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Investigating usability and "meaningful use" of electronic medical records 调查电子医疗记录的可用性和“有意义的使用”
Pub Date : 2012-10-03 DOI: 10.1145/2379057.2379101
Christa Teston
In this paper, I summarize research regarding known issues with Electronic Medical Record (EMR) software design and subsequent implementation. I consider the Centers for Medicare and Medicaid Services' cash incentive for EMR adoption, and the "meaningful use" criteria that mediate that incentive (Table 1). Based on this research and my own small-scale study of real time EMR use, I outline the ways that the same problems had by EMR usability researchers are also had by actual EMR users, themselves. Specifically, questions about how to account for both embodied and cognitive effects, how to discern noise from useful information, and how to make useful what is available are all concerns shared by both care providers using EMRs and those who study EMR usability. As a result, I propose that communication design researchers design usability studies that use Mol et al's [9] construct of "care" (as a practice) as the gold standard for "meaningful use." That is, meaningful use of EMR software ought to be articulated less in terms of task-oriented record-keeping practices and the time it takes to accomplish them, but in terms of Mol et al's three components of good care: embodied practices, attuned attentiveness, and adaptive tinkering.
在本文中,我总结了关于电子病历(EMR)软件设计和后续实施中已知问题的研究。我考虑了医疗保险和医疗补助服务中心对EMR采用的现金激励,以及调解这种激励的“有意义的使用”标准(表1)。基于这项研究和我自己对实时EMR使用的小规模研究,我概述了EMR可用性研究人员遇到的同样问题的方式,实际的EMR用户自己也有。具体来说,关于如何解释具体的和认知的影响,如何从有用的信息中辨别噪音,以及如何使可用的有用的问题都是使用电子病历的护理提供者和研究电子病历可用性的人共同关心的问题。因此,我建议通信设计研究人员在设计可用性研究时,使用Mol等人[9]的“关怀”(作为一种实践)结构作为“有意义使用”的黄金标准。也就是说,EMR软件的有意义的使用应该更少地以任务为导向的记录保存实践和完成它们所需的时间来表达,而是以Mol等人提出的良好护理的三个组成部分来表达:具体化的实践、协调的注意力和自适应的修补。
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引用次数: 4
Communication patterns for a classroom public digital backchannel 教室公共数字反向信道的通信模式
Pub Date : 2012-10-03 DOI: 10.1145/2379057.2379081
Honglu Du, M. Rosson, John Millar Carroll
Digital backchannels have become an increasingly important field of study for researchers investigating educational technologies. We designed and deployed one such backchannel integrated with a public display -- ClassCommons -- in a 15-week field study that took place in a university classroom. We extracted and analyzed the communication patterns that emerged in the use of ClassCommons. In this paper, we use these data to address the following research questions: how do students appropriate public digital backchannels in classrooms, what communication patterns are typical in classroom digital public backchannels, how if at all do students' participation in the digital public backchannels evolve over an extended period of time and what are the characteristics of the messages that get more responses from other students?
数字背道已成为教育技术研究人员日益重视的研究领域。我们在一所大学的教室里进行了为期15周的实地研究,设计并部署了一个与公共展示相结合的backchannel——ClassCommons。我们提取并分析了在使用ClassCommons时出现的通信模式。在本文中,我们使用这些数据来解决以下研究问题:学生如何在课堂上使用公共数字反向渠道,课堂数字公共反向渠道中典型的交流模式是什么,学生对数字公共反向渠道的参与在一段时间内是如何演变的,以及从其他学生那里得到更多回应的信息有什么特点?
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引用次数: 11
Interaction history visualization 交互历史可视化
Pub Date : 2012-10-03 DOI: 10.1145/2379057.2379107
Benedikt Schmidt, Sebastian Döweling, M. Mühlhäuser
Interaction histories have been identified as a promising direction to support information workers in the execution of their work processes. However, to increase the workers' awareness about the structure of their work and to help them with the execution of their work processes, a suitable visualization is necessary. Up to now, interaction histories have typically been visualized with the classical Gantt, bar or line charts, neglecting the information contained in links between the individual items in an interaction history. Moreover, clear and empirically grounded guidance for the choice of the visualization is currently lacking. We present two graph-based visualizations for interaction histories and evaluate them against the classical visualizations in a controlled experiment. From the results, we derive a set of recommendations for the visualizations best suited for the different tasks within information workers' work processes.
交互历史被认为是支持信息工作者执行其工作流程的一个很有前途的方向。然而,为了提高工人对工作结构的认识,并帮助他们执行工作流程,适当的可视化是必要的。到目前为止,交互历史通常是用经典的甘特图、条形图或折线图来可视化的,忽略了交互历史中单个项目之间的链接所包含的信息。此外,目前缺乏对可视化选择的明确和基于经验的指导。我们提出了两种基于图形的交互历史可视化方法,并在对照实验中对它们进行了对比。从结果中,我们得出了一组最适合信息工作者工作流程中不同任务的可视化建议。
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引用次数: 6
Technical communication and project management 技术沟通和项目管理
Pub Date : 2012-10-03 DOI: 10.1145/2379057.2379132
Kathie Gossett
This poster argues that recent theories in project management put technical communicators in a powerful position to move into project management--not just as managers of documentation and documentation projects but as managers of projects across industries.
这张海报认为,最近的项目管理理论将技术传播者置于一个强有力的位置,可以进入项目管理——不仅是文档和文档项目的经理,而且是跨行业的项目经理。
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引用次数: 1
A process documentation model for DCMI DCMI的流程文档模型
Pub Date : 2012-10-03 DOI: 10.1145/2379057.2379111
David Talley
The Dublin Core Metadata Initiative (DCMI) often must develop instructional materials associated with its mission to provide essential metadata vocabularies. DCMI undertook an effort to create a consistent framework for documentation that would streamline creation of instructional resources specific to internal tools, processes, and activities. Extensive documentation also describes applications of the Dublin Core metadata schema, but those materials require their own structure and content priorities. DCMI's preferred meeting management tool, Open Conference System (OCS), was used as an exemplar to develop a comprehensive and flexible structure for documentation of internal tools, procedures, and activities. The model rests on a solid foundation of theory and experience accumulated by researchers. The resulting integrative review informed development of a theoretically justified and practically useful template for internal DCMI documentation.
都柏林核心元数据计划(DCMI)经常必须开发与其提供基本元数据词汇表的使命相关联的教学材料。DCMI致力于为文档创建一个一致的框架,该框架将简化特定于内部工具、过程和活动的指导性资源的创建。大量文档还描述了Dublin Core元数据模式的应用程序,但这些材料需要自己的结构和内容优先级。DCMI首选的会议管理工具,开放会议系统(OCS),被用作开发一个全面和灵活的内部工具、程序和活动文档结构的范例。该模型建立在研究人员积累的坚实理论和经验基础之上。由此产生的综合审查为内部DCMI文档提供了理论上合理且实际有用的模板。
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引用次数: 0
Meta-design and cultures of participation: transformative frameworks for the design of communication 元设计与参与文化:沟通设计的变革框架
Pub Date : 2012-10-03 DOI: 10.1145/2379057.2379083
G. Fischer
Meta-design (transcending other design disciplines such as user-centered design and participatory design) is focused on "design for designers". It provides foundations for a fundamental shift from consumer cultures (specialized in producing finished goods to be consumed passively) to cultures of participation (in which all people are provided with the means to participate actively in personally meaningful activities). These frameworks explore and support new approaches for the design, adoption, appropriation, adaptation, evolution, and sharing of artifacts by all participating stakeholders. Meta-design and cultures of participation are not dictated by technology alone: they are the result of incremental shifts in human behavior and social organizations.
元设计(超越其他设计学科,如以用户为中心的设计和参与式设计)侧重于“为设计师设计”。它为从消费文化(专门生产被动消费的成品)到参与文化(为所有人提供积极参与个人有意义的活动的手段)的根本转变提供了基础。这些框架探索并支持所有参与的涉众设计、采用、挪用、调整、发展和共享工件的新方法。元设计和参与文化不仅仅是由技术决定的:它们是人类行为和社会组织逐渐变化的结果。
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引用次数: 1
Communication as reducing uncertainty 沟通减少不确定性
Pub Date : 2012-10-03 DOI: 10.1145/2379057.2379059
M. Albers
Technical communicators are now generating large amounts of content (which may or may not be web-based), that is used to communicate concepts and ideas for decision making. They are creating information that helps readers reduce their uncertainty about the overall situation and its future development as they read to decide. The information needs of complex information situations can be redefined as working to reduce the uncertainty people have about the situation. It helps people build a clearer picture of the overall situation and reduces uncertainty about the future development of the situation. This redefinition reshapes a design team's goal from answering the question of "what information does the reader need?" to "what information reduces the reader's uncertainty?" As design teams work with their personas or other information analysis methods, they need to remain focused on determining how people use that information to reduce their uncertainty. Too many information creation projects suffer from different groups all lobbing for their content to be included; a focus on reducing uncertainty helps cut through that lobbying. By focusing on the reduction of uncertainty, we have a basis for determining what information is needed, measuring what information is used, and judging the communication effectiveness. Questions posed before, during or after a usability test should be constructed specifically to measure the reduction in uncertainty.
技术交流人员现在正在生成大量的内容(这些内容可能是基于web的,也可能不是基于web的),这些内容用于交流用于决策制定的概念和想法。他们正在创造信息,帮助读者在阅读决策时减少对整体形势和未来发展的不确定性。复杂信息情境的信息需求可以被重新定义为努力减少人们对情境的不确定性。它有助于人们对整体形势有一个更清晰的认识,并减少对未来形势发展的不确定性。这种重新定义重塑了设计团队的目标,从回答“读者需要什么信息?”到“什么信息可以减少读者的不确定性?”当设计团队使用他们的人物角色或其他信息分析方法时,他们需要继续专注于确定人们如何使用这些信息来减少他们的不确定性。太多的信息创建项目都受到不同群体的影响,他们都要求将自己的内容纳入其中;专注于减少不确定性有助于减少游说。通过关注不确定性的减少,我们就有了确定需要什么信息、测量使用什么信息和判断沟通有效性的基础。在可用性测试之前、期间或之后提出的问题应该专门用来衡量不确定性的减少。
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引用次数: 5
Doing multimodal research the easy way: a workflow for making sense of technologically complex communication situations 以最简单的方式进行多模式研究:一个用于理解技术上复杂的通信情况的工作流
Pub Date : 2012-10-03 DOI: 10.1145/2379057.2379075
Guiseppe Getto, M. L. Silva
In this paper, we describe the methodology known as Systemic Functional Multimodal Discourse Analysis (SF-MDA), as well as how it can be easily paired with a variety of technologies and research methods to successfully analyze and make sense of any combination of communicative modes, while leaving plenty of room for tailoring data visualizations for a variety of audiences, both scholarly and professional. Our ultimate goal is to provide researchers and practitioners with a simplified workflow of this methodology for employment in a variety of contexts.
在本文中,我们描述了被称为系统功能多模态语篇分析(SF-MDA)的方法,以及它如何轻松地与各种技术和研究方法配对,以成功地分析和理解任何交际模式的组合,同时为各种受众(包括学术和专业)留下大量的空间来定制数据可视化。我们的最终目标是为研究人员和从业人员提供简化的工作流程,这种方法适用于各种情况。
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引用次数: 4
Developing human-centered design approaches: preparing professionals to address complex problems 开发以人为本的设计方法:为解决复杂问题的专业人员做准备
Pub Date : 2012-10-03 DOI: 10.1145/2379057.2379128
M. Cardella, C. Zoltowski, W. Oakes
In this poster, we describe the types of problems that the SIGDOC community addresses as complex, socially-situated and wicked. As we consider the future professionals who will address these problems, it is important to understand how we can prepare students and early career professionals to continue this work. To this end, we draw on research that describes different stages people might go through in developing design skills to meet human needs, and then suggest educational experiences that would help students and early-career professionals develop competencies in these areas.
在这张海报中,我们描述了SIGDOC社区解决的复杂、社会情境和邪恶的问题类型。当我们考虑解决这些问题的未来专业人士时,了解如何让学生和早期职业专业人士做好继续这项工作的准备是很重要的。为此,我们借鉴了研究,描述了人们在发展设计技能以满足人类需求时可能经历的不同阶段,然后建议教育经验,帮助学生和早期职业专业人员在这些领域发展能力。
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引用次数: 0
Babel or great wall: social media use among chinese students in the United States 通天塔还是长城:在美中国留学生的社交媒体使用情况
Pub Date : 2012-10-03 DOI: 10.1145/2379057.2379067
Shaoke Zhang, Hao Jiang, John Millar Carroll
We investigated how social media support the acculturation process for an expatriate group: Chinese students in the United States. We interviewed 20 participants and found that 1) students extensively used Chinese social media to maintain their original self, especially through social bonding and information surveillance activities, while facing culture shock; 2) social media were also critical in helping students assimilate into their new (American) culture, through affordances for scaffolding, bridging, and surveillance; 3) the use of social media across the acculturation process is evolving in the context of the changing ecology of social media. This study expands existing HCI work on inter-cultural communication and collaboration activities toward consideration of acculturation strategies, online support for identity, and designing for individual development.
我们调查了社交媒体如何支持一个外籍群体的文化适应过程:在美国的中国学生。我们采访了20名参与者,发现1)学生在面临文化冲击的同时,广泛使用中国社交媒体来保持自我,特别是通过社交联系和信息监控活动;2)通过提供脚手架、桥梁和监督,社交媒体在帮助学生融入新的(美国)文化方面也发挥了关键作用;3)在社交媒体生态不断变化的背景下,整个文化适应过程中对社交媒体的使用正在演变。本研究将现有的跨文化交流与协作活动的HCI工作扩展到考虑文化适应策略,身份在线支持和个人发展设计。
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引用次数: 6
期刊
ACM International Conference on Design of Communication
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