Coping with different roles in intensive care nursing: design implications for digital support.
OBJECTIVE
The aim of this study is to arrive at design implications for the digital support of intensive care nurses, with a focus on supporting them in their roles as practitioners, as scholars and in their human response to their work.


METHODS
Seventeen nurses from six different Dutch hospitals were interviewed using a newly developed digital prototype designed around these roles. The nurses were questioned about the suitability of four functions: two supporting the practitioner role ('web of actors' and 'timeline and notes'); one supporting the scholar role ('assessment of the patient'); and one supporting the role of human ('perception of the shift'). The remarks of the nurses about these functions were grouped by their relevance to design (ie, the perceived added value of the function, suggestions for other uses, and the perceived negative impact of the function) and by topic.


RESULTS
A total of 23 topics emerged: nine topics described the added values of the functions, nine were suggestions for other uses, and five concerned the negative impact of the functions as perceived by the participants. The main points of each topic were summarised, resulting in 23 design implications for digital role-based support.
Department of Industrial Design, Delft University of Technology, Landbergstraat 15, Delft 2628 CE, The Netherlands. m.melles@tudelft.nl
Marijke
M
Melles
Adinda
A
Freudenthal
Addie
A
Bouwman
Chris
C
Snijders
Huib
H
de Ridder
D000223:Adaptation, Psychological; D000328:Adult; D001291:Attitude of Health Personnel; D001292:Attitude to Computers; D002983:Clinical Competence; D020000:Decision Support Systems, Clinical; D004509:Education, Nursing, Continuing; D006801:Humans; D007362:Intensive Care Units; D009426:Netherlands; D024802:Nurse's Role / Q000523:psychology*; D009723:Nurse-Patient Relations; D009736:Nursing Process; D009741:Nursing Staff, Hospital / Q000523:psychology*; D009936:Organizational Innovation; D017063:Outcome Assessment, Health Care; D019555:Physician-Nurse Relations; D024382:Professional Role; D011795:Surveys and Questionnaires