Defining information needs in neonatal resuscitation with work domain analysis
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ORIGINAL RESEARCH
Defining information needs in neonatal resuscitation with work domain analysis Jelena Zestic1 · Penelope Sanderson1,2,3 · Jennifer Dawson4 · Helen Liley3,5 Received: 8 June 2019 / Accepted: 7 May 2020 © Springer Nature B.V. 2020
Abstract Objective To gain a deeper understanding of the information requirements of clinicians conducting neonatal resuscitation in the first 10 min after birth. Background During the resuscitation of a newborn infant in the first minutes after birth, clinicians must monitor crucial physiological adjustments that are relatively unobservable, unpredictable, and highly variable. Clinicians’ access to information regarding the physiological status of the infant is also crucial to determining which interventions are most appropriate. To design displays to support clinicians during newborn resuscitation, we must first carefully consider the information requirements. Methods We conducted a work domain analysis (WDA) for the neonatal transition in the first 10 min after birth. We split the work domain into two ‘subdomains’; the physiology of the neonatal transition, and the clinical resources supporting the neonatal transition. A WDA can reveal information requirements that are not yet supported by resources. Results The physiological WDA acted as a conceptual tool to model the exact processes and functions that clinicians must monitor and potentially support during the neonatal transition. Importantly, the clinical resources WDA revealed several capabilities and limitations of the physical objects in the work domain—ultimately revealing which physiological functions currently have no existing sensor to provide clinicians with information regarding their status. Conclusion We propose two potential approaches to improving the clinician’s information environment: (1) developing new sensors for the information we lack, and (2) employing principles of ecological interface design to present currently available information to the clinician in a more effective way. Keywords Neonatal resuscitation · Neonatal transition · Work domain analysis · Ecological interface design
1 Introduction
* Penelope Sanderson [email protected] 1
School of Psychology, The University of Queensland, St Lucia, QLD 4072, Australia
2
School of ITEE, The University of Queensland, St Lucia, QLD 4072, Australia
3
School of Clinical Medicine, The University of Queensland, St Lucia, QLD 4072, Australia
4
The Royal Women’s Hospital, Melbourne 3052, Australia
5
Mater Mothers’ Hospital and Mater Research Institute, Brisbane 4101, Australia
Most neonates experience a smooth transition from intrauterine life to extrauterine life. However—in Australia alone—10% of neonates receive various resuscitation interventions to assist them in achieving the challenging physiological adjustments that must occur in the first minutes after birth [1]. If the physiological adjustments are unsuccessful, the infant can experience consequences including life-threatening hypoxia and ischaemia. Recommendatio
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