrospective pre/post confidence and an appreciation for the features of the product. Performance measured by decreasing total item search time appeared to level off after three plays. The format transition was successful, allowing the same widespread distribution as the mobile versions of [X]. Feedback gathered will drive improvements in the module.

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Walking the line: balancing performance barriers and facilitators in an augmented reality mobile application for paediatric code cart training

Cited by 3 publications

References 29 publications

Interactions in Sociotechnical Systems: Achieving Balance in the Use of an Augmented Reality Mobile Application

Interactions in Sociotechnical Systems: Achieving Balance in the Use of an Augmented Reality Mobile Application

Professional Differences in Use and Perceptions of an Augmented Reality Code Cart Application

Migrating Mobile Applications to the Web

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