Applied Ergonomics最新文献

{"title":"Examining the implementation of a multi-site evidence-based intervention to reduce fluoroquinolone usage: A qualitative content analysis of staff interviews to identify facilitators and barriers.","authors":"Demetrius Solomon, Jukrin Moon, Vishala Parmasad, Sara Hernandez, Douglas Wiegmann, Nasia Safdar","doi":"10.1016/j.apergo.2024.104419","DOIUrl":"https://doi.org/10.1016/j.apergo.2024.104419","url":null,"abstract":"<p><p>Clostridioides difficile infection is the most common healthcare-associated infection, causing almost half a million infections in the United States annually. Inappropriate antibiotic usage is a known risk factor. Antibiotic stewardship efforts aim to optimize prescribing. Evidence supports pre-prescription authorization as a highly effective intervention. A pre-prescription intervention for fluoroquinolone antibiotics via a computerized clinical decision support tool called a \"best practice alert\" (BPA) embedded in the patient's electronic health records has high potential for improving antibiotic stewardship. However, information is scant about the factors that might impact the uptake and effectiveness of this BPA and other similar evidence-based interventions when spread and adopted across multiple independent sites. Therefore, we utilized the Consolidated Framework for Implementation Research (CFIR) to understand the facilitators and barriers to the implementation process that influence clinical and implementation outcomes. In doing so, we conducted semi-structured interviews with 18 healthcare professionals across four hospitals. Our research team performed a qualitative analysis to understand the contextual factors influencing the implementation outcomes, such as acceptability and sustainability.</p><p><strong>Takeaways: </strong>The following themes highlight the factors affecting the implementation of this healthcare innovation.</p><p><strong>Intervention characteristics domain: </strong>Designing interventions that are customizable and low maintenance.</p><p><strong>Inner setting domain: </strong>Maturity level of the Antibiotic Stewardship Program.</p><p><strong>Individuals domain: </strong>Implementer's experience/attitudes in implementing healthcare innovations.</p><p><strong>Outer setting domain: </strong>The ability to prioritize initiatives as the organization responds to unintended circumstances (e.g., COVID).</p><p><strong>Process domain: </strong>Adapting implementation approaches and strategies as technology spreads.</p>","PeriodicalId":55502,"journal":{"name":"Applied Ergonomics","volume":"125 ","pages":"104419"},"PeriodicalIF":3.1,"publicationDate":"2024-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142787966","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"工程技术","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The role of automation etiquette and task-criticality on performance, workload, automation reliance, and user confidence.","authors":"Zachary Guyton, Richard Pak, Ericka Rovira","doi":"10.1016/j.apergo.2024.104430","DOIUrl":"https://doi.org/10.1016/j.apergo.2024.104430","url":null,"abstract":"<p><p>Previous research suggests good automation etiquette can yield positive effects on user performance, trust, automation reliance, and user confidence - especially in personified or anthropomorphized technologies. The current study examined the impact of automation etiquette and task-criticality in non-personified technology. The study used a computer-based automation task to examine good and bad automation etiquette models and different domain-based task-criticality levels (between-subjects) that contained various stages of automation (stage 2 and stage 3) and automation reliability levels (60% and 80%) (within-subjects). The study found that bad automation etiquette can increase automation bias and automation reliance which improved performance in the most capable automation condition (stage 3; 80% reliable) but also heightened user subjective workload and decreased user self-confidence. The study also demonstrated task-criticality can be successfully manipulated through domain and instructions. Overall, automation etiquette influenced performance and user confidence more in highly capable automation (stage 3) and in a low-criticality task domain.</p>","PeriodicalId":55502,"journal":{"name":"Applied Ergonomics","volume":"125 ","pages":"104430"},"PeriodicalIF":3.1,"publicationDate":"2024-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142787968","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"工程技术","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Observing resilient performance in space-based teaming mission using digital technologies","authors":"Xiaoyun Yin ,&nbsp;David A.P. Grimm ,&nbsp;Shiwen Zhou ,&nbsp;Jacob Pisors ,&nbsp;Aaron Zhen Yang Teo ,&nbsp;Matthew Lijenstolpe ,&nbsp;Elmira Zahmat Doost ,&nbsp;Nancy J. Cooke ,&nbsp;Jamie C. Gorman","doi":"10.1016/j.apergo.2024.104409","DOIUrl":"10.1016/j.apergo.2024.104409","url":null,"abstract":"<div><div>Space-based teaming requires coordination across human operators using old (e.g., existing communication networks) and new (e.g., AI and robotic teammates) digital technologies (DTs) across great distances. Hence, methods are needed to observe resilience across multiple layers of coordination comprising DT-enabled space missions. This presented study simulates high-stakes scenarios to measure constructs like relaxation time, information entropy, and average mutual information (AMI) to evaluate team responses to perturbations. Our study involved two scenarios: one with nominal communications among space entities and another introducing resilience through deliberate perturbations. Eight participants who were members of the research team, engaged in these simulations. Communication flow and vehicle controls and position were measured. Using layered dynamics, we measure dynamic resilience curves (comprising enaction, adaptation, and recovery components) across the system before, during, and after perturbations. We ran two engineering tests of our resilience metrics. Key findings indicate that measures differentiated between the resilient team with shorter relaxation times and more effective adaptation to perturbations, marked by distinct phases of enaction, adaptation, and recovery. The AMI metric was found to be a more sensitive measure of team influence and resilience than communication frequency. This study contributes to future research in two ways. First, the simulation environment and continuous signal capture allows for the observation of adaptations. Second, the adoption of operationism provides an innovative approach to observing resilience.</div></div>","PeriodicalId":55502,"journal":{"name":"Applied Ergonomics","volume":"124 ","pages":"Article 104409"},"PeriodicalIF":3.1,"publicationDate":"2024-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142746382","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"工程技术","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The tactile signal detection task and why it could change how we measure workload","authors":"Dominik Janetzko ,&nbsp;Leonie Manzke ,&nbsp;Alexander Rabl","doi":"10.1016/j.apergo.2024.104404","DOIUrl":"10.1016/j.apergo.2024.104404","url":null,"abstract":"<div><div>In Human Factors research, measuring the construct of workload is common. This often takes the form of using subjective questionnaires such as the NASA-TLX. Another approach analyses operators' performance in a secondary task to quantify and measure workload. We developed and, thus, propose one such task: the (Tactile) Signal Detection Task (TSDT).</div><div>In two experimental studies, the performance of the TSDT was compared to NASA-TLX ratings during varying workload conditions in a laboratory setting. Study 2 additionally investigated the susceptibility of the NASA-TLX and the TSDT to different difficulty primes. Results indicate a good performance of the TSDT in measuring workload, a susceptibility of the NASA-TLX, and a non-susceptibility of the TSDT to difficulty primes. Further results and practical implications are discussed.</div></div>","PeriodicalId":55502,"journal":{"name":"Applied Ergonomics","volume":"124 ","pages":"Article 104404"},"PeriodicalIF":3.1,"publicationDate":"2024-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142746383","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"工程技术","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Learning performance and physiological feedback-based evaluation for human–robot collaboration","authors":"Chiuhsiang Joe Lin ,&nbsp;Rio Prasetyo Lukodono","doi":"10.1016/j.apergo.2024.104425","DOIUrl":"10.1016/j.apergo.2024.104425","url":null,"abstract":"<div><div>The development of Industry 4.0 has resulted in tremendous transformations in the manufacturing sector to supplement the human workforce through collaboration with robots. This emphasis on a human-centered approach is a vital aspect in promoting resilience within manufacturing operations. In response, humans need to adjust to new working conditions, including sharing areas with no apparent separations and with simultaneous actions that might affect performance. At the same time, wearable technologies and applications with the potential to gather detailed and accurate human physiological data are growing rapidly. These data lead to a better understanding of evaluating human performance while considering multiple factors in human–robot collaboration. This study uses an approach for assessing human performance in human–robot collaboration. The assessment scenario necessitates understanding of how humans perceive collaborative work based on several indicators, such as perceptions of workload, performance, and physiological feedback. The participants were evaluated for around 120 min. The results showed that human performance improved as the number of repetitions increased, and the learning performance value was 92%. Other physiological indicators also exhibited decreasing values as the human performance tended to increase. The findings can help the industry to evaluate human performance based on workload, performance, and physiological feedback information. The implication of this assessment can serve as a foundation for enhancing resilience by refining work systems that are adaptable to humans without compromising performance.</div></div>","PeriodicalId":55502,"journal":{"name":"Applied Ergonomics","volume":"124 ","pages":"Article 104425"},"PeriodicalIF":3.1,"publicationDate":"2024-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142746381","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"工程技术","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparing perceptions of operational inefficiencies among clinical healthcare workers by professional role","authors":"P.J. Sprik ,&nbsp;M.C. Schall Jr. ,&nbsp;L.M. Boitet ,&nbsp;K.A. Meese ,&nbsp;D.A. Rogers","doi":"10.1016/j.apergo.2024.104424","DOIUrl":"10.1016/j.apergo.2024.104424","url":null,"abstract":"<div><div>Operational inefficiencies remain a critical occupational burden to clinical healthcare workers, contributing to adverse organizational and employee outcomes. Perceptions of these inefficiencies likely vary across occupational roles, yet these differences have not been thoroughly explored in the healthcare setting. To address this gap, inefficiencies at work were self-reported by 1083 interdisciplinary clinical healthcare workers within a large academic medical center in the southeastern United States. A qualitative inductive thematic analysis was used to describe employee perceptions of work tasks, processes, or systems that seem duplicative, poorly designed, or unnecessary. Matrix coding was used to explore differences based on professional roles. Specific inefficiencies were differentially experienced across professional roles, including but not limited to role definition, education, and staffing. The reported differences highlight the need to engage with all healthcare workers to enhance the experience of all roles across the organization.</div></div>","PeriodicalId":55502,"journal":{"name":"Applied Ergonomics","volume":"124 ","pages":"Article 104424"},"PeriodicalIF":3.1,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142722632","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"工程技术","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluating changes in slip-resistance performance of select IceFX® winter boots in real-world use over a winter season","authors":"Shreya Anand ,&nbsp;Ali Shirzadeh ,&nbsp;Hamed Ghomashchi ,&nbsp;Tilak Dutta","doi":"10.1016/j.apergo.2024.104421","DOIUrl":"10.1016/j.apergo.2024.104421","url":null,"abstract":"<div><div>Winter boots with specialized outsoles (composite footwear) may be able to reduce the risk of falls on ice by 78%. However, a pilot study has also found that the slip resistance of this composite footwear can diminish relatively quickly with simulated use. The objective of this study was to evaluate the change in slip resistance of popular composite footwear (with IceFX outsoles) over a winter season of real-world use. Eighteen participants were given composite footwear to use over 4 winter months. Changes in slip resistance were measured monthly using the Maximum Achievable Angle (MAA) test while a pedometer was used to track step counts. Over 150,000 steps, MAA scores dropped from 13.86±1.35 (SD) to 8.81 ± 1.32 (SD), with a significant decrease after just 75,000 steps. This drop in slip resistance suggests that the risk of slip-related falls on ice may increase during even the first season of use.</div></div>","PeriodicalId":55502,"journal":{"name":"Applied Ergonomics","volume":"124 ","pages":"Article 104421"},"PeriodicalIF":3.1,"publicationDate":"2024-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142699984","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"工程技术","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Study on the relationship between muscle fatigue and motion sickness responses in different sitting postures under ship rocking conditions","authors":"Jin-Liang Wu ,&nbsp;Chun-Hui Dong ,&nbsp;Xin-Tong Du ,&nbsp;Xiao-Yan Ma ,&nbsp;Chun-Yue Zang ,&nbsp;Wen-Xiu Yang","doi":"10.1016/j.apergo.2024.104422","DOIUrl":"10.1016/j.apergo.2024.104422","url":null,"abstract":"<div><div>In a ship rocking environment, muscle activity in different sitting postures may impact passenger balance and stability, thereby aggravating or alleviating symptoms of motion sickness. This study aims to explore the relationship between motion sickness induced by ship rolling and muscle activity in various sitting postures, with the goal of informing the optimization of ship seat designs to enhance passenger comfort. The research focuses on the angle of backrest inclination and head-neck position as key variables. Participants were seated on a six-degree-of-freedom platform simulating ship movements and rated their discomfort levels in different sitting postures while electromyographic (EMG) signals were collected from the sternocleidomastoid (SCM), upper trapezius muscles, and erector spinae muscles. The analysis investigated the correlation between muscle activity and motion sickness across different postures. The results indicate that a 22.5° reclined backrest angle minimizes motion sickness discomfort, while no significant correlation was found between head and neck position and motion sickness in this study, but the interaction between head and neck position and backrest angle needs further study. Differences in muscle activity were identified between motion-susceptible and non-susceptible individuals, with the former exhibiting higher activity in the SCM and upper trapezius muscles, leading to greater fatigue. Additionally, only the SCM showed opposite activity between men and women, while the changes in the upper trapezius and erector spinae muscles were basically the same. This study provides insights for optimizing ship seat design, contributing to the alleviation of motion sickness symptoms and enhancing passenger comfort. The findings hold significance for ship seat design and open new possibilities for the application of industrial design in the field of maritime engineering.</div></div>","PeriodicalId":55502,"journal":{"name":"Applied Ergonomics","volume":"124 ","pages":"Article 104422"},"PeriodicalIF":3.1,"publicationDate":"2024-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142699914","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"工程技术","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of different block designs on low back and shoulders biomechanical loads and postural stability during crab pot handling","authors":"Kiana Kia ,&nbsp;Allen Chan ,&nbsp;Mina Salehi ,&nbsp;Laurel Kincl ,&nbsp;Jeong Ho Kim","doi":"10.1016/j.apergo.2024.104423","DOIUrl":"10.1016/j.apergo.2024.104423","url":null,"abstract":"<div><div>In commercial Dungeness crab fishing vessels, the block pulls crab pots for harvesting and typically positions them to the side of vessels, rather than the sorting tables on board. Consequently, fishermen must reach outside the vessel to grab the pots, posing increased risk of musculoskeletal and fall-related injuries. To investigate the effects of block design on these risks, 25 participants in a repeated-measures laboratory study handled a pot under two block conditions: away-from-table (conventional setting) and above-table (intervention). Low back and shoulder muscle activities, angles, moments, perceived exertion, and postural stability were measured. The results showed reduced L5/S1 and shoulder moments and angles; decreased muscle activities in the low back, shoulders, and upper extremities; and lower perceived exertion ratings and postural sway measures with the intervention. These findings indicate that positioning the pot closer to fishermen onboard could reduce the injury and fall risk associated with crab pot handling.</div></div>","PeriodicalId":55502,"journal":{"name":"Applied Ergonomics","volume":"124 ","pages":"Article 104423"},"PeriodicalIF":3.1,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142696242","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"工程技术","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Digital technologies and resilient performance in socio-technical systems: A human factors and ergonomics perspective","authors":"Tarcisio Abreu Saurin ,&nbsp;Riccardo Patriarca ,&nbsp;Sudeep Hegde ,&nbsp;Mike Rayo","doi":"10.1016/j.apergo.2024.104420","DOIUrl":"10.1016/j.apergo.2024.104420","url":null,"abstract":"","PeriodicalId":55502,"journal":{"name":"Applied Ergonomics","volume":"123 ","pages":"Article 104420"},"PeriodicalIF":3.1,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142683719","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"工程技术","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}