DEPROT/UFRGS (Industrial Engineering and Transportation Department, Federal University of Rio Grande do Sul), Av. Osvaldo Aranha, 99, 5. Andar, Porto Alegre, RS, CEP 90035-190, Brazil.
DEPROT/UFRGS, Brazil.
Appl Ergon. 2018 Apr;68:328-337. doi: 10.1016/j.apergo.2017.12.013. Epub 2018 Jan 2.
Although work in complex socio-technical systems needs support from several "resources for action", the interactions between these are not usually managed systematically. This study introduces a six-step framework for analyzing the interactions between two key resources for action, namely the use of standardized operating procedures and resilience skills (RSs). The main steps for applying the framework involve: (i) a content analysis of the procedure, which allows for the identification of underspecified rules and situations that could be emphasized in scenario-based training focused on developing RSs; and (ii) the identification of factors that set the stage for the emergence of RSs, which could be accounted for by procedures and the broader work system design. An application of the framework is presented in the preparation and administration of intravenous medications in an emergency department. Data collection involved 98 h of observations, 14 interviews, and document analysis. Based on this field study, a model of the interactions between procedures and RSs is proposed as well as the lessons learned from applying the framework are discussed.
虽然复杂的社会技术系统中的工作需要来自几个“行动资源”的支持，但这些资源之间的相互作用通常没有得到系统的管理。本研究介绍了一个六步框架，用于分析两个关键行动资源之间的相互作用，即标准化操作程序的使用和弹性技能（RS）。应用该框架的主要步骤包括：（i）对程序进行内容分析，这可以识别出在以发展 RS 为重点的基于情景的培训中可以强调的规定不明确的规则和情况；（ii）确定为 RS 出现创造条件的因素，这些因素可以通过程序和更广泛的工作系统设计来考虑。该框架在急诊室静脉药物准备和管理中的应用得到了展示。数据收集包括 98 小时的观察、14 次访谈和文件分析。基于这项实地研究，提出了一个程序和 RS 之间相互作用的模型，并讨论了应用该框架的经验教训。
