J Biomed Inform - Understanding infusion administration in the ICU through Distributed Cognition.

Tópicos

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{ health(3367) inform(1360) care(1135) }
{ health(1844) social(1437) communiti(874) }
{ activ(1452) weight(1219) physic(1104) }
{ studi(2440) review(1878) systemat(933) }
{ system(1050) medic(1026) inform(1018) }
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Resumo

To understand how healthcare technologies are used in practice and evaluate them, researchers have argued for adopting the theoretical framework of Distributed Cognition (DC). This paper describes the methods and results of a study in which a DC methodology, Distributed Cognition for Teamwork (DiCoT), was applied to study the use of infusion pumps by nurses in an Intensive Care Unit (ICU). Data was gathered through ethnographic observations and interviews. Data analysis consisted of constructing the representational models of DiCoT, focusing on information flows, physical layouts, social structures and artefacts. The findings show that there is significant distribution of cognition in the ICU: socially, among nurses; physically, through the material environment; and through technological artefacts. The DiCoT methodology facilitated the identification of potential improvements that could increase the safety and efficiency of nurses' interactions with infusion technology.

Resumo Limpo

understand healthcar technolog use practic evalu research argu adopt theoret framework distribut cognit dc paper describ method result studi dc methodolog distribut cognit teamwork dicot appli studi use infus pump nurs intens care unit icu data gather ethnograph observ interview data analysi consist construct represent model dicot focus inform flow physic layout social structur artefact find show signific distribut cognit icu social among nurs physic materi environ technolog artefact dicot methodolog facilit identif potenti improv increas safeti effici nurs interact infus technolog

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