Lived Experience of Predictive Dashboard Use in Clinical Decision-Making by Healthcare Professionals
Main Article Content
Abstract
The growing integration of predictive analytics into healthcare systems has transformed clinical decision-making and introduced new dynamics in human-technology interaction. Despite advancements in system design, limited attention has been given to how healthcare professionals subjectively experience and interpret predictive dashboards in high-stakes environments. Existing studies often focus on performance metrics and adoption rates, leaving unexplored how these systems influence the clinicians’ emotional, ethical, and cognitive engagement.
This study addresses this gap by asking: How do healthcare professionals experience the use of predictive analytics dashboards in their clinical decision-making processes?
Using an interpretative phenomenological approach (IPA), this study reveals how clinicians perceive, trust, and adapt to algorithmic tools in their routine medical practice.
In-depth, semi-structured interviews were conducted with eight medical professionals (five physicians and three nurses, aged between 29 and 54 years) working in the emergency and intensive care units of a major urban referral hospital in Indonesia. Data were analyzed thematically through multiple interpretative stages.. The findings highlight four core themes: conditional trust in algorithmic outputs, increased cognitive load under time pressure, emotional and ethical tensions in accountability, and challenges in system integration and digital literacy. These results illuminate the multifaceted nature of clinicians’ engagement with predictive dashboards, grounded in lived experience rather than technical functionality.
The study contributes to a deeper understanding of how predictive technologies are internalized and interpreted by clinical users, offering critical insights for designing more human-centered digital health systems and guiding future qualitative inquiries into the experiential dimension of healthcare innovation.
Article Details
Section
This work is licensed under a Creative Commons Attribution 4.0 International License.
References
Anichini, R., Brocco, E., Caravaggi, C. M., Da Ros, R., Giurato, L., Izzo, V., Meloni, M., Uccioli, L., Calenda, P., Federici, G., Ludovico, O., Simonetti, D., & Stoico, V. (2020). Physician experts in diabetes are natural team leaders for managing diabetic patients with foot complications. A position statement from the Italian diabetic foot study group. Nutrition, Metabolism and Cardiovascular Diseases, 30(2), 167–178. Scopus. https://doi.org/10.1016/j.numecd.2019.11.009
Azagba, S., Shan, L., Latham, K., & Qeadan, F. (2020). Trends in cigarette smoking among American Indians and Alaska Natives in the USA: 1992–2015. Cancer Causes and Control, 31(1), 73–82. Scopus. https://doi.org/10.1007/s10552-019-01250-7
Ben Taleb, Z., Laestadius, L. I., Asfar, T., Primack, B. A., & Maziak, W. (2019). #Hookahlife: The Rise of Waterpipe Promotion on Instagram. Health Education and Behavior, 46(1), 106–113. Scopus. https://doi.org/10.1177/1090198118779131
Benarroch-Gampel, J., Pujari, A., Aizpuru, M., Rajani, R. R., Jordan, W. D., & Crawford, R. (2020). Technical success and short-term outcomes after treatment of lower extremity deep vein thrombosis with the ClotTriever system: A preliminary experience. Journal of Vascular Surgery: Venous and Lymphatic Disorders, 8(2), 174–181. Scopus. https://doi.org/10.1016/j.jvsv.2019.10.024
Boutrous, M. L., Alvarez, A. C., Okoye, O. T., Laws, J. C., Jacobs, D. L., & Smeds, M. R. (2019). Stent-Graft Length Is Associated with Decreased Patency in Treatment of Central Venous Stenosis in Hemodialysis Patients. Annals of Vascular Surgery, 59, 225–230. Scopus. https://doi.org/10.1016/j.avsg.2019.01.024
Carreiras, H., & Castro, C. (2012). Qualitative methods in military studies: Research experiences and challenges (hlm. 194). Taylor and Francis; Scopus. https://doi.org/10.4324/9780203099223
Clair, R. P. (2003). Expressions of ethnography: Novel approaches to qualitative methods (hlm. 303). State University of New York Press; Scopus. https://www.scopus.com/inward/record.uri?eid=2-s2.0-84896556900&partnerID=40&md5=d14cc6ba1608309f0398c418b0c86e4b
Corsi-Zuelli, F., Marques, L., da Roza, D. L., Loureiro, C. M., Shuhama, R., Di Forti, M. D., Menezes, P. R., Louzada-Junior, P., & Del-Ben, C. M. (2022). The independent and combined effects of cannabis use and systemic inflammation during the early stages of psychosis: Exploring the two-hit hypothesis. Psychological Medicine, 52(16), 3874–3884. Scopus. https://doi.org/10.1017/S0033291721000726
Corsi-Zuelli, F., Schneider, A. H., Santos-Silva, T., Loureiro, C. M., Shuhama, R., Menezes, P. R., Guimarães, F. S., Gomes, F. V., Cunha, F. Q., Louzada-Junior, P., & Del-Ben, C. M. (2022). Increased blood neutrophil extracellular traps (NETs) associated with early life stress: Translational findings in recent-onset schizophrenia and rodent model. Translational Psychiatry, 12(1). Scopus. https://doi.org/10.1038/s41398-022-02291-4
Daly, K. J. (2007). Qualitative methods for family studies & human development (hlm. 293). SAGE Publications Inc.; Scopus. https://doi.org/10.4135/9781452224800
Daniels, T. E., Mathis, K. J., Gobin, A. P., Lewis-de los Angeles, W. W., Smith, E. M., Chanthrakumar, P., de la Monte, S., & Tyrka, A. R. (2023). Associations of early life stress with leptin and ghrelin in healthy young adults. Psychoneuroendocrinology, 149. Scopus. https://doi.org/10.1016/j.psyneuen.2022.106007
Deleemans, J. M., Zwicker, H. M., Reynolds, K. A., & Schulte, F. S. M. (2021). Associations among Health Behaviors and Psychosocial Outcomes in Adolescent and Young Adult Cancer Survivors. Journal of Adolescent and Young Adult Oncology, 10(6), 675–681. Scopus. https://doi.org/10.1089/jayao.2020.0224
Fenton, N. E., & Baxter, J. (2016). Practicing Qualitative Methods in Health Geographies (hlm. 266). Taylor and Francis; Scopus. https://doi.org/10.4324/9781315601946
Galimov, A., Vassey, J., Galstyan, E., Unger, J. B., Kirkpatrick, M. G., & Allem, J.-P. (2022). Ice Flavor-Related Discussions on Twitter: Content Analysis. Journal of Medical Internet Research, 24(11). Scopus. https://doi.org/10.2196/41785
Gravbrot, N., Jahnke, H., White, W. L., & Little, A. S. (2020). Resumption of Positive-Pressure Ventilation Devices for Obstructive Sleep Apnea following Transsphenoidal Surgery: An Institutional Experience of a Surgical Cohort. Journal of Neurological Surgery, Part B: Skull Base, 81(3), 237–243. Scopus. https://doi.org/10.1055/s-0039-1688795
Gray, K. E., Hoerster, K. D., Taylor, L., Krieger, J., & Nelson, K. M. (2021). Improvements in physical activity and some dietary behaviors in a community health worker-led diabetes self-management intervention for adults with low incomes: Results from a randomized controlled trial. Translational Behavioral Medicine, 11(12), 2144–2154. Scopus. https://doi.org/10.1093/tbm/ibab113
Hatsukami, D. K., & Carroll, D. M. (2020). Tobacco harm reduction: Past history, current controversies and a proposed approach for the future. Preventive Medicine, 140. Scopus. https://doi.org/10.1016/j.ypmed.2020.106099
Hausleiter, J., Stocker, T. J., Adamo, M., Karam, N., Swaans, M. J., & Praz, F. (2023). Mitral valve transcatheter edge-to-edge repair. EuroIntervention, 18(12), 957–976. Scopus. https://doi.org/10.4244/EIJ-D-22-00725
Hillman, W., & Radel, K. (2018). Qualitative methods in tourism research: Theory and practice (hlm. 294). Channel View Publications; Scopus. https://www.scopus.com/inward/record.uri?eid=2-s2.0-85050434848&partnerID=40&md5=7ea1e3f0b2027993b53f6a795804ee51
Iosifides, T. (2011). Qualitative methods in migration studies: A critical realist perspective (hlm. 266). Ashgate Publishing Ltd; Scopus. https://www.scopus.com/inward/record.uri?eid=2-s2.0-84899389680&partnerID=40&md5=35186fde14469e33457eba07ebfb205a
Iosifides, T. (2016). Qualitative Methods in Migration Studies: A Critical Realist Perspective (hlm. 266). Taylor and Francis; Scopus. https://doi.org/10.4324/9781315603124
Johnson, A., Yang, F., Gollarahalli, S., Banerjee, T., Abrams, D., Jonassaint, J., Jonassaint, C., & Shah, N. (2019). Use of mobile health apps and wearable technology to assess changes and predict pain during treatment of acute pain in sickle cell disease: Feasibility study. JMIR mHealth and uHealth, 7(12). Scopus. https://doi.org/10.2196/13671
Kalhan, T. A., Un Lam, C., Karunakaran, B., Chay, P. L., Chng, C. K., Nair, R., Lee, Y. S., Fong, M. C. F., Chong, Y. S., Kwek, K., Saw, S. M., Shek, L., Yap, F., Tan, K. H., Godfrey, K. M., Huang, J., & Hsu, C.-Y. S. (2020). Caries Risk Prediction Models in a Medical Health Care Setting. Journal of Dental Research, 99(7), 787–796. Scopus. https://doi.org/10.1177/0022034520913476
Langley, T., Bell-Williams, R., Pattinson, J., Britton, J., & Bains, M. (2019). ‘I felt welcomed in like they’re a little family in there, i felt like i was joining a team or something’: Vape shop customers’ experiences of E-cigarette use, vape shops and the vaping community. International Journal of Environmental Research and Public Health, 16(13). Scopus. https://doi.org/10.3390/ijerph16132341
Liese, B. S., & Monley, C. M. (2021). Providing addiction services during a pandemic: Lessons learned from COVID-19. Journal of Substance Abuse Treatment, 120. Scopus. https://doi.org/10.1016/j.jsat.2020.108156
Longhofer, J., Floersch, J., & Hoy, J. (2012). Qualitative Methods for Practice Research (hlm. 224). Oxford University Press; Scopus. https://doi.org/10.1093/acprof:oso/9780195398472.001.0001
Martinasek, M. P., Wheldon, C. W., Parsons, C. A., Bell, L. A., & Lipski, B. K. (2021). Understanding Adverse Childhood Experiences as Predictors of Cigarette and E-Cigarette Use. American Journal of Preventive Medicine, 60(6), 737–746. Scopus. https://doi.org/10.1016/j.amepre.2021.01.004
Migdal, A. B. (2018). Qualitative Methods in Quantum Theory (hlm. 460). CRC Press; Scopus. https://doi.org/10.1201/9780429497940
Murphy, E., & Dingwall, R. (2017). Qualitative methods and health policy research (hlm. 230). Taylor and Francis; Scopus. https://doi.org/10.4324/9781315127873
Nawi, A. M., Ismail, R., Ibrahim, F., Hassan, M. R., Manaf, M. R. A., Amit, N., Ibrahim, N., & Shafurdin, N. S. (2021). Risk and protective factors of drug abuse among adolescents: A systematic review. BMC Public Health, 21(1). Scopus. https://doi.org/10.1186/s12889-021-11906-2
Pentz, M. A., Hieftje, K. D., Pendergrass, T. M., Brito, S. A., Liu, M., Arora, T., Tindle, H. A., Krishnan-Sarin, S., & Fiellin, L. E. (2019). A videogame intervention for tobacco product use prevention in adolescents. Addictive Behaviors, 91, 188–192. Scopus. https://doi.org/10.1016/j.addbeh.2018.11.016
Petkovic, J., Duench, S., Trawin, J., Dewidar, O., Pardo Pardo, J., Simeon, R., DesMeules, M., Gagnon, D., Hatcher Roberts, J., Hossain, A., Pottie, K., Rader, T., Tugwell, P., Yoganathan, M., Presseau, J., & Welch, V. (2021). Behavioural interventions delivered through interactive social media for health behaviour change, health outcomes, and health equity in the adult population. Cochrane Database of Systematic Reviews, 2021(5). Scopus. https://doi.org/10.1002/14651858.CD012932.pub2
Rizvi, S. M. H., Schopf, T., Sangha, A., Ulvin, K., & Gjersvik, P. (2020). Teledermatology in Norway using a mobile phone app. PLoS ONE, 15(4). Scopus. https://doi.org/10.1371/journal.pone.0232131
Shin, S. H. (2021). Preventing E-cigarette use among high-risk adolescents: A trauma-informed prevention approach. Addictive Behaviors, 115. Scopus. https://doi.org/10.1016/j.addbeh.2020.106795
Sivanesan, E., Bicket, M. C., & Cohen, S. P. (2019). Retrospective analysis of complications associated with dorsal root ganglion stimulation for pain relief in the FDA MAUDE database. Regional Anesthesia and Pain Medicine, 44(1), 100–106. Scopus. https://doi.org/10.1136/rapm-2018-000007
Srivastava, K., Bozic, K. J., Silverton, C., Nelson, A. J., Makhni, E. C., & Davis, J. J. (2019). Reconsidering Strategies for Managing Chronic Periprosthetic Joint Infection in Total Knee Arthroplasty: Using Decision Analytics to Find the Optimal Strategy between One-Stage and Two-Stage Total Knee Revision. Journal of Bone and Joint Surgery - American Volume, 101(1), 14–24. Scopus. https://doi.org/10.2106/JBJS.17.00874
Strong, D. R., Pierce, J. P., Pulvers, K., Stone, M. D., Villaseñor, A., Pu, M., Dimofte, C. V., Leas, E. C., Oratowski, J., Brighton, E., Hurst, S., Kealey, S., Chen, R., & Messer, K. (2021). Effect of Graphic Warning Labels on Cigarette Packs on US Smokers’ Cognitions and Smoking Behavior after 3 Months: A Randomized Clinical Trial. JAMA Network Open, 4(8). Scopus. https://doi.org/10.1001/jamanetworkopen.2021.21387
Vieira, I. S., Pedrotti Moreira, F., Mondin, T. C., Cardoso, T. D. A., Branco, J. C., Kapczinski, F., Jansen, K., Souza, L. D. D. M., & da Silva, R. A. (2020). Resilience as a mediator factor in the relationship between childhood trauma and mood disorder: A community sample of young adults. Journal of Affective Disorders, 274, 48–53. Scopus. https://doi.org/10.1016/j.jad.2020.04.011
Woods, L. S., Duff, J., Roehrer, E., Walker, K., & Cummings, E. (2019). Patients’ experiences of using a consumer mHealth app for self-management of heart failure: Mixed-methods study. JMIR Human Factors, 6(2). Scopus. https://doi.org/10.2196/13009
Zong, P., Hu, W., Huang, Y., An, H., Zhang, Q., Chai, Z., Lei, Y. K., Wang, J., Li, D., & Cai, W. (2023). Effects of adding cocoa fermentation medium on cigar leaves in agricultural fermentation stage. Frontiers in Bioengineering and Biotechnology, 11. Scopus. https://doi.org/10.3389/fbioe.2023.1251413