Validating a framework for participatory ergonomics
System barriers can hinder family engagement in FCR, for example, disruption of nursing workflow, longer duration of rounds, large healthcare team size, and room constraints (Carayon . To truly engage families in FCR and to enhance the safety of care for hospitalized children, these system barriers need to be addressed and the FCR process and related work system need to be redesigned (Kelly FCR were implemented on various inpatient services at a 61-bed children’s hospital in the Midwestern US in 2007 during the transition to a new hospital facility.
PE is a macroergonomic approach to work system design, which emphasizes the involvement of people in “planning and controlling a significant amount of their own work activities, with sufficient knowledge and power to influence both processes and outcomes in order to achieve desirable goals” (Wilson, Haines and Morris 2005).Therefore, as of the design stage, interactions among the components must be identified as a series of potential dysfunctions and converted into safety layers that contribute to the functional balance of the system.That stage is successful if end users, work safety and health personnel, design engineers, and project managers all participate actively in the group, using participatory ergonomics principles and tools.Welcome to the home page of the Scandinavian Journal of Work, Environment & Health.We are an internationally renowned periodical in the top 12% of the scientific edition of Public, Environmental and Occupational Health journals in the 2015 Journal Citation Report and the top 6% of the social sciences edition.We focused on the second aim of the research project in which we applied a PE approach to the redesign of the FCR process.
In this paper, we describe activities of the PE process (e.g., formation and meetings of the redesign team, data collection activities, intervention development and implementation) and present data on the evaluation of the PE process.
The impact of the intervention developed in the PE process will be reported in forthcoming manuscripts.
We emphasize two key characteristics of PE in FCR redesign: (1) participation of different FCR stakeholders in the redesign and (2) application of HFE principles in the content and process of FCR redesign.
Our 2016 impact factor is 4.071; our 5-year impact factor is 3.858.
Anping Xie, Ph D, Armstrong Institute for Patient Safety and Quality, Department of Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine, 750 E.
The application of PE to healthcare system redesign, however, is limited.