uu.seUppsala University Publications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
An invisible burden: An experience-based approach to nurses' daily work life with healthcare information technology
Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Division of Visual Information and Interaction. Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Computerized Image Analysis and Human-Computer Interaction. (HTO)ORCID iD: 0000-0002-8240-0942
2019 (English)Licentiate thesis, comprehensive summary (Other academic)
Abstract [en]

Information and Communication Technology (ICT) has been an increasingly pervasive component of most workplaces throughout the past half century. In healthcare, the turn to the digital has resulted into the broad implementation of Healthcare Information Technology (HIT). The impacts of ICT on work life have been investigated predominantly through surveys, although some researchers have advocated for the use of a qualitative, experience-based approach. Meanwhile, the existing body of research on the impacts of HIT on clinicians has painted a mixed picture of digitalization. Despite some clear benefits, HIT has indeed been found to have unexpected, unintended adverse consequences for hospital staff. Typical issues include loss in efficiency, extra effort to carry out routine tasks, and the creation of new, HIT-induced work activities. Simultaneously, research outside of the healthcare domain has shown that ICT could require extra effort from some users in order for the sociotechnical system to function properly – extra work often invisible to developers.

Based on observation, interview and focus group data collected at a large Swedish hospital, this thesis set out to investigate the impact of HIT on hospital nurses from an experience-based perspective, resulting in four main contributions. First, a method supporting experience-based data analysis, the HolisticUX method, is introduced. Second, 13 forms of HIT-induced additional tasks in nurses' workload are identified, five of which are not acknowledged in previous research. Third, task avoidance is identified as a consequence of nurses' increased workload, negatively affecting patient safety, care quality and nurses' professional satisfaction. Finally, four factors are argued to contribute to a suggested invisibility of the HIT-induced time burden in nurses' work life to management and developers: 1) lack of a holistic perspective, 2) the hidden cost of a single click, 3) the invisibility of nursing work, and 4) visible data, invisible work.

Place, publisher, year, edition, pages
Uppsala University, 2019.
Series
Information technology licentiate theses: Licentiate theses from the Department of Information Technology, ISSN 1404-5117 ; 2019-001
National Category
Human Computer Interaction
Research subject
Computer Science with specialization in Human-Computer Interaction
Identifiers
URN: urn:nbn:se:uu:diva-381433OAI: oai:DiVA.org:uu-381433DiVA, id: diva2:1303383
Supervisors
Available from: 2019-02-22 Created: 2019-04-09 Last updated: 2019-04-09Bibliographically approved
List of papers
1. The impact of information and communication technology on work, workers, and the psychosocial work context: Research trends from 2000–2017
Open this publication in new window or tab >>The impact of information and communication technology on work, workers, and the psychosocial work context: Research trends from 2000–2017
2019 (English)In: Article in journal (Other academic) Submitted
National Category
Human Computer Interaction
Identifiers
urn:nbn:se:uu:diva-381428 (URN)
Available from: 2019-04-09 Created: 2019-04-09 Last updated: 2019-04-09Bibliographically approved
2. Analyzing work-related technology use from a UX perspective: the holisticUX method
Open this publication in new window or tab >>Analyzing work-related technology use from a UX perspective: the holisticUX method
2018 (English)In: Proc. 10th Nordic Conference on Human-Computer Interaction, New York: ACM Press, 2018, p. 711-715Conference paper, Published paper (Refereed)
Place, publisher, year, edition, pages
New York: ACM Press, 2018
National Category
Human Computer Interaction
Identifiers
urn:nbn:se:uu:diva-363980 (URN)10.1145/3240167.3240244 (DOI)000455775700067 ()978-1-4503-6437-9 (ISBN)
Conference
NordiCHI 2018, September 29 – October 3, Oslo, Norway
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2016-07153
Available from: 2018-09-29 Created: 2018-10-22 Last updated: 2019-04-09Bibliographically approved
3. More work, same hours: Invisible HIT-induced tasks in nurses' everyday work
Open this publication in new window or tab >>More work, same hours: Invisible HIT-induced tasks in nurses' everyday work
2019 (English)In: Article in journal (Other academic) Submitted
National Category
Human Computer Interaction
Identifiers
urn:nbn:se:uu:diva-381431 (URN)
Available from: 2019-04-09 Created: 2019-04-09 Last updated: 2019-04-09Bibliographically approved

Open Access in DiVA

fulltext(2169 kB)119 downloads
File information
File name FULLTEXT01.pdfFile size 2169 kBChecksum SHA-512
7a962f7afd8970f573d0407976a4cc9c308c6a30044e7b226c9d78675dd25c807565bf61e1d0e57dd030b8dbd5a7e035fe98737c0e5d78eaee076503af32c82d
Type fulltextMimetype application/pdf

Authority records BETA

Golay, Diane

Search in DiVA

By author/editor
Golay, Diane
By organisation
Division of Visual Information and InteractionComputerized Image Analysis and Human-Computer Interaction
Human Computer Interaction

Search outside of DiVA

GoogleGoogle Scholar
Total: 119 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

urn-nbn

Altmetric score

urn-nbn
Total: 356 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf