title: Designing study nurses' training to enhance research integrity: a macroergonomic approach.
abstract: Successful field evaluation of informatics initiatives designed to create technology-enhanced professional practice relies on adequate training of experimental participants. However, such training presents design, implementation and evaluation challenges. A macroergonomic approach, focusing on an organizational view of people, technology, task and environment interactions in work systems, provides a framework for training that allows anticipation and compensation for challenges. In the HeartCare II project, we developed a multi-level training program for nurses and patients enrolled in a field trial of an innovative technology-enhanced professional practice model. Using a macroergonomic approach, we designed three waves of training centered on a train-the-trainer model. Evaluation tools for each training wave provided improvement feedback. Despite planning, a drop-off occurred between training waves, affecting both recruitment and patient training. Troubleshooting identified people, task, technology, and organizational concerns. Strategies to increase nurse buy-in and improve technical performance are making a difference. Organizational challenges remain the most intractable.
authors.affiliation: School of Nursing, University of Wisconsin-Madison, Madison, Wisconsin, USA.
authors.forename: Susan
authors.initials: S
authors.lastname: Kossman
authors.forename: Gail R
authors.initials: GR
authors.lastname: Casper
authors.forename: Dolores J
authors.initials: DJ
authors.lastname: Severtson
authors.forename: Anne-Sophie
authors.initials: AS
authors.lastname: Grenier
authors.forename: Calvin
authors.initials: C
authors.lastname: Or
authors.forename: Pascale
authors.initials: P
authors.lastname: Carayon
authors.forename: Patricia Flatley
authors.initials: PF
authors.lastname: Brennan
mesh_terms: D000328:Adult; D004506:Education, Nursing / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008490:Medical Informatics / Q000193:education*; D008875:Middle Aged; D015403:Nursing Evaluation Research / Q000193:education*; D015397:Program Evaluation