Skip to main content
Log in

User-design: A case application in health care training

  • Development
  • Published:
Educational Technology Research and Development Aims and scope Submit manuscript

Abstract

User-design is an important new theoretical process for the creation of training, software, and computer systems in many contexts. However, the implementation of user-design has not been sufficiently explored. This case study details the implementation of user-design methodology in home healthcare through the context of diffusing a new laptop patient record-keeping system with home nurses. In many ways the theoretical advantages and disadvantages of user-design are borne out in this exploration. The case study examines inefficiencies in the process, frustrations over responsible participation and design, and the increased ownership built during the design phase which paid off in the long run during implementation of the new system.

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

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Ackoff, R.L. (1981).Creating the corporate future. New York: John Wiley & Sons.

    Google Scholar 

  • Adler, P.A., & Adler, P. (1994). Observational techniques. In N. Denzin & Y. Lincoln (Eds.),Handbook of qualitative research. Thousand Oaks, CA: Sage.

    Google Scholar 

  • Atkinson, P. & Hammersley, M. (1994). Ethnography and participant observation. In N. Denzin & Y. Lincoln (Eds.),Handbook of qualitative research. Thousand Oaks, CA: Sage.

    Google Scholar 

  • Banathy, B.H. (1991).Educational systems design: A journey to create the future. Englewood Cliffs, NJ: Educational Technology Publications.

    Google Scholar 

  • Bateson, G. (1979).Mind and nature, a necessary unity. New York: Dutton.

    Google Scholar 

  • Bennis, W. (1989). Why Leaders Can't Lead.Training and Development Journal, 43(4), 35–39.

    Google Scholar 

  • Bland, C.J. et. al. (1984). User centered evaluation.Evaluation and the Health Professions, 7(1), 53–63.

    Google Scholar 

  • Bodker, S., Gronbaek, K. & Kyng, M. (1993). Cooperative design: Techniques and experiences from the Scandanavian scene. In D. Schuler & A. Namioka (Eds.),Participatory design: Principles and practices. Hillsdale, NJ: Erlbaum.

    Google Scholar 

  • Bohm, D. (1990).On dialogue. Ojai, CA: David Bohm Seminars.

    Google Scholar 

  • Boulding, K.E. (1985).The world as a total system. Beverly Hills: Sage.

    Google Scholar 

  • Burns, J. (1978).Leadership. New York: Harper & Row.

    Google Scholar 

  • Capra, F. (1982).The turning point: Science, society and the rising culture. New York: Bantam.

    Google Scholar 

  • Carr, A.A. (1994). Community Participation in Systemic Educational Change.Educational Technology, 34(1), 43–50.

    Google Scholar 

  • Carr, A.A. (1996). Distinguishing systemic and systematic!Tech Trends, 41(1), 16–20.

    Google Scholar 

  • Carr, A.A. (1997). User-design in the creation of human learning systems.Educational Technology Research and Development, 45(3), 5–22.

    Article  Google Scholar 

  • Checkland, P. (1981).Systems thinking, systems practice. Chichester: John Wiley & Sons.

    Google Scholar 

  • Chin, G., Rosson, M.B. & Carroll, J.M. (1997).Participatory Analysis: Shared Development of Requirements from Scenarios. (On-line). Available: http://www.acm.org/sigchi/chi97/proceedings/paper/gc.htm.

  • Churchman, C.W. (1968).The systems approach. New York: Delacorte Press.

    Google Scholar 

  • Comstock, D.E. & Fox, R. (1993). Participatory research as critical theory: The North Bonnevile, USA, experience. In P. Park, M. Brydon-Miller, B. Hall, & T. Jackson, (Eds.),Voices of change: Participatory research in the United States and Canada. Westport, CT: Bergin & Garvey.

    Google Scholar 

  • Demming, W.E. (1982).Out of the crisis. Cambridge, MA: IT Center for Advanced Engineering Study.

    Google Scholar 

  • Dick, W. & Carey, L. (1996).The systematic design of instruction (4th ed.). New York: Harper Collins.

    Google Scholar 

  • Floyd, J.D. (1972).The computer an administrative dilemma. New York: John Wiley.

    Google Scholar 

  • Fontana, A. & Frey, J.H. (1994). Interviewing: The art of science. In N. Denzin & Y. Lincoln (Eds.),Handbook of qualitative research. Thousand Oaks, CA: Sage.

    Google Scholar 

  • Gagné, R.M., Briggs, L.J. & Wager, W.W. (1992).Principles of instructional design. Fort Worth: Harcourt Brace Jovanovich.

    Google Scholar 

  • Gardner, J. W. (1963).Self-renewal. New York: J.W. Harper and Row.

    Google Scholar 

  • Giroux, Henry A. (1989).Schooling for democracy, critical pedagogy in the modern age. London Routledge.

  • Hall, A.D. (1962).A methodology for systems engineering. Princeton, NJ: D. Van Nostrand Co.

    Google Scholar 

  • Harman, W.W. (1984). How I learned to love the future.World Future Society Bulletin, 18(6), 1–5.

    Google Scholar 

  • Hitch, C.J. (1955). An appreciation of systems analysis. In S.L. Optner (Ed.),Systems analysis. Harmondsworth, England: Penguin.

    Google Scholar 

  • Horton, B.D. (1993). The Appalachian land ownership study: Research and citizen action in Appalachia. In P. Park, M. Brydon-Miller, B. Hall, & T. Jackson, (Eds.),Voices of change: Participatory research in the United States and Canada. Westport, CT: Bergin & Garvey.

    Google Scholar 

  • Hutchins, C.L. (1996).Systemic thinking: Solving complex problems. Aurora, CO: Professional Development Systems.

    Google Scholar 

  • Jenkins, G.M. (1972). The systems approach. In J. Beishon & G. Peters (Eds.),Systems behavior. London: Open University Press.

    Google Scholar 

  • Jenlink, P.M. (1995).Systemic change: Touchstones for the future school. Palatine, IL: Skylight.

    Google Scholar 

  • Jewell, S.F. & Jewell, D.O. (1992). Organization design. In H.D. Stolovitch & E. Keeps (Eds.),Handbook of human performance technology: A comprehensive guide for analyzing and solving performance problems in organizations. San Francisco: Jossey-Bass.

    Google Scholar 

  • Jones, J.C. (1970).Design methods: Seeds of human futures. New York: John Wiley & Sons.

    Google Scholar 

  • Kelly, K. (1994).Out of control: The new biology of machines, social systems, and the economic world. Reading, MA: Addison-Wesley.

    Google Scholar 

  • Lather, P. (1987). The absent presence: Patriarchy, capitalism, and the nature of teacher work.Teacher Education Quarterly, 14(2), 25–38.

    Google Scholar 

  • Lineberry, C. & Carleton, J.R. (1992). Culture change. In H. D. Stolovitch & E. Keeps (Eds.),Handbook of human performance technology: A comprehensive guide for analyzing and solving performance problems in organizations. San Francisco: Jossey-Bass.

    Google Scholar 

  • Petroski, H. (1994).Design paradigms: Case histories of error and judgement in engineering. Cambridge: Cambridge University Press.

    Google Scholar 

  • Quade, E.S. (1963). Military systems analysis. In S.L. Optner (Ed.),Systems analysis. Harmondsworth, England: Penguin.

    Google Scholar 

  • Reigeluth, C.M. (1993). Principles of educational systems design.International Journal of Educational Research, 19(2), 117–131.

    Article  Google Scholar 

  • Reigeluth, C.M. & Garfinkle, R.J. (1994).Systemic change in education. Englewood Cliffs, NJ: Educational Technology Publications.

    Google Scholar 

  • Rogers, E.M. (1995).Diffusion of innovations. New York: Free Press.

    Google Scholar 

  • Rowland, G. (1994) Designing for human performance (Special issue).Performance Improvement Quarterly, 7(3).

  • Schein, E.H. (1992). Organizational culture and leadership. In F. Hesselbein, M. Goldsmith, & R. Beckhard (Eds.),Leader of the future. San Francisco, CA: Jossey-Bass.

    Google Scholar 

  • Schuler, D. & Namioka, A. (1993).Participatory design: Principles and practices. Hillsdale, NJ: Erlbaum.

    Google Scholar 

  • Seels, B. & Glasgow, Z. (1990).Exercises in instructional design. Columbus, OH: Merrill.

    Google Scholar 

  • Skolimowski, H. (1985).The cooperative mind as partner of the creative evolution. Paper read at the first international conference on the mind-matter interaction, Universidad Estadual de Campinas, Brazil.

  • Sugar, W.A. (1995).User-centered innovation: A Model for early usability testing. (ERIC Document Reproduction Service No. ED 383 340)

  • Thoresen, Joseph D. (1984). Using simulated job samples for skills evaluation: Learning from the Assessment Center method.Performance and Instruction, 23(1), 16–18.

    Google Scholar 

  • Vidich, A.J. & Lyman, S.M. (1994). Qualitative methods: Their history in sociology and anthropology. In N. Denzin & Y. Lincoln (Eds.),Handbook of qualitative research. Thousand Oaks, CA: Sage.

    Google Scholar 

  • Volk, T. (1995).Metapatterns: Across space, time, and mind. New York: Columbia University Press.

    Google Scholar 

  • von Bertalanffy, L. (1968).General systems theory. New York: Braziller.

    Google Scholar 

  • Warfield, J.N. (1994).A science of generic design: Managing complexity through systems design. Ames, Iowa: Iowa State University Press.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Carr-Chellman, A., Cuyar, C. & Breman, J. User-design: A case application in health care training. ETR&D 46, 97–114 (1998). https://doi.org/10.1007/BF02299677

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02299677

Keywords

Navigation