Alexa Doig
  • Clinical Nurse Researcher, Huntsman Cancer Hospital
  • Chair, Division of Acute and Chronic Care, College Of Nursing
  • Adjunct Associate Professor, College Of Nursing

Research Statement

My program of research in human factors is centered on studying how nurse cognition affects aspects of nurse performance that are related to patient safety. As a predoctoral fellow, I investigated the cognitive structure of the ICU nurses’ hemodynamic monitoring task and evaluated the effects of a new graphical hemodynamic monitoring display on nurse performance. In subsequent NIH-funded studies I collaborated on simulation-based research studies to evaluate the effects of an online training program in moderate sedation and a newly developed ICU display. I was the Principal Investigator of a study funded by the National Patient Safety Foundation that examined nurse vigilance and decision making during patient monitoring. A subsequent project funded by the Robert Wood Johnson Foundation Nurse Faculty Scholars program examined the effects of work interruptions on novice nurse medication errors. My most recent research in the area of human factors and patient safety involves the development and testing of a novel technology designed to help nurses triage clinical alarms in the hospital environment. Another research interest is the biomechanics associated with fall risk among older adults with physical impairments.  

Research Keywords

  • Human Factors
  • Health Care Quality and Patient Safety
  • Human-Computer Interaction
  • Oncology Nursing

Presentations

  • McFarlane, D. C., Agutter, J. A., Doig, A.K., et al. Defeating Information Overload in Health Surveillance using a Metacognitive Aid Innovation from Military Combat Systems. NATO HFM-254 Symposium on Health Surveillance and Informatics in Missions: Multidisciplinary Approaches and Perspectives. Paris, France. Presentation, Presented, 10/16/2015.
  • Morse, J., Merryweather, A., Godfrey, N. Wong, B., Doig, A. K., Donaldson, G., Bloswick, D. “Ergonomic modeling to identify the safe ingress/egress height of a hospital bed.“ 2014 National State of the Science Congress in Nursing Research, Council for the Advancement of Nursing Science. Conference Paper, Refereed, Presented, 09/2014.
  • Doig, A. K. “The role of human factors and ergonomics in nurse-centric patient safety research.“ 2014 National State of the Science Congress in Nursing Research, Council for the Advancement of Nursing Science. Conference Paper, Refereed, Presented, 09/2014.
  • Doig, A. K. “Novice nurse management of medication administration: a complex task in a complex environment.“ 2014 National State of the Science Congress in Nursing Research, Council for the Advancement of Nursing Science. Conference Paper, Refereed, Presented, 09/2014.
  • Wilson C., Morse J., Godfrey N., Doig A., Christman M., Bloswick D., & Merryweather A. “Patient Mobility in Hospital Beds With and Without Side Rails,” 7th World Congress of Biomechanics. Poster, Presented, 07/2014.
  • Christman, M., Morse, J., Wilson, C., Godfrey, N., Doig, A., Bloswick, D., Merryweather, A., "Kinematic analysis of sit-to-walk movement in a fall-prone population", 7th World Congress of Biomechanics. Poster, Presented, 07/2014.
  • Morse, J.M., Merryweather, A., Wilson, C., Godfrey, N., Doig, A., Bloswick, D. “Integrated qualitatively–driven (QUAL-QUAN) mixed methods designs”. Mixed Methods International Research Association. Conference Paper, Refereed, Presented, 06/2014.
  • Godfrey, N., Morise, J. Bloswick, D., Doig, A., Christman, M., Wilson, C., Merryweather, A., “Hospital Bed Height as a Contributing Factor to Patient Safety”, 17th Annual Applied Ergonomics. Poster, Presented, 03/2014.
  • Godfrey, N., Morise, J. Bloswick, D., Doig, A., Christman, M., Wilson, C., Merryweather, A., “Biomechanics of fall prone subjects during the hospital bed exit task”, 28th Annual Update in Physical Medicine and Rehabilitation. Poster, Presented, 01/2014.
  • DeLucia, P. R., Doig, A., Drews, F., Durso, F. T., Miller, A. “ Symposium: How can we bring the benefits of HF/E to nursing?” Human Factors and Ergonomics Society Annual Meeting. Panel, Presented, 10/2013.
  • Doig, A., Merryweather, A., Morse, J., Bloswick, D. “Challenges of Biomechanical Data Capture in an Anthropometrically Diverse Geriatric Population at Risk for Falls”, Human Factors and Ergonomics Society: 2013 Health Care Symposium. Baltimore, MD. Poster, Accepted, 03/2013.
  • Merryweather, A., Doig, A., Morse, J., Bloswick, D. “Biomechanical Factors Associated with Fall Risk During Hospital Bed Entry and Egress”, Human Factors and Ergonomics Society: 2013 Health Care Symposium. Baltimore, MD. Poster, Accepted, 03/2013.
  • Morse,, J. M., Merryweather, A., Doig, A., Bloswick, D. The Evaluation of Safe Bed Height and Side Rail Use: Phase 1: Development of a Model’, Western Institute of Nursing’s 46th Annual Communicating Nursing Research Conference. Anaheim, CA. Presentation, Presented, 03/2013.
  • Doig, A., Baraki K., Drews, F. A. “Cognitive Factors Associated with Nurses' Successful Detection of Non-Routine Events versus Failure To Rescue”, Human Factors and Ergonomics Society: 2013 Health Care Symposium. Baltimore, MD. Presentation, Presented, 03/2013.
  • Doig, A., Agutter, J., Jackson, A., Hart, S. “Teaching Innovation and Creative Thinking in Nursing”, AACN Baccalaureate Nursing Education Conference. San Antonio, TX. Presentation, Presented, 11/2012.
  • Doig, A., “A University Learning Community for Pre-Nursing Students”, AACN Baccalaureate Nursing Conference. San Antonio, TX. Presentation, Presented, 11/2012.
  • Doig, A., Baraki, K.. “Use of the Situational Awareness Global Assessment Tool (SAGAT) in Clinical Simulation Research”, 11th Annual International Nursing Association for Clinical Simulation and Learning (INACSL) Conference, Austin, TX. Poster, Presented, 06/2012.
  • Baraki, K., Doig, A.. “Development of a Rating Tool to Measure Nurse Performance in Patient Safety Research", 11th Annual International Nursing Association for Clinical Simulation and Learning (INACSL) Conference, Austin, TX. Poster, Presented, 06/2012.
  • Zagorec, T., Smith, M., Doig, A.. The use of self-adherent foam dressings for the prevention of sacral and extremity pressure ulcers.. National Conference on Undergraduate Research, Odgen, UT. Poster, Presented, 04/2012.
  • Ruesch, D., Doig, A. Identifying SBAR Technique during Nurse-Physician Communication Using Simulation. National Conference on Undergraduate Research, Odgen, UT. Poster, Presented, 03/2012.
  • Doig, A. K.. “Surface Anatomy”, Full day, pre-conference session at the National Teaching Institute, American Association of Critical Care Nursing, Chicago, IL. Invited Talk/Keynote, Presented, 05/2010.
  • Canfield, N., Doig, A. K. (2010). Effect of an Integrated Graphical Display on Nurse-Physician Communication. National Conference on Undergraduate Research, Missoula, MT. Presentation, Presented, 04/2010.
  • Vigil, M., Doig, A. K. (2010). Recognition-Primed Decision Making by Experience Oncology Nurses. National Conference on Undergraduate Research, Missoula, MT. Presentation, Presented, 04/2010.
  • Doig, A. K.. “Surface Anatomy”, Full day, pre-conference session at the National Teaching Institute, American Association of Critical Care Nursing, Chicago, IL. Invited Talk/Keynote, Other, 05/15/2009.
  • Doig, A. K.. “Surface Anatomy”, Full day, pre-conference session at the National Teaching Institute, American Association of Critical Care Nursing, New Orleans, LA. Invited Talk/Keynote. Invited Talk/Keynote, Presented, 05/2009.
  • Doig, A. K., Agutter, J. A., Albert, R., Syroid, N., Berhens, M. Intensive care unit domain analysis guides monitoring display design, Western Institute of Nursing, 42nd Annual Communicating Nursing Research Conference, Salt Lake City, UT. Poster, Other, 04/2009.
  • Doig, A. K. (2009). “Improving moderate sedation practice with interactive online nursing education”, Western Institute of Nursing, 42nd Annual Communicating Nursing Research Conference, Salt Lake City, UT. Presentation, Presented, 04/2009.
  • Doig, A. K. (2008). Patterns of error in clinical reasoning. State of the Science Congress. Washington D.C.. Presentation, Presented, 09/2008.
  • Bucio, J. A., Doig, A. K. (2007). Effects of simulator training on the use of a graphical display for hemodynamic monitoring, Evidence-Based Practice in Nursing, University of Utah, Salt Lake City, UT. Presentation, Presented, 05/2007.
  • Bucio, J. A., Doig, A. K. Enhancing decision-making in ICU with a graphical monitoring display, National Conference on Undergraduate Research. Poster, Presented, 04/2007.
  • Agutter, A. J., Albert, R. W., Syroid, N., Doig, A., Johnson, K. B., Westenskow, D. R. Arterial blood gas visualization for critical care clinicians, Society for Technology in Anesthesia. Poster, Presented, 10/2006.
  • Doig, A. K. Evaluation of a graphical cardiovascular display for hemodynamic monitoring, Research Exchange, Western Institute of Nursing 38th Annual Communicating Nursing Research Conference. Poster, Presented, 04/2005.

Grants, Contracts & Research Gifts

  • Contextualized Delivery of Medical Alarms. PI: James Agutter. Office of the Secretary of Defense (OSD), 01/01/2014 - 01/30/2015. Total project budget to date: $600,000.00
  • USING MENTAL REPRESENTATIONS TO DEVELOP SIMULATIONS AND NURSE PERFORMANCE MEASURES FOR USE IN ‘FAILURE TO RESCUE’ RESEARCH . PI: DOIG, ALEXA. College of Nursing Research Grant, 02/15/2009 - 02/14/2010. Total project budget to date: $5,000.00
  • COMMERCIALIZATION OF AN ONLINE TRAINING PROTOCOL FOR MODERATE SEDATION EDUCATION. PI: DOIG, ALEXA. National Institute of General Medical Sciences, 05/01/2007 - 04/30/2008. Total project budget to date: $16,319.00
  • EVALUATION OF A GRAPHICAL DISPLAY FOR HEMODYNAMIC MONITORING. PI: Alexa Doig. Ruth L. Kirschstein Predoctoral NRSA Fellowship (F31 NR008832), National Institute for Nursing Research, 07/01/2004 - 05/01/2006. Total project budget to date: $0.00
  • SIMULATION TRAINING TO REDUCE. PI: DOIG,ALEXA KRISTINE. ROBERT WOOD JOHNSON FOUNDATION, 09/01/2011 - 08/31/2014. Total project budget to date: $349,983.00
  • COGNITIVE DIMENSIONS OF ONCOLOGY NURSING. PI: DOIG,ALEXA KRISTINE. NATIONAL PATIENT SAFETY FOUNDATION, 06/01/2009 - 05/30/2011. Total project budget to date: $99,993.00

Research/Scholarship Projects

  • Survey of Microbiology Education in Nursing. PI: Alexa Doig. Co-PI(s): JoAnn Fenn. 10/2011 - 06/2016.

Languages

  • English, fluent.

Publications

  • Hill, B., Doig, A. K., Bray, B., Kuang, J., Perri, S., Zeng, Q. (2016). Automated Pictograph Illustration of Discharge Instructions with Glyph: Impact on Patient Recall and Satisfaction. J Am Med Inform Assoc, 23(6):1136-1142. Published, 11/23/2016.
  • McFarlane, D. C., Doig, A.K., Agutter, J. A., et al. (2016) Defeating Information Overload in Health Surveillance using a Metacognitive Aid Innovation from Military Combat Systems. Journal of Defense Modeling and Simulation, first published date: September-09-2016. Published, 09/09/2016.
  • Blaz, J., Doig, A., Cloyes, K., Staggers, N. (2016). The Hidden Lives of Nurses’ Cognitive Artifacts. Applied Clinical Informatics, 7:832-849. Published, 09/07/2016.
  • Blaz, J. W., Doig, A. K., Cloyes, K. G., Staggers, N. (2016). Information content across types of Nurse Cognitive Artifacts. Stud Health Technol Inform, 225:641-2. Published, 01/01/2016.
  • Merryweather, A., Morse, J. M., Doig, A. K., Godfrey, N. W., Gervais, P., Bloswick, D. S. (2015). Effects of bed height on the biomechanics of hospital bed entry and egress. WORK: A Journal of Prevention, Assessment, and Prevention, 52(3). Published, 11/10/2015.
  • Christman, M., Morse, J., Wilson, C., Godfrey, N., Doig, A., Bloswick, D., Merryweather, A. (2015). Analysis of the influence of hospital bed height on kinematic parameters associated with patient falls during egress. Proceedings of the 6th International Conference on Applied Human Factors and Ergonomics, Vol. 3, 280-287. Published, 07/13/2015.
  • Morse, J. M., Gervais, P., Pooler, C., Merryweather, A., Doig, A. K., Bloswick, D. (2015). The Safety of Hospital Beds: Ingress, Egress and In-Bed Mobility. Global Qualitative Nursing Research, January-December, first published on April 27, 2015. Published, 04/27/2015.
  • Drews, F. A., Doig, A. K. (2013). Evaluation of a configural vital signs display for intensive care unit nurses. Human Factors, 56(3), 569-80. Published, 06/2013.
  • Austria, M. J., Baraki, K. M., Doig, A. K. (2013). Collaborative learning using nursing student dyads in the clinical setting. International Journal of Nursing Education Scholarship, 10(1), 1-8.. Published, 05/04/2013.
  • Anders S., Albert, R., Miller, A., Weinger, M. B., Doig, A. K., Behrens, M., and Agutter, J. (2012). Evaluation of an integrated graphical display to promote acute change detection in ICU patients. International Journal of Medical Informatics, 81(12):842-51. doi: 10.1016/j.ijmedinf.2012.04.004. Epub 2012 Apr 23. Published, 12/2012.
  • Doig, A. & Baraki, K. (2012). Supporting Nursing’s Role in Preventing Failure to Rescue. NPSF Newsletter Focus on Patient Safety, 15(1). Published, 06/2012.
  • Doig AK, Drews FA, Keefe MR (2011). Informing the design of hemodynamic monitoring displays. CIN: Computers, Informatics, Nursing. Published, 12/2011.
  • Doig, AK, Albert, RA, Syroid, N, Moon, S, Agutter, J (2010). Graphical arterial blood gas visualization tool supports rapid and accurate data interpretation. CIN: Computers, Informatics, Nursing; 29(4). doi: 10.1097/NCN.0b013e3181fc4041. Published, 09/2010.
  • Doig AK, Morse JM (2010). The hazards of using floor mats for fall protection at the bedside. J Patient Safety, 6(2) 68-75. Published, 06/2010.