Evaluation of the implementation of digital imaging in an x-ray department, 2001-2003 - After

The digitalisation of the hospital Södersjukhuset in Stockholm caused a coordination of the radiology department of Sachsska children's hospital, the unit for nuclear medicine at the department of Hospital Physics and the Physiological clinic to 'BildDiagnostiskt Centrum' (BDC) in connection to the emergency room. The radiology and picture activities are since the spring of 2002 gathered in new premises. The new department has changed the work organisation and the work spent on computer related work. The working conditions at the radiology department were studied with the aid of questionnaires and observations before and after the reform. The planning and introduction of the reform, the involvement of the employees, the setup of work in the new department and the employees' abilities to affect their work situation were studied at information meetings and at interviews with the staff management and the employees, both in groups and individually. The performed reform has brought many work environmental improvements, both regarding physical developments and mental and psychosocial relations. There was a satisfaction with the new system and the users felt confidant with the techniques. The employees found the work interesting and more stimulating then before and they enjoyed the company of their fellow employees. The work related stress seemed to have been reduced, so had the work load, even though the work load and stress still were demanding. To judge by the interviews, the department still could not use their full capacity at the time of the follow-up in 2003, why the work load might supposedly increased later on. Head ache and ache in the locomotive organs still remarkably comprising. The biggest discontents with the physical work environment were the ventilation and bad light conditions. The lack of daylight was experienced as very disturbing and so was that the work at the work stations was made in relative darkness. Other negative effects of the reform were isolation and the increased feeling of territory-mindedness among the job types.

Purpose:

The aim of the study was to examine how changes associated with the establishment of BildDiagnostiskt Centrum (BDC) affected the staff working conditions.

斯德哥尔摩Södersjukhuset医院的数字化转型项目，推动萨克森儿童医院放射科、医院物理部核医学科室与生理诊所整合至急诊旁的影像诊断中心（BildDiagnostiskt Centrum，BDC）。2002年春季起，放射科及所有影像相关业务迁入全新院区。新科室重构了工作组织架构，并大幅提升了计算机相关工作的占比。

本研究通过问卷调查与现场观察，对改革前后放射科的工作环境展开评估；同时借助信息座谈会、员工管理层与员工的集体及个别访谈，调研改革的规划与落地过程、员工参与度、新科室的工作搭建模式，以及员工对自身工作状况的自主影响力。

本次改革在多方面推动了工作环境优化，涵盖物理环境改善与心理社会层面的关系优化。员工对新系统满意度较高，且对相关技术充满信心；认为工作更具趣味性与挑战性，且乐于与同事协作。工作相关压力与工作量均有所缓解，尽管二者仍处于较高水平。访谈结果显示，2003年随访阶段科室仍未充分发挥产能，推测后续工作量或有所提升。头痛与肌肉骨骼系统疼痛仍较为普遍。员工对物理工作环境的最大不满集中于通风条件与照明状况：自然采光不足被认为极具干扰性，工位区域相对昏暗的照明同样令人不适。改革带来的其他负面影响包括岗位间隔阂感增强，以及不同岗位群体间领地意识的抬头。

研究目的：本研究旨在探究影像诊断中心设立相关的变革，对员工工作环境造成的影响。