Electronic Reporting of Workplace Violence Incidents: Improving the Usability, and
gnitive Workload, and Performance
Meagan Foster
a
, Karthik Adapa
a
, Anna Soloway
b
, Jeffrey Francki
c
, Sara Stokes
a
, Lukasz Mazur
a
a
Division of Healthcare Engineering, Department of Radiation Oncology, University of North Carolina, Chapel Hill, NC, USA
b
Psych Inpatient Management, UNC Hospitals, Chapel Hill, NC, USA
c Office of Quality Excellence, UNC Hospitals, Chapel Hill, NC, USA
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.
Keywords:
Workplace Violence, Cognitive Ergonomics, Task
Performance And Analysis
Introduction
Healthcare workers (HCWs) are four times more likely to ex-
perience workplace violence (WPV) than any other profession
accounting for nearly one-half of fatal occupational injuries in
United States hospitals [2]. A 2014 study reports that 71% of
physicians in the United States experienced at least 1 incident
of verbal assault in the past year and 28% experienced physical
assault [6]. Further studies also report that 82% of nurses expe-
rienced WPV at least once during their career[8] [11]. Thus,
WPV is associated with impairment to HCWs physical and
mental well-being resulting in increased on-the-job errors, de-
creases in performance and productivity, low organizational
commitment, staff shortages, and increased healthcare
costs[11].
Data-driven process improvements are likely to effectively im-
prove both employee work environments and patient-rated
quality of care in nursing homes, primary care, and hospital set-
tings [3]. The results of a randomized control study suggest a
positive impact on the severity of WPV events in intervention
units where supervisors were provided WPV reports to develop
mitigation strategies [3]. Furthermore, an interventional study
conducted in a single emergency department aimed to increase
the reporting of WPV and but resulted in a decrease in overall
reporting, thus, implying a positive relationship between WPV
reporting and decreased WPV incidents [11].
HCWs are exposed to WPV so often that it is commonly con-
sidered “part-of-the-job”[9]. Large hospital systems employ
systemic, multi-prong initiatives to address this issue. Usability
barriers associated with WPV reporting must be addressed to
ensure HCWs can report on WPV with ease and with optimal
cognitive workload (CWL) through targeted usability-focused
enhancements to reporting systems[4; 10]. Therefore, the pri-
mary aim of this study is to assess the perceived usability, per-
ceived CWL, and performance of HCWs during WPV reporting
in a large academic medical center. Secondary study aims in-
clude participants’ ability to locate the correct WPV report and
explore the influence of self-reported user characteristics on
primary study aims.
Methods
Participants
Flyers and email announcements were used to recruit partici-
pants to this institutional review board-approved study. Usa-
bility testing was conducted with 10 HCWs at a large academic
medical center.
Study settings
Testing sessions were conducted in a playground environment
via Zoom/WebEx or in-person in a human factors laboratory
conveniently located within the hospital premises.
Pre-screening questionnaire
Participants were administered an abbreviated version of the
World Health Organization Workplace Violence Questionnaire
that included age, professional group, and present position[12].
Participants were also asked to denote if they had experienced
WPV or received training on WPV reporting. The results of this
questionnaire were used to explore participant characteristics
along with perceived usability, perceived cognitive workload,
and human performance.
Think aloud and use case scenarios
Participants were asked to complete WPV reporting tasks by
finding and submitting a WPV report using use case scenarios
developed in consultation with subject matter experts and based
on real-world reports of WPV. The eight use case scenarios
were designed to omit gender-specific roles and to mitigate
cognitive bias by using gender-ambiguous names for involved
parties. Initial study participants were asked to think aloud
Optimizing Healthcare Workers' Co
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doi:10.3233/SHTI220105
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