Pub Date : 2017-10-02DOI: 10.1080/17538157.2016.1255214
V. Della Mea, Omar Quattrin, M. Parpinel
ABSTRACT Background: Obesity and physical inactivity are the most important risk factors for chronic diseases. The present study aimed at (i) developing and testing a method for classifying household activities based on a smartphone accelerometer; (ii) evaluating the influence of smartphone position; and (iii) evaluating the acceptability of wearing a smartphone for activity recognition. Methods: An Android application was developed to record accelerometer data and calculate descriptive features on 5-second time blocks, then classified with nine algorithms. Household activities were: sitting, working at the computer, walking, ironing, sweeping the floor, going down stairs with a shopping bag, walking while carrying a large box, and climbing stairs with a shopping bag. Ten volunteers carried out the activities for three times, each one with a smartphone in a different position (pocket, arm, and wrist). Users were then asked to answer a questionnaire. Results: 1440 time blocks were collected. Three algorithms demonstrated an accuracy greater than 80% for all smartphone positions. While for some subjects the smartphone was uncomfortable, it seems that it did not really affect activity. Conclusions: Smartphones can be used to recognize household activities. A further development is to measure metabolic equivalent tasks starting from accelerometer data only.
{"title":"A feasibility study on smartphone accelerometer-based recognition of household activities and influence of smartphone position","authors":"V. Della Mea, Omar Quattrin, M. Parpinel","doi":"10.1080/17538157.2016.1255214","DOIUrl":"https://doi.org/10.1080/17538157.2016.1255214","url":null,"abstract":"ABSTRACT Background: Obesity and physical inactivity are the most important risk factors for chronic diseases. The present study aimed at (i) developing and testing a method for classifying household activities based on a smartphone accelerometer; (ii) evaluating the influence of smartphone position; and (iii) evaluating the acceptability of wearing a smartphone for activity recognition. Methods: An Android application was developed to record accelerometer data and calculate descriptive features on 5-second time blocks, then classified with nine algorithms. Household activities were: sitting, working at the computer, walking, ironing, sweeping the floor, going down stairs with a shopping bag, walking while carrying a large box, and climbing stairs with a shopping bag. Ten volunteers carried out the activities for three times, each one with a smartphone in a different position (pocket, arm, and wrist). Users were then asked to answer a questionnaire. Results: 1440 time blocks were collected. Three algorithms demonstrated an accuracy greater than 80% for all smartphone positions. While for some subjects the smartphone was uncomfortable, it seems that it did not really affect activity. Conclusions: Smartphones can be used to recognize household activities. A further development is to measure metabolic equivalent tasks starting from accelerometer data only.","PeriodicalId":440622,"journal":{"name":"Informatics for Health and Social Care","volume":"72 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124843471","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-07-03DOI: 10.1080/17538157.2016.1252766
Mihiretu M Kebede, Yesuf Endris, D. Zegeye
ABSTRACT Introduction: Even though nursing care documentation is an important part of nursing practice, it is commonly left undone. The objective of this study was to assess nursing care documentation practice and the associated factors among nurses who are working at the University of Gondar Hospital. Methods: An institution-based cross-sectional study was conducted among 220 nurses working at the University of Gondar Hospital inpatient wards from March 20 to April 30, 2014. Data were collected using a structured and pre-tested self-administered questionnaire. Data were entered into Epi Info version 7 and analyzed with SPSS version 20. Descriptive statistics, bivariate, and multivariate logistic regression analyses were carried out. Results: Two hundred and six nurses returned the questionnaire. Good nursing care documentation practice among nurses was 37.4%. A low nurse-to-patient ratio AOR = 2.15 (95%CI [1.155, 4.020]), in-service training on standard nursing process AOR = 2.6 (95%CI[1.326, 5.052]), good knowledge AOR = 2.156(95% CI [1.092, 4.254]), and good attitude toward nursing care documentation AOR = 2.22 (95% CI [1.105, 4.471] were significantly associated with nursing care documentation practice. Conclusion: Most of the nursing care provided remains undocumented. Nurse-to-patient ratio, in-service training, knowledge, and attitude of nurses toward nursing care documentation were factors associated with nursing care documentation practice.
摘要简介:尽管护理文件是护理实践的重要组成部分，但它通常被遗忘。本研究的目的是评估在贡达尔大学医院工作的护士的护理文件实践及其相关因素。方法:对2014年3月20日至4月30日在贡达尔大学医院住院病房工作的220名护士进行横断面研究。数据收集使用结构化和预先测试的自我管理问卷。数据录入Epi Info version 7，使用SPSS version 20进行分析。进行描述性统计、双变量和多变量逻辑回归分析。结果:226名护士返回问卷。护士有良好护理文件操作的占37.4%。低护患比AOR = 2.15 (95%CI[1.155, 4.020])、在职标准护理流程培训AOR = 2.6 (95%CI[1.326, 5.052])、良好知识AOR = 2.156(95% CI[1.092, 4.254])、良好护理文件态度AOR = 2.22 (95%CI[1.105, 4.471])与护理文件实践显著相关。结论:提供的大部分护理仍然是无证的。护患比、在职培训、护士对护理文件的知识和态度是影响护理文件实践的因素。
{"title":"Nursing care documentation practice: The unfinished task of nursing care in the University of Gondar Hospital","authors":"Mihiretu M Kebede, Yesuf Endris, D. Zegeye","doi":"10.1080/17538157.2016.1252766","DOIUrl":"https://doi.org/10.1080/17538157.2016.1252766","url":null,"abstract":"ABSTRACT Introduction: Even though nursing care documentation is an important part of nursing practice, it is commonly left undone. The objective of this study was to assess nursing care documentation practice and the associated factors among nurses who are working at the University of Gondar Hospital. Methods: An institution-based cross-sectional study was conducted among 220 nurses working at the University of Gondar Hospital inpatient wards from March 20 to April 30, 2014. Data were collected using a structured and pre-tested self-administered questionnaire. Data were entered into Epi Info version 7 and analyzed with SPSS version 20. Descriptive statistics, bivariate, and multivariate logistic regression analyses were carried out. Results: Two hundred and six nurses returned the questionnaire. Good nursing care documentation practice among nurses was 37.4%. A low nurse-to-patient ratio AOR = 2.15 (95%CI [1.155, 4.020]), in-service training on standard nursing process AOR = 2.6 (95%CI[1.326, 5.052]), good knowledge AOR = 2.156(95% CI [1.092, 4.254]), and good attitude toward nursing care documentation AOR = 2.22 (95% CI [1.105, 4.471] were significantly associated with nursing care documentation practice. Conclusion: Most of the nursing care provided remains undocumented. Nurse-to-patient ratio, in-service training, knowledge, and attitude of nurses toward nursing care documentation were factors associated with nursing care documentation practice.","PeriodicalId":440622,"journal":{"name":"Informatics for Health and Social Care","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126861309","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-07-03DOI: 10.1080/17538157.2016.1253015
S. Palmcrantz, J. Borg, D. Sommerfeld, J. Plantin, Anneli Wall, M. Ehn, M. Sjölinder, Inga-Lill Boman
ABSTRACT Background: In this study an interactive distance solution (called the DISKO tool) was developed to enable home-based motor training after stroke. Objectives: The overall aim was to explore the feasibility and safety of using the DISKO-tool, customized for interactive stroke rehabilitation in the home setting, in different rehabilitation phases after stroke. Methods: Fifteen patients in three different stages in the continuum of rehabilitation after stroke participated in a home-based training program using the DISKO-tool. The program included 15 training sessions with recurrent follow-ups by the integrated application for video communication with a physiotherapist. Safety and feasibility were assessed from patients, physiotherapists, and a technician using logbooks, interviews, and a questionnaire. Qualitative content analysis and descriptive statistics were used in the analysis. Results: Fourteen out of 15 patients finalized the training period with a mean of 19.5 minutes spent on training at each session. The DISKO-tool was found to be useful and safe by patients and physiotherapists. Conclusions: This study demonstrates the feasibility and safety of the DISKO-tool and provides guidance in further development and testing of interactive distance technology for home rehabilitation, to be used by health care professionals and patients in different phases of rehabilitation after stroke.
{"title":"An interactive distance solution for stroke rehabilitation in the home setting – A feasibility study","authors":"S. Palmcrantz, J. Borg, D. Sommerfeld, J. Plantin, Anneli Wall, M. Ehn, M. Sjölinder, Inga-Lill Boman","doi":"10.1080/17538157.2016.1253015","DOIUrl":"https://doi.org/10.1080/17538157.2016.1253015","url":null,"abstract":"ABSTRACT Background: In this study an interactive distance solution (called the DISKO tool) was developed to enable home-based motor training after stroke. Objectives: The overall aim was to explore the feasibility and safety of using the DISKO-tool, customized for interactive stroke rehabilitation in the home setting, in different rehabilitation phases after stroke. Methods: Fifteen patients in three different stages in the continuum of rehabilitation after stroke participated in a home-based training program using the DISKO-tool. The program included 15 training sessions with recurrent follow-ups by the integrated application for video communication with a physiotherapist. Safety and feasibility were assessed from patients, physiotherapists, and a technician using logbooks, interviews, and a questionnaire. Qualitative content analysis and descriptive statistics were used in the analysis. Results: Fourteen out of 15 patients finalized the training period with a mean of 19.5 minutes spent on training at each session. The DISKO-tool was found to be useful and safe by patients and physiotherapists. Conclusions: This study demonstrates the feasibility and safety of the DISKO-tool and provides guidance in further development and testing of interactive distance technology for home rehabilitation, to be used by health care professionals and patients in different phases of rehabilitation after stroke.","PeriodicalId":440622,"journal":{"name":"Informatics for Health and Social Care","volume":"50 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130736566","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-07-03DOI: 10.1080/17538157.2016.1221409
Basil Alzougool, Shanton Chang, K. Gray
ABSTRACT Background: There has been little research that provides a comprehensive account of the nature and aspects of information needs of informal carers. The authors have previously developed and validated a framework that accounts for major underlying states of information need. This paper aims to apply this framework to explore whether there are common demographic and socioeconomic characteristics that affect the information needs states of carers. A questionnaire about the information needs states was completed by 198 carers above 18 years old. We use statistical methods to look for similarities and differences in respondents’ information needs states, in terms of the demographic and socioeconomic variables. At least one information needs state varies among carers, in terms of seven demographic and socioeconomic variables: the age of the patient(s) that they are caring for; the condition(s) of the patient(s) that they are caring for; the number of patients that they are caring for; their length of time as a carer; their gender; the country that they live in; and the population of the area that they live in. The findings demonstrate the utility of the information needs state framework. We outline some practical implications of the framework.
{"title":"The effects of informal carers’ characteristics on their information needs: The information needs state approach","authors":"Basil Alzougool, Shanton Chang, K. Gray","doi":"10.1080/17538157.2016.1221409","DOIUrl":"https://doi.org/10.1080/17538157.2016.1221409","url":null,"abstract":"ABSTRACT Background: There has been little research that provides a comprehensive account of the nature and aspects of information needs of informal carers. The authors have previously developed and validated a framework that accounts for major underlying states of information need. This paper aims to apply this framework to explore whether there are common demographic and socioeconomic characteristics that affect the information needs states of carers. A questionnaire about the information needs states was completed by 198 carers above 18 years old. We use statistical methods to look for similarities and differences in respondents’ information needs states, in terms of the demographic and socioeconomic variables. At least one information needs state varies among carers, in terms of seven demographic and socioeconomic variables: the age of the patient(s) that they are caring for; the condition(s) of the patient(s) that they are caring for; the number of patients that they are caring for; their length of time as a carer; their gender; the country that they live in; and the population of the area that they live in. The findings demonstrate the utility of the information needs state framework. We outline some practical implications of the framework.","PeriodicalId":440622,"journal":{"name":"Informatics for Health and Social Care","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127958908","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-07-03DOI: 10.1080/17538157.2016.1237953
Lena Griebel, P. Kolominsky-Rabas, S. Schaller, Jakub Siudyka, R. Sierpiński, Dimitrios Papapavlou, Aliki Simeonidou, H. Prokosch, M. Sedlmayr
ABSTRACT Introduction and background: Often, eHealth services are not accepted because of factors such as eHealth literacy or trust. Within this study, eHealthMonitor was evaluated in three European countries (Germany, Greece, and Poland) by medical professionals and laypersons with respect to numerous acceptance factors. Methods: Questionnaires were created on the basis of factors from literature and with the help of scales which have already been validated. A qualitative survey was conducted in Germany, Poland, and Greece. Results: The eHealth literacy of all participants was medium/high. Laypersons mostly agreed that they could easily become skillful with eHealthMonitor and that other people thought that they should use eHealthMonitor. Amongst medical professionals, a large number were afraid that eHealthMonitor could violate their privacy or the privacy of their patients. Overall, the participants thought that eHealthMonitor was a good concept and that they would use it. Discussion and conclusion: The main hindrances to the use of eHealthMonitor were found in trust issues including data privacy. In the future, more research on the linkage of all measured factors is needed, for example, to address the question of whether highly educated people tend to mistrust eHealth information more than people with lower levels of education.
{"title":"Acceptance by laypersons and medical professionals of the personalized eHealth platform, eHealthMonitor","authors":"Lena Griebel, P. Kolominsky-Rabas, S. Schaller, Jakub Siudyka, R. Sierpiński, Dimitrios Papapavlou, Aliki Simeonidou, H. Prokosch, M. Sedlmayr","doi":"10.1080/17538157.2016.1237953","DOIUrl":"https://doi.org/10.1080/17538157.2016.1237953","url":null,"abstract":"ABSTRACT Introduction and background: Often, eHealth services are not accepted because of factors such as eHealth literacy or trust. Within this study, eHealthMonitor was evaluated in three European countries (Germany, Greece, and Poland) by medical professionals and laypersons with respect to numerous acceptance factors. Methods: Questionnaires were created on the basis of factors from literature and with the help of scales which have already been validated. A qualitative survey was conducted in Germany, Poland, and Greece. Results: The eHealth literacy of all participants was medium/high. Laypersons mostly agreed that they could easily become skillful with eHealthMonitor and that other people thought that they should use eHealthMonitor. Amongst medical professionals, a large number were afraid that eHealthMonitor could violate their privacy or the privacy of their patients. Overall, the participants thought that eHealthMonitor was a good concept and that they would use it. Discussion and conclusion: The main hindrances to the use of eHealthMonitor were found in trust issues including data privacy. In the future, more research on the linkage of all measured factors is needed, for example, to address the question of whether highly educated people tend to mistrust eHealth information more than people with lower levels of education.","PeriodicalId":440622,"journal":{"name":"Informatics for Health and Social Care","volume":"82 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114621346","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-07-03DOI: 10.1080/17538157.2016.1252375
Shijuan Li, S. Kay, S. Porter
ABSTRACT To investigate the utility of 3D visualization technology to augment assessment and feedback for Ankylosing Spondylitis (AS), a visualization prototype was developed, and both subjective and objective measures of current assessment instruments were compared. To verify and establish a base-line for the prototype’s effectiveness, motion data and measurement data from a healthy adult in a laboratory environment were collected. To validate the prototype, a qualitative evaluation was undertaken using multiple methods including a pilot study, focus groups, and individual interviews. Research subjects comprised physiotherapists in clinical practice and academia and content analysis of their responses was used to substantiate the findings. The prototype enhanced both assessment and feedback of AS from the physiotherapist’s perspective and they believed it to be superior to the current methods used in practice for assessing the condition and in documenting variations for subsequent treatment. The physiotherapists believed that such a system had potential to encourage multidisciplinary working, and to be patient-centric, both with respect to the process of treatment and with regard to the convenience it offered to patients in managing their own condition. 3D visualization of AS symptoms and its treatment via exercise is a valuable technique as demonstrated by the prototype system.
{"title":"A 3D assessment and feedback tool for Ankylosing Spondylitis from the perspective of healthcare professionals","authors":"Shijuan Li, S. Kay, S. Porter","doi":"10.1080/17538157.2016.1252375","DOIUrl":"https://doi.org/10.1080/17538157.2016.1252375","url":null,"abstract":"ABSTRACT To investigate the utility of 3D visualization technology to augment assessment and feedback for Ankylosing Spondylitis (AS), a visualization prototype was developed, and both subjective and objective measures of current assessment instruments were compared. To verify and establish a base-line for the prototype’s effectiveness, motion data and measurement data from a healthy adult in a laboratory environment were collected. To validate the prototype, a qualitative evaluation was undertaken using multiple methods including a pilot study, focus groups, and individual interviews. Research subjects comprised physiotherapists in clinical practice and academia and content analysis of their responses was used to substantiate the findings. The prototype enhanced both assessment and feedback of AS from the physiotherapist’s perspective and they believed it to be superior to the current methods used in practice for assessing the condition and in documenting variations for subsequent treatment. The physiotherapists believed that such a system had potential to encourage multidisciplinary working, and to be patient-centric, both with respect to the process of treatment and with regard to the convenience it offered to patients in managing their own condition. 3D visualization of AS symptoms and its treatment via exercise is a valuable technique as demonstrated by the prototype system.","PeriodicalId":440622,"journal":{"name":"Informatics for Health and Social Care","volume":"59 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126561950","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-03-01DOI: 10.3109/17538157.2015.1113178
F. Ongenae, Thomas Vanhove, Femke De Backere, F. de Turck
ABSTRACT The medical staff in a hospital could benefit from a specialized task management system, considering their high workload covering different patients. This article presents an intelligent task management platform that automatically prioritizes and (re-)assigns tasks to the appropriate caregivers based on the current health care context captured in a continuous care ontology. Moreover, this platform provides the caregivers with a smartphone allowing them to easily view and process their assigned tasks.
{"title":"Intelligent task management platform for health care workers","authors":"F. Ongenae, Thomas Vanhove, Femke De Backere, F. de Turck","doi":"10.3109/17538157.2015.1113178","DOIUrl":"https://doi.org/10.3109/17538157.2015.1113178","url":null,"abstract":"ABSTRACT The medical staff in a hospital could benefit from a specialized task management system, considering their high workload covering different patients. This article presents an intelligent task management platform that automatically prioritizes and (re-)assigns tasks to the appropriate caregivers based on the current health care context captured in a continuous care ontology. Moreover, this platform provides the caregivers with a smartphone allowing them to easily view and process their assigned tasks.","PeriodicalId":440622,"journal":{"name":"Informatics for Health and Social Care","volume":"128 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115158074","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-03-01DOI: 10.3109/17538157.2015.1113415
D. English, K. Ankem, K. English
ABSTRACT Introduction: There are clinical and economic benefits to incorporating clinical decision support systems (CDSSs) in patient care interventions in the clinical pharmacy setting. However, user dissatisfaction and resistance to HIT can prevent optimal use of such systems, particularly when users employ system workarounds and overrides. Objectives: The present study applied a modified version of the unified theory of acceptance and use of technology (UTAUT) to evaluate the disposition and satisfaction with CDSS among clinical pharmacists who perform surveillance to identify potential medication therapy interventions on patients in the hospital setting. Methods: A survey of clinical pharmacists (N = 48) was conducted. Partial least squares (PLS) regression was used to analyze the influence of the UTAUT-related variables on behavioral intention and satisfaction with CDSS among clinical pharmacists. Results: While behavioral intention did not predict actual use of HIT, facilitating conditions had a direct effect on pharmacists’ use of CDSS. Likewise, satisfaction with CDSS was found to have a direct effect on use, with more satisfied users being less inclined to employ workarounds or overrides of the system. Conclusion: Based on the findings, organizational structures that facilitate CDSS use and user satisfaction affect the extent to which pharmacy and health care management maximize use in the clinical pharmacy setting.
{"title":"Acceptance of clinical decision support surveillance technology in the clinical pharmacy","authors":"D. English, K. Ankem, K. English","doi":"10.3109/17538157.2015.1113415","DOIUrl":"https://doi.org/10.3109/17538157.2015.1113415","url":null,"abstract":"ABSTRACT Introduction: There are clinical and economic benefits to incorporating clinical decision support systems (CDSSs) in patient care interventions in the clinical pharmacy setting. However, user dissatisfaction and resistance to HIT can prevent optimal use of such systems, particularly when users employ system workarounds and overrides. Objectives: The present study applied a modified version of the unified theory of acceptance and use of technology (UTAUT) to evaluate the disposition and satisfaction with CDSS among clinical pharmacists who perform surveillance to identify potential medication therapy interventions on patients in the hospital setting. Methods: A survey of clinical pharmacists (N = 48) was conducted. Partial least squares (PLS) regression was used to analyze the influence of the UTAUT-related variables on behavioral intention and satisfaction with CDSS among clinical pharmacists. Results: While behavioral intention did not predict actual use of HIT, facilitating conditions had a direct effect on pharmacists’ use of CDSS. Likewise, satisfaction with CDSS was found to have a direct effect on use, with more satisfied users being less inclined to employ workarounds or overrides of the system. Conclusion: Based on the findings, organizational structures that facilitate CDSS use and user satisfaction affect the extent to which pharmacy and health care management maximize use in the clinical pharmacy setting.","PeriodicalId":440622,"journal":{"name":"Informatics for Health and Social Care","volume":"81 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116044094","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-03-01DOI: 10.3109/17538157.2015.1033526
Maria Andersson Marchesoni, K. Axelsson, Y. Fältholm, I. Lindberg
ABSTRACT Background: Lack of participation from staff when developing information and communication technologies (ICT) has been shown to lead to negative consequences and might be one explanation for failure. Management during development processes has rarely been empirically studied, especially when introducing ICT systems in a municipality context. Objective: To describe and interpret experiences of the management during change processes where ICT was introduced among staff and managers in elderly care. Design: A qualitative interpretive method was chosen for this study and content analysis for analyzing the interviews. Results: “Clear focus–unclear process” demonstrated that focus on ICT solutions was clear but the process of introducing the ICT was not. “First-line managers receiving a system of support” gave a picture of the first-line manager as not playing an active part in the projects. First-line managers and staff described “Low power to influence” when realizing that for some reasons, they had not contributed in the change projects. “Low confirmation” represented the previous and present feelings of staff not being listened to. Lastly, “Reciprocal understanding” pictures how first-line managers and staff, although having some expectations on each other, understood each other’s positions. Conclusions: Empowerment could be useful in creating an organization where critical awareness and reflection over daily practice becomes a routine.
{"title":"Going from “paper and pen” to ICT systems: Perspectives on managing the change process","authors":"Maria Andersson Marchesoni, K. Axelsson, Y. Fältholm, I. Lindberg","doi":"10.3109/17538157.2015.1033526","DOIUrl":"https://doi.org/10.3109/17538157.2015.1033526","url":null,"abstract":"ABSTRACT Background: Lack of participation from staff when developing information and communication technologies (ICT) has been shown to lead to negative consequences and might be one explanation for failure. Management during development processes has rarely been empirically studied, especially when introducing ICT systems in a municipality context. Objective: To describe and interpret experiences of the management during change processes where ICT was introduced among staff and managers in elderly care. Design: A qualitative interpretive method was chosen for this study and content analysis for analyzing the interviews. Results: “Clear focus–unclear process” demonstrated that focus on ICT solutions was clear but the process of introducing the ICT was not. “First-line managers receiving a system of support” gave a picture of the first-line manager as not playing an active part in the projects. First-line managers and staff described “Low power to influence” when realizing that for some reasons, they had not contributed in the change projects. “Low confirmation” represented the previous and present feelings of staff not being listened to. Lastly, “Reciprocal understanding” pictures how first-line managers and staff, although having some expectations on each other, understood each other’s positions. Conclusions: Empowerment could be useful in creating an organization where critical awareness and reflection over daily practice becomes a routine.","PeriodicalId":440622,"journal":{"name":"Informatics for Health and Social Care","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131131458","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-01-13DOI: 10.1080/17538157.2016.1269106
Lihong Zhou
ABSTRACT Objective: This paper reports on a research study, which aims to identify, qualify, and theorize the external barriers that prevent and hinder the exercises and activities of patient-centered knowledge sharing (KS) in healthcare organizations. Methods: The project adopted a qualitative secondary analysis approach as the overarching methodology to guide the analysis of data collected in a previously completed research study. Specifically, 46 semi-structured interview data were included and analyzed using a thematic analysis approach. Results: The secondary analysis showed that healthcare KS is strongly influenced and hindered by five external barriers: social belief and preference, cultural values, healthcare education structure, political decisions, and economic environment and constraints. Moreover, the research findings suggest that these external barriers cannot be overlooked in KS implementation and operation in healthcare organizations and should be carefully assessed beginning in the early stages of KS design and strategic planning. Discussion and Conclusions: Based on the secondary analysis, this paper proposes a conceptual model, which will contribute to the development of hypotheses in the future for building a generalized knowledge. The case study used is Chinese healthcare, but the KS problems studied can be shared across international borders.
{"title":"Patient-centered knowledge sharing in healthcare organizations: Identifying the external barriers","authors":"Lihong Zhou","doi":"10.1080/17538157.2016.1269106","DOIUrl":"https://doi.org/10.1080/17538157.2016.1269106","url":null,"abstract":"ABSTRACT Objective: This paper reports on a research study, which aims to identify, qualify, and theorize the external barriers that prevent and hinder the exercises and activities of patient-centered knowledge sharing (KS) in healthcare organizations. Methods: The project adopted a qualitative secondary analysis approach as the overarching methodology to guide the analysis of data collected in a previously completed research study. Specifically, 46 semi-structured interview data were included and analyzed using a thematic analysis approach. Results: The secondary analysis showed that healthcare KS is strongly influenced and hindered by five external barriers: social belief and preference, cultural values, healthcare education structure, political decisions, and economic environment and constraints. Moreover, the research findings suggest that these external barriers cannot be overlooked in KS implementation and operation in healthcare organizations and should be carefully assessed beginning in the early stages of KS design and strategic planning. Discussion and Conclusions: Based on the secondary analysis, this paper proposes a conceptual model, which will contribute to the development of hypotheses in the future for building a generalized knowledge. The case study used is Chinese healthcare, but the KS problems studied can be shared across international borders.","PeriodicalId":440622,"journal":{"name":"Informatics for Health and Social Care","volume":"117 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131613303","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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