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Emerging work practice with a telehealth stethoscope

By Ben J. Kraal, Vesna Popovic and Shayne Beaver


We investigated the collaboration of ten doctor-nurse pairs with a prototype digital telehealth stethoscope. Doctors could see and hear the patient but could not touch them or the stethoscope. The nurse in each pair controlled the stethoscope. For ethical reasons, an experimenter stood in for a patient. Each of the ten interactions was video recorded and analysed to understand the interaction and collaboration between the doctor and nurse. The video recordings were coded and transformed into maps of interaction that were analysed for patterns of activity. The analysis showed that as doctors and nurses became more experienced at using the telehealth stethoscope their collaboration was more effective. The main measure of effectiveness was the number of corrections in stethoscope placement required by the doctor. In early collaborations, the doctors gave many corrections. After several trials, each doctor and nurse had reduced corrections and all pairs reduced their corrections. The significance of this research is the identification of the qualities of effective collaboration in the use of the telehealth stethoscope and telehealth systems more generally

Topics: 080602 Computer-Human Interaction, 111700 PUBLIC HEALTH AND HEALTH SERVICES, 120302 Design Innovation, 120304 Digital and Interaction Design, medical devices, collaboration, stethoscope, telehealth, telemedicine, work practice
Publisher: Association for Computing Machinery (ACM)
Year: 2012
DOI identifier: 10.1145/2414536.2414587
OAI identifier:
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