An interview analysis of coordination behaviours in Out-of-Hours secondary care.

Martindale, Sarah, Golightly, David, Pinchin, James, Shaw, Dominick ORCID: 0000-0003-4106-8469, Blakey, John ORCID: 0000-0003-2551-8984, Perez, Iker ORCID: 0000-0001-9400-4229 and Sharples, Sarah (2019) An interview analysis of coordination behaviours in Out-of-Hours secondary care. Applied ergonomics, 81. 102861-.

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Official URL: http://dx.doi.org/10.1016/j.apergo.2019.05.011

Abstract

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.

Item Type:	Article
Uncontrolled Keywords:	Humans, Adaptation, Psychological, Adult, Middle Aged, Personnel, Hospital, Decision Making, Organizational, Workload, After-Hours Care, Female, Male, Secondary Care, United Kingdom
Divisions:	Faculty of Health and Life Sciences Faculty of Health and Life Sciences > Institute of Infection, Veterinary and Ecological Sciences
Depositing User:	Symplectic Admin
Date Deposited:	14 May 2021 13:12
Last Modified:	18 Jan 2023 22:47
DOI:	10.1016/j.apergo.2019.05.011
Open Access URL:	https://www.sciencedirect.com/science/article/pii/...
Related URLs:	Author Publisher
URI:	https://livrepository.liverpool.ac.uk/id/eprint/3122707