Problem statement: product team doesn't know how the Resilix® patient care CRM is used and perceived by registered nurses.
Assumption:
Since no user research had been done before, there might be unknown user experience issues
Research questions:
How do nurses use the patient care CRM?
Which workarounds do they have?
Which of their needs are unmet?
Bi-weekly 1 to 1.5 hour sessions • Remote
Nurse is on call with patient
Note down how nurse interacted with CRM and with the patient
Follow up on anything action that is unclear
Nudge nurse to think out loud and describe their action and intentions
Ask open questions about their general experience using the CRM
Probe about features:
Assumed to have low usability (based on previous heuristic evaluation)
Identified as critical by leadership
Used most and least frequently according to product analytics
5 steps to read barrier details: nurse needs to add barrier to patient record before barrier details can be read. Nurse might not know if the barrier is relevant or not.
Participant quote: "It's really annoying that I first have to add the barriers before I can read what they are about"
While they are on a call with a patient, users discuss the barriers that the patient might face during their treatment. Talking points per barrier give the users guidance when they're talking with patients. But before even knowing what the talking points are about, users need to add the barrier to the patient record in order to read them. If it turns out that the barrier was not relevant after reading the talking point, the user has to remove it from the patient's record.
Previous call notes are 5 clicks away from new call window
Participant quote: "Reviewing call notes was so much easier with the previous software"
Before starting a call with a patient, a user reviews the call notes that were made during the previous call. However, the previous notes are not attached to the call the user is about to make. To see the notes from the last call, the user needs to go to the Communications tab, change the display from calendar to list, choose the last call record from the list and then click on the Dial Attempt. Users would also copy paste these notes in an external document to have them available for the upcoming call.
Participant quote: "She's probably going to be at Central Time. What time is it there?"
Information about when a patient prefers to be called and in what time zone they live, is another example of frequently used information that is far away from the related task. A quote that illustrates this:
Left: the steps in the progress bar of the call flow are not used. Right: the global search is rarely used.
Participant quote: "No way! I didn't know this was clickable! I should tell Marielle, I wonder if she knows"
Users can click on the steps of the progress bar to navigate the call flow, but its vertical design is uncommon. I wanted to know if users recognized this as navigation, so I would ask: "How do you go back to a previous step in the call flow?" Users answered they would use the "Back" button, and after probing them it turned out they did not know it was clickable, so they never used it.
Similarly, most users were not aware of the global search functionality and the ones who were had only used it a few times. A quote to illustrate this:
Participant quote: "To be honest, I think I've only used this once or twice ever"
Users need to scroll all the way down, away from the call script that they are following, to reach the call notes section.
Participant quote: "I'm wondering why I'm calling her"
Users are encouraged to type notes during or right after a call. However, the call note section is far down the call flow window, so the user needs to scroll away from the call script that they're following in order to write notes (see image). Due to technical issues, it had also happened that the call notes were not saved after ending a call. The result is that users resort to external Word or Notepad documents to write their notes and then copy paste them into the designated call notes section. This carries a risk since the notes contain personal identifiable information and medical records.
Participant quote: "I always look to see if my next call is there"
Participant quote: "Hopefully my notes will be saved"
Current and past technical glitches have eroded the users' confidence in the platform when it comes to saving notes and scheduling calls. As a result, they spend time and effort double checking the calendar and call notes section to make sure everything was saved correctly. Most users would also print out the call scripts and barrier talking points to have a backup when the platform is temporarily down.
Organization had low UX maturity
UX team of 1
Little budget for design enhancements
Initial push back against research findings - ask to recruit 'better' users instead
Gave voice to frustrated users
Eye-opening insights for entire team
Conversation started to invest in more structural changes of the UI
Build solid technical framework to adequately support the platform
Incremental design changes (given low budget)
Reallocate budget for more comprehensive redesign (see first version below)
Usability test redesigned CRM
Iterate design improvements and testing
Resilix® redesign version 1. Next step: usability testing.