Abstract
We conducted a video-based study to examine how medical teams construct and maintain awareness of what is going on in the environment during a time-critical, collaborative task—endotracheal intubation. Drawing on a theme that characterizes work practices in collaborative work settings—reading a scene—we examine both vocal and non-vocal actions (e.g., speech, body movement, gesture, gaze) of team members participating in this task to understand how these actions are used to display status of one’s work or to acquire information about the work status of others. While each action modality was helpful in constructing awareness to some extent, it posed different challenges, requiring team members to combine both vocal and non-vocal actions to achieve awareness about each other’s activities and their temporal order. We conclude by discussing different types of non-vocal actions, their purpose, and the need for computational support in this dynamic work setting.
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References
American College of Surgeons. (2006). Resources for optimal care of the injured patient. Chicago, IL: American College of Surgeons.
Bardram, J. E. & Hansen, T. R. (2010). Why the plan doesn’t hold—a study of situated planning, articulation and coordination work in a surgical ward. In Proceedings of the 2010 ACM Conference on Computer-Supported Cooperative Work (CSCW 2010) (pp. 331–340). Savannah, Georgia, USA.
Bardram, J. E., Hansen, T. R., & Soegaard, M. (2006). AwareMedia: A shared interactive display supporting social, temporal, and spatial awareness in surgery. In Proceedings of the 2006 ACM Conference on Computer-Supported Cooperative Work (CSCW 2006) (pp. 109–118). Banff, Alberta, Canada.
Berndtsson, J. & Normark, M. (1999). The coordinative functions of flight strips: Air traffic control work revisited. In Proceedings of the 1999 ACM Conference on Supporting Groupwork (GROUP 1999) (pp. 101–110). Phoenix, Arizona, USA.
Bossen, C. (2002). The parameters of common information spaces: The heterogeneity of cooperative work at a hospital ward. In Proceedings of the 2002 ACM Conference on Computer Supported Cooperative Work (CSCW 2002) (pp. 176–185). New Orleans, Louisiana, USA.
Fitzgerald, M. (2009). Trauma reception and resuscitation project’. Injury, 40(1), S15.
Fitzpatrick, G., & Ellingsen, G. (2013). A review of 25 years of CSCW research in healthcare: Contributions, challenges and future agendas. Computer Supported Cooperative Work (CSCW): An International Journal, 22(4–6), 609–665.
Goodwin, C., & Goodwin, M. H. (1996). Seeing as a situated activity: Formulating planes. In Y. Engestrom & D. Middleton (Eds.), Cognition and communication at work (pp. 61–95). Cambridge: Cambridge University Press.
Goodwin, D., Pope, C., Mort, M., & Smith, A. (2005). Access, boundaries and their effects: Legitimate participation in anaesthesia. Sociology of Health and Illness, 27(6), 855–871.
Gross, T. (2013). Supporting effortless coordination: 25 years of awareness research. Computer Supported Cooperative Work (CSCW): An International Journal, 22(4–6), 425–474.
Heath, C., & Luff, P. (1992). Collaboration and control: Crisis management and multimedia technology in London underground line control rooms. Computer Supported Cooperative Work (CSCW): An International Journal, 11(1–2), 69–95.
Heath, C., Svensson, M. S., Hindmarsh, J., Luff, P. & Vom Lehn, D. (2002). Configuring awareness. Computer Supported Cooperative Work (CSCW): An International Journal, 11(3–4), pp. 317–347.
Hindmarsh, J., & Pilnick, A. (2002). The tacit order of teamwork: Collaboration and embodied conduct in anesthesia. The Sociological Quarterly, 43(2), 139–164.
Hindmarsh, J., & Pilnick, A. (2007). Knowing bodies at work: Embodiment and ephemeral teamwork in anaesthesia. Organization Studies, 28(9), 1395–1416.
Hughes, J. A., Randall, D. & Shapiro, D. (1992). Faltering from ethnography to design. In Proceedings of the 1992 ACM Conference on Computer-Supported Cooperative Work (CSCW 1992) (pp. 115–122). Toronto, Ontario, Canada.
Hutchins, E. (1995). Cognition in the wild. Cambridge, MA: The MIT Press.
Koschmann, T., LeBaron, C., Goodwin, C., & Feltovich, P. (2011). Can you see the cystic artery yet? A simple matter of trust. Journal of Pragmatics, 43(2), 521–541.
Mentis, H. M. & Taylor, A. S. (2013). Imaging the body: Embodied vision in minimally invasive surgery. In Proceedings of the 2013 ACM Conference on Human Factors in Computing Systems (CHI 2013) (pp. 1479–1488). Paris, France.
Nackman, G. B., Bermann, M., & Hammond, J. S. (2003). Effective use of human simulators in surgical education. Journal of Surgical Research, 115(2), 214–218.
Reddy, M. C. & Dourish, P. (2002). A finger on the pulse: Temporal rhythms and information seeking in medical work. In Proceedings of the 2002 ACM Conference on Computer-Supported Cooperative Work (CSCW 2002) (pp. 344–353). New Orleans, Louisiana, USA.
Reddy, M. C., Dourish, P., & Pratt, W. (2006). Temporality in medical work: Time also matters. Computer Supported Cooperative Work (CSCW): An International Journal, 15(1), 29–53.
Sarcevic, A., Marsic, I., & Burd, R. S. (2012). Teamwork errors in trauma resuscitation. ACM Transactions on Computer-Human Interaction (TOCHI), 19(2), July 2012, article 13.
Schmidt, K. (2002). The problem with awareness. Computer Supported Cooperative Work (CSCW): An International Journal, 11(3–4), 285–298.
Schmidt, K., & Simone, C. (1996). Coordination mechanisms: Towards a conceptual foundation of CSCW systems design. Computer Supported Cooperative Work (CSCW): An International Journal, 5(2–3), 155–200.
Suchman, L. (1997). Centers of coordination: A case and some themes. In L. B. Resnick, R. Saljo, C. Pontecorvo, & B. Burge (Eds.), Discourse, tools, and reasoning: Essays on situated cognition (pp. 41–62). Berlin: Springer-Verlag.
Svensson, M. S., Heath, C., & Luff, P. (2007). Instrumental action: the timely exchange of implements during surgical operations. In Proceedings of the 10 th European Conference on Computer-Supported Cooperative Work (ECSCW 2007) (pp. 41–60). Limerick, Ireland.
Acknowledgments
This work is supported by the National Science Foundation under Grant No. #1253285. We would like to thank our research team members for their support, as well as to the medical staff at the research site for their participation. Thanks also to the anonymous reviewers for their constructive suggestions and recommendations.
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Zhang, Z., Sarcevic, A. (2015). Constructing Awareness Through Speech, Gesture, Gaze and Movement During a Time-Critical Medical Task. In: Boulus-Rødje, N., Ellingsen, G., Bratteteig, T., Aanestad, M., Bjørn, P. (eds) ECSCW 2015: Proceedings of the 14th European Conference on Computer Supported Cooperative Work, 19-23 September 2015, Oslo, Norway. Springer, Cham. https://doi.org/10.1007/978-3-319-20499-4_9
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