Stimulated recall methodology for assessing work system barriers and facilitators in family-centered rounds in a pediatric hospital

Pascale Carayon; Yaqiong Li; Michelle M Kelly; Lori L DuBenske; Anping Xie; Brenna McCabe; Jason Orne; Elizabeth D Cox

doi:10.1016/j.apergo.2014.05.001

Stimulated recall methodology for assessing work system barriers and facilitators in family-centered rounds in a pediatric hospital

Appl Ergon. 2014 Nov;45(6):1540-6. doi: 10.1016/j.apergo.2014.05.001. Epub 2014 Jun 2.

Authors

Pascale Carayon¹, Yaqiong Li², Michelle M Kelly³, Lori L DuBenske⁴, Anping Xie⁵, Brenna McCabe⁶, Jason Orne⁷, Elizabeth D Cox⁸

Affiliations

¹ Center for Quality and Productivity Improvement, University of Wisconsin-Madison, USA; Department of Industrial and Systems Engineering, University of Wisconsin-Madison, USA. Electronic address: [email protected].
² Center for Quality and Productivity Improvement, University of Wisconsin-Madison, USA; Department of Industrial and Systems Engineering, University of Wisconsin-Madison, USA.
³ Center for Quality and Productivity Improvement, University of Wisconsin-Madison, USA; Department of Pediatrics, University of Wisconsin School of Medicine and Public Health, USA.
⁴ Department of Psychiatry, University of Wisconsin School of Medicine and Public Health, USA.
⁵ Armstrong Institute for Patient Safety and Quality, Johns Hopkins University, USA.
⁶ Rush Medical College, USA.
⁷ Department of Sociology, University of Wisconsin-Madison, USA.
⁸ Department of Pediatrics, University of Wisconsin School of Medicine and Public Health, USA.

Abstract

Human factors and ergonomics methods are needed to redesign healthcare processes and support patient-centered care, in particular for vulnerable patients such as hospitalized children. We implemented and evaluated a stimulated recall methodology for collective confrontation in the context of family-centered rounds. Five parents and five healthcare team members reviewed video records of their bedside rounds, and were then interviewed using the stimulated recall methodology to identify work system barriers and facilitators in family-centered rounds. The evaluation of the methodology was based on a survey of the participants, and a qualitative analysis of interview data in light of the work system model of Smith and Carayon (1989, 2001). Positive survey feedback from the participants was received. The stimulated recall methodology identified barriers and facilitators in all work system elements. Participatory ergonomics methods such as the stimulated recall methodology allow a range of participants, including parents and children, to participate in healthcare process improvement.

Keywords: Bedside round in a pediatric hospital; Stimulated recall and participatory ergonomics; Work system.

Publication types

Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't

MeSH terms

Adult
Ergonomics
Female
Health Facility Environment*
Hospitals, Pediatric*
Humans
Male
Mental Recall*
Parents / psychology*
Patient Care Team*
Professional-Family Relations*
Teaching Rounds*
Video Recording

Abstract

Publication types

MeSH terms

Grants and funding