Vol.1/2004

Forms of control as buffer of the relationship between job demands and strain

A typological consideration of job tasks, personnel development and the state of employees in Call Centers

Support potential of different media for the early stages of engineering design

Visualization of process-oriented experience knowledge in knowledge- based decision support systems for short-term personnel assignment

 

Vol.2/2004 Perception and assessment of artificial indoor lighting

Two studies of the role of light spectrum in visual performance

Online Event Recording in Task Analysis

The Ergonomics of Interaction

How the technical evolution is stretching the traditional ergonomics concept: The challenges of the soft factors

Workload and recuperation - Comments on the "U" –shaped curve describing the relationship between work exposure and internal strain

Breathing, attention and distraction as a function of emotional stimuli

Environmental ergonomics: Odors emitted by industry

Exposure to particles in occupational situations and in the environment

 

Vol.3/2004

Work ability among nurses in hospitals in Germany in the European context

Not-fulfilled values, emotional exhausted physicians: Can differential job design minimize the work time problem?

On-call service in German hospitals: an analysis of doctors’ work-related stress and strain

Cooperation in anesthesia teams as seen by the team members

Cooperative Development of Display and Interface-Concept for an Anaesthesia-Respirator

 

Vol.4/2004

Seated occupant apparent mass in automotive posture – examination with groups of subjects characterised by a representative distribution of body mass and body height

Domestic activities an ergonomical study of working time, activity profiles and working load in private homes

Computer-Assisted Ambulatory Monitoring of Cognitive Performance and Adrenaline Secretion of Judges on Working Days with Different Job Demands

Assessment of learn-promoting job design for customer-consultants in a call center

 

Vol. 1 - 2004

 

Forms of control as buffer of the relationship between job demands and strain (Vol. 1 - 2004)

Authors: Klaus-Helmut Schmidt

Keywords: Forms of control · buffer hypothesis · strain indicators · work organization and
design

Summary

Karasek's (1979) job demands-control model of job strain has strongly influenced the research on the relationship between work and health. The model is based on two psychosocial job characteristics that are considered as important determinants of a wide range of health-related outcomes. The first characteristic includes job demands conceptualized as psychological stressors like, for example, having to work under time pressure, and having to cope with complex, mentally exacting tasks. The second one relates to the degree of control that employees have over their tasks and behaviors in performing the daily work. The model assumes that strain not only results from main or additive effects of demands and control but, in addition, from an interaction between both job characteristics in which control buffers or moderates the adverse effects of job demands on strain.
Due to recent reviews of the literature, there is strong support for the main or additive effects of demands and control on job strain. High demands generally increase strain and related symptoms, whereas high levels of control mitigate these ne-gative outcomes, independent of demands. The empirical evidence in favour of the buffer hypothesis is, however, far less consistent.
Several authors have attributed the inconsistent results to inadequate operationali-zations of the concept of control. In particular, most empirical tests of the buffer hypothesis have been based on a general measure of control which encompasses a wide range of job properties like control, task variety and learning opportunities. Yet, theoretically, it is control which is the crucial factor that provides the opportunity for individuals to adjust to demands according to their actual needs and circumstances. In line with this reasoning, Wall et al. (1996) demonstrated in a study among manufacturing employees that a focused measure of control did buffer the effect of job demands on indicators of strain (like job satisfaction, depression and anxiety), whereas a conventional measure did not show an equivalent effect. The focused measure used was a combination of two specific facets of control. The first facet, timing control, related to the extent to which an employee has the opportunity to determine the scheduling of his or her work. The second one, method control, applied to the degree to which an employee has choices in how to carry out work tasks. In the present study, the same facets of control were assessed as in Wall et al.' s study. But instead of examining these facets in combination, each was analysed separately for determining its unique potential as a buffer in the relation between job demands and strain. 379 staff members of nursing homes for elderly people participated in the study. In considering the professional background of the participants, the burnout dimensions of emotional exhaustion and depersonalisation were measured in addition to job satisfaction and psychosomatic complaints as criterion variables.
The results of moderated multiple regression analyses revealed that both facets of control did interact with job demands, but the resulting effects differed in strength and in the indicators of strain in which the effects reached significance. The demands timing control interaction effect was stronger than the corresponding demands method control interaction effect. Furthermore, the first effect explained significant portions of criterion variance in job satisfaction, complaints, and emotional exhaustion, whereas the second one was reflected only in job satisfaction and complaints. In view of this differential pattern of results, further research on the fit between different forms of job demands and different forms of control is recommended.

Practical Relevance

The results of the present study suggest that measures for preventing geriatric nurses from being strained should especially be directed to increase the opportunity of determining the scheduling of their work. This would enable the nursing staff to timewise organize their work in a way that is adjusted to their actual needs and circumstances.

 


A typological consideration of job tasks, personnel development and the state of employees in Call Centers (Vol. 1 - 2004)

Authors: Marc Baumgartner & Ivars Udris

Keywords: Call Center tasks · training and continuous education · personnel development · job satisfaction

Due to the developments in the technology and the market, working conditions and requirements for competences of Call Center Agents (CCA) are changing. Frequently neglected career planning and missing job perspectives can be considered as causes for high fluctuation rates and job dissatisfaction. Meanwhile Call Center Managers und human resources specialists are aware of the importance of the personnel development, depending on the different Call Cen-ter types and personnel structures of Call Centers (CC). The following research questions are therefore to be answered: What are the main and the additional tasks of the CCA? How the tasks can be differentiated in useful types? How different are the  personnel structures among the CC types? What are the most important reasons for choosing the CC job? Which are the measures of personnel development taken in the diffe-rent CC types? Which are the consequences of the personnel development on the personnel structures and on the state of the employees? How the CC types can be differentiated concerning job satisfaction, commitment and fluctuation tendency of the CCA? How work load and organizational resources have an impact on the state and behavior of the employees? On the basis of semi-structured interviews, questionnaires, observations and document analyses with 13 CC Managers, 20 CC Teamleaders and 242 CCA 14 Swiss CC from different branches were examined.
Based on data of the job tasks and activities and of the agent-client  interactions via telephone four different CC types were identified by Cluster Analyses: (a) Consulting- and Complaint- anagement, (b) Information-Management, (c) Ordering-Ma-nagement and (d) Customer- and Campaign-Management. In each CC type the three other tasks are also implemented, however to a smaller percentage of the entire telephone activity. Using this CC typology the different practices of the CC concerning the initial trainings, continuous education and coachings in the context of the work design can be described in a more differentiated way. The personnel structures and the state of the CCA vary significantly among the four CC types.The initial trainings as well as the further personnel  development practices show a relatively non-uniform picture either. But also the interests of the CCA in further training and development diverge strongly, depending upon the CC type. A purposeful personnel development for the increasing requirements of certain CC tasks becomes therefore inevitably. The results also show that apart from the task load factors already confirmed in other researchwork, factors like the style of leadership and the team climate are heavily influencing the job satisfaction, the commitment and the fluctuation tendencies of the CCA.

Practical relevance

A typological distinction of the work activities in CC has consequences on the management and organization of the tasks, on the initial training, the continuous education and the development of the CC employees.

 


Support potential of different media for the early stages of engineering design (Vol. 1 - 2004)

Authors: Martina Schütze

Keywords: · Engineering design · design problem solving · sketching · interactive pen display · CAD

Due to its economic importance, engineering design as a demanding and complex problem-  solving activity has been the subject of interdisciplinary research of both psychologists and design scientists for several years. In particular, the early stages of problem clarification and conceptual design are of significant interest. Decisions made within these phases are most decisive for the resulting product quality and costs; but the effects of these decisions are only vaguely calculable (Ehrlenspiel 1995).
The design process can be supported in several different ways. Simple, low-expenditure sketches, for example, fulfil various functions during the design process: they can serve as aids for solution generation, evaluation and communication. Today, high-performance digital tools (e. g. 2D- and 3D-CAD) have become indispensable in product development. According to different surveys, up to 70% of design engineers and design students use - among other things - 2D- and 3D-CAD in the early stages (Römer 2002; Schütze 2003). When working with a CAD-system, the user produces the graphical representation in interaction with the computer using a formal command language, mouse and keystrokes. This hypothetically results in an additional workload of mental capacity and hinders the full and correct establishment of necessary mental problem representations.
Design engineers often combine sketches and CAD, using sketches to prepare and support CAD-work (Römer et al. 2001). In order to avoid a loss of time and information when switching between the different media, the functions of sketches should be implemented into CAD. An approach to realise this is the interactive pen display WACOM Cintiq 15X, whose effectiveness and efficiency has not yet been investigated. This study focuses on the comparison of the three media "paper & pencil", "pen display" and "2D-CAD" in the early stages of the design process. On the basis of the psychological demands on the user, support potential was analysed in several dimensions according to evaluation research (Kirkpatrick 1976; Stufflebeam 1972).
The sample was composed of 66 students (63 male; average age 24 years) of the mechanical engineering graduate program at the Dresden University of Technology. All participants had comparable theoretical and practical knowledge of design and at least two years of experience with the chosen CAD-System AutoCAD 14. Random sampling resulted in three subsamples of 22 subjects each. The research was carried out in a laboratory experimental study, where people work alone on a given design scenario. The subjects were asked in written form to design a garden barbecue up to the concept stage without time limitation. The garden barbecue had to meet certain fixed criteria.

The following dependent variables were recorded: - variables concerning the results: quality of the solution, communication of the technical information content (expert evaluation with evaluation schemes, Schütze 2003), total solution time; - variables concerning the subjective experience: experienced difficulty of the design problem, certainty of the correctness of the solution, psychic stress (all measured using bipolar ratingscales); - variables concerning the process: percentage shares of activities relative to solution time and changes of activities, percentage shares of design steps relative to their total number and changes of designing steps (recorded with video and/or computer-aided protocol techniques), solution generation: generation vs. correction procedure.

Selected results are evaluated: No significant differences could be found between the two groups designing by free-handsketching with paper & pencil and with pen display, neither in the variables concerning the results and the subjective experience nor in selected shares of activities and the solution generation. This speaks well for comparable demands of these two media on the user.
Subjects who designed with AutoCAD produced solutions with a significant lower quality and communication of the technical information content. They needed significantly more time to develop the solution. The computer-aided designing group showed media-specific shares of the activities "sketching/ drawing", "writing" and "erasing/deleting". Furthermore, participants of this group showed only a correcting form of proceeding; they did not create more than one possible solution. These results can be regarded as evidence of the hypothetically discussed demands on the user: current systems do not take cognitive abilities and limitations into consideration sufficiently as well as ways of intuitive and effort-saving externalisation. Results could be replicated extensively in a study with a design problem of equally difficult requirement structure. Finally, hints for education of engineering design students and essential requirements for digital support tools in the early stages of the design process are derived.

Practical Relevance

Pen Displays seem to be excellent for supporting engineering design using classical and digital media within the meaning of an interactive and integrated communication unit. They can open a large potential concerning competitive time and cost savings as well as innovations for the process of product development.

 


Visualization of process-oriented experience knowledge in knowledge-based decision support systems for short-term personnel assignment (Vol. 1 - 2004)

Authors: Gert Zülch, Mikko Börkircher & Sascha Stowasser

Keywords: · Knowledge Management · Communication Ergonomics · Personnel Assignment · User-Friendliness · Evaluation · Visualization

In order to exploit the potential of information technology, software systems should be adapted to the cognitive requirements of the users. In a project of the Collaborative Re-search Centre 346 "Computer-Integrated Design and Manufacturing of Parts" at the University of Karlsruhe it has been determined and experimentally examined which forms of visualization are suitable for the user-equitable representation of experience knowledge. The exemplary development of a user-friendly, object-oriented tool for the planning of short-term personnel assignment serves to demonstrate possible visualization forms. Based on already realized tools, which (suggest and) attempt to capture the knowledge in structures and processes within the area of knowledge-based systems, and the configuration approaches, rules and conclusions from earlier research work within the Collaborative Research Centre 346 a prototypic, knowledge-based decision support system for short-term personnel assignment was developed. The goal within the system was to visualize knowledge in a user-friendly manner to support users in their decisions and thus to help them to discover solutions for disturbance situations.
The main goal of the experimental examination was to find out which visualization form is best suited to represent decision support knowledge for short-term personnel assignment problems in workshops. Therefore three different complex shop floors were each combined with different forms to represent the needed knowledge. The support of the test persons during the solution discovery was increased from barely no help (scenario 1) by a matrix representation, which shows all feasible (i.e. skill-related) assignments of workers to machines in the shop floor, (scenario 2) to experience statements which should represent experience knowledge (scenario 3).
The experimental examination of the developed knowledge representations was carried out with 17 test persons. The test persons' tasks comprised the search for solutions for adequately assigning workers to machines. Two communications ergonomics methods were implemented into the experimental examination: In order to be able to derive statements about the behaviour and reactions of the test persons, all interactions are recorded and analyzed using keystroke recording. An interview was carried out after each experiment to fix the test persons' subjective point of views of the visualization forms. The questioning was used to supplement the objective method mentioned above. After the experimental examination the accumulated data was evaluated statistically. Results regarding the number of errors, time required for the solution of a problem and the mouse distance were consulted. None of the test persons indicated that they were better supported by the experience statements. 10 test persons suggested a combination of the above mentioned matrix representation and experience statements. Since a matrix representation does not support causal conclusions, a combination would be helpful, in cases of very complex personnel assignment problems, when a matrix representation first isolates a certain worker subgroup and the experience statements then helps to make a selection for the right personnel assignment. A matrix representation could thus be used to achieve a quick pre-selection of suitable workers with respect to their skills. Experience statements would in turn support a detailed retrieval for the most fitting person. Furthermore, a knowledge-based decision support system must be constructed in such a way that the execution of standard tasks can be carried out without major problems. "Without problem" hereby means that the visualization of knowledge-based decision support should neither be configured too simp-le, nor too complex.

Practical relevance

An important task in the supply of data for construction and manufacturing processes through knowledge-based systems can be seen in the user-friendly configuration of the human- omputer- interface. This interface ensures the exchange of process related data, information and knowledge between the user and information system within a dynamic context of the process flow.
In order to check the practical application of provided experience knowledge within dynamic processes in shop floor areas, basic examinations are required. They are necessary to find out which visualization forms actually are useful for the user in supplying experience knowledge.

 


Vol. 2 - 2004

 

Perception and assessment of artificial indoor lighting (Vol. 2 - 2004)

Authors: Christoph Schierz

Keywords: Indoor lighting · luminance · perception · affective assessment · attribution · mental construct

SUMMARY

It is well known that photometric assessment of a lighting system is not sufficient to produce indoor illumination that fulfills user expectations. The reason is that light not only causes objects to become visible, a function which is measurable. It also acts as a carrier of information. Lighting systems need to fulfill the following requirements to perform these two functions adequately:

¨ They must not cause inconvenience, for example, through glare, inadequate luminance, shadow or flicker. All these factors can be determined photometrically.

¨ They must improve comfort. Light should help to arrange information sources in the user’s physical environment. For example, lighting can emphasize important information (eye-catchers) or it can draw attention to or simulate desired associations (e.g. private -public). Perceived comfort is greater if these associations match the user’s expectations.

The aim of this study was to design a method of assessment of well-being (emotion) and the creation of associations (attribution).

Methodology

We constructed a model linking the objective physical world with the subjective psychological world. The core of the model is the visual perception of a "mental construct system". We assumed that subjects do not assess the objective world directly, but more probably through the perceptual part of the mental construct system. This model has been tested experimentally. So-called "lighting scenarios" were used as the objective world. The scenarios are realistic stereoscopic pictures of various types of interior lighting projected by a special slide viewer. The varying reactions to these lighting scenarios from 21 subjects were recorded using mutual comparison (multidimensional scaling), a verbal questionnaire and factor analysis.

Results

The results show that the model of a mental construct system can be concretized. We were subsequently able to establish a connection between the lighting scenarios and the perceptual part of the mental construct system on one hand, and between this part of the system and the subjective assessments on the other.

Conclusions

The question is how the findings can be applied to illumination planning practice. It is the planning concepts, not the planning tools, which need to be modified. These concepts should be evolved at planning stage of a building and be based on a joint mental construct system containing input from all parties involved (architect, builder-developer, lighting engineer, user, etc.).

Practical relevance

Increasing pressure to save energy is leading to concentration of illumination on the visual tasks at the workplace, whilst the walls and ceiling of a room tend to get left in the dark. However, experience and basic research shows that light from the whole field of vision is important for biological and psychological well-being. New guidelines for indoor light distribution are needed to satisfy these requirements. Guidelines defining requirements for workplace illumination alone are not sufficient. This study examines some of the fundamentals of the psychological effects of light with the aim of defining these additional guidelines.

 


Two studies of the role of light spectrum in visual performance (Vol. 2 - 2004)

Authors: Marino Menozzi

Keywords: yellow filter · night driving · mesopic vision · display · chromatic aberration · dynamics of accommodation

Summary

Prof. Krueger has paid particular attention to various aspects of "vision at work" during his 20 years at the Institute of Hygiene and Applied Physiology (IHA). This report starts by summarizing scientific research and developments at the IHA relating to vision at work and goes on to present findings from two unpublished studies, which also demonstrate the breadth of the methodical approach used by Professor Krueger in his investigations.

Study 1: Yellow filters for night driving

Background: Yellow filters, for which it is claimed that they reduce glare from headlights of oncoming vehicles at night, are available on the market. It is not clear how they are supposed to achieve this effect because the light transmission through these filters (approx. 80%) is too high to effectively reduce headlight luminance. We conducted a study using the recommendations of the German Ophthalmologic Society to assess mesopic acuity (ability to see in the twilight range). Measurements were performed with and without yellow filters and with and without a glare source.

Method: A total of 25 subjects took part in the first experiment. Subjects performed a test aiming to assess mesopic acuity. Mesopic acuity defines the luminance contrast required to pass a given acuity test successfully under mesopic conditions. A Nyktometer 500 instrument was used for this purpose. Mesopic acuity was assessed with and without yellow filters in random order. Measurements were then repeated in the presence of a glare source incorporated into the Nyktometer 500.

Results: In general, we can state that the yellow filter does not improve mesopic acuity under either one of the experimental conditions. On the contrary, yellow filters were found to reduce mesopic acuity in several cases.

Conclusions: We cannot recommend the use of yellow filters, as our findings failed to reveal any improvement in measured visual function when they are worn. As with other lenses, yellow filters may constitute a potential risk under certain circumstances: the quality of the filter can deteriorate with time (e.g. because of surface scratches) and the frame and the filter itself could cause additional injuries in an accident.

Study 2: Spectral distribution of light and accommodation dynamics

Background: Many sources of artificial light are used nowadays at workplaces and also during leisure activities. Chromatic aberrations in the human eye caused by the spectral content of this light can adversely affect accommodation. Previous studies have demonstrated the effect of a particular spectral distribution on static accommodation function. The dynamics of accommodation are an important factor determining visual performance at many workplaces. For example, flight controllers frequently need to adjust viewing distance. In this second study we investigated the effect of a narrow band light source (light-emitting diodes) on the dynamics of accommodation.

Method: Seven subjects took part in the second experiment, which involved continuous recording of accommodation during performance of a task in which the test person had to focus successively on objects situated at two different distances, which were known to the test person. Three different narrow-band light sources (red, blue and yellow-green) were used. Dynamic performance was expressed in terms of speed and latency of accommodation.

Results: In general, we found no statistical significant correlation between latency and speed of accommodation and spectral distribution of the light source used. Slight differences in performance were found when comparing results obtained with the yellow-green (586 nm) light source to those obtained with the red (635 nm) and blue (470 nm) sources.

Conclusions: In a task where an observer focuses on objects situated at a known viewing distance, narrow band light sources such as those found in light-emitting diodes, e.g. in traffic lights, do not give rise to dynamic accommodation problems. It is not known whether these results could be repeated in a study involving a larger number of subjects (e.g. 100). It seems possible that yellow-green light could affect performance.

Practical relevance

The first study shows that yellow filters claiming to reduce headlight glare cannot be recommended for night driving. The second study shows that visual displays using light-emitting diodes (e.g. traffic lights, large-format or head-mounted displays) do not affect the dynamics of accommodation.

 


Online Event Recording in Task Analysis (Vol. 2 - 2004)

Authors: Jürgen Held

Keywords: Online Event Recording · Task Analysis · Time-Line Analysis

Summary

The following article discusses current techniques and methods used to record and analyze work processes, and introduces an event recording technique known as Flexible Interface Technique (FIT System). The article touches on subjects like definition of task categories and design of the event recorder interface, and discusses the interactive capabilities of the various techniques. It demonstrates that the FIT System provides more flexibility and capacity in recording and analyzing observed events.

Most event-recording techniques on the market today have predefined interface design structures. They offer only a limited range of symbols and only one syntax for user interaction with the portable handheld computer (personal digital assistant, PDA). Nor do they support installation of additional graphic design elements at the user interface. A further problem is that the majority of currently available event recording techniques do not allow the user to make changes to the interface design when online or in the field. Instead, the interface has to be defined in advance on a personal computer before downloading to the portable PDA. This is because the user interface is part of the event recording software and also because of the PDA’s limited data input storage capacity. Unlike other recording techniques, the FIT System’s interface is not integrated into the software. It is in the form of a detachable, transparent overlay. The user/observer can design his own interface manually (i.e. by drawing it) without having to interact directly with the PDA’s software.

Symbols, icons and other graphical or typographical information can be set out as required on the overlay without having to make use of the PDA’s limited ability to display contrast, symbols, and colors. When recording spatially variable events, observers can establish a relationship between the observed space and the interface overlay by producing their own diagram of the environment being observed and analyzed. This is possible because users/observers can arrange symbols and graphic elements at will on the transparent overlay. Another useful design feature enables users to create simple, clear interface prototypes online by adding more symbols or icons to the interface during the recording process. Users can handle between 40 and 70 task categories (events) with the FIT System, register high-frequency parallel events (multi-tasking) and register individually allocated and shared tasks in teamwork analysis. The analysis then requires a method for combining illustration of the individually recorded event sequences.

A solution of this problem is presented in the form of a diagram in which each event appears as a vector, with the event category being assigned to the angle of the vector and the event duration to the length of the vector.

Practical Relevance

Event recording and analysis play an important role in ergonomic systems design. The work described in this article can help to improve online coding and review and analysis of observed events. The FIT System will enable human factors specialists to analyze a system’s behavior more efficiently and effectively.

 


The Ergonomics of Interaction (Vol. 2 - 2004)

Authors: Daniel Felix

Keywords: Human-Machine Interaction · Usability · ticket vending machine · development process

Summary

Modern technology is influencing our everyday lives to an ever increasing extent. For many years now, research at the Institute of Hygiene and Applied Physiology at the ETH in Zurich has focused on how to facilitate use of this technology by members of the lay public. Whilst the importance of classical ergonomics in this process was realized at an early date, it soon became clear that new methods and procedures were needed to meet the ergonomic challenges of modern technology. Health was no longer the crucial aspect. It was now more a question of understanding and being able to use modern technology in the proper way. Graf (1988) conducted studies analyzing eye movements in his research into man-computer interaction. This technique was later refined and applied with great success by other groups at the Institute (Menozzi 1991). It has always been the Institute’s policy to test theoretical work in a practical context. Eye-movement analysis was used in a user interface evaluation of a ticket-vending machine for the Zurich passenger transport network (ZVV). It demonstrated that the user interface has a significant influence on success rate and process time. It included both laboratory and field tests with real users and compared two different solutions to the problem. The findings revealed that users had no problems buying their tickets if a known element like the postal code is used for encoding destinations, with a numerical ten keypad for entering this code, and if the successive procedural steps are arranged from left to right and top to bottom. The laboratory and field-testing procedures were later standardized and are now regularly used. Further studies in this area were conducted over the subsequent years. With the support of the Swiss research foundation KTI a touch-screen experimental ticket-vending system for the Federal German Railway was developed. Individual components of the user interface were tested. A 10-key pad received the best rating for entering figures (e.g. the number of travelers) and a calendar page for entering dates. No preference could be discovered for entering destination or departure station. The top-rated solution used an alphanumeric keypad on the screen and progressively reduced the number of hits with each press of the key. There was also a design study in which screen layouts were compared (Felix & Krueger 1993a). Users were found to prefer a clear structure and color scheme. The full project is described in Felix (1997). These results were later used for the development of the touch-screen ticket-vending machines now used by the Swiss Railways (SBB). Other studies followed as part of the EU-funded Project ESSAI (Paulillo et al.1995; Felix & Krueger 1993c). An interactive public kiosk was developed selling theatre tickets (for the Arena di Verona), cinema tickets in a field experiment in Milan and last-minute holidays in a second field experiment in Basle. These yielded a large number of new findings. The vending system’s user interface and location must reflect the nature of the goods and services being sold. For example, high-end theatre tickets are difficult to sell from a vending machine located on the street. Useful information and supporting information (e.g. design elements) must be clearly separated and the useful information must be easily identifiable. Further research on icon recognition (Breinholt 1998) revealed that icons are most easily recognized if they are not too complex, have a clear outline and use an abstract rather than a photographic symbol. The thesis presented by Manzke (1999) investigated the problem of digital divide, namely, ways of refining an automated teller machine (ATM) for use by blind and visually impaired persons. He found that a linear concept with an easy-to-use menu structure was not only beneficial for the target group but also for non-handicapped users. No technical problems arose with the experimental system during live operation for three months in a Swiss bank. Sadly, the concept was never put into practice. The Institute is actively pursuing its work on development and evaluation of user interfaces for public use. It is the only scientific institution in Switzerland offering independent evaluation of usability and user acceptance of interfaces. The knowledge gained over the years is passed on in courses held at the ETH and Zurich University and at various other universities of applied sciences. It is important to sensitize students to this topic, because developers and project managers will not pay sufficient attention to this problem unless they are made more aware of the importance of the human factor. The foundation of the ETH usability lab in the Zurich Technopark in 1994 was a logical extension of all these activities and projects. It was here that a development process for interactive systems was defined (Felix 1997; Felix & Krueger 1993b) which was later found to be very similar to the ISO 13 407 standard development process. Its projects were so successful that it was decided in 2001 to form a spin-off company named ergonomie & technologie. This company is now operating profitably and will be separated from the Institute this fall. One of e&t’s developments is the e&t attentiontracker® which measures the speed and order in which elements of an Internet page catch the users’ attention (Disler et. al. 2003). This involves a tachistoscopic procedure in which users report the element seen. The procedure can provide more evidence on how information is perceived. An increasing amount of research and consulting work on user interfaces will become necessary in the future, because this will be the only way in which modern technology can be handled and exploited successfully. It is therefore essential for the Institute of Hygiene and Applied Physiology to continue its tradition in this field, because the work is of great social and scientific value and there is still much to do. Current work in the field of driving simulation (Uhr 2004) is a good example of this. The really important thing is to make maximum possible use of technology without losing sight of the needs of the people who are supposed to benefit from it. Cost-effectiveness is another important factor. This underlines the importance of selecting the appropriate technology to attain the set objectives. These objectives should no longer be the typical former ones - ‘faster’, ‘more’ and ‘more attractive’. The ideal objectives in the modern-day world are ‘more useful’, ‘simpler’ and ‘more convenient’.

Practical Relevance

Modern technology can only be successfully exploited and used efficiently and effectively if it is understood by users. A user-oriented development process and neutral evaluation of the quality of use offered by a new product development can significantly improve product quality.

 


How the technical evolution is stretching the traditional ergonomics concept: The challenges of the soft factors (Vol. 2 - 2004)

Authors: Sissel Guttormsen Schär

Keywords: Ergonomics · Software Ergonomics · technological evolution · research · knowledge models · human factors in HCI · measurement of usability

Summary

Rapid technological development results in new challenges for the ergonomics field. The technological development involves new challenges concerning the implementation of usability by exploiting the new technical possibilities, e.g. by developing new user-centered aims for methods of work, enabling new forms of interaction, and developing new cognitive and emotional models for human computer interaction (HCI). We suggest four guiding principles for further research and development in the field of software ergonomics:

1. The priorities for software ergonomics research need to be re-formulated

2. Knowledge & models for applied perception and information processing need continuous re-evaluation

3. A shift from technology driven to human factors driven HCI design is due

4. New methods for measurement of usability are necessary.

 

Practical Relevance

This paper gives an overview over the actual challenges and possibilities for software ergonomics given by new technological development. Four suggested guiding principles for research propose actual priorities and offer applied examples of new forms of interaction.

 


Workload and recuperation - Comments on the "U" –shaped curve describing the relationship between work exposure and internal strain (Vol. 2 - 2004)

Authors: Thomas Läubli

Keywords: workload · musculoskeletal disorders · regeneration

Summary

In order to design health-oriented, ergonomic work activities, it is essential to know the limits at which a given workload becomes an overload and constitutes a health hazard. The relationship between exposure and hazard need not to be linear. Underload can also constitute a health hazard. A "U" –shaped relationship between exposure and a worker’s internal strain is often postulated. Under-load may result in monotony, loss of interest, diminished muscular strength or deterioration in physical fitness. Excessively high exposures may induce fatigue and ultimately cause health problems. It is therefore assumed that an average load is optimal. A relationship, which is approximately parabolic, may also be modeled by two separate functions. One function would be valid at a low sensory and psychosocial flow of information, indicating that focusing places ever increasing demands on the subject at low sensory load levels. The second function would describe increased stress as information flow and demands for decision increase. Both approaches lack the dimension of time and no allowance is made for important questions like accumulation, fatigue, recuperation and regeneration.

Winkel & Westgaard (2001) pointed out that recent economic changes have had a strong influence on time structures at work and that more attention should be paid to the effect of this trend on worker health. There is evidence indicating increased productivity and improvements in ergonomic design of workplaces. It is also reasonable to assume that the incidence of heavy work and repetitive assembly tasks has decreased. Despite this, stress reactions and musculoskeletal pain remain prevalent complaints. For example, research by Maul et al (2003) showed that work tasks in nursing have dramatically changed within the last ten years. The number of patients cared for by a single nurse has doubled, but the number of beds per nurse has dropped by a factor of two. However, the prevalence of regional musculoskeletal disease has remained more or less unchanged. The frequency of these complaints may perhaps be explained by the fact that workers have become more involved in the work process and that there is less downtime caused by production line breakdowns or sub-optimal work organization. We have demonstrated continuous activity of single motor units for at least 30 minutes during computer work. Activity frequently continued during short interruptions of the task itself and during short breaks (Zennaro et al. 2003b). Thus, individual motor units may be subjected to high loads even when demands on muscle activity are relatively small.

There are indications that these loads tend to cause fatigue and possibly overload. Recuperation may also be adversely affected. It is postulated that investigation of the time structure of internal strain on single organs and of the regeneration periods required by them could help to explain the reasons for the continuing occurrence of this type of disorder.

Practical Relevance

Research into the time needed for organ recovery and regeneration may help to prevent musculoskeletal disorders.

 


Breathing, attention and distraction as a function of emotional stimuli (Vol. 2 - 2004)

Authors: Brigitta Danuser & Patrick Gomez

Keywords: Arousal · attention · distraction · emotion · respiration · valence

Summary

Several lines of research indicate that emotional experiences are basically organized around the affective dimensions of valence and arousal. Valence and arousal are conceived as two independent bipolar dimensions forming a two-dimensional affective space. Valence, also called pleasure or pleasantness, summarizes a person’s well-being. Arousal, also called activation at the level of subjective experience, describes a sense of mobilization or energy. Recent work has provided evidence for a correlation between physiological variables (heart rate, skin conductance, facial electromyography, brain activity, blink reflex) and the emotional dimensions of valence and arousal. However, very few studies have investigated the relationship between respiration and these emotional dimensions, even though most of the available data suggest that respiration patterns may reflect general dimensions of emotional response. To extend our knowledge of the respiratory response during affective processing, we conducted two studies to investigate respiratory responses to emotional stimuli. Specifically, we sought to determine whether and to what extent there is any covariance between respiratory measures and hedonic valence and arousal level of the selected stimuli. Visual and auditory stimuli were chosen as emotion elicitors, because these are of the greatest significance for the general public, e.g. exposure to magazines, television, Internet, films and music.

Static pictures were used in the first study. The second study used environmental noises and musical passages. Different reactivity patterns would suggest type-specific modulation (visual vs. acoustic stimulation), whereas similar patterns would indicate activation of a common emotional system. All the stimuli were of 30-second duration. Respiration was measured non-invasively with inductive, volume-calibrated, respiratory plethysmography. Respiration was analyzed in detail, including a number of parameters, which are thought to give an insight into the mechanisms regulating breathing. Skin conductance level and heart rate were also measured.

The results of these studies suggest that arousal plays a central role in the respiratory response to affective stimuli. Subjective reports of arousal were found to co-vary with several breathing parameters. In particular, increases in the arousal level of all stimulus categories were accompanied by increases in minute ventilation. This relationship was chiefly due to shortening of the time parameters as arousal increased, whereas inspiratory volume showed no relation to either valence or arousal ratings. The relationship between valence and respiration was less clear-cut and appeared to be much more stimulus-dependent than that found with arousal. No respiratory parameter was found to co-vary consistently with valence and no specific relationships to valence were observed. In summary, these studies support the contention that breathing responses are organized to a certain degree along the affective dimensions of valence and arousal.

In a third study, the role of emotional valence in task distraction was investigated by exposing the participants to two pleasant and two unpleasant odors during performance of a demanding multiple task consisting of three sub-tasks: a tracking task, a short-term memory task and a reaction task. The advent of the unpleasant odors was accompanied by prolongation of inspiration and a decrease in mean inspiratory flow in the first five breaths after odor onset. We are of the opinion that these respiratory changes reflect a shift of attention resources from the task to the unpleasant odors and represent the respiratory equivalent of the orienting response to odors. Longer inspiration and decreased inspiratory flow prolong the duration of odor processing and thus enable better interpretation and evaluation of a potentially harmful olfactory stimulus. Performance of the memory task (recognition of a specific color sequence "green – blue – red" of a constantly changing moving circle), was markedly decreased in the presence of the unpleasant odors. One plausible explanation for this specific deterioration in performance is that processing of the odors and recognition of the color sequence require the same cognitive resources.

Information has to be accumulated over a certain period of time before an odor’s quality and intensity can be properly interpreted. Similarly, the last two colors have to be kept in mind to decide whether or not the sequence is correct when the third color appears. In summary, changes in respiration and deterioration in performance indicated that unpleasant odors distracted the participants from their task.

Practical Relevance

Modern work forms make high demands on our attention, memory, mental concentration, learning aptitude, and also on our perception, experience and regulation of emotions. Our research provides information on how humans react to significant affective stimuli and may be of value for future research in applied fields such as human communication, occupational health and human-computer interaction.

 


Environmental ergonomics: Odors emitted by industry (Vol. 2 - 2004)

Authors: Markus Hangartner

Keywords: odor assessment · olfacotmetry · ambient odor · odor annoyance

Summary

Olfactometry measures the acuity of a person’s sense of smell and his or her olfactory threshold for selected odors. Odoriferous samples are diluted with odorless air until the test person can no longer detect the odor. The dilution threshold is a measure of odor concentration. This is a convenient technique for quantifying the success of attempts at odor abatement in an industrial plant. A procedure using a series of olfactory measurements taken at different sites was designed to obtain information on the potential level of environmental nuisance to be expected from odorant industrial emissions.

Surveys in the form of questionnaires sent to each household were performed to determine the perceived level of nuisance in the vicinity of several odor-emitting industrial plants. A response rate of between 50 and 70% was achieved after follow-up with a reminder.

An 11-point rating scale was used to measure the perceived level of nuisance. The average scores obtained in any given area, based on a minimum of not less than 20 valid returned questionnaires, were used to determine the perceived level of odor nuisance. The results obtained in the different studies were compared and an evaluation procedure analogous to that used for noise investigations was designed. Areas exposed to industrial odor emissions with mean subjective ratings higher than 5 are deemed to suffer an intolerable nuisance level, whereas no nuisance exists in areas with a rating lower than 3.

The frequency of odor events emanating from specific industrial plants over a given period of time was regarded as a suitable method for assessing exposure to ambient odor. This type of frequency investigation is only valid if data is obtained from a representative sample and the observations are randomized but equally distributed over the time period. These conditions were satisfied by using non-resident observers performing field inspections to a given time schedule.

Although there is a correlation with the perceived level of nuisance as determined by public survey and odor frequency, the results also show that equal odor frequencies may evoke different perceived nuisance levels in the affected population, depending on the hedonic nature of the odor (pleasant/unpleasant), the subject’s attitude to the source of the emission and his or her feeling of helplessness.

Practical Relevance

Denser development is bringing residential areas and industrial zones closer to each other. The result is an increasing incidence of complaints from populations living in the vicinity of odor-emitting industrial plants. Olfactometric measurements are an effective way of evaluating the success of measures taken to reduce odor emission and enable pragmatic estimates of their capacity to abate environmental nuisance caused by industrially emitted odors.

A survey technique enables authorities to assess the perceived level of nuisance in the surrounding population and the results can be used as a basis for imposing restrictions on the industry causing the odor.

An inquiry technology enables authorities to assess the degree of annoyance in residents and is the base for imposing conditions to the industry causing odours.

 


Exposure to particles in occupational situations and in the environment (Vol. 2 - 2004)

Authors: Christian Monn & Michael Riediker

Keywords: Exposure · Particles · Occupational Health · Environment · Pollutants

Summary

Airborne particulate matter is a form of pollutant involving a high health risk. Environmental and occupational studies regularly report a clear association between exposure to airborne particles and disease. Airborne particles are a complex group of substances. They can be characterized physically (by mass, size, number or surface area), chemically (sulfates, nitrates, silicates, metals, organic and inorganic carbon compounds, etc.) and biologically (bacteria, pollen, spores and products emanating from them, e.g. endotoxins, allergens etc.).

Particles have been shown to cause many different deleterious effects on health. These include "classical" diseases like silicosis (excessive exposure of lungs to silicates resulting in chronic inflammation and ultimately fibrosis). More recently, associations have been established between cardiovascular disease and short-term (daily) exposure to particulate matter (especially to particles originating from combustion processes). Finally, specific microorganisms and/or endotoxins produced by them can attach themselves to airborne particles and cause infections (e.g. legionnaire’s disease) or allergic reactions.

This article discusses assessment of levels of exposure to airborne particulate matter in three different cases: biogenous particles in the waste treatment industry, fine particulate matter in outdoor and indoor environments and particles bearing allergenic pollens.

These three examples are used to examine state-of-the-art measurement methods for particulate matter: 1) classical bacteriological measurements (waste treatment), 2) size-selective sampling and subsequent gravimetric measurements combined with simple speciation (e.g. fine soot) and 3) highly specific determination of individual compounds (specific allergenic proteins bound to different sizes of particles). There are indications that future particle research will tend to pay closer attention to more refined determination of physical, chemical and biological characteristics of airborne particles. It is hoped that this will yield better understanding of particle characteristics and better understanding of their consequences for health.

Practical Relevance

Good understanding of particle characteristics will facilitate investigation of pathologic processes associated with airborne particles and development of protective strategies.

This article reviews work performed at Prof. Dr. Dr. Helmut Krueger’s institute and points to new trends in particle research.

 


Vol. 3 - 2004

 

Work ability among nurses in hospitals in Germany in the European context (Vol. 3 – 2004)

Authors: Bernd Hans Müller, Hans-Martin Hasselhorn

Keywords: ·  work ability · nurse · hospital · ageing

SUMMARY

Introduction: The concept of work ability in Europe has received increased attention in the last 20 years. Work ability refers equally to an individual, business management and economical resources. In view of demographic developments and the associated increasing need for care, this is particularly the case for nurses. In most European countries, nurses retire from the profession early, often earlier than other professions. In order to cover the future need for nurses it will be necessary to retain nurses in the profession.

The internationally used Work Ability Index (WAI) registers with 10 questions individual and organisational aspects of work ability (with the use of a questionnaire). The WAI has proven to be predictive in regard to later inability to work, mortality and quality of life. In doing do it is a suitable instrument to estimate future work ability of particular professional groups.

The European NEXT-Study (www.next-study.net) is investigating the early retirement of nurses in 10 countries. The study enables a European comparison of work ability in nursing to be made.

Method: For the present analysis data was gathered from exactly 23000 qualified nurses, who were employed in hospitals in Belgium, Finland, France, Germany, Great Britain, Italy, the Netherlands, Norway, Poland and Slovakia.

Results: The WAI mean scores were highest in Norway (42.2) and the Netherlands (41.7), and lowest in Poland (37.3), France (38.1) and Germany (38.3) (possible WAI range: from 7 (no working ability) to 49 (maximal work ability). This ranking of countries was found for almost all age groups.

In the German sample the younger nurses on average had a relatively low WAI mean, which can be accounted for by the low personal judgement of individually perceived work ability in regard to the working demands. From the age of 50 the WAI once more greatly decreased. Low work ability was visibly associated with the desire to leave from the nursing profession early; this meant for the younger nurses a change of occupation, for the elder nurses early retirement.

Conclusion: The extent to which relatively low work ability was shown even in younger qualified nurses in German hospital is surprising. The consequence for the younger nurses is the escape from the nursing profession. To ensure an adequate number of nurses on a long-term basis, interventions are necessary which can already be put into practice for the younger nurses.

On the other hand, strategies have to be developed to structure the working conditions in such a way that even older nurses with reduced work capacity can continue working in the nursing profession. That this is possible was shown from the nurses from Finland, where despite low WAI scores on average, the older nurses remain in their profession, with comparatively higher work satisfaction.

PRACTICAL RELEVANCE

In Germany, the low scores for work ability can be attributed to a relatively large discrepancy between the individually perceived own work ability and the work demands, which was the case for all age groups. To ensure a sustainable and sufficient supply of nurses, interventions are necessary which should even be put into practice for younger staff.

 


Not-fulfilled values, emotional exhausted physicians: Can differential job design minimize the work time problem? (Vol. 3 – 2004)

Author: Sandra Peter

Keywords: ·  Work values · Work time conditions · Residents and attending physicians (RP and AP) · Differential job design · Emotionale exhaustion · Aversion to clients · Structural equation modeling

SUMMARY

The objective of the present study is to produce an integrative approach to the concepts of work-related value orientations and differential job design (Ulich et al. 1980, Ulich 2001) using the example of work time. Consequences of not-fulfilled value orientations are examined taking preferences regarding work time as an example. Here it is useful to turn to concepts from the psychological research on stress and to view not-fulfilled expectations regarding work time as stressors. The investigation tests the following hypotheses: (1) Subjectively experienced deficits will have an additional explanatory value aside from stressors and following Leiter’s (1993) model (2) emotional exhaustion will mediate the relation between deficits, or stressors, and aversion to clients.

Specific stressors were captured following Rimann (1999). The questionnaire tapped the subjective importance of 31 aspects related to work as well as physicians’ corresponding degree of satisfaction regarding fulfillment of those aspects in their current work situations. The difference between ascribed importance and satisfaction yielded a discrepancy value (deficit), which is understood as a stress factor. Task-related, social and time pressure stressors were assessed using the five-point scales from the “SALSA” questionnaire (Salutogenetische Subjektive Arbeitsanalyse, i.e., Salutogenetic Subjective Work Analysis) by Riman und Udris (1997). Two scales from Hacker und Reinhold’s Stresses and Strains Screening in Human Services (1999) were used to measure strains: “emotional exhaustion” and “aversion to clients.” The degree of agreement was captured on a seven-point scale, ranging from “disagree completely” to “agree completely.”

The empirical database for this investigation was generated in hospitals. The sample consisted of 306 residents in physician training programs and attending physicians (62.4% men and 34% women). To test the hypotheses, structural equation modeling was used. For estimation of the likelihood of the parameters, the maximum likelihood method (ML) was implemented.

Under all of the deficit factors found, the work time-related deficit factor plays an outstanding role in explaining (and in the emergence of) emotional exhaustion and aversion to clients in residents in training. In addition, deficits in social relationships and valuation contribute significantly to explaining emotional exhaustion. The relevant factors found stand in a linear relationship to emotional exhaustion and aversion to clients. This means that the score on strains increases with increasing deficits, and low deficits, or increased options, lead to lower scores on strains. Not-fulfilled expectations as to work time conditions, not-fulfilled expectations concerning social relationships and valuation, and not-fulfilled expectations as to career, success, and prestige have as much a direct influence on emotional exhaustion in residents and attending physicians as do percentage of employment (full-time, part-time), stressors experienced in performing tasks, and experienced time pressure. A test of interaction effects between deficits and stressors indicates that deficits do not measure the same thing as stressors. The deficit factor values found thus contribute further towards explaining emotional exhaustion.

The results confirmed the moderating effect of emotional exhaustion on the relation between deficit factors and aversion to clients for the deficit factor work time.  In this case the effect is a true mediating effect, that is, the relation between work time-related deficit and aversion to clients occurs exclusively via emotional exhaustion.

As to the mediating effect of emotional exhaustion on aversion to clients in the context of the stressor scales, the following picture emerged: The relationships between stressors (work task stressors, social stressors, and time pressure stressors) and aversion to clients are mediated entirely by emotional exhaustion.

Practical relevance

All in all, the findings of the investigations confirm – for the conditions of extremely long working hours – the central role of the deficit factors found as well as the outstanding role of deficit regarding work time preferences in the generation, or explanation, of emotional exhaustion and aversion to clients. The findings yield indications that knowledge about and consideration of individual, work-related values – as the source of individual motivations to act, as goals to be achieved in the work setting – provide important leverage for differential job design.

Not the consideration of each individual work time-related desire, but the offer of various (value-oriented) work time models could be a possible design approach. Already the offer of a broader -  at the most frequent needs oriented – selection of work time models (partial time models, sharing models) as well as the establishment of participation-oriented planning of work time schedules could be meaningful interventions.

 


On-call service in German hospitals: an analysis of doctors’ work-related stress and strain (Vol. 3 – 2004)

Authors: Susanne Merkel, Beate Streit & Peter Richter

Keywords: ·  work-relates stress · strain · on-call service · doctors · hospital

SUMMARY

German hospital doctors’ chronic states of exhaustion as a result of extensive on-call services, unpredictable working hours, and numerous overtime indicate an acute need for action. The European Court of Justice reacted by ruling that ”on-call duty performed by a doctor where he is required to be physically present in the hospital must be regarded as constituting in its totality working time” (C-151/02) – contrary to present German law.

Against this background, a study was conducted in two hospitals in Saxony in cooperation with the Saxony State Ministry for Economic Affairs and Labor. The purpose of this study was to analyse the job-related stress and strain situation of medical doctors and to investigate from a work psychology viewpoint whether on-call service should be regarded as working time.

Doctors were asked to keep a stress diary (e.g. Richter et al. 2002; Zijlstra & van Doorn 1985) in order to assess their work activities and strain process during regular work, on-call service and free time. In addition, psychological work load (Büssing et al. 2002) and long-term outcomes like job satisfaction, physical complaints (de Jonge 2001) and burnout (Schaufeli et al. 1996) were analysed. Eighty-seven doctors participated in the study.

The strongest sources of psychological work load reported by the doctors were problems with ward occupancy, time pressure, work interruptions, and information insecurity. Problems resulting from patient characteristics and severity of illness were not rated as very stressful. Thus, general work conditions appeared to be more stress-relevant to the doctors than work conditions specific to the medical profession.

Analysis of work activities revealed that doctors’ working hours were not only in conflict with European law, but also with German law, as doctors spent more than half of their on-call time working. There was no difference between work activities during the evening part of on-call duty (4 pm – 10 pm) and work activities during regular work (7am – 4 pm), suggesting that doctors were not on-call but merely continuing with their regular work. Only the activities during the night part of on-call duty (10 pm – 7 am) corresponded to an actual on-call service.

As strain process analyses showed, there was a significant increase in effort and fatigue and decrease in positive mood during a work day with subsequent on-call duty. After on-call duty, doctors reported significantly higher levels of effort and fatigue and lower levels of positive mood than during regular work before on-call duty, indicating that doctors did not get enough rest during the night on-call. Comparisons between the strain process during work (regular work and on-call duty) and the strain process during a non-work free day confirmed that changes in effort, fatigue and positive mood could not merely be attributed to regular circadian variation.

The results of this study support the European Court of Justice decision, that on-call duty performed by hospital doctors should be considered working time.

Practical relevance

Putting the European Court of Justice decision into action will confront German hospitals with immense costs and a shortage of qualified doctors. However, the health and safety of hospital doctors (for whom it is not unusual to work continuously for more than 30 hours) and their patients need to be protected.

The methodology presented in this article is suitable to support hospitals in their need for structural change and the de­velopment of innovative working time models.

 


Cooperation in anesthesia teams as seen by the team members (Vol. 3 – 2004)

Authors: Enikö Zala-Mezö, Barbara Künzle, Johannes Wacker, Gudela Grote

Keywords: ·  Explicit vs. implicit coordination · Teamwork · heedful interrelating · standardization · task load

SUMMARY

This article presents the results from a qualitative interview analysis asking anesthesia team members about work processes, standardization in anesthesia, teamwork, and leadership. The interview analysis was part of a project studying the effect of standardization and task load on coordination processes.  The idea behind the entire project is that organizations working in high-risk environments have to fulfill very high quality norms. Additionally they have to handle high levels of complexity and uncertainty. Standardization is a tool on the organizational level to make the work system’s behavior predictable and controllable. However it is not clear how standards interact with the team processes. This interview analysis allowed for gathering the subjective view of the team members about those questions. We used the functional leadership model from Zaccaro et al. (2001) to create a coding system for analyzing the interview material. The main idea of that model is that teams have to integrate 4 crucial team processes to achieve success and team leaders can influence team behavior through influencing those processes: 1. cognitive processes; 2. motivational processes; 3. affective processes; and 4. coordination processes.

Data
In the study 13 persons representing different professional groups of the anesthesia teams participated. Anesthesiologists (n=5), residents (n=3), nurse anesthetists (n=4), and surgical nurses (n=1) were asked in the form of half structured interviews about:
 profession, position, and experience;
 the work processes during anesthesia induction in general anesthesia;
 written and unwritten rules;
 teamwork;
 communication in the team;
 influence of task load on the work processes;
 leadership and decision making processes.
  

Method
The interview material was transcribed (circa 150 pages) and analyzed with the qualitative content analysis method, according to a category system based on Zaccaro et al. (2001).

 
Results
We summarize the results according to the team processes.  Concerning the cognitive team processes we can state that there are many shared models among team members, especially about equipment and task, which is a good basis for teamwork. Regarding information processing the importance of collective metacognition was emphasised, although this rarely takes place. The motivational processes show a speciality compared to the general description of the functional leadership model. Group cohesion, which is a crucial element of the motivational processes, has two components: social cohesion and task-based cohesion. According to the statements of the interviewed team members cohesion is dominated by task cohesion. This can be a result of the structural characteristics of the organizational unit studied, where teams have a short life cycle. Success in task fulfillment is the most important aspect of motivation. Also a strong need for autonomy is expressed. Regarding emotional processes, the central theme according to the team members is coping with emotional distress in difficult situations. There are several individual methods to decrease distress, like not reacting emotionally, or a quick repair of the bad mood resulting from a difficult event. As we analyzed the coordination processes the importance of a specific attitude toward teamwork was detectable. This attitude is very similar to the concept of heedful interrelating from Weick and Roberts (1993): people feel responsible for success, and follow and control the work processes of the other team members. Representatives of anesthesiologists, residents, and nurse anesthetists see this behavior as very important to avoid mistakes (system monitoring function). The utterances describe an active cognitive participation during task fulfilment. Furthermore we could filter out how challenging the nature of leadership behaviour in the observed anesthesia teams is. As we mentioned already there are high expectations considering the autonomy in task fulfillment. At the same time teams are ad hoc, so that the team leader has not much opportunit to learn about the abilities of the team members and develop trust in them. An other difficulty is the expected change to a more directive leadership style, if the task load is high. The third problem is that the leadership role is perceived as a secondary task compared to the medical task, although many interviewees expressed that team success depends strongly on leadership behaviour.

 
Conclusion
The analysis showed that the model was suitable to describe the team processes and could drive the attention to the special characteristics of the studied teams. Some practical consequences could be derived, like structural support for collective metacognition and targeted courses for leadership behaviour in ad hoc teams.

Practical relevance

The results have several practical implications. Systematic feedback and collective metacognition were mentioned as crucial by many interviewees, but they rarely take place. Regarding leadership, the complex expectation was expressed to have more passive leadership in normal situations, leaving much autonomy to the team members, while in emergency situations there should be active and directive leadership. Special training measures should be designed to help team leaders to develop such a situative leadership style.

 


Cooperative Development of Display and Interface-Concept for an Anaesthesia-Respirator (Vol. 3 – 2004)

Authors: Barbara Bönisch, Jürgen Held, Helmut Krueger

Keywords: abc · def · ghi

SUMMARY

Introduction: Administering anaesthesia is a demanding task in a complex work system and involves not only supervision of the patient but also of those many machines and displays claiming to aid with this task. The most important device for keeping up the vital functions of the patient is the anaesthesia machine, needing an interface which facilitates monitoring and manipulation in an user-friendly way and which fits conceptionally into the work system altogether. This project aimed to redesign the interface of the anaesthesia machine in cooperation with a manufacturer and supported by the swiss commission for technology and innovation.

Methods: The project was based on several work analysis’s of anaesthesiology tasks in work-intensive times before and during and after 40 operations in three different types of hospital. Market research of the status quo and ergonomic evaluation of existing solutions provided material for nineteen user-interviews (obtained from seven doctors and twelve nurses). The interviews were conducted in the three hospitals using a specially designed interview-technique - object-based and containing interviewee-action. In the first part the interviewee could browse through pictures of thirty different types of common respirators and give narrative statements concerning pros and cons of their interfaces. The second part was dedicated to autonomic interface design using the ”Valamo”-Variable Layout Model (Held & Krueger 1999), which consists of magnetic objects representing different solutions for anaesthesiological display-information-parts and input devices. Additionally four interviews with intensive care experts were held to gain knowledge about the different requirements of an adjacent field. Following the idea of parallel design, several interface-solutions - either screen combined with rotating heads or a pure touchscreen concept - were build using ”PowerPoint” from Microsoft. After the decision for the later concept - parameter choosing via touchscreen, setting via rotary knob - the technical basis for the implementation was built: on one hand the necessary software to animate the graphical representations, on the other the hardware-circuit for connecting with the touchscreen. A mobile interface-simulation was implemented for cooperative prototyping at the users´ site. This basis was processed and enlarged during 14 iterative loops of a human centred design circle in cooperation with anaesthesia and ergonomics experts.

Results: Apart from the picture gallery containing 30 different interfaces, also the technical features were collected in tables, completing the market analysis. The nineteen interviews resulted in a database with 1311 user-statements, which were structured in tables according to: 39 keywords (elements of the interface), thirty respirator-models (comments on their pro´s and con´s), evaluation of the technical status quo , user-needs and -wishes for the future. Summarizing users´ needs showed strong adaptation to the interfaces they are using in daily work, because the requirements and wishes expressed were inconvergent and contradictory in many aspects. Evaluation of the several interface-solutions by doctors and industrial partner led to a decision for a combination of touchscreen with turn-and-push-knob. The technical basis for the implementation of this interface-concept was built: on one hand the necessary software to animate the graphical representations of rotating heads by interaction with the touchscreen, on the other the hardware-circuit for connecting with the touchscreen. A mobile interface simulation system with touchscreen for cooperative prototyping at the site of the users was carried out in PowerPoint® from Microsoft, and was processed during 14 iterative loops of a human centered design circle. Each redesign-loop not only included improvements according to user-critics but also expanded the possibilities for adjustment and configuration. In the end 63 parameters could be operated and the simulation could display 126 system states. The fifteenth interface-solution integrated most of the wishes, satisfying users and industrial partner and therefore resulting in an innovative interface-approach not used in operation theatres so far.

Discussion: This work presented an interface for the complex task of anaesthesia between patient and respirator, which is characterised by a concept using touchscreen and turn-and-push-knob without further push buttons. The structure and the design of the display were oriented via interviews and cooperative prototyping towards users´ needs for information and parameter setting. Users in several systems were intensively watched during their work and integrated in the project long before design attempts were made, in which users were asked to participate right from the beginning. Interview results show a strong adaptation to the respirator type used in daily work. Investigating users´ needs may seem to bring inconsistent results, a difficult basis to develop new design. Nonetheless this method proves helpful by showing sensible areas where to spend more attention to. The benefit lies within a learning process, possibly subconscious and inconcrete, but necessary for understanding the system. Due to this benefit, solutions for most of the contradictory wishes could be found during cooperative prototyping with the interface simulation. The proposed design focuses on optimising and structuring existing solutions. Although redesign-loops showed that users are open for new solutions, complete innovations leaving the habitual basis behind them need testing via simulator for enabling users to comment - as with the resulting machine the staff has to guarantee the safety of patients under difficult circumstances.

Practical relevance

A more compact interface and a more direct way of interaction could be established. To enable transfer to similar projects the application of specific methods for investigating users´ needs and for planning and designing cooperatively is described. In addition concrete recommendations for structuring of the interface are given to support development and optimization projects for systemic and user-friendly design of medical devices.

 


Vol. 4 - 2004

 

Seated occupant apparent mass in automotive posture – examination with groups of subjects characterised by a representative distribution of body mass and body height (Vol. 4 – 2004)

Authors: Barbara Hinz, Helmut Seidel, Gerhard Menzel, Lutz Gericke, Ralph  Blüthner & Jürgen Keitel

Keywords: · car seats · apparent mass · models · gender · anthropometry · biodynamic

SUMMARY

Biodynamic characteristics of sitting human beings have been repeatedly published as functions of mechanical impedance, apparent mass or transmissibility to body parts (Fairly and Griffin 1989; Holmlund et al. 2000; Boileau et al. 1998; Toward 2002; Hinz et al. 2001). The existing knowledge was summarised in ISO 5982 (2001) and DIN 45676 (2003) in order to provide guidance for the modelling of biodynamic characteristics. However, both standards clearly state that they cannot be applied to exposure conditions and postures met in passenger cars, because of an insufficient data base. Since the publication of ISO 5982 (2001), only one paper on biodynamics related to passenger car seats was found (Rakheja et al. 2002). Rakheja et al. (2002) recommend a separate consideration of these exposure conditions. This experimental study aimed at the acquisition of a database for representative (with respect to body mass) groups of females and males. The effect of other factors like gender, individual angles between body parts and anthropometric parameters should be examined.

23 males (body mass (Kpm) ranging from 58.2 to 106 kg, body height (Kph) from 160.0 cm to 186.9 cm) and 22 females (Kpm 51.5 kg – 84.1 kg, Kph 154.0 – 175.0 cm) volunteered for the experiments. 22 anthropometric measures were obtained with either sitting or standing postures. During the vibration exposure, subjects were sitting on an anatomically shaped hard wooden seat coated with a thin layer of felt. The angle of the seat surface vs. the horizontal was 16 degrees; the backrest of a commercial car seat was mounted independently of the seat surface with an angle of about 90 degrees vs. the latter (Figure 1). The subjects sat in a relaxed and subjectively comfortable posture with both hands placed on the thighs near the knee joints (cf. Figure 1, ISO 7096, 2000) and leaning back against the backrest. The feet rested on a support inclined 45 degrees vs. the horizontal. The distance between this support and the seat was individually adjusted.

Three exposure conditions of random vertical whole-body vibration (frequency range 1 – 35 Hz, duration 130 seconds) were tested: E1 - a nearly flat spectrum with awz = 0.3 ms-2 (ISO 2631, 1997), E2 and E3 – exposures with a spectrum measured under field conditions in a car with awz = 0.7 and 1.4 ms-2, respectively (Figure 2). All subjects were exposed twice to each condition, produced by an electro-hydraulic vibrator (”Hydropuls“, Fa. Schenck) modified for human experiments observing ISO 13090-1 (1998). Accelerations were measured at the seat base (vertical acceleration) and at the seat surface and backrest (z- and x-axes). The resultant vertical force at the interface between the test subject and the seat (FZ) was measured with three load cells. The apparent mass (AM) was calculated using a MATLAB-routine (Menzel 2004). Motions of 7 selected points of the human body were measured by a motion analysis system (MacReflex), enabling the off-line calculation of angles between body parts (Figure 1). SPSS PC was used for the statistical evaluation (analyses of variance, t-tests, regression analyses).

The maximum magnitudes of the AM were between 65 and 105 kg at the frequency range from 4.5 to 6 Hz. With females, they were smaller and occurred at lower frequencies. An increase of the vibration intensity was associated with a shift of the maximum magnitudes towards lower frequencies. Regression equations for the prediction of the maximum magnitude and its frequency were determined (Table 4). The results indicate a general non-linearity of biodynamics with some specific differences between the groups of subjects representing the 5th and 95th percentiles of body mass. These differences were frequency-dependent (Figure 8 top and middle). Qualitatively similar differences of the non-linear responses were observed between males and females (Figure 8, bottom).

Significant differences were found between males and females for the maximum magnitudes and their frequencies, even after normalisation of the AM with individual values of the body mass supported by the seat (Figure 7, middle, bottom). With females, the maximum magnitudes occurred at lower frequencies, contrary to the general tendency of increasing frequencies with decreasing body mass. Possible causes could be gender-specific differences of anthropometric measures and the resulting conditions of contact with the seat, possibly causing a lower stiffness with females. Among female subjects significantly larger values were observed for the distance between ischial tuberosities, the maximum hip breadth in sitting posture and the area of contact with the seat, whereas the maximum pressure exerted on the seat was smaller.

According to standards describing the application of the apparent mass (ISO 5982, 2001; DIN 45676, 2003), the mean values of the magnitude and phase of the apparent mass should be considered as target values for models reflecting the biodynamic characteristics of sitting humans. The data of this study speak in favour of separate target values for males and females in case of passenger car seats. The strong correlation of the apparent mass with the body mass suggests also separate presentations of apparent mass curves according to body mass. Unlike the present standards, more attention should be paid to the non-linearity of the apparent mass observed depending on the intensity. The consideration of this non-linearity is a prerequisite of an improved reflection of human biodynamics by physical and/or mathematical models. Another recommendation concerns the future design of physical models that could take into account gender-related differences of the contact conditions with the seat and backrest.

Practical relevance

The seat design is a crucial point for the ergonomic design of car workplaces. Fundamental knowledge of the apparent mass considering the exposure and posture typical for car seats can contribute to an upgrade path of the existing national and international Standards. These Standards can be the basis for a qualification of dummies and mathematical models.

 


Domestic activities an ergonomical study of working time, activity profiles and working load in private homes (Vol. 4 – 2004)

Authors: Pia Neumann & Günter Eissing

Keywords: · Household · Load · Timebudget · Activities

SUMMARY

Housework is often small estimated in the public. This estimation is to be examined by the results in the presented study of the stress and strain by the work situation in private homes.

The determined data in this investigation represent further a completion to the data of the time budget study published of the statistic federal office 1991/1992. This supplies data about the working time done by individual members of a private home. Just a view of the time volume permits no evaluation of the intensity and load of this activities, particularly regarding the muscular, mental and emotional stress. But this database is necessary for an ergonomically and socially appropriate evaluation of the housework.

Beyond that, also the effect of a half time job combined with the work at home can be judged.

An ergonomical investigation was carried out to get the data of altogether 30 private homes. The selection of these households took place on the basis of to a large extent constant and some variable characteristics. An analysis of the working process (collection of the exercised activities, the activity element as well as the body position) with simultaneous measurement of the heart rate was accomplished as well as a data determination by means of questionnaires.

A normal working day exhibited a duration of more than 12 - 14 hours in the examined private homes. The total time is divided on the individual activities. In comparison to the results of the time budget study of the statistic federal office the time distribution shows an agreement in some points. Some deviations result from the different study designs.

There are systematic differences in comparison of the private homes of non-employed persons with half time employed persons. In the households with non-employed persons the activities ”care and support“ as well as ”boarding“ take the largest allocated time. Compared to them in private homes with half-day employed persons, the time extend for ”care and support“ takes the largest part, while the expenditure of time for ”boarding“ is nearly reduced to the half of time. The kinds of activity, which possess a greater importance from the temporal extent, are usually reduced by half in the households with half time employed persons opposite the households with non-employed persons. This signifies that the half day employed persons concentrate in the timing for ”care and support of the children“ and organize the other tasks of the private home in a suitable way , in order to be able to manage their employment. Solutions are for e.g. the catering apart from home or a stronger use of convenience food.

Activity elements, which have a small work energy expenditure like ‘light manual work’ and ‘work with one arm’ (less than 5 kJ/min) or do not have a additional energy expenditure (no muscle work), are implemented up to 72 % during the complete daily homework. The half day employed persons exercise such activities even to 82 % of the housework time. The remaining time is spent on the work with ‘one hand’, which exhibits a higher stress, and on the other hand more mental or emotional stress. The housework does not only contain muscular work, on which the quoted investigations were limited; rather by the changes in the household an intensified meaning will come on the emotional and mental load. This is shown by the data of this study: The housewives are mentally 7 % and 5 % emotional stressed on the average of the whole working day.

The structure of the activities is shaped by the fact that as body position ”standing“ appears by the non employed to 46 % and by the half time working persons to 43 %, ”Sitting“ appears to 30 % and to 29 %.

A mean work energy expenditure of 5,9 kJ / min is show for all 30 persons. The middle work pulse rate is about 24,7 1/min. The differences between the types of households are only slight.

The last available investigations of Diebschlag (1984) and Grandjean (1973) of a comparable type of household (4 –persons household) proved a clearly higher energy expenditure. A comparable work energy expenditure of 6,5 kJ/min is proven only for Sunday; for days with other activity structure those are appropriate higher. According to this higher work pulse rate, between 35 and 61 1/min, are reached. These results can be interpreted in the way that the physical load and stress became smaller by the mechanisation of the households and a changed organisational structure in the last decades (see Doerr 1996).

This results constitutes a database for more analyses of stress and strain for activities in households to correct the value of house working in the public.

Practical relevance

The stress and strain of domestic activities aren’t proofed ergonomical for about 20. The current results show clear differences in the comparison with the past studies.

 


Computer-Assisted Ambulatory Monitoring of Cognitive Performance and Adrenaline Secretion of Judges on Working Days with Different Job Demands (Vol. 4 – 2004)

Authors: Lothar Buse, Ralf Wegner, Frauke Koops, Xaver Baur

Keywords: · adrenaline excretion · computer-assisted ambulatory monitoring · cognitive performance · emotional workload · mental workload · judges · time of day

SUMMARY

Little is known about judges, their mental workload, emotional strain and occupational stress. Nor have the effects of work-related stress on cognitive performance and emotional states been examined sufficiently. Job analysis reveals that most stressful aspects of being a judge are related to concerns about personal effectiveness, stubborn litigants, and being confronted with human suffering. In this study two different activities with different job demands were compared, both prototypical for the work of judges: studying files at the office while preparing a court hearing, and leading a hearing in the courtroom. We suppose that studying files requires a higher degree of mental workload (alertness, sustained attention, and logical reasoning), whereas emotional stress prevails in the courtroom (due to its public nature, the burden of decision making, etc.). That is why we assume that both activities differ with respect to mental workload as well as emotional strain.

Hypothesis. A higher degree of mental workload is detrimental to cognitive performance, whereas biochemical stress indicators are elevated when emotional strain is high.

Method. A portable behaviour test device, that was especially developed for computer-assisted ambulatory behaviour assessment in everyday situations, was employed to measure cognitive performance. (Size: 17.5 x 8.3 x 3 cm. Weight: 470 g. Display: 6 x 4 cm active LCD surface, 128 x 64 pixel with full graphics. Keyboard: 0-9; 4 arrow keys; specially marked home key.) In a time-sampling approach several performance tests were presented successively to measure alertness, work speed, short-term memory, and psychomotor skill. Six tests in total were administered in this study, each taking a maximum time of about two minutes. More specifically, these tests were: Alertness (measuring simple reaction times); Continuous Performance (reaction times after a sequence of three odd or three even numbers was shown successively); Go/No-Go (reaction times in a dual choice reaction paradigm); d2 (number correct in a letter cancellation task); Sternberg Memory Search (response times in recognizing probe letters from a memory set shown before); Unstable Tracking (measuring one’s skill to keep a horizontal band stretching with increasing speed to the right or left side of the display near a centre line by using the arrow keys). As biochemical marker adrenaline excretions was ascertained from collected urine.

Design. 27 judges (24 males, 3 females) aged 35 to 64 years were examined each of them volunteering after they had participated in a questionnaire study conducted by the second author as part of a much larger sample. Every subject was examined individually on two consecutive days, a court day and a day at the office, according to a balanced cross-over design. Spread over the working day with an interval of about two hours on average, the tests were administered by a collaborator who was present throughout the day. Five test sessions per day took place. The two experimental days were preceded by a five-day practice period, in which the judges (after a thorough instruction on how to use the testing device) had the opportunity to get used to the tests. The practice sessions took place at home or at the office while being alone (in analysing the data, a practice effect was removed statistically from the individual time series of test data by employing a curve fitting approach). The biochemical data were collected shortly before work was finished.

Compliance. About ten practice sessions took place on average. On the two experimental days the percentage of sessions observed was 94 %. The mean testing time took about 10 minutes.

Sensitivity. Split-half correlations served as a measure of how reliable within-subjects variations could be assessed (after mean differences due to practice and between–subjects variations had been removed). Upgraded to full test length according to the Spearman-Brown formula, the coefficients amounted to 0.60 on average (range: 0.47-0.69).

Results. With respect to some of the biochemical indicators the mean difference between court and office days proved to be highly significant. Adrenaline excretion was higher on court days by 75 %. As to cognitive performance, no systematic differences were obtained. A significant difference did result in the d2-Cancellation Test (with performance better on office days), but this effect was confined to only one of the six tests employed. Moreover, interpretation is hindered by several significant interaction terms (between experimental day, time of day, and sequence of days), which showed up in the MANOVA.

Discussion. The higher level of adrenaline excretion is in agreement with other studies, which show that adrenaline is indicative of emotional stress. On the other hand, cognitive performance was not changed by different job demands. At least no systematic effects were obtained. It is possible that the differences in mental workload were too small to alter cognitive performance.

Practical relevance

A method for assessing cognitive performance in everyday situations is described. It is shown that psychometric tests of cognitive performance can be administered in real work situations outside a psychological test lab with sensitivity to change and reliability both being satisfactorily high.

 


Assessment of learn-promoting job design for customer-consultants in a call center (Vol. 4 – 2004)

Authors: Falk Richter & Andreas Pohlandt

Keywords: · call center · competence development · learn-promoting job design

SUMMARY

Call centers are established with the objective of rationalizing, improving and enlarging customer contacts by using new information and communication technologies. From the sight of enterprises call centers are seen as a mean of rationalization and reorganization of activities in sales and marketing. From public sight call centers also are raising hope concerning new jobs especially within structurally lagging regions. Nevertheless unions, occupational psychologists as well as experts of safety at work also refer to the risks resulting from lower qualification demands, high-straining job conditions etc. in call centers (CCall Projektteam 2001).

Present study is especially to be seen as a multi-method approach. First assessments of the working situation by ergonomical experts were conducted to derive concret deficits concerning a learning-promoting job-design. Second results of a comparison between customer-consultant from a specific call center and sales people from other enterprises selling products and consulting customers within face-to-face settings are presented. This comparison is related to learn-promoting characteristics of working situations and aspects of job-related motivation. Job-related motivation is to be seen as a pre-condition for development of knowledge and skills via learning at work.

The call center examined in this study is situated in the field of telecommunication. Indepentent from affiliation to a branch the job of call center agents is strongly related to the development in this field. So on the one hand technical innovations as well as changes in the market causes high demands to acquire new information very quickly. Additionally demands related to social and personal competences are growing because of increasing competition and customer orientation. On the other hand rationalization processes lead to lean organizations without buffers especially in the sense of time for learning. Enterprises increasingly expect employees acquiring this information self-organized and casually by using e-mail, intranet, CD-ROM etc. In this way employees are provided with material for learning but don’t have time to acquire knowledge or to generate new solutions for problems.

Available studies impressively document the relation between learn- and personality-promoting job design and competence-related characteristics of persons (cf. Bergmann 2000, pp. 26ff; Baitsch 1998, p. 305). Features such as decision latitude, job scope, skill variety, transparency, scope for development etc. are admittedly aspects of a learn-promoting job design (Baitsch 1998; Bergmann 2000; Hacker 1998).

The objective of present study is a survey of aspects of learn-promoting job design and job-related motivation in a specific call center. The customer consultants in this call center especially are confronted with a great variety concerning type of call and number of different products and services. The agents are essentially requested to convince customers of buying products. At the time of the investigation only inbound calls were answered. The customer consultants of this call center were compared with workers from fields with presumably high demands and a good job design – sales people from a bank and from two insurance companies.

The call center agents give lower estimations of job scope and decision latitude than the other groups. There are no differences related to skill variety and transparency. The call center agents also experience a lower number of concret measures of competence development especially in sense of further training and possibilities for cooperative learning. The call center agents also show lower requests for a learn-promoting job design and lower estimations of job involvement and job satisfaction. In this way the working situation of these call center customer consultants shows a lower level of learn-promoting job design that also results in lower levels of job-related motivation. On the other hand the variety of calls to answer combined with the number of products and the request of convincing customers of buying products and services causes similar levels of skill variety.

As concret deficits it can be marked that the customer consultants arriving at work are expected to login into the system immediately for getting new calls. There is no special time reserved only for learning. Customer consultants that are logged out too long are asked by their team leaders. On the other hand every day new information about products and services provided by e-mail and intranet is to acquire and to realize just in time. Customer consultants are expected to acquire this information casually.

Practical relevance

Present study refers to concret deficits regarding to learn-promoting job design within a specific call center. The results show that single enterprises don’t match with schemes or typologies to describe a certain field of investigation and sophisticated analyses are necessary to derive concret measures of redesign. As one result of this study an integrated learning and working space as a concret measure for supporting the development of competence of the customer consultants of this call center was designed and firstly established on a trial basis.