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Lookup NU author(s): Dr David GolightlyORCiD
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND).
This paper seeks to elicit and structure the factors that shape the execution and, in particular, the coordination of work in Out of Hours care. Evenings and weekends in UK hospitals are managed by specific Out of Hours (OoH) care arrangements, and associated technology. Managing care within the constraints of staff availability and demands is a key concern for both patient care and staff wellbeing, yet has received little attention from healthcare human factors. A study of sixteen clinical staff used Critical Decision Method to understand how work is coordinated and the constraints and criteria that are applied by the roles managing OoH care. The analysis identified ten types of coordination decision that, in turn, underpinned three types of adaptive behaviour – pre-emption, information augmentation and self-organisation – that were crucial for the effective performance in OoH care. These behaviours explain how OoH staff manage the task demands placed on them, individually and as a team
Author(s): Martindale S, Golightly D, Pinchin J, Shaw D, Blakey J, Perez I, Sharples S
Publication type: Article
Publication status: Published
Journal: Applied Ergonomics
Year: 2019
Volume: 81
Print publication date: 01/11/2019
Online publication date: 22/06/2019
Acceptance date: 22/05/2019
Date deposited: 05/07/2019
ISSN (print): 0003-6870
ISSN (electronic): 1872-9126
Publisher: Pergamon Press
URL: https://doi.org/10.1016/j.apergo.2019.05.011
DOI: 10.1016/j.apergo.2019.05.011
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