Resilience Ex Machina: Learning a Complex Medical Device for Haemodialysis Self-Treatment

摘要

Resilience, the ability to bounce back or manage sufficiently despite ongoing adversity, has received considerable interest from several domains over the last two decades. A concept that is easily and widely applicable, it has evolved a variety of nuanced interpretations. Recent work in the systems theory and resilience engineering domains has moved towards some sharper definitions. This paper discusses and develops these definitions, and by contrasting with robustness, applies them as an approach for HCI evaluation. Observational data from a hospital training environment is used to examine how patients learn to operate home haemodialysis devices, and how patients' safety is managed and maintained. This paper concludes that to improve recovery of adverse situations within the home, there is a necessity for design to support the acquirement of resilient reaction as a skill, in hand with temporal management. These ideas are developed in conjunction with the consideration of how technology can support, or nudge, the expression of resilient behaviours.