18 September 2012

Experientia researcher speaking at Harvard’s Medicine 2.0 conference

Be the first to share

Experientia researcher Anna Wojnarowska spoke this Sunday at the Medicine 2.0 conference in Boston on her research on the influence of the hospital environment, communication devices – laptops, mobile phones – and the technologies involved in the curing process such as drips and cardiac devices – on patients’ experiences of hospitalization.

The yearly conference, which had over 500 attendees, focuses on social media, mobile apps, and internet/web 2.0 in health, medicine and biomedical research.

Anna’s talk, entitled Body Wholeness and Technological Struggles: How Patients and Staff Cope with the Reality of the Hospital, presented an ethnographic study of a cardiology institute in Warsaw with a focus on the way the digital technologies influence the dynamics between the doctors and patients

Background:
What interested me the most in the specificity of the hospital environment was the potential influence of digital technologies – such as mobile phones and laptops – on the dynamics between patients and doctors, mediated through medical treatment. I wanted to find out what role digital communication devices play in the balance of authority between doctors and patients and how using these tools expresses the personal needs of patients.

Objective:
My research examines the influence of the hospital environment, communication devices – laptops, mobile phones – and the technologies involved in the curing process such as drips and cardiac devices – on patients’ experiences of hospitalization.

Methods:
I conducted ethnographic research in a cardiological institute in Poland. Having negotiated access as an “ethnographic intern” to one of the clinics, I participated in the life of the hospital to the extent available to an outside observer, for a period of three weeks. I conducted interviews with eleven patients, two family members, seven members of the medical staff – doctors and nurses – and three members of the hospital’s administrative staff. Further, I engaged in extensive observation of the hospital environment.

Results:
All of the patients whom I met during the research period were extensive users of mobile phones, but they were rarely equipped with their own laptops. Patients treated technology as an important conveyor of their private realities, lives that they did not necessarily want to include in their hospital routine. Patients approached hospitalization as a temporary period, which they did not want to integrate with their everyday lives. They protected their bodily integrity by negating their dependence on medical and communicational devices, not wishing to be perceived as ‘cyborgs’ (Haraway 1985) or ‘techno-social beings’ (Latour 1993). In order to separate themselves from their roles as ‘patients’, they exerted their agency on those technological aspects of the hospital reality, which were within their reach, such as medical screens and drips. Even though the doctors were very eager to share stories of how patients undermined their medical authority by browsing the internet, the patients themselves claimed that they do it only for their own sake, without wanting to disobey their doctors. The complexity of the treatments conducted in the clinic increased patients’ trust in the medical profession and decreased their motivation to look for alternative information online. Nonetheless, online sources do play an important role during the curing process, as an effective source of emotional support and personal comfort.

Conclusions:
The hospital is an area where patients construct their personhoods in reference to the surrounding environment and where they foster their identities. Digital technologies became deeply embedded in the process of maintaining bodily integrity and tackling a new – and yet temporary – hospitalized reality. What requires attention is the potential of technology in creating bonds among the patients themselves as well as supporting their daily routine in the hospital, far different from the ‘ordinary’ one. The influence of technology on the balance of authority seems a secondary issue, as patients who come equipped with an extensive knowledge of their condition seem able to effectively distinguish trustworthy online sources (such as encyclopedias, dictionaries, online medical journals) from the unreliable ones (online forums) and have no intention to carelessly undermine doctors’ diagnoses and opinions.

In the next post, Anna writes about her experience of the conference.

Be the first to share
28 March 2015
More from Gov.uk on the role of ethnography and prototyping in policymaking
Two inspiring posts by Dr. Lucy Kimbell, a visiting Arts and Humanities Research Council (AHRC) Fellow at the UK-based Policy Lab, an experimental policy innovation center within the Open Policy Making team of the UK …
27 March 2015
Sharp methodological critiques on current Big Data practices
Two methodological critiques on Big Data that caught our attention: In the Financial Times, economist and journalist Tim Harford points out that sampling bias and statistical errors are, if anything, magnified in Big Data research, …
26 March 2015
Gov.uk’s open policy making toolkit – practical guidance on ethnography and more
The Gov.uk open policy making toolkit is a practical guide to techniques that can help you make better policy. The toolkit, which brings together the latest techniques to improve making and delivering policy, is based on …
26 March 2015
Sensemaking in organizations: Reflections on Karl Weick and social theory
Over the past couple of decades, a small number of psychologists, communication theorists, and organizational scientists have articulated ideas of sensemaking into theories, frames, and methods that we can and probably should incorporate into our …
26 March 2015
How would drivers’ habits change in self-driving cars?
University of North Texas students, guided by Professor Christina Wasson and highly acclaimed corporate anthropologist Dr. Brigitte Jordan of Nissan's Research Center in Silicon Valley to find out how people use their cars. The project entitled …
24 March 2015
Ethnographic research drives IKEA’s global success
In a long Fortune Magazine article on IKEA's successful global expansion, author Beth Kowitt devotes quite a few paragraphs to the importance of qualitative, ethnographic research: "Today research is at the heart of Ikea’s expansion. “The …
23 March 2015
Doctors are now inviting patients to help design their own medical treatment
In many hospitals and clinics around the [USA], oncologists and surgeons simply tell cancer patients what treatments they should have, or at least give them strong recommendations. But [at UC San Francisco], under a formal …
23 March 2015
Measuring experience
Over the summer of 2014, Northstar, in collaboration with the London School of Economics, conducted an ethnographic study at the Royal Academy of Arts, exploring the Summer Exhibition audience and their motivations. The study was designed …

We are an international experience design consultancy helping companies and organisations to innovate their products, services and processes by putting people and their experiences first.

16 March 2015
Better Health and Wellbeing: Giving the elderly in Singapore sparkling golden years

Invitation: sharing session, Singapore, 30 March 2015   What are the hopes and fears of the elderly in Singapore? How can designers offer solutions that support the elderly in managing their health and wellness? What can healthcare professionals do to help them keep active? What role can technology play in the elderly’s daily lives? Design consultants […]

1 January 2015
Happy Playful New Year
21 December 2014
Experientia’s Twitter feed live

Experientia has now its own Twitter feed. Four months of Putting People First posts and other links have already been uploaded. If you followed Experientia on Twitter through the feed of its CEO, Mark Vanderbeeken, make sure to now also follow the company (but don’t unfollow Mark, who will keep on tweeting away). And while […]

19 December 2014
Putting People First blog redesigned

Experientia’s Putting People First blog has been redesigned. It is now entirely responsive, allows for easier browsing, searching, and filtering, and features larger images on the posts. The entire history of posts remains accessible as before. We are still tweaking things and welcome any feedback.

27 November 2014
Why the world needs anthropologists – an update

Why the world needs anthropologists – Coming out of the ivory tower Location: Padua, Italy, Centro Culturale Altinate/San Gaetano Date and time: Friday, 5 December 2014, 13:00 – 18:00 Padua, Italy, 5 December 2014 – The second edition of the international symposium of applied anthropologists attempts to erase the boundary between ‘pure’ and ‘applied’ anthropology, […]

30 October 2014
The BancoSmart ATM by Experientia for UniCredit selected for ADI Design Index

Last year Experientia designed the interface of an ATM of UniCredit, a major Italian bank. The interface is now rolled out across the bank’s ATMs in Italy, to great satisfaction of the bank and the customers alike, since interaction speed is much faster and error rates went down dramatically. Last year UniCredit and Experientia also […]

See all articles