Comparison of three intraosseous access devices for resuscitation of term neonates: a randomised simulation study

Author(s):  
Alon Keller ◽  
Amit Boukai ◽  
Oren Feldman ◽  
Raz Diamand ◽  
Itai Shavit

ObjectivesTo compare the success rates and ease of use of three intraosseous (IO) access devices used in term neonates.DesignA three-arm randomised controlled simulation study was conducted.SettingA simulation laboratory.ParticipantsSeventy-two paediatric residents completing their emergency department rotation as part of their residency training, and 20 paediatric specialists.InterventionUsing an animal bone model, the one-attempt success rate of the EZ-IO drill, the NIO-I needle and the Jamshidi needle was compared. Uncooked Cornish Hen bones were used because of their similarity in length and diameter to the bones of neonates. Participants were asked to record the perceived ease of use of their assigned device using a 5-point Likert Scale.Main outcome measureThe main outcome was the visualisation of flow emerging from the distal end of the bone, and perceived ease of use of the three IO devices.ResultsThe EZ-IO, NIO-I and Jamshidi groups included 30, 31 and 31 participants, respectively, with median (IQR) years of experience of 3 (2–5), 3 (2–6) and 4 (3–5) years. Participants had significantly lower one-attempt success rates with the EZ-IO drill than with the NIO-I and the Jamshidi needles (14 of 30 (46.7%) vs 24 of 31 (77.4%); p=0.016, and 14 of 30 (46.7%) vs 25 of 31 (80.7%); p=0.007, respectively). The median (IQR) ease-of-use score of the EZ-IO drill was higher than that of the NIO-I and Jamshidi needles (5 (4–5) vs 4 (4–5); p=0.008, and 5 (4–5) vs 4 (3–4); p=0.0004, respectively).ConclusionsAlthough easier to use, the EZ-IO drill demonstrated lower success rates than the IO needles in establishing IO access on a neonatal bone model.

Author(s):  
Huigang Liang ◽  
Yajiong Xue ◽  
Xiaocheng Wu

Computerized physician order entry (CPOE) holds potential of reducing medical errors, improving care quality, and cutting healthcare costs. Yet its success depends on physicians’ acceptance and usage. We test if TAM can be used to explain physician acceptance of CPOE. A survey study was conducted on physicians who have access to CPOE in a large general hospital in China. Data analyses based on 103 responses support all of the relationships predicted by TAM except the one between perceived ease of use and attitude. With additional data analyses, we find that the PEOU-attitude relationship is negatively moderated by physicians’ experience of using CPOE. PEOU does not affect attitude for experienced physicians, whereas when physicians are inexperienced, PEOU has a positive impact on attitude. Our findings suggest that TAM can be applied to explain physicians’ acceptance of CPOE, yet its application should be performed with caution.


2018 ◽  
Vol 14 (3) ◽  
pp. 21-38 ◽  
Author(s):  
Abdou Illia ◽  
Assion Lawson-Body ◽  
Simon Lee ◽  
Gurkan I Akalin

The testing of the technology acceptance model over the years has shown that its explanatory power is about 50%; which led researchers to revisit the model in an attempt to gain a better understanding of technology adoption. Some of the studies found social influence to be a key factor, but others have yielded mixed results. This article questions the assumption made in some previous studies that most people would comply with social influence. Using data collected from 210 smartphone users, we investigated the moderating effect of motivation to comply on the relationship between social influence, on the one hand, and perceived usefulness and perceived ease-of-use on the other hand. Also, based on the theory of critical mass, we investigated the moderating effect of the perceived critical mass on the relationship between perceived usefulness and perceived ease of use on the one hand, and actual usage on the other hand. The results showed a significant moderating effect of both motivation to comply and perceived critical mass. Theoretical and practical implications are discussed.


Informatics ◽  
2021 ◽  
Vol 8 (2) ◽  
pp. 24
Author(s):  
Rana Saeed Al-Maroof ◽  
Muhammad Turki Alshurideh ◽  
Said A. Salloum ◽  
Ahmad Qasim Mohammad AlHamad ◽  
Tarek Gaber

The COVID-19 pandemic not only affected our health and medical systems but also has created large disruption of education systems at school and universities levels. According to the United Nation’s report, COVID-19 has influenced more than 1.6 billion learners from all over the world (190 countries or more). To tackle this problem, universities and colleges have implemented various technologically based platforms to replace the physical classrooms during the spread of Coronavirus. The effectiveness of these technologies and their educational impact on the educational sector has been the concern of researchers during the spread of the pandemic. Consequently, the current study is an attempt to explore the effect of Google Meet acceptance among Arab students during the pandemic in Oman, UAE, and Jordan. The perceived fear factor is integrated into a hybrid model that combines crucial factors in TAM (Technology acceptance Model) and VAM (Value-based Adoption Model). The integration embraces perceived fear factor with other important factors in TAM perceived ease of use (PEOU) and perceived usefulness (PU) on the one hand and technically influential factor of VAM, which are perceived technicality (PTE) and perceived enjoyment (PE) on the other hand. The data, collected from 475 participants (49% males and 51% females students), were analyzed using the partial least squares-structural equation modelling (PLS-SEM). The results have shown that TAM hypotheses of usefulness and easy to use have been supported. Similarly, the results have supported the hypotheses related to VAM factors of being technically useful and enjoying, which helps in reducing the atmosphere of fear that is created due to the spread of Coronavirus.


BMJ Open ◽  
2019 ◽  
Vol 9 (11) ◽  
pp. e030943 ◽  
Author(s):  
Dana Hawwash ◽  
Melissa K Sharp ◽  
Alemayehu Argaw ◽  
Patrick Kolsteren ◽  
Carl Lachat

ObjectivesTo assess the intention of using a Writing Aid software, which integrates four research reporting guidelines (Consolidated Standards of Reporting Trials, Preferred Reporting Items for Systematic Reviews and Meta-Analyses, Strengthening the Reporting of Observational Studies in Epidemiology and STrengthening the Reporting of Observational Studies in Epidemiology-nutritional epidemiology) and their Elaboration & Explanation (E&E) documents during the write-up of research in Microsoft Word compared with current practices.DesignTwo-arms crossover randomised controlled trial with no blinding and no washout period.SettingFace-to-face or online sessions.Participants54 (28 in arm 1 and 26 in arm 2) doctoral and postdoctoral researchers.InterventionsReporting guidelines and their E&E document were randomly administered as Writing Aid or as Word documents in a single 30 min to 1 hour session, with a short break before crossing over to the other study intervention.Primary and secondary outcomesUsing the Technology Acceptance Model, we assessed the primary outcome: the difference in the mean of intention of use; and secondary outcomes: the difference in mean perceived ease of use and perceived usefulness. The three outcomes were measured using questions with a 7-point Likert-scale. Secondary analysis using structural equation modelling (SEM) was applied to explore the relationships between the outcomes.ResultsNo significant difference in reported intention of use (mean difference and 95% CI 0.25 (–0.05 to 0.55), p=0.10), and perceived usefulness (mean difference and 95% CI 0.19 (–0.04 to 0.41), p=0.10). The Writing Aid performed significantly better than the word document on researchers’ perceived ease of use (mean difference and 95% CI 0.59 (0.29 to 0.89), p<0.001). In the SEM analysis, participants’ intention of using the tools was indirectly affected by perceived ease of use (beta 0.53 p=0.002).ConclusionsDespite no significant difference in the intention of use between the tools, administering reporting guidelines as Writing Aid is perceived as easier to use, offering a possibility to further explore its applicability to enhance reporting adherence.


Author(s):  
Nor Hayati Kassim ◽  
Norlina Mohamed Noor ◽  
Jati Kasuma ◽  
Juliza Saleh ◽  
Ceaser Dealwis ◽  
...  

Companies are now recognizing that their employees require a spectrum of mobile applications in order to achieve maximum efficiency at the workplace. Mobile applications such as WeChat, Twitter and WhatsApp via smartphones have become influential tools and extensively used by employees at the workplace. This state-of-the-art technology in communication has penetrated various fields, including routine administrative jobs at the workplace. The objective of this research is toinvestigate the acceptance of the WhatsApp mobile application for formal use among support staff at The Commission of the City of Kuching North, Sarawak (DBKU). Perceived usefulness, perceived ease of use and behavioral intention of the users in using WhatsApp are the variables measured for job performance. The researchers utilized convenience sampling, whereby a total of 105 employees from two departments participated in the investigation. Data was collected using a set of selfadministered questionnaires which was adapted from Davis. The findings revealed that perceived usefulness and perceived ease of use of WhatsApp as a means of communication were significant for job performance at DBKU. The employees felt more competent during their formal interaction at the workplace as less effort was needed while using WhatsApp. The existence of features which were user-friendly and easy operational functions helped to create positive attitudes when utilizing the application. Faster feedback, ease of use, and convenience were some of the reasons for the employees’ willingness to use WhatsApp for communication at the workplace.


Think India ◽  
2019 ◽  
Vol 22 (3) ◽  
pp. 402-409
Author(s):  
Deepak Shrivastava ◽  
Apurva Shrivastava ◽  
Gyan Prakash

Tech-friendliness in this new era is an important quotient considered and the persons’ acceptance towards the technology frequency matters a lot. But still the frequency varies from person to person, this brought in the concept of Technology Acceptance Model given by Fred Davis in 1989. The theory of TAM is based on two theories that are Theory of Reasoned Action and Theory of Planned Behavior, TAM is extended version of these two. Green Banking is a new technology introduced by the banks that focuses on the growth of Sustainable development and Banking system too. Thus, banks ask their customers to use it or practice it in their daily life transactions. But every customer has their own point of view on the usage of Green banking. Thus, the research aims to understand the customers’ perception towards the Green Banking for this TAM is used. The research states that Perceived risk is the primary factor that is followed by perceived usefulness and perceived ease of use that impacts the decision to use green banking. Thus, the behavioral intention results in actual use of green banking usage for which people are trying to accept the new technology. So, the banks have earned points for creating awareness among their customers but still they have to work hard and clarify their customers’ problems and vanish that hitch that is stopping them to use green banking easily.


Think India ◽  
2019 ◽  
Vol 22 (2) ◽  
pp. 305-314
Author(s):  
Kishore Raaj Suresh

Purpose – This study investigates the consumer’s technology adoption toward electronic commerce. In addition to the variables perceived usefulness and perceived ease of use derived from TAM, the study included and tested factors like perceived security, perceived product value, personal cost, perceived enjoyment, perceived cost and perceived quality. Design/methodology/approach – A questionnaire was developed primarily based on the available scales in the already published literature. All model constructs requested participants to indicate their perceptions of Likert-style responses. The data analysis was executed using Smart PLS to test the validity and reliability of the measurement instrument.


2016 ◽  
Vol 8 (1) ◽  
pp. 75-91 ◽  
Author(s):  
Shelby Devina ◽  
Waluyo Waluyo

The objective of this research was to examine the effect of perceived usefulness, perceived ease of use, speed, security and privacy and readiness technology tax payers information to e-Filing usage. The object of this study is the individual tax payers in Tangerang City, Karawaci District. The selection of the sample is determined based on convenience sampling method. Data used in this study was primary data, id est: questionnaires. The respondent in this study were 110. Data analysis technique in this study using multiple linear regression. The result of this study were (1) perceived usefulness have a significant impact towards e-Filing usage; (2) perceived ease of use have a significant impact towards e-Filing usage; (3) speed does not have a significant impact towards e-Filing usage; (4) security and privacy does not have a significant impact towards e-Filing usage; (5) readiness technology tax payers information does not have a significant impact towards e-Filing usage; (6) perceived usefulness, perceived ease of use, speed, security and privacy and readiness technology tax payers information all simultaneously, have a significant impact towards e-Filing usage. Keywords: e-Filing usage, perceived usefulness, perceived ease of use, readiness technology tax payers information, security and privacy.


2019 ◽  
Vol 9 (2) ◽  
pp. 79-85
Author(s):  
Indah Noviasari ◽  
Andre Rusli ◽  
Seng Hansun

Students and scheduling are both essential parts in a higher educational institution. However, after schedules are arranged and students has agreed to them, there are some occasions that can occur beyond the control of the university or lecturer which require the courses to be cancelled and arranged for replacement course schedules. At Universitas Multimedia Nusantara, an agreement between lecturers and students manually every time to establish a replacement course. The agreement consists of a replacement date and time that will be registered to the division of BAAK UMN which then enter the new schedule to the system. In this study, Ant Colony Optimization algorithm is implemented for scheduling replacement courses to make it easier and less time consuming. The Ant Colony Optimization (ACO) algorithm is chosen because it is proven to be effective when implemented to many scheduling problems. Result shows that ACO could enhance the scheduling system in Universitas Multimedia Nusantara, which specifically tested on the Department of Informatics replacement course scheduling system. Furthermore, the newly built system has also been tested by several lecturers of Informatics UMN with a good level of perceived usefulness and perceived ease of use. Keywords—scheduling system, replacement course, Universitas Multimedia Nusantara, Ant Colony Optimization


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