Matching Items (6)
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- All Subjects: Team Cognition
- All Subjects: Human Factors
- Genre: Doctoral Dissertation
- Creators: Cooke, Nancy J.
- Member of: ASU Electronic Theses and Dissertations
Description
Preoperative team briefings have been suggested to be important for improving team performance in the operating room. Many high risk environments have accepted team briefings; however healthcare has been slower to follow. While applying briefings in the operating room has shown positive benefits including improved communication and perceptions of teamwork, most research has only focused on feasibility of implementation and not on understanding how the quality of briefings can impact subsequent surgical procedures. Thus, there are no formal protocols or methodologies that have been developed.
The goal of this study was to relate specific characteristics of team briefings back to objective measures of team performance. The study employed cognitive interviews, prospective observations, and principle component regression to characterize and model the relationship between team briefing characteristics and non-routine events (NREs) in gynecological surgery. Interviews were conducted with 13 team members representing each role on the surgical team and data were collected for 24 pre-operative team briefings and 45 subsequent surgical cases. The findings revealed that variations within the team briefing are associated with differences in team-related outcomes, namely NREs, during the subsequent surgical procedures. Synthesis of the data highlighted three important trends which include the need to promote team communication during the briefing, the importance of attendance by all surgical team members, and the value of holding a briefing prior to each surgical procedure. These findings have implications for development of formal briefing protocols.
Pre-operative team briefings are beneficial for team performance in the operating room. Future research will be needed to continue understanding this relationship between how briefings are conducted and team performance to establish more consistent approaches and as well as for the continuing assessment of team briefings and other similar team-related events in the operating room.
The goal of this study was to relate specific characteristics of team briefings back to objective measures of team performance. The study employed cognitive interviews, prospective observations, and principle component regression to characterize and model the relationship between team briefing characteristics and non-routine events (NREs) in gynecological surgery. Interviews were conducted with 13 team members representing each role on the surgical team and data were collected for 24 pre-operative team briefings and 45 subsequent surgical cases. The findings revealed that variations within the team briefing are associated with differences in team-related outcomes, namely NREs, during the subsequent surgical procedures. Synthesis of the data highlighted three important trends which include the need to promote team communication during the briefing, the importance of attendance by all surgical team members, and the value of holding a briefing prior to each surgical procedure. These findings have implications for development of formal briefing protocols.
Pre-operative team briefings are beneficial for team performance in the operating room. Future research will be needed to continue understanding this relationship between how briefings are conducted and team performance to establish more consistent approaches and as well as for the continuing assessment of team briefings and other similar team-related events in the operating room.
ContributorsHildebrand, Emily A (Author) / Branaghan, Russell J (Thesis advisor) / Cooke, Nancy J. (Committee member) / Hallbeck, M. Susan (Committee member) / Bekki, Jennifer M (Committee member) / Blocker, Renaldo C (Committee member) / Arizona State University (Publisher)
Created2014
Description
The American Heart Association (AHA) estimates that there are approximately 200,000 in-hospital cardiac arrests (IHCA) annually with low rates of survival to discharge at about 22%. Training programs for cardiac arrest teams, also termed code teams, have been recommended by the Institute of Medicine (IOM) and in the AHA's consensus statement to help improve these dismal survival rates. Historically, training programs in the medical field are procedural in nature and done at the individual level, despite the fact that healthcare providers frequently work in teams. The rigidity of procedural training can cause habituation and lead to poor team performance if the situation does not match the original training circumstances. Despite the need for team training, factors such as logistics, time, personnel coordination, and financial constraints often hinder resuscitation team training. This research was a three-step process of: 1) development of a metric specific for the evaluation of code team performance, 2) development of a communication model that targeted communication and leadership during a code blue resuscitation, and 3) training and evaluation of the code team leader using the communication model. This research forms a basis to accomplish a broad vision of improving outcomes of IHCA events by applying conceptual and methodological strategies learned from collaborative and inter-disciplinary science of teams.
ContributorsHinski, Sandra T. (Author) / Cooke, Nancy J. (Thesis advisor) / Roscoe, Rod (Committee member) / Bekki, Jennifer (Committee member) / Arizona State University (Publisher)
Created2017
Description
The 21st-century professional or knowledge worker spends much of the working day engaging others through electronic communication. The modes of communication available to knowledge workers have rapidly increased due to computerized technology advances: conference and video calls, instant messaging, e-mail, social media, podcasts, audio books, webinars, and much more. Professionals who think for a living express feelings of stress about their ability to respond and fear missing critical tasks or information as they attempt to wade through all the electronic communication that floods their inboxes. Although many electronic communication tools compete for the attention of the contemporary knowledge worker, most professionals use an electronic personal information management (PIM) system, more commonly known as an e-mail application and often the ubiquitous Microsoft Outlook program. The aim of this research was to provide knowledge workers with solutions to manage the influx of electronic communication that arrives daily by studying the workers in their working environment. This dissertation represents a quest to understand the current strategies knowledge workers use to manage their e-mail, and if modification of e-mail management strategies can have an impact on productivity and stress levels for these professionals. Today’s knowledge workers rarely work entirely alone, justifying the importance of also exploring methods to improve electronic communications within teams.
ContributorsCounts, Virginia (Author) / Parrish, Kristen (Thesis advisor) / Allenby, Braden (Thesis advisor) / Landis, Amy (Committee member) / Cooke, Nancy J. (Committee member) / Arizona State University (Publisher)
Created2018
Description
This increasing role of highly automated and intelligent systems as team members has started a paradigm shift from human-human teaming to Human-Autonomy Teaming (HAT). However, moving from human-human teaming to HAT is challenging. Teamwork requires skills that are often missing in robots and synthetic agents. It is possible that adding a synthetic agent as a team member may lead teams to demonstrate different coordination patterns resulting in differences in team cognition and ultimately team effectiveness. The theory of Interactive Team Cognition (ITC) emphasizes the importance of team interaction behaviors over the collection of individual knowledge. In this dissertation, Nonlinear Dynamical Methods (NDMs) were applied to capture characteristics of overall team coordination and communication behaviors. The findings supported the hypothesis that coordination stability is related to team performance in a nonlinear manner with optimal performance associated with moderate stability coupled with flexibility. Thus, we need to build mechanisms in HATs to demonstrate moderately stable and flexible coordination behavior to achieve team-level goals under routine and novel task conditions.
ContributorsDemir, Mustafa, Ph.D (Author) / Cooke, Nancy J. (Thesis advisor) / Bekki, Jennifer (Committee member) / Amazeen, Polemnia G (Committee member) / Gray, Robert (Committee member) / Arizona State University (Publisher)
Created2017
Description
Interpersonal communications during civil infrastructure systems operation and maintenance (CIS O&M) are processes for CIS O&M participants to exchange critical information. Poor communications that provide misleading information can jeopardize CIS O&M safety and efficiency. Previous studies suggest that communication contexts and features could be indicators of communication errors and relevant CIS O&M risks. However, challenges remain for reliable prediction of communication errors to ensure CIS O&M safety and efficiency. For example, existing studies lack a systematic summarization of risky contexts and features of communication processes for predicting communication errors. Limited studies examined quantitative methods for incorporating expert opinions as constraints for reliable communication error prediction. How to examine mitigation strategies (e.g., adjustments of communication protocols) for reducing communication-related CIS O&M risks is also challenging. The main reason is the lack of causal analysis about how various factors influence the occurrences and impacts of communication errors so that engineers lack the basis for intervention.
This dissertation presents a method that integrates Bayesian Network (BN) modeling and simulation for communication-related risk prediction and mitigation. The proposed method aims at tackling the three challenges mentioned above for ensuring CIS O&M safety and efficiency. The proposed method contains three parts: 1) Communication Data Collection and Error Detection – designing lab experiments for collecting communication data in CIS O&M workflows and using the collected data for identifying risky communication contexts and features; 2) Communication Error Classification and Prediction – encoding expert knowledge as constraints through BN model updating to improve the accuracy of communication error prediction based on given communication contexts and features, and 3) Communication Risk Mitigation – carrying out simulations to adjust communication protocols for reducing communication-related CIS O&M risks.
This dissertation uses two CIS O&M case studies (air traffic control and NPP outages) to validate the proposed method. The results indicate that the proposed method can 1) identify risky communication contexts and features, 2) predict communication errors and CIS O&M risks, and 3) reduce CIS O&M risks triggered by communication errors. The author envisions that the proposed method will shed light on achieving predictive control of interpersonal communications in dynamic and complex CIS O&M.
This dissertation presents a method that integrates Bayesian Network (BN) modeling and simulation for communication-related risk prediction and mitigation. The proposed method aims at tackling the three challenges mentioned above for ensuring CIS O&M safety and efficiency. The proposed method contains three parts: 1) Communication Data Collection and Error Detection – designing lab experiments for collecting communication data in CIS O&M workflows and using the collected data for identifying risky communication contexts and features; 2) Communication Error Classification and Prediction – encoding expert knowledge as constraints through BN model updating to improve the accuracy of communication error prediction based on given communication contexts and features, and 3) Communication Risk Mitigation – carrying out simulations to adjust communication protocols for reducing communication-related CIS O&M risks.
This dissertation uses two CIS O&M case studies (air traffic control and NPP outages) to validate the proposed method. The results indicate that the proposed method can 1) identify risky communication contexts and features, 2) predict communication errors and CIS O&M risks, and 3) reduce CIS O&M risks triggered by communication errors. The author envisions that the proposed method will shed light on achieving predictive control of interpersonal communications in dynamic and complex CIS O&M.
ContributorsSun, Zhe (Author) / Tang, Pingbo (Thesis advisor) / Ayer, Steven K (Committee member) / Cooke, Nancy J. (Committee member) / Liu, Yongming (Committee member) / Arizona State University (Publisher)
Created2020
Description
Cyber threats are growing in number and sophistication making it important to continually study and improve all dimensions of cyber defense. Human teamwork in cyber defense analysis has been overlooked even though it has been identified as an important predictor of cyber defense performance. Also, to detect advanced forms of threats effective information sharing and collaboration between the cyber defense analysts becomes imperative. Therefore, through this dissertation work, I took a cognitive engineering approach to investigate and improve cyber defense teamwork. The approach involved investigating a plausible team-level bias called the information pooling bias in cyber defense analyst teams conducting the detection task that is part of forensics analysis through human-in-the-loop experimentation. The approach also involved developing agent-based models based on the experimental results to explore the cognitive underpinnings of this bias in human analysts. A prototype collaborative visualization tool was developed by considering the plausible cognitive limitations contributing to the bias to investigate whether a cognitive engineering-driven visualization tool can help mitigate the bias in comparison to off-the-shelf tools. It was found that participant teams conducting the collaborative detection tasks as part of forensics analysis, experience the information pooling bias affecting their performance. Results indicate that cognitive friendly visualizations can help mitigate the effect of this bias in cyber defense analysts. Agent-based modeling produced insights on internal cognitive processes that might be contributing to this bias which could be leveraged in building future visualizations. This work has multiple implications including the development of new knowledge about the science of cyber defense teamwork, a demonstration of the advantage of developing tools using a cognitive engineering approach, a demonstration of the advantage of using a hybrid cognitive engineering methodology to study teams in general and finally, a demonstration of the effect of effective teamwork on cyber defense performance.
ContributorsRajivan, Prashanth (Author) / Cooke, Nancy J. (Thesis advisor) / Ahn, Gail-Joon (Committee member) / Janssen, Marcus (Committee member) / Arizona State University (Publisher)
Created2014