Participatory ergonomics simulation of hospital work systems: The influence of simulation media on simulation outcome

•Simulation media fidelity and affordance impact ergonomics evaluation.•Difference in fidelity and affordance show difference in simulation outcomes.•Full-scale mock-ups enable evaluation of workspace and technologies & tools.•Table-top models enable evaluation of work organization.

Current application of work system simulation in participatory ergonomics (PE) design includes a variety of different simulation media. However, the actual influence of the media attributes on the simulation outcome has received less attention. This study investigates two simulation media: full-scale mock-ups and table-top models. The aim is to compare, how the media attributes of fidelity and affordance influence the ergonomics identification and evaluation in PE design of hospital work systems. The results illustrate, how the full-scale mock-ups’ high fidelity of room layout and affordance of tool operation support ergonomics identification and evaluation related to the work system entities space and technologies & tools. The table-top models’ high fidelity of function relations and affordance of a helicopter view support ergonomics identification and evaluation related to the entity organization. Furthermore, the study addresses the form of the identified and evaluated conditions, being either identified challenges or tangible design criteria.