Skip to main content

Supporting Nurses' Information Flow by Integrating Paper and Digital Charting

  • Conference paper
ECSCW 2009

Abstract

Information technology has changed the way health care is delivered. Electronic health records which are prevalently deployed to replace or supplement paper documentations have made distributed information access at various points of care and work activity achievable with the use of mobile information devices. Our particular concern is with nurse's information flow, where nurse's notes and observations taken at the point of care feed into the electronic record. In these cases, digital technology has not yet entirely replaced paper and pen, because the latter still provide greater ease and flexibility of use when compared to current digital technologies. Even when mobile digital technology is available, clinicians still prefer creating handwritten notes, and then later manually transposing them into the digital medium. Within this context, we created a prototype that integrated digital paper with electronic health charts to retain the benefits of paper and pen, as well as digital medium. A focus group evaluation of this prototype demonstrated promise and potential for its value in a medical environment.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 169.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 219.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  • Adapx. http://www.adapx.com, on Jan 20, 2009.

  • Allen, D. (1998). Record-keeping and routine nursing practice: The view from the wards. Journal of Advanced Nursing 27:1223–30.

    Article  Google Scholar 

  • Anoto Technology. http://www.anoto.com on Jan 20, 2009.

  • Ash, J. S., Berg, M. and Coiera, E. (2004). Some Unintended Consequences of Information Technology in Health Care: The Nature of Patient Care Information System-related Errors. Journal of the American Medical Informatics Association 2004; 11 (2): 104–112.

    Article  Google Scholar 

  • Bardram, J. and Bossen, C. (2005). A Web of Coordinative Artifacts: Collaborative Work at a Hospital Ward. Proc. of GROUP, pp. 168–176.

    Google Scholar 

  • Bardram, J. and Bossen, C. (2005). Mobility Work: The Spatial Dimension of Collaboration at a Hospital. JCSCW 14(2), pp. 131–160.

    Google Scholar 

  • Bjørn, P. and E. Balka (2007). Health Care Categories have Politics too: Unpacking the Managerial Agendas of Electronic Triage Systems. Proc. of ECSCW, pp. 371–390.

    Google Scholar 

  • Cabitza, F., Sarini, M., Simone, C. and Telaro, M. (2005). When Once Is Not Enough: The Role of Redundancy in a Hospital Ward Setting. Proc. of GROUP, pp. 158–167.

    Google Scholar 

  • Cohen, P. and McGee, D. (2004). Tangible Multimodal Interfaces for Safety-Critical Applications. Communications of the ACM Jan 2004, Vol. 47 No. 1, pp. 41–46.

    Google Scholar 

  • Fitzpatrick, G. (2004). Integrated Care and the Working Record. Health Informatics Journal 10(4), pp. 291–302.

    Article  Google Scholar 

  • Hardey, M., Payne, S. and Coleman, P. (2000). ‘Scraps’: hidden nursing information and its influence on the delivery of care. Journal of Advanced Nursing, 2000, 32(1), pp.208–214.

    Article  Google Scholar 

  • Kidd, A. (1994). The Marks are on the Knowledge Worker. Proc. of CHI 1994, pp. 186–191.

    Google Scholar 

  • Lu, Y., Xiao, Y., Sears, A., Jacko, J. (2005). A Review and a Framework of Handheld Computer Adoption in Healthcare. International Journal of Med Informatics 74(5), pp. 409–422.

    Article  Google Scholar 

  • Luff, P., Heath, C., and Greatbatch, D. (1992). Tasks-in-Interaction: Paper and Screen Based Documentation in Collaborative Activity. Proc. of CSCW 1992, pp. 163–170.

    Google Scholar 

  • Mackay, W. (1999). Is paper Safer? The role of Paper flight Strips in Air Traffic Control. ACM Transaction on computer-Human Interaction 1999, 6(4), pp. 311–340.

    Article  MathSciNet  Google Scholar 

  • Nomura, S., Hutchins, E. and Holder, B. (2006). The Uses of Paper in Commercial Airline Flight Operations. Proc. of CSCW, pp. 249–258.

    Google Scholar 

  • Patterson, E., Roth, E., Woods, D., Chow, R. and Orlando, J. (2004). Handoff strategies in settings with high consequences for failure: lessons for health care operations. International Journal of Quality in Health Care, 16(2), 2004, pp. 1–8.

    Article  Google Scholar 

  • Reddy, M., Dourish, P. and Pratt, W. (2001). Coordinating Heterogeneous Work: Information and Representation in Medical Care. In Proc. of ECSCW, pp. 239–258.

    Google Scholar 

  • Reddy, M. Dourish, P. and Pratt, W. (2006). Temporality in Medical Work: Time also Matters. JCSCW 15(1), 2006.

    Google Scholar 

  • Sellen, A. and Harper, R. (2002). The Myth of the Paperless Office. The MIT Press, Cambridge.

    Google Scholar 

  • Silva, J., Zamarripa, M., Strayer, P., Favela, J. and Gonzalez, V. (2006). Empirical Evaluation of a Mobile Application for Assisting Physicians in Creating Medical Notes. Proc. of the 12th Americas Conference on Information Systems.

    Google Scholar 

  • Strople, B. and Ottani, P. (2006). Can Technology Improve Intershift Report? What the Research Reveals. Journal of Professional Nursing, 22(3), 2006, pp. 197–204.

    Article  Google Scholar 

  • Tang, C. and Carpendale, S. (2007). An Observational Study on Information Flow during Nurses' Shift Change. Proc. of CHI, pp. 219–228.

    Google Scholar 

  • Tang, C. & Carpendale, S. (2008). Evaluating the Deployment of a Mobile Technology in a Hospital Ward. Proc. of CSCW, pp. 205–214.

    Google Scholar 

  • Vincente, K. (2004). The Human Factor — Revolutionizing the Way we Live with Technology. Vintage Canada Edition 2004.

    Google Scholar 

  • Wilson, S., Galliers, J. and Fone, J. (2006). Not All Sharing is Equal: The Impact of a Large Display on Small Group Collaborative Work. Proc. of CSCW, pp. 25–28.

    Google Scholar 

  • Zamarripa, M., Gonzalez, V. and Favela, J. (2007). The Augmented Patient Charts: Seamless Integration of Physical and Digital Artifacts for Hospital Work. C. Stephanidis (Ed.): Universal Access in HCI, Part III, HCII 2007, LNCS 4556, pp. 1006–1015.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Charlotte Tang .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2009 Springer-Verlag London Limited

About this paper

Cite this paper

Tang, C., Carpendale, S. (2009). Supporting Nurses' Information Flow by Integrating Paper and Digital Charting. In: Wagner, I., TellioÄŸlu, H., Balka, E., Simone, C., Ciolfi, L. (eds) ECSCW 2009. Springer, London. https://doi.org/10.1007/978-1-84882-854-4_3

Download citation

  • DOI: https://doi.org/10.1007/978-1-84882-854-4_3

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-84882-853-7

  • Online ISBN: 978-1-84882-854-4

  • eBook Packages: Computer ScienceComputer Science (R0)

Publish with us

Policies and ethics