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运用团队认知工作分析揭示产房中医护团队的互动情况。

Using team cognitive work analysis to reveal healthcare team interactions in a birthing unit.

作者信息

Ashoori Maryam, Burns Catherine M, d'Entremont Barbara, Momtahan Kathryn

机构信息

a Department of Systems Design Engineering, University of Waterloo , Waterloo , Canada.

出版信息

Ergonomics. 2014;57(7):973-86. doi: 10.1080/00140139.2014.909949. Epub 2014 May 19.

DOI:10.1080/00140139.2014.909949
PMID:24837514
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4066876/
Abstract

UNLABELLED: Cognitive work analysis (CWA) as an analytical approach for examining complex sociotechnical systems has shown success in modelling the work of single operators. The CWA approach incorporates social and team interactions, but a more explicit analysis of team aspects can reveal more information for systems design. In this paper, Team CWA is explored to understand teamwork within a birthing unit at a hospital. Team CWA models are derived from theories and models of teamwork and leverage the existing CWA approaches to analyse team interactions. Team CWA is explained and contrasted with prior approaches to CWA. Team CWA does not replace CWA, but supplements traditional CWA to more easily reveal team information. As a result, Team CWA may be a useful approach to enhance CWA in complex environments where effective teamwork is required. PRACTITIONER SUMMARY: This paper looks at ways of analysing cognitive work in healthcare teams. Team Cognitive Work Analysis, when used to supplement traditional Cognitive Work Analysis, revealed more team information than traditional Cognitive Work Analysis. Team Cognitive Work Analysis should be considered when studying teams.

摘要

未标注：认知工作分析（CWA）作为一种用于检查复杂社会技术系统的分析方法，已成功应用于单个操作员工作的建模。CWA方法纳入了社会和团队互动，但对团队方面进行更明确的分析可为系统设计揭示更多信息。本文探讨团队CWA，以了解医院分娩单元内的团队协作。团队CWA模型源自团队协作的理论和模型，并利用现有的CWA方法来分析团队互动。本文对团队CWA进行了解释，并与先前的CWA方法进行了对比。团队CWA并非取代CWA，而是对传统CWA进行补充，以便更轻松地揭示团队信息。因此，在需要有效团队协作的复杂环境中，团队CWA可能是增强CWA的一种有用方法。 从业者总结：本文探讨了分析医疗团队认知工作的方法。团队认知工作分析用于补充传统认知工作分析时，比传统认知工作分析揭示了更多的团队信息。在研究团队时应考虑团队认知工作分析。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/beff/4066876/8eefa251ec0f/terg57_973_f6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/beff/4066876/95e77efdf22d/terg57_973_f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/beff/4066876/cad152bd9a62/terg57_973_f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/beff/4066876/6f121d2430fc/terg57_973_f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/beff/4066876/a261219b4091/terg57_973_f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/beff/4066876/15a3208ca772/terg57_973_f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/beff/4066876/8eefa251ec0f/terg57_973_f6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/beff/4066876/95e77efdf22d/terg57_973_f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/beff/4066876/cad152bd9a62/terg57_973_f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/beff/4066876/6f121d2430fc/terg57_973_f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/beff/4066876/a261219b4091/terg57_973_f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/beff/4066876/15a3208ca772/terg57_973_f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/beff/4066876/8eefa251ec0f/terg57_973_f6.jpg

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本文引用的文献

[1]
Improving social connection through a communities-of-practice-inspired cognitive work analysis approach.

Hum Factors. 2014-3

[2]
Using *ORA, a network analysis tool, to assess the relationship of handoffs to quality and safety outcomes.

Comput Inform Nurs. 2013-1

[3]
Following the cognitive work analysis train of thought: exploring the constraints of modal shift to rail transport.

Ergonomics. 2012-8-30

[4]
Work domain analysis for enhancing collaborations: a study of the management of microsystems design.

Ergonomics. 2012-4-16

[5]
Understanding the work of pediatric inpatient medicine teams: implications for information system requirements.

AMIA Annu Symp Proc. 2011

[6]
A qualitative study of expert and team cognition on complex patients in the pediatric intensive care unit.

Pediatr Crit Care Med. 2012-5

[7]
Using Cognitive Work Analysis to fit decision support tools to nurse managers' work flow.

Int J Med Inform. 2011-8-20

[8]
Using ORA to explore the relationship of nursing unit communication to patient safety and quality outcomes.

Int J Med Inform. 2011-5-4

[9]
Participatory ergonomics in design processes: the role of boundary objects.

Appl Ergon. 2010-10-13

[10]
Cognitive work analysis to evaluate the problem of patient falls in an inpatient setting.

J Am Med Inform Assoc. 2010

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