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Warm Solutions: Centering Nurse Contributions in Medical Making

Published: 11 November 2022 Publication History

Abstract

Making medical devices in healthcare settings engages practitioners in organizational innovation. Nurses improvise physical workarounds at the bedside in response to patient needs. Yet nurse-led problem-solving is rarely centralized in an emerging innovation ecosystem through medical making. We interviewed medical makers in six healthcare makerspaces to understand factors for nurse inclusion in the medical making ecosystem. Findings from 16 multi-stakeholder interviews with 6 facilitators and 10 nurses in the USA, reveal insights into nurse-led problem-solving with and without the use of physical prototyping (making) in formal innovation spaces with maker technologies. We report how a nurse's capacity for making is practice-driven to address in-patient discomfort, repair their own practice, and update standardized workflows. Most nurses iterate on low-tech solutions facing barriers to formal collaboration when they attempt to scale up. Their technical capabilities extend from innovation-centered resources (e.g., lab spaces, technologies), often with complete reliance on facilitators who have limited authority in the medical system. We contribute to themes around practice-based innovation, participation in technology design, and articulation work for collaborative innovation. From nurse makers' experiences, we discuss how nurse participation can be supported in healthcare technology design.

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  • (2024)Designing Gig Worker Sousveillance ToolsProceedings of the 2024 CHI Conference on Human Factors in Computing Systems10.1145/3613904.3642614(1-19)Online publication date: 11-May-2024
  • (2023)Understanding the Challenges Nurses Encounter with Monitoring Technologies in a NICUInternational Journal of Human–Computer Interaction10.1080/10447318.2023.227829740:23(8142-8165)Online publication date: 14-Nov-2023

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    cover image Proceedings of the ACM on Human-Computer Interaction
    Proceedings of the ACM on Human-Computer Interaction  Volume 6, Issue CSCW2
    CSCW
    November 2022
    8205 pages
    EISSN:2573-0142
    DOI:10.1145/3571154
    Issue’s Table of Contents
    This work is licensed under a Creative Commons Attribution International 4.0 License.

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    Association for Computing Machinery

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    Publication History

    Published: 11 November 2022
    Published in PACMHCI Volume 6, Issue CSCW2

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    Author Tags

    1. clinical innovation
    2. healthcare
    3. maker culture
    4. making
    5. medical
    6. pandemic

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    • (2024)Designing Gig Worker Sousveillance ToolsProceedings of the 2024 CHI Conference on Human Factors in Computing Systems10.1145/3613904.3642614(1-19)Online publication date: 11-May-2024
    • (2023)Understanding the Challenges Nurses Encounter with Monitoring Technologies in a NICUInternational Journal of Human–Computer Interaction10.1080/10447318.2023.227829740:23(8142-8165)Online publication date: 14-Nov-2023

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