Toggle Main Menu Toggle Search

Open Access padlockePrints

An interview analysis of coordination behaviours in Out–of–Hours secondary care

Lookup NU author(s): Dr David GolightlyORCiD



This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND).


This paper seeks to elicit and structure the factors that shape the execution and, in particular, the coordination of work in Out of Hours care. Evenings and weekends in UK hospitals are managed by specific Out of Hours (OoH) care arrangements, and associated technology. Managing care within the constraints of staff availability and demands is a key concern for both patient care and staff wellbeing, yet has received little attention from healthcare human factors. A study of sixteen clinical staff used Critical Decision Method to understand how work is coordinated and the constraints and criteria that are applied by the roles managing OoH care. The analysis identified ten types of coordination decision that, in turn, underpinned three types of adaptive behaviour – pre-emption, information augmentation and self-organisation – that were crucial for the effective performance in OoH care. These behaviours explain how OoH staff manage the task demands placed on them, individually and as a team

Publication metadata

Author(s): Martindale S, Golightly D, Pinchin J, Shaw D, Blakey J, Perez I, Sharples S

Publication type: Article

Publication status: Published

Journal: Applied Ergonomics

Year: 2019

Volume: 81

Print publication date: 01/11/2019

Online publication date: 22/06/2019

Acceptance date: 22/05/2019

Date deposited: 05/07/2019

ISSN (print): 0003-6870

ISSN (electronic): 1872-9126

Publisher: Pergamon Press


DOI: 10.1016/j.apergo.2019.05.011


Altmetrics provided by Altmetric


Funder referenceFunder name