Koen Smit

Dr. Koen Smit

orcid

Research Focus & Metrics

Academic Career Length

30Years (1997-Present)

(Calculated once Scilit publication data is synced: current year − year of first publication + 1)

Representative Publications

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19 May 2021 in Electronics
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Journal Article
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Matthijs SmakmanMatthijs Smakman
Matthijs Smakman
KSKoen Smit
Koen Smit
Lotte BuserLotte Buser
Lotte Buser
TMTom Monshouwer
Tom Monshouwer
NPNigel van Putten
Nigel van Putten
WGWouter Tiel Groenestege
Wouter Tiel Groenestege
Young pediatric patients who undergo venipuncture or capillary blood sampling often experience high levels of pain and anxiety. This often results in distressed young patients and their parents, increased treatment times, and a higher workload for healthcare professionals. Social robots are a new and promising tool to mitigate children’s pain and anxiety. This study aims to purposefully design and test a social robot for mitigating stress and anxiety during blood draw of children. We first programmed a social robot based on the requirements expressed by experienced healthcare professionals during focus group sessions. Next, we designed a randomized controlled experiment in which the social robot was applied as a distraction method to measure its capacity to mitigate pain and anxiety in children during blood draw in a children’s hospital setting. Children who interacted with the robot showed significantly lower levels of anxiety before actual blood collection, compared to children who received regular medical treatment. Children in the middle classes of primary school (aged 6–9) seemed especially sensitive to the robot’s ability to mitigate pain and anxiety before blood draw. Children’s parents overall expressed strong positive attitudes toward the use and effectiveness of the social robot for mitigating pain and anxiety. The results of this study demonstrate that social robots can be considered a new and effective tool for lowering children’s anxiety prior to the distressing medical procedure of blood collection.

Verified
Journal Article
Open access
PDF file
Matthijs SmakmanMatthijs Smakman
Matthijs Smakman
DVDaniel F. Preciado Vanegas
Daniel F. Preciado Vanegas
KSKoen Smit
Koen Smit
SLSam Leewis
Sam Leewis
YOYouri Okkerse
Youri Okkerse
LTLucas Tönjes
Lucas Tönjes
Social robots hold potential for supporting children’s well-being in classrooms. However, it is unclear which robot features add to a trustworthy relationship between a child and a robot and whether social robots are just as able to reduce stress as traditional interventions, such as listening to classical music. We set up two experiments wherein children interacted with a robot in a real-life school environment. Our main results show that regardless of the robotic features tested (intonation, male/female voice, and humor) most children tend to trust a robot during their first interaction. Adding humor to the robots’ dialogue seems to have a negative impact on children’s trust, especially for girls and children without prior experience with robots. In comparing a classical music session with a social robot interaction, we found no significant differences. Both interventions were able to lower the stress levels of children, however, not significantly. Our results show the potential for robots to build trustworthy interactions with children and to lower children’s stress levels. Considering these results, we believe that social robots provide a new tool for children to make their feelings explicit, thereby enabling children to share negative experiences (such as bullying) which would otherwise stay unnoticed.

25 September 2025 in Journal of Medical Internet Research
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Journal Article
Open access
MBMatthijs Berkhout
Matthijs Berkhout
KSKoen Smit
Koen Smit
DSDanielle Sent
Danielle Sent
RKRob Kusters
Rob Kusters
JVJohan Versendaal
Johan Versendaal
THThijs van Houwelingen
Thijs van Houwelingen
Background: Clinical decision support systems (CDSSs) have gained prominence in health care, aiding professionals in decision-making and improving patient outcomes. While physicians often use CDSSs for diagnosis and treatment optimization, nurses rely on these systems for tasks such as patient monitoring, prioritization, and care planning. In nursing practice, CDSSs can assist with timely detection of clinical deterioration, support infection control, and streamline care documentation. Despite their potential, the adoption and use of CDSSs by nurses face diverse challenges. Barriers such as alarm fatigue, limited usability, lack of integration with workflows, and insufficient training continue to undermine effective implementation. In contrast to the relatively extensive body of research on CDSS use by physicians, studies focusing on nurses remain limited, leaving a gap in understanding the unique facilitators and barriers they encounter. Objective: This study aimed to explore the facilitators and barriers influencing the adoption and use of CDSSs by nurses in hospitals, using an extended Fit Between Individuals, Tasks, and Technology (FITT) framework. Methods: A qualitative study was conducted using semistructured interviews with 22 nurses from across the Netherlands, representing 3 hospital types: general (n=9), top-clinical (n=12), and academic (n=1). The sample included a diverse mix of practicing nurses, nurses-in-training, and clinical nurse information officers, with clinical experience ranging from 1.5 to 38 years. Interview transcripts were analyzed thematically, beginning with an inductive coding approach to identify key factors. These were then categorized deductively using the extended FITT framework. In total, 988 code instances were examined. To ensure analytical rigor, the coding process was separately conducted by 2 researchers and reviewed by an expert panel. Results: A total of 26 distinct factors were identified, categorized into 4 FITT dimensions: technology-individual, technology-task, task-individual, and organizational context. Of these, 11 factors were facilitators (eg, cognition, clarification, and prevention), 7 were barriers (eg, alarm fatigue, poor design, and limited digital proficiency), and 8 were both facilitators and barriers depending on the context (eg, acceptance, workload, and training). In addition, key value tensions emerged, such as the balance between standardization and professional autonomy, and the trade-off between enhanced decision support and increased administrative burden. Conclusions: The findings underscore the complexity of CDSS adoption in nursing practice, highlighting the interaction of facilitators and barriers across FITT dimensions. Practical recommendations include participatory design processes, targeted training programs, advanced alert management systems, and strong organizational support. Addressing value tensions and aligning CDSS functionality with nurses’ workflows can enhance adoption and optimize patient outcomes.


29 May 2024
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Andreja PuciharAndreja Pucihar
Andreja Pucihar
Mirjana Kljajić BorštnarMirjana Kljajić Borštnar
Mirjana Kljajić Borštnar
SBStaša Blatnik
Staša Blatnik
Roger BonsRoger Bons
Roger Bons
KSKoen Smit
Koen Smit
MHMarikka Heikkilä
Marikka Heikkilä
The Bled eConference, organised by the University of Maribor, Faculty of Organizational Sciences, has been shaping electronic interactions since 1988. The theme of the 37th conference is "Resilience through digital innovation: enabling the twin transition". The theme addresses the critical convergence of digital transformation and sustainability, in line with the European Commission’s top priorities and policy initiatives. At the conference, we aim to highlight the opportunities of digital technologies that can contribute to building organisational and societal resilience, with a focus on social and environmental goals. The papers in this conference proceedings explore a range of topics including the opportunities and challenges of the twin transition, emerging technologies, artificial intelligence and data science, decision analytics for business and societal changes, digital innovation and business models, restructured work and the future workplace, digital health, digital ethics, digital education, smart sustainable cities, digital consumers, and the digital transformation of the public sector.

19 November 2019
Verified
Conference Paper
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VLVera Lange
Vera Lange
MBMarleen van Beuzekom
Marleen van Beuzekom
MHMichel Hansma
Michel Hansma
JJJasper Jeurens
Jasper Jeurens
WOWillemiek van Den Oever
Willemiek van Den Oever
RBRene Bakker
Rene Bakker