https://aaltodoc.aalto.fi/bitstream/handle/123456789/5041/publication4.pdf

National questionnaire study on clinical ICT systems proofs: Physicians suffer from poor usability

The effects of usability and web design attributes on user preference for e-commerce web sites

ObjectiveThe objectives of this study were to (a) review electronic medical record (EMR) and related electronic health record (EHR) interface usability issues, (b) review how EMRs have been evaluated with safety analysis techniques along with any hazard recognition, and (c) formulate design guidelines and a concept for enhanced EMR interfaces with a focus on diagnosis and documentation processes.BackgroundA major impact of information technology in health care has been the introduction of EMRs. Although numerous studies indicate use of EMRs to increase health care quality, there remain concerns with usability issues and safety.MethodA literature search was conducted using Compendex, PubMed, CINAHL, and Web of Science databases to find EMR research published since 2000. Inclusion criteria included relevant English-language papers with subsets of keywords and any studies (manually) identified with a focus on EMR usability.ResultsFifty studies met the inclusion criteria. Results revealed EMR and EHR usabilit...

Usability and Safety in Electronic Medical Records Interface Design: A Review of Recent Literature and Guideline Formulation.

Natural environments offer a high potential for human well-being, restoration and stress recovery in terms of allostatic load. A growing body of literature is investigating psychological and physiological health benefits of contact with Nature. So far, a synthesis of physiological health outcomes of direct outdoor nature experiences and its potential for improving Public Health is missing. We were interested in summarizing the outcomes of studies that investigated physiological outcomes of experiencing Nature measuring at least one physiological parameter during the last two decades. Studies on effects of indoor or simulated Nature exposure via videos or photos, animal contact, and wood as building material were excluded from further analysis. As an online literature research delivered heterogeneous data inappropriate for quantitative synthesis approaches, we descriptively summarized and narratively synthesized studies. The procedure started with 1,187 titles. Research articles in English language published in international peer-reviewed journals that investigated the effects of natural outdoor environments on humans by were included. We identified 17 relevant articles reporting on effects of Nature by measuring 20 different physiological parameters. We assigned these parameters to one of the four body systems brain activity, cardiovascular system, endocrine system, and immune function. These studies reported mainly direct and positive effects, however, our analyses revealed heterogeneous outcomes regarding significance of results. Most of the studies were conducted in Japan, based on quite small samples, predominantly with male students as participants in a cross-sectional design. In general, our narrative review provided an ambiguous illustration of the effects outdoor nature exerted on physiological parameters. However, the majority of studies reported significant positive effects. A harmonizing effect of Nature, especially on physiological stress reactions, was found across all body systems. From a Public Health perspective, interdisciplinary work on utilizing benefits of Nature regarding health promotion, disease prevention, and nature-based therapy should be optimized in order to eventually diminish given methodological limitations from mono-disciplinary studies.

https://www.mdpi.com/1660-4601/11/5/5445/pdf

Green perspectives for public health: a narrative review on the physiological effects of experiencing outdoor nature.

https://research.aalto.fi/files/11780658/1_s2.0_S1386505616302258_main.pdf

Usability problems do not heal by themselves: National survey on physicians’ experiences with EHRs in Finland

http://lib.tkk.fi/Diss/2011/isbn9789526043340/article5.pdf

Physicians' experiences of participation in healthcare IT development in Finland: willing but not able

Information technologies (IT) are widely used in healthcare, however, little is known about the usability of nursing information systems. This article reports an evaluation study that aimed at researching the usability of four electronic nursing record (ENR) systems and thereby providing guidelines for further IT development. For the purposes of the study the concept of usability was defined to cover the following aspects: nurse-computer interaction in working context, information exchange, and collaboration between healthcare professionals. The study utilized two usability research methods, contextual inquiry and expert review, and was conducted with 18 nurses in Finland. Study results showed that the ENR systems share several usability problems in common, most of them relating to the efficiency of use, intuitiveness, and poor fit for multi-professional needs. Nurses had mainly negative experiences on documenting practices with ENRs: documentation requires a lot of resources, patient information is hard to find, and procedures do not meet the contextual needs. These findings suggest usability problems having significant effects on nurses' documentation practices and nursing work.

Usability of electronic nursing record systems: definition and results from an evaluation study in Finland.

Lääkärien arviot potilastietojärjestelmistä kriittisiä

Little can be found in the literature about the applicability of field study methods, particularly contextual inquiry, in the health informatics field. This paper aims to inform and promote the use of contextual inquiry for user-oriented design of clinical information technology (IT) systems. The paper describes how the method was applied in two empirical studies to gather data about end-users' needs, as well as the use and usability of dictation solutions and electronic nursing documentation systems from the viewpoint of their end-users' in real working surroundings. Experience indicates that, compared to typical usability evaluation methods, contextual inquiry may provide valuable support for user-centred design activities: the method is suitable for increasing researchers' understanding of clinical practices, contexts of work, and end-users' interaction with numerous IT systems. However, in clinical settings there are special challenges related to recording and privacy issues, a wide variety of clinical practices and contexts of technology usage, as well as the hectic nature of clinical work.

Johanna Viitanen

Papers

National questionnaire study on clinical ICT systems proofs: Physicians suffer from poor usability

Physicians' experiences of participation in healthcare IT development in Finland: willing but not able

Usability of electronic nursing record systems: definition and results from an evaluation study in Finland.

Lääkärien arviot potilastietojärjestelmistä kriittisiä

Contextual Inquiry Method for User-Centred Clinical IT System Design