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1.
Appl Ergon ; 117: 104246, 2024 May.
Article in English | MEDLINE | ID: mdl-38354552

ABSTRACT

Within the framework of Industry 5.0, human factors are essential for enhancing the work conditions and well-being of operators interacting with even more advanced and smart manufacturing systems and machines and increasing production performances. Nevertheless, cognitive ergonomics is often underestimated when implementing advanced industrial human-robot interaction. Thus, this work aims to systematically update, develop, and validate guidelines to assist non-experts in the early stages of the design of anthropocentric and collaborative assembly applications by focusing on the main features that have positively influenced workers' cognitive responses. A methodology for structured development has been proposed. The draft guidelines have been created starting from the outcomes of a systematic and extended screening of the scientific literature. Preliminary validation has been carried out with the help of researchers working in the field. Inputs on comprehensibility and relevance have been gathered to enhance the guidelines. Lastly, a survey was used to examine in depth how international experts in different branches can interpret such guidelines. In total, 108 responders were asked to qualitatively and quantitatively evaluate the guideline's comprehensibility and provide general comments or suggestions for each guideline. Based on the survey's results, the guidelines have been validated and some have been reviewed and re-written in their final form. The present work highlights that integrating human factors into the design of collaborative applications can significantly bolster manufacturing operations' resilience through inclusivity and system adaptability by enhancing worker safety, ergonomics, and wellbeing.


Subject(s)
Robotics , Humans , Ergonomics/methods , Surveys and Questionnaires , Industry
2.
Article in English | WPRIM (Western Pacific) | ID: wpr-1012675

ABSTRACT

@#Introduction: Ergonomics is the scientific study of the interactions between humans and other elements of a system to improve human well-being and overall system performance. In larger scope ergonomics examines human behavioral, psychological, and physiological capabilities and limitations. It has given a huge impact on the workers comfort which directly affects the work efficiency and productivity. In Malaysia, the electronics industry is the leading industry in the manufacturing sector and one of the largest employers. This study was conducted to examine the relationship between ergonomics factors and job performance among employees in electronics industry. Material and Method: A total of 155 employees in electronic industry were involved as respondents in this study. A cross-sectional study was conducted using self-administered questionnaires consisting of sections on physical ergonomics, cognitive ergonomics, and organizational ergonomics and job performance. The data were analysed using SPSS version 25, and descriptive statistics, person correlation and multiple liner regressions were used to identify the factors associated with job performance. Results: The findings showed that there is a significant relationship between ergonomics factors (physical ergonomics, cognitive ergonomics, and organizational ergonomics) and employee performance with p<0.05. While the multiple linear regression analysis found that the most contributing ergonomics factors was physical ergonomics that significantly affects job performance in the electronics industry in Malaysia. Conclusion: Ergonomics factors can be used to promote improved performance and productivity from the employees in the organization such as awareness training and education.

3.
Front Robot AI ; 10: 1277360, 2023.
Article in English | MEDLINE | ID: mdl-37965632

ABSTRACT

Robotic systems are an integral component of today's work place automation, especially in industrial settings. Due to technological advancements, we see new forms of human-robot interaction emerge which are related to different OSH risks and benefits. We present a multifaceted analysis of risks and opportunities regarding robotic systems in the context of task automation in the industrial sector. This includes the scientific perspective through literature review as well as the workers' expectations in form of use case evaluations. Based on the results, with regards to human-centred workplace design and occupational safety and health (OSH), implications for the practical application are derived and presented. For the literature review a selected subset of papers from a systematic review was extracted. Five systematic reviews and meta-analysis (492 primary studies) focused on the topic of task automation via robotic systems and OSH. These were extracted and categorised into physical, psychosocial and organisational factors based on an OSH-factors framework for advanced robotics developed for the European Agency for Safety and Health at Work (EU-OSHA). To assess the workers' perspective, 27 workers from three European manufacturing companies were asked about their expectations regarding benefits and challenges of robotic systems at their workplace. The answers were translated and categorised in accordance with the framework as well. The statements, both from literature and the survey were then analysed according to the qualitative content analysis, to gain additional insight into the underlying structure and trends in them. As a result, new categories were formed deductively. The analysis showed that the framework is capable to help categorise both findings from literature and worker survey into basic categories with good interrater reliability. Regarding the proposed subcategories however, it failed to reflect the complexity of the workers' expectations. The results of the worker evaluation as well as literature findings both predominantly highlight the psychosocial impact these systems may have on workers. Organisational risks or changes are underrepresented in both groups. Workers' initial expectations lean towards a positive impact.

4.
Cureus ; 15(8): e44258, 2023 Aug.
Article in English | MEDLINE | ID: mdl-37772235

ABSTRACT

Doctoring is difficult mental work, involving many cognitively demanding processes such as diagnosing, decision-making, parallel processing, communicating, and managing the emotions of others. According to cognitive load theory (CLT), working memory is a limited cognitive resource that can support a finite amount of cognitive load. While the intrinsic cognitive load is the innate load associated with a task, the extraneous load is generated by inefficiency or suboptimal work conditions. Causes of extraneous cognitive load in healthcare include inefficiency, distractions, interruptions, multitasking, stress, poor communication, conflict, and incivility. High levels of cognitive load are associated with impaired function and an increased risk of burnout among physicians. Cognitive ergonomics is the branch of human factors and ergonomics (HFE) focused on supporting the cognitive processes of individuals within a system. In health care, where the cognitive burden on physicians is high, cognitive ergonomics can establish practices and systems that decrease extraneous cognitive load and support pertinent cognitive processes. In this review, we present cognitive ergonomics as a useful framework for conceptualizing an oft-overlooked dimension of labor and apply theory to practice by summarizing evidence-based cognitive ergonomics interventions for outpatient care settings. Our proposed interventions are structured within four general recommendations: 1. minimize distractions, interruptions, and multitasking; 2. optimize the use of the electronic health record (EHR); 3. optimize the use of health information systems (HIS); and 4. support good communication and teamwork. Best practices in cognitive ergonomics can benefit patients, minimize practice inefficiency, and support physician career longevity.

5.
Am J Surg ; 226(3): 365-370, 2023 09.
Article in English | MEDLINE | ID: mdl-37330385

ABSTRACT

BACKGROUND: Current approaches to assessing workload in robotic-assisted surgery (RAS) focus on surgeons and lack real-world data. Understanding how workload varies by role and specialty aids in identifying effective ways to optimize workload. METHODS: SURG-TLX surveys with six domains of workload were administered to surgical staff at three sites. Staff reported workload perceptions for each domain on a 20-point Likert scale, and aggregate scores were determined per participant. RESULTS: 188 questionnaires were obtained across 90 RAS procedures. Significantly higher aggregate scores were reported for gynecology (Mdn â€‹= â€‹30.00) (p â€‹= â€‹0.034) and urology (Mdn â€‹= â€‹36.50) (p â€‹= â€‹0.006) than for general (Mdn â€‹= â€‹25.00). Surgeons reported significantly higher scores for task complexity (Mdn â€‹= â€‹8.00) than both technicians (Mdn â€‹= â€‹5.00) (p â€‹= â€‹0.007), and nurses (Mdn â€‹= â€‹5.00). CONCLUSIONS: Staff reported significantly higher workload during urology and gynecology procedures, and experienced significant differences in domain workload by role and specialty, elucidating the need for tailored workload interventions.


Subject(s)
Gynecology , Robotic Surgical Procedures , Surgeons , Urology , Humans , Workload
6.
Work ; 76(1): 205-224, 2023.
Article in English | MEDLINE | ID: mdl-36806534

ABSTRACT

BACKGROUND: Conducting practical studies in ergonomics requires attention to all aspects of ergonomics with a comprehensive approach and focus on continuous improvement cycles. OBJECTIVE: This study aimed to develop and present an ergonomics management model in the workplace. METHODS: This study was performed using a three-stage Delphi study with 30 experts and a fuzzy analytical hierarchy process. According to the literature review and experts' opinions, the general cycle of the ergonomics management system with eight steps was developed. New methods were formed in two of these eight steps: the 3rd step (developing an ergonomic evaluation method) and the 5th step (creating a cost-benefit evaluation method). RESULTS: The eight implementation steps of the TEMA were determined as follows: 1) Performing task analysis (TTA), 2) Ergonomic hazard identification, 3) Estimating the ergonomic index, 4) Determining control measures, 5) Evaluating cost-benefit parameter, 6) Implementing control measures, 7) Continuous monitoring, and 8) Evaluating the effectiveness of control measures. The Delphi study revealed that the number of deleted parameters includes one item (burnout), and the remaining parameters were 16 items. The mean CVI and CVR values were 0.92 and 0.80, respectively. Cronbach's alpha values for each of the physical, environmental, and cognitive components and the entire model were 0.91, 0.87, 0.85, and 0.89, respectively. CONCLUSION: Using the mentioned management model can be a practical step towards properly evaluating the most critical dimensions of ergonomics in the workplace and optimal planning to implement control measures to establish a dynamic management system to reduce ergonomic risk factors in the workplace.


Subject(s)
Ergonomics , Workplace , Humans , Ergonomics/methods , Risk Factors , Rehabilitation, Vocational , Physical Examination
7.
Sensors (Basel) ; 22(13)2022 Jun 21.
Article in English | MEDLINE | ID: mdl-35808167

ABSTRACT

Emerging Air Traffic Management (ATM) and avionics human-machine system concepts require the real-time monitoring of the human operator to support novel task assessment and system adaptation features. To realise these advanced concepts, it is essential to resort to a suite of sensors recording neurophysiological data reliably and accurately. This article presents the experimental verification and performance characterisation of a cardiorespiratory sensor for ATM and avionics applications. In particular, the processed physiological measurements from the designated commercial device are verified against clinical-grade equipment. Compared to other studies which only addressed physical workload, this characterisation was performed also looking at cognitive workload, which poses certain additional challenges to cardiorespiratory monitors. The article also addresses the quantification of uncertainty in the cognitive state estimation process as a function of the uncertainty in the input cardiorespiratory measurements. The results of the sensor verification and of the uncertainty propagation corroborate the basic suitability of the commercial cardiorespiratory sensor for the intended aerospace application but highlight the relatively poor performance in respiratory measurements during a purely mental activity.


Subject(s)
Aerospace Medicine , Wearable Electronic Devices , Cardiorespiratory Fitness , Cardiovascular Physiological Phenomena , Cognition , Electronic Data Processing , Humans , Respiratory Physiological Phenomena
8.
Front Neurorobot ; 16: 863637, 2022.
Article in English | MEDLINE | ID: mdl-35645762

ABSTRACT

The industry increasingly insists on academic cooperation to solve the identified problems such as workers' performance, wellbeing, job satisfaction, and injuries. It causes an unsafe and unpleasant working environment that directly impacts the quality of the product, workers' productivity, and effectiveness. This study aimed to give a specialized solution for tests and explore possible solutions to the given problem in neuroergonomics and human-robot interaction. The designed modular and adaptive laboratory model of the industrial assembly workstation represents the laboratory infrastructure for conducting advanced research in the field of ergonomics, neuroergonomics, and human-robot interaction. It meets the operator's anatomical, anthropometric, physiological, and biomechanical characteristics. Comparing standard, ergonomic, guided, and collaborative work will be possible based on workstation construction and integrated elements. These possibilities allow the industry to try, analyze, and get answers for an identified problem, the condition, habits, and behavior of operators in the workplace. The set-up includes a workstation with an industry work chair, a Poka-Yoke system, adequate lighting, an audio 5.0 system, containers with parts and tools, EEG devices (a cap and smartfones), an EMG device, touchscreen PC screen, and collaborative robot. The first phase of the neuroergonomic study was performed according to the most common industry tasks defined as manual, monotonous, and repetitive activities. Participants have a task to assemble the developed prototype model of an industrial product using prepared parts and elements, and instructed by the installed touchscreen PC. In the beginning, the participant gets all the necessary information about the experiment and gets 15 min of practice. After the introductory part, the EEG device is mounted and prepared for recording. The experiment starts with relaxing music for 5 min. The whole experiment lasts two sessions per 60 min each, with a 15 min break between the sessions. Based on the first experiments, it is possible to develop, construct, and conduct complex experiments for industrial purposes to improve the physical, cognitive, and organizational aspects and increase workers' productivity, efficiency, and effectiveness. It has highlighted the possibility of applying modular and adaptive ergonomic research laboratory experimental set-up to transform standard workplaces into the workplaces of the future.

9.
Work ; 72(4): 1535-1548, 2022.
Article in English | MEDLINE | ID: mdl-35694947

ABSTRACT

BACKGROUND: The future of work in Germany is shaped by megatrends like globalization, automatization, digitization, and the demographic change. Furthermore, mass customization and the increasing usage of AI even in manual assembly offers new opportunities as well as it creates new challenges. OBJECTIVE: The trend towards mass customization in turn leads to increased complexity in production, which results in additional mental workload. This effect will continue in the foreseeable future. METHOD: Especially for small and medium sized companies, the backbone of Germany's economy, automatization and Human-Robot-Collaboration will take time to develop. Information assistance systems are and will be a bridging technology to help organizations to manage increasing complexity and the mental workload of their employees to not only boost productivity but also keep their workforce healthy. The ongoing demographic change further underlines the need to use information assistance systems to compensate possible age-associated deficits, but also keep older employees committed to their work and avoid effects of disengagement or disenfranchisement through participatory ergonomics. RESULTS: Information assistance systems can only develop their inherent potential if they are designed to support employees of varying age, competence levels, and affinity for technology. Participatory development and early engagement are key factors for an increased acceptance and usage of the systems as well as the individualization to make it suitable for each individual employee. CONCLUSION: Expanding the functionalities to an adaptive assistance system, using physiological correlates of mental workload as an input, is conceivable in the future.


Subject(s)
Ergonomics , Workload , Efficiency , Germany , Humans , Workforce
10.
Stud Health Technol Inform ; 290: 400-404, 2022 Jun 06.
Article in English | MEDLINE | ID: mdl-35673044

ABSTRACT

A majority of healthcare workers (HCWs) experience workplace violence (WPV) but most WPV events go unreported. Underreporting of WPV is well documented in the literature as a barrier to identifying underlying causes and to evaluating the effectiveness of WPV interventions. Previous studies suggest that WPV reporting data is fragmentary, unreliable, and inconsistent. Also, WPV reporting systems are suboptimally designed making it difficult for healthcare workers to report WPV incidents. This study aims to assess the usability of an electronic WPV report in a large academic medical center and the perceived cognitive workload (CWL) and performance of HCWs associated with reporting WPV events. Findings from this study suggest that our institutional WPV report has suboptimal perceived usability and suboptimal perceived cognitive workload. Further, participants with training reported lower error rates in comparison to participants without training on performance.


Subject(s)
Workplace Violence , Cognition , Electronics , Health Personnel/psychology , Humans , Surveys and Questionnaires , Workload , Workplace/psychology , Workplace Violence/psychology
11.
Stud Health Technol Inform ; 290: 809-813, 2022 Jun 06.
Article in English | MEDLINE | ID: mdl-35673130

ABSTRACT

Cognitive Workload (CWL) is a fundamental concept in predicting healthcare professionals' (HCPs) objective performance. The study aims to compare the accuracy of the classical model (utilizes all six dimensions of the National Aeronautics and Space Administration Task Load Index (NASA-TLX)) and novel models (utilize four or five dimensions of NASA-TLX) in predicting HCPs' objective performance. We use a dataset from our previous human factors research studies and apply a broad selection of supervised machine learning classification techniques to develop data-driven computational models and predict objective performance. The study findings confirm that classical models are better predictors of objective performance than novel models. This has practical implications for research in health informatics, human factors and ergonomics, and human-computer interaction in healthcare. Findings, although promising, cannot be generalized as they are based on a small dataset. Future studies may investigate additional subjective and physiological measures of CWL to predict HCPs' objective performance.


Subject(s)
Task Performance and Analysis , Workload , Cognition , Delivery of Health Care , Humans , Machine Learning , Workload/psychology
12.
Appl Ergon ; 104: 103807, 2022 Oct.
Article in English | MEDLINE | ID: mdl-35763990

ABSTRACT

Industry 4.0 is the concept used to summarize the ongoing fourth industrial revolution, which is profoundly changing the manufacturing systems and business models all over the world. Collaborative robotics is one of the most promising technologies of Industry 4.0. Human-robot interaction and human-robot collaboration will be crucial for enhancing the operator's work conditions and production performance. In this regard, this enabling technology opens new possibilities but also new challenges. There is no doubt that safety is of primary importance when humans and robots interact in industrial settings. Nevertheless, human factors and cognitive ergonomics (i.e. cognitive workload, usability, trust, acceptance, stress, frustration, perceived enjoyment) are crucial, even if they are often underestimated or ignored. Therefore, this work refers to cognitive ergonomics in the design of human-robot collaborative assembly systems. A set of design guidelines has been developed according to the analysis of the scientific literature. Their effectiveness has been evaluated through multiple experiments based on a laboratory case study where different participants interacted with a low-payload collaborative robotic system for the joint assembly of a manufacturing product. The main assumption to be tested is that it is possible to improve the operator's experience and efficiency by manipulating the system features and interaction patterns according to the proposed design guidelines. Results confirmed that participants improved their cognitive response to human-robot interaction as well as the assembly performance with the enhancement of workstation features and interaction conditions by implementing an increasing number of guidelines.


Subject(s)
Robotics , Ergonomics/methods , Humans , Trust , Workload
13.
Appl Ergon ; 102: 103763, 2022 Jul.
Article in English | MEDLINE | ID: mdl-35405457

ABSTRACT

Industrial settings will be characterized by far-reaching production automation brought about by advancements in robotics and artificial intelligence. As a consequence, human assembly workers will need to adapt quickly to new and more complex assembly procedures, which are most likely to increase cognitive workload, or potentially induce overload. Measurement and optimization protocols need to be developed in order to be able to monitor workers' cognitive load. Previous studies have used electroencephalographic (EEG, measuring brain activity) and electrooculographic (EOG, measuring eye movements) signals, using basic computer-based static tasks and without creating an experience of overload. In this study, EEG and EOG data was collected of 46 participants performing an ecologically valid assembly task while inducing three levels of cognitive load (low, high and overload). The lower individual alpha frequency (IAF) was identified as a promising marker for discriminating between different levels of cognitive load and overload.


Subject(s)
Artificial Intelligence , Electroencephalography , Cognition , Electrooculography/methods , Eye Movements , Humans
14.
Article in English | MEDLINE | ID: mdl-34886007

ABSTRACT

In manufacturing companies, cognitive processing is required from assembly workers to perform correct and timely assembly of complex products, often with varied specifications and high quality demands. This paper explores assembly operators' perceptions of cognitive/mental workload to provide a holistic understanding of the work conditions that affect cognitive demands and performance. While the physical loading aspects of assembly work are well known, most empirical literature dealing with cognitive/mental loading in manufacturing tends to examine a few particular aspects, rather than address the issue with a holistic system view. This semi-structured interview study, involving 50 industrial assembly operators from three Swedish companies, explores how assemblers perceive that their cognitive performance and well-being is influenced by a wide variety of factors within the context of mechanical product assembly. The interview transcripts were analysed using a priori coding, followed by bottom-up Thematic Analysis. The results indicate that a variety of systemic effects on assemblers' cognitive performance can be classified as job demands or resources. Quite often, the absence of a resource mirrors a related demand, and "good assembly conditions", as described by the interviewees, often re-frame demands as desirable challenges that foster motivation and positive feelings towards the work. The identified demands and resources stem from task design, timing, physical loading, intrinsic and extrinsic motivators, social teamwork and the product's "interface" design. Despite organisational differences and conditions between the three companies that took part in the study, the results are largely consistent.


Subject(s)
Ergonomics , Workload , Humans , Industry , Job Satisfaction , Mental Processes , Qualitative Research
15.
Rev. neurol. (Ed. impr.) ; 73(12): 421-428, Dic 16, 2021.
Article in Spanish | IBECS | ID: ibc-229607

ABSTRACT

Introducción: Vivimos la época de mayor difusión de información en la historia de la humanidad, y este exceso de información ha dado como consecuencia considerar la atención humana como un bien escaso. La sobrecarga informativa es la situación en la cual la cantidad o la intensidad de información exceden la capacidad limitada de procesamiento cognitivo del individuo. Objetivo: Describir el concepto de sobrecarga informativa, sus posibles sustratos neurocognitivos, síntomas asociados, causas, medidas para evitarla, así como su posible relación con internet y los dispositivos electrónicos. Desarrollo: Las personas responden de forma diferente a la sobrecarga informativa, y esto depende tanto de factores individuales como de la cantidad y características de la estimulación informativa. Algunos síntomas de la sobrecarga informativa son: trabajo ineficiente, confusión, retraso al tomar decisiones, falta de evaluación crítica de la información, pérdida de control sobre la información, rechazo de la recepción en la comunicación, falta de perspectiva general, mayor tolerancia al error, ansiedad, estrés, etc. Probablemente, los límites de la capacidad de procesamiento de información estén condicionados por la energía metabólica limitada que se distribuye en el cerebro y que permanece constante independientemente de la dificultad de las tareas. Conclusión: La atención es una función cognitiva limitada. Para que los efectos adversos de la sobrecarga informativa puedan disminuirse, se requiere mejorar la gestión personal de nuestros propios recursos cognitivos y comprender su relación con la tecnología. Es necesario mejorar el manejo de información mediante la organización, el filtrado y la aplicación de pautas de diseño de ergonomía cognitiva.(AU)


Introduction: We are living in the time of greatest dissemination of information in the history of the human race, and this excess of information has resulted in considering human attention as a scarce resource. Information overload is the situation in which the amount or intensity of information exceeds the individual’s limited capacity for cognitive processing. Objective: To describe the concept of information overload, its possible neurocognitive substrates, associated symptoms, causes, measures to avoid it, as well as its possible relationship with the internet and electronic devices. Development: People respond differently to information overload, and this depends on individual factors as well as on the amount and characteristics of the informative stimulation. Some symptoms of information overload are: inefficient work, confusion, delay in making decisions, lack of critical evaluation of information, loss of control over information, refusal to receive communication, lack of general perspective, greater tolerance for error, anxiety, stress, etc. The limits of information processing capacity are probably conditioned by the limited metabolic energy that is distributed in the brain and remains constant regardless of the difficulty of the tasks. Conclusion: Attention is a limited cognitive function. In order to reduce the adverse effects of information overload, it is necessary to improve the personal management of our own cognitive resources and to understand their relationship with technology. Likewise, it is necessary to improve the handling of information through the organization, filtering and application of cognitive ergonomics design guidelines.(AU)


Subject(s)
Humans , Male , Female , Access to Information , Internet Access , Cognitive Neuroscience , Memory , Ergonomics , Attention , Neurology , Nervous System Diseases , Mental Processes
16.
JMIR Hum Factors ; 8(4): e27628, 2021 Oct 26.
Article in English | MEDLINE | ID: mdl-34698647

ABSTRACT

BACKGROUND: Two barriers to effective enrollment decisions are low health insurance literacy and lack of knowledge about how to choose a plan. To remedy these issues, digital decision aids have been used to increase the knowledge of plan options and to guide the decision process. Previous research has shown that the way information is presented in a decision aid can impact consumer choice, and existing health insurance decision aids vary in their design, content, and layout. Commercial virtual benefits counselors (VBCs) are digital decision aids that provide decision support by mimicking the guidance provided by an in-person human resources (HR) counselor, whereas more traditional HR websites provide information that requires self-directed navigation through the system. However, few studies have compared how decision processes are impacted by these different methods of providing information. OBJECTIVE: This study aims to examine how individuals interact with two different types of health insurance decision aids (guided VBCs that mimic conversations with a real HR counselor and self-directed HR websites that provide a broad range of detailed information) to make employer-provided health insurance decisions. METHODS: In total, 16 employees from a local state university completed a user study in which they made mock employer-provided health insurance decisions using 1 of 2 systems (VBC vs HR website). Participants took part in a retrospective think-aloud interview, cued using eye-tracking data to understand decision aid interactions. In addition, pre- and postexperiment measures of literacy and knowledge and decision conflict and usability of the system were also examined. RESULTS: Both the VBC and HR website had positive benefits for health insurance knowledge and literacy. Previous health insurance knowledge also impacted how individuals used decision aids. Individuals who scored lower on the pre-experiment knowledge test focused on different decision factors and were more conflicted about their final enrollment decisions than those with higher knowledge test scores. Although both decision aids resulted in similar changes in the Health Insurance Literacy Measure and knowledge test scores, perceived usability differed. Website navigation was not intuitive, and it took longer to locate information, although users appreciated that it had more details; the VBC website was easier to use but had limited information. Lower knowledge participants, in particular, found the website to be less useful and harder to use than those with higher health insurance knowledge. Finally, out-of-pocket cost estimation tools can lead to confusion when they do not highlight the factors that contribute to the cost estimate. CONCLUSIONS: This study showed that health insurance decision aids help individuals improve their confidence in selecting and using health insurance plans. However, previous health insurance knowledge plays a significant role in how users interact with and benefit from decision aids, even when information is presented in different formats.

17.
Resusc Plus ; 6: 100119, 2021 Jun.
Article in English | MEDLINE | ID: mdl-34223378

ABSTRACT

AIM: We aimed to describe the cognitive processes of healthcare providers participating as airway leads in delivery room neonatal resuscitations using eye-tracking assisted debriefing to facilitate recall and provide situational context. METHODS: Delivery room neonatal resuscitations were recorded using eye-tracking glasses worn by participants who acted as airway leads. These glasses analyze eye-movements to produce an audio-visual recording approximating what was "seen" by the participant and marking their visual attention. Participants then reviewed and debriefed their recordings. Debriefing involved a retrospective think-aloud prompted by eye-tracked recordings and an integrated semi-structured interview. Debriefing sessions were transcribed and subjected to thematic analysis. RESULTS: Eight healthcare providers participated in 10 interviews; two providers participated twice in two separate resuscitations. Most visual attention was directed at the infant (62%), with 16% directed to monitors/gauges, 3% to team members. Five major themes emerged including situation awareness, performance, working in teams, addressing threats to performance, and perception of eye-tracking. Information processing was complex and involved top-down and bottom-up processing of environmental stimuli, integration of knowledge/experience, and anticipation of patient response. Despite the focus on individual cognition, interpersonal interactions and teamwork emerged as key aspects of resuscitation performance. Potential threats to performance include equipment issues, mental stress, distractions, and parental presence. Eye-tracking recordings were well-received by the participants. CONCLUSION: Retrospective think-aloud prompted by point-of-view eye-tracked recordings is a useful means of examining cognition of healthcare providers during neonatal resuscitation. Themes identified in this project aligned with existing models of clinical reasoning.

19.
Hum Factors ; 63(5): 813-820, 2021 08.
Article in English | MEDLINE | ID: mdl-32530759

ABSTRACT

OBJECTIVE: This study investigates the effect of cognitive overload on assembly task performance and muscle activity. BACKGROUND: Understanding an operator's cognitive workload is an important component in assessing human-machine interaction. However, little evidence is available on the effect that cognitive overload has on task performance and muscle activity when completing manufacturing tasks. METHOD: Twenty-two volunteers completed an assembly task while performing a secondary cognitive task with increasing levels of demand (n-back). Performance in the assembly task (completion times, accuracy), muscle activity recorded as integrated electromyography (EMG), and self-reported workload were measured. RESULTS: Results show that the increasing cognitive demand imposed by the n-back task resulted in impaired assembly task performance, overall greater muscle activity, and higher self-reported workload.Relative to the control condition, performing the 2-back task resulted in longer assembly task completion times (+10 s on average) and greater integrated EMG for flexor carpi ulnaris, triceps brachii, biceps brachii, anterior deltoid, and pectoralis major. CONCLUSION: This study demonstrates that working under high cognitive load not only results in greater muscle activity, but also affects assembly task completion times, which may have a direct effect on manufacturing cycle times. APPLICATION: Results are applicable to the assessment of the effects of high cognitive workload in manufacturing.


Subject(s)
Task Performance and Analysis , Workload , Cognition , Electromyography , Humans , Muscle, Skeletal/physiology , Workload/psychology
20.
Int J Occup Saf Ergon ; 27(3): 784-793, 2021 Sep.
Article in English | MEDLINE | ID: mdl-31190632

ABSTRACT

Purpose. The ergonomics focus regarding job design is to address the issue of fitting the job to the worker. This means that other things such as space, matter, pedagogical parameters and the organizational environment need to be adjusted to the worker, to obtain optimal performance. Hence, it is important that jobs are designed in such a way that the environment of the worker becomes ergonomically better. Methods. Seventeen interviews were undertaken with employees from call centres of three major telecom companies in Islamabad. The interviews were semi-structured and NVivo version 10 was used for analysis. Results. The results indicated an influence of the following ergonomic factors on job design: (a) force, mental well-being and supervisor and peer support acted more on the complexity of the task; (b) inappropriate postures, mental well-being, characteristics of work, supervisor and peer support and the work environment acted on the skill and efforts required; (c) repetitiveness, workstation design, mental well-being, supervisor and peer support, work environment and characteristics of work acted more on the degree of worker's control. Conclusion. The issues related to these factors should be addressed to improve job design in the workplace.


Subject(s)
Call Centers , Ergonomics , Humans , Risk Factors , Workplace
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