Understanding contextual decision making by assisted living caregivers: Implications for training and design supports

Sara E. Bowman, Wendy A. Rogers

Research output: Chapter in Book/Report/Conference proceedingConference contribution

Abstract

Many older adults reside in assisted living communities due to increased difficulty managing health conditions or performing activities of daily living (e.g., bathing, toileting, walking). A primary goal of assisted living communities is to help residents maintain their health and well-being. One method by which this is accomplished is that caregivers continually monitor residents for cues that might signal problems or concerns, and then respond appropriately. However, very little is known about this form of decision making done by caregivers working with assisted living residents, including whether decision making changes with increasing experience. To investigate these questions, direct care workers from assisted living facilities took part in a scenario-based interview during which they responded to hypothetical care situations with older residents. The explanations participants generated for the various scenarios were classified as either general or specific, with the majority of explanations coded as specific. Specific explanations were primarily that the situation was the result of a physical health issue. The type and number of explanations varied widely from scenario to scenario. Lastly, the data from the current study did not reveal consistent differences between the two levels of experience that were examined. This research has implications for the design of future training programs for direct care workers and also highlights the potential need for decision support systems in this domain.

Original languageEnglish (US)
Title of host publication2014 International Annual Meeting of the Human Factors and Ergonomics Society, HFES 2014
PublisherHuman Factors an Ergonomics Society Inc.
Pages629-633
Number of pages5
ISBN (Electronic)9780945289456
DOIs
StatePublished - 2014
Event58th International Annual Meeting of the Human Factors and Ergonomics Society, HFES 2014 - Chicago, United States
Duration: Oct 27 2014Oct 31 2014

Publication series

NameProceedings of the Human Factors and Ergonomics Society
Volume2014-January
ISSN (Print)1071-1813

Other

Other58th International Annual Meeting of the Human Factors and Ergonomics Society, HFES 2014
CountryUnited States
CityChicago
Period10/27/1410/31/14

ASJC Scopus subject areas

  • Human Factors and Ergonomics

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    Bowman, S. E., & Rogers, W. A. (2014). Understanding contextual decision making by assisted living caregivers: Implications for training and design supports. In 2014 International Annual Meeting of the Human Factors and Ergonomics Society, HFES 2014 (pp. 629-633). (Proceedings of the Human Factors and Ergonomics Society; Vol. 2014-January). Human Factors an Ergonomics Society Inc.. https://doi.org/10.1177/1541931214581149