Environmental: Topic Four Flashcards
What is topic four?
Ergonomics - human factors
What did Drews and Doig do as their research?
Evaluation of a configural vital signs (CVS) display for intensive care unit nurses
What was D and D’s aim?
To develop and evaluate a CVS display that would help nurses in ICU to detect deterioration in a patient by not just giving them numerical data but giving them graphical data that represented trends over time
Describe the sample in D and D?
42 nurses with a minimum of one year’s experience of working in ICU. Mean age of 44.6 (25-64) and 69% were female
What were the nurses presented with?
Four different patient scenarios
What were the four difference scenarios?
Early sepsis, septic shock, pulmonary embolus and stable condition
What were they given in order to come to a conclusion about the scenario?
Vital signs information on a 15 inch desktop computer and also given information about the patients medical history and past and present medications
How long did the nurses have to complete each scenario?
5 minutes
What was the IV in D and D?
How the data was presented
Describe the way in which half the participants received the data on the traditional ICU display
Information on patients current state was available in numerical form with trend data being accessible through a single key press
Describe the CVS display presented to the other half of the nurses
Thin grey rectangle represented the normal thresholds, solid white rectangle represented the range of the patients heart rate and blood pressure and a CSO (current state object) represented the patients current state (how stable they were and the oxygen saturation in the blood)
What was the DV in D and D?
The response time and the accuracy of data interpretation
What were the results in terms of response times?
The nurses in the CVS display condition identified the patients state 48% quicker in the septic shock scenario, 38% quicker in the pulmonary embolism condition and were significantly quicker at identifying the stable patient
What were the results in terms of accuracy of the assessments?
Were more accurate at diagnosing the septic shock and pulmonary embolism also were significantly more accurate. In addition, nurses reported significantly lower mental demand from the CVS display
What did Brown and Poulton look into?
Secondary task performance