scholarly journals How Can We Develop a Standard Interface That Easily Integrates With HL7, Boosting EHR Interoperability?

2021 ◽  
Author(s):  
PROSENJIT BISWAS
Keyword(s):  
Health Care ◽  
Qualitative Research ◽  
Health Care Systems ◽  
Panel Discussion ◽  
Research Approach ◽  
Structured Interviews ◽  
Medical Practitioners ◽  
Flow Models ◽  
Standard Interface ◽  
Research Plan

Abstract Background: It appears that a systematic strategy that includes the basic underpinnings of health care, from systems and technologies to clinical understanding and workflow processes, is required to achieve the next great leap in improving quality and safety. To make meaningful progress, health-care systems integration is essential. However, to provide interoperability in EHR, systems must support all versions of HL7.Software companies and healthcare organisations are still having trouble integrating HL7 with multiple interfaces. Thus, a standard interface or platform is required that easily integrates with HL7 boosting EHR interoperability. Methods: Basic Modelling Interface (BMI) interoperability standards will be the focus of this research. The research plan proposes a qualitative research approach that includes clinicians’ interview and a panel discussion to characterise the information flow models. Qualitative research using a thematic analysis of semi structured interviews will be conducted in the proposed research plan. Results: Gaining the HL7 standard is insufficient for integrating EHR with diverse apps or software in use, thus clinicians' willingness to adopt a common interface is critical. Medical practitioners and software vendors agreement required to develop an API that tackles HL7 integration issues and EHR interoperability. Planning techniques for dealing with HL7 issues and doing coordinated testing can help identify and install HL7 standard interfaces successfully. Conclusions: The proposed research plan will help us to create a standard interface for HL7 integration which will benefit clinicians, healthcare professionals, and groups such as patients, healthcare authorities, and EHR vendors. Lastly, reducing or eliminating healthcare concerns will help the economy, ecosystem, and society in both concrete and qualitative ways.

Management of Records in Adapted Buildings as Records Centres in Zimbabwe

Mousaion ◽  
2018 ◽  
Vol 35 (3) ◽  
Author(s):  
Samson Mutsagondo ◽  
Getrude Maduyu ◽  
Godfrey Tsvuura
Keyword(s):  
Qualitative Research ◽  
Case Study Research ◽  
Research Approach ◽  
Records Management ◽  
Personal Observation ◽  
Structured Interviews ◽  
Design Data ◽  
Professional Management ◽  
The Government

This paper discusses the challenges of records management that arise from the use of adapted buildings as records centres in Zimbabwe, despite the advantages of using such buildings. A qualitative research approach was used as well as a case study research design. Data were collected from seven officers of the Gweru Records Centre through semi-structured interviews. Personal observation was used to triangulate findings from interviews. It was found that the use of adapted buildings as records centres was a cheaper and quicker way of establishing records centres throughout the country. However, a number of preservation, security and management challenges cropped up as the conditions of the buildings and the environment of the adapted buildings were not conducive to the proper and professional management of records. This study is important in that it explores the prospects and challenges of using adapted buildings as records centres in Zimbabwe, an area that has not been researched by many authors. This provokes archival authorities and the government to seriously consider establishing purpose-built records and archival centres.

scholarly journals Violence against children and adolescents: the perspective of Primary Health Care

2017 ◽  
Vol 70 (3) ◽  
pp. 511-518 ◽  
Author(s):  
Diene Monique Carlos ◽  
Elisabete Matallo Marchesini de Pádua ◽  
Maria das Graças Carvalho Ferriani
Keyword(s):  
Health Care ◽  
Qualitative Research ◽  
Children And Adolescents ◽  
Structured Interviews ◽  
Work Processes ◽  
Violence Against Children ◽  
Primary Health ◽  
Agents Of Change ◽  
The Look ◽  
Basic Health Units

ABSTRACT Objective: To analyze the care provided by Basic Health Units (BHU) to families involved in domestic intrafamily violence against children and adolescents. Method: Qualitative research, based on the Paradigm of Complexity. Data collection was performed with 41 professionals through focus groups and semi-structured interviews. Results: The following categories emerged from data analysis: 'Everything comes here', which reflects the legitimate place of BHUs for the population and the actions taken to build care for families; and 'We only do what is really necessary', which brings the look to violence still based on the positivist and biomedical paradigm. Final considerations: The model of understanding and construction of work processes in the BHU is structured in the aforementioned paradigm. Nurses have the possibility to become agents of change, both in professionals' training and in the care thought and provided to communities.

scholarly journals Surveillance, anticipation and firefighting: Perspectives of patient safety from a New Zealand case study

2020 ◽  
Author(s):  
J Wailling ◽  
Brian Robinson ◽  
M Coombs
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
New Zealand ◽  
Health Care Professionals ◽  
Nuclear Power ◽  
High Reliability ◽  
Health Care Systems ◽  
Tertiary Hospital ◽  
Structured Interviews

© 2018 John Wiley & Sons Ltd Aim: This study explored how doctors, nurses and managers working in a New Zealand tertiary hospital understand patient safety. Background: Despite health care systems implementing proven safety strategies from high reliability organisations, such as aviation and nuclear power, these have not been uniformly adopted by health care professionals with concerns raised about clinician engagement. Design: Instrumental, embedded case study design using qualitative methods. Methods: The study used purposeful sampling, and data was collected using focus groups and semi-structured interviews with doctors (n = 31); registered nurses (n = 19); and senior organisational managers (n = 3) in a New Zealand tertiary hospital. Results: Safety was described as a core organisational value. Clinicians appreciated proactive safety approaches characterized by anticipation and vigilance, where they expertly recognized and adapted to safety risks. Managers trusted evidence-based safety rules and approaches that recorded, categorized and measured safety. Conclusion and Implications for Nursing Management: It is important that nurse managers hold a more refined understanding about safety. Organisations are more likely to support safe patient care if cultural complexity is accounted for. Recognizing how different occupational groups perceive and respond to safety, rather than attempting to reinforce a uniform set of safety actions and responsibilities, is likely to bring together a shared understanding of safety, build trust and nurture safety culture.

scholarly journals Street market saleswomen: strategies for the recognition of health needs

2020 ◽  
Vol 73 (2) ◽  
Author(s):  
Ana Hirley Rodrigues Magalhães ◽  
Maria Adelane Monteiro da Silva ◽  
José Reginaldo Feijão Parente ◽  
Ivna de Holanda Pereira ◽  
Maristela Inês Osawa Vasconcelos ◽  
...  
Keyword(s):  
Health Care ◽  
Qualitative Research ◽  
Content Analysis ◽  
Perceived Health ◽  
Health Needs ◽  
Structured Interviews ◽  
Work Process ◽  
Attitudes And Practices ◽  
Human Needs ◽  
Therapeutic Alternatives

ABSTRACT Objectives: to describe the strategies used by street market saleswomen to recognize their health needs. Methods: qualitative research, based on the Human Needs Theory. The data were collected through semi-structured interviews, with the participation of 15 street market saleswomen. Content Analysis was used to interpret the results. Results: the following categories emerged: “Potentialities and challenges for addressing health needs”, which reflect changes in attitudes and practices related to socially recognized behaviors as harmful, and changes in the work process; and “Popular practices in health care”, which points out therapeutic alternatives for the resolution of health problems. Final considerations: the therapeutic choices of street market saleswomen are geared towards meeting their perceived health needs. While the minority of these women recognize their more complex health needs to satisfy it, it is necessary to overcome barriers and limitations in an ongoing way in their lives.

scholarly journals Building Information Modelling: An analysis of the methods used to streamline design-to-construction in New Zealand

2021 ◽  
Author(s):  
◽  
Nelson Chan
Keyword(s):  
Qualitative Research ◽  
Supply Chain ◽  
New Zealand ◽  
Future Research ◽  
Research Approach ◽  
Structured Interviews ◽  
Building Information Modelling ◽  
Architectural Engineering ◽  
Building Information ◽  
Significant Factors

<p>The following study explores and investigates the current methods New Zealand (NZ) Architectural, Engineering and Construction (AEC) firms use to enable effective BIM coordination in their projects. The purpose was to gain and contribute knowledge of the various methods for successful BIM delivery, as well, as to bridge the gap between academia and industry for a greater understanding of BIM use in an NZ context.  A qualitative research approach was carried out and comprised of semi-structured interviews in which eight industry participants across the design-to-construction supply chain were selected and interviewed. From the results, the different methods identified were: BIM-to-fabrication; change of procurement methods; and incorporating BIM Collaboration Format (BCF) plugin platforms. These methods identified contribute to knowledge for future researchers to undertake; predominantly to provide direction and recommendations to explore each method in an NZ industry context further.  Further discussions of the results identify that although the different methods can contribute to better BIM coordination, the success of a BIM model to be delivered effectively is dependent on two significant factors. The factors are; firstly, to capture the BIM requirements and needs of the client to establish well-defined deliverables in the BEP; and secondly, to ensure that the project team are to understand their role and responsibilities right throughout the project. This was a crucial finding in this thesis as although the methods are effective in enabling greater BIM coordination; ultimately it comes down to BIM understanding and expertise from key project stakeholders; which brings the notion of the issue back to the root of the problem. Other key findings from this thesis indicate a positive future for BIM within the NZ AEC industry, with many of the participant firms recognised to be proactive and open to incorporating BIM into their projects. Though the signs are encouraging, discussions with industry participants still express their concerns on needing to align the understanding of BIM between key project stakeholders. Therefore, an education piece which focuses on the client and their understanding of BIM in an NZ context is suggested for future research. This thesis also presents academia with valuable industry BIM workflow diagrams which the author has either illustrated or been provided by participants.</p>

scholarly journals Prerequisites for a beneficial knowledge transfer between manufacturing plants

2020 ◽  
Vol 51 (11) ◽  
pp. 2-13
Author(s):  
Maike Scherrer ◽  
Patricia Deflorin ◽  
Levente Szász ◽  
Béla-Gergely Rácz ◽  
Ildikó-Réka Cardoș ◽  
...  
Keyword(s):  
Qualitative Research ◽  
Knowledge Transfer ◽  
Multinational Companies ◽  
Coordination Mechanisms ◽  
Research Approach ◽  
Structured Interviews ◽  
Main Method ◽  
Manufacturing Plants ◽  
Collaborative Tools ◽  
Personal Interaction

The paper aims at exploring the prerequisites for a beneficial knowledge transfer between manufacturing plants of multinational companies (MNCs), by taking the characteristics of the knowledge sending and knowledge receiving plant into consideration. This research seeks to understand how efforts undertaken by manufacturing plants, and how collaborative tools and coordination mechanisms influence a successful knowledge transfer. The study includes thirteen case studies conducted in manufacturing plants from four different European countries (i.e., Switzerland, Romania, Albania, and Macedonia). Given the exploratory nature of this study, the authors used a qualitative research approach. The main method of data collection involved multiple semi-structured interviews at manufacturing plants, uniformly applied in each country in order to observe general patterns across different cases. Their results show that the personal interaction between knowledge sending and receiving plants is more important for a successful knowledge transfer than information systems or prior related knowledge.

Domestic Violence and Poverty

2016 ◽  
Vol 27 (2) ◽  
pp. 223-230 ◽  
Author(s):  
Ilze Slabbert
Keyword(s):  
Qualitative Research ◽  
Domestic Violence ◽  
Social Workers ◽  
Low Income ◽  
Research Approach ◽  
Abused Women ◽  
Snowball Sampling ◽  
Structured Interviews ◽  
Low Income Families

Purpose: Domestic violence poses a major challenge to social workers. Low-income families are significantly more likely to have to contend with domestic violence, as poverty can act as a fuelling factor in this type of conflict. The objective of this study was to explore and describe the experiences of low-income abused women. Method: A qualitative research approach was followed to explore and describe the phenomenon of low-income abused women. Purposive and snowball sampling were used to obtain 20 participants. Data were collected by means of semi-structured interviews. The data were categorized into four themes. Results: Domestic violence and poverty are issues that some women might experience. Low-income abused women are especially more vulnerable to domestic violence and poverty limits choices and resources. Conclusion: Domestic violence and poverty should be seen in a serious light. Social workers should recognise the complexity and correlation between domestic violence and poverty.

scholarly journals PENGARUH PERILAKU SISWA SD TERHADAP KUNJUNGAN PEMELIHARAAN KESEHATAN GIGI DAN MULUT

2020 ◽  
Vol 2 (1) ◽  
pp. 14
Author(s):  
Raudhatul Jannah ◽  
Mappeaty Nyorong ◽  
Yuniati Yuniati
Keyword(s):  
Public Health ◽  
Health Care ◽  
Qualitative Research ◽  
Health Center ◽  
Parental Support ◽  
Dental Health ◽  
Research Approach ◽  
Chi Square ◽  
Public Health Center ◽  
Purposive Sampling

<div><table cellspacing="0" cellpadding="0" align="left"><tbody><tr><td align="left" valign="top"><p align="center"><strong>Abstrak</strong></p><p> </p></td></tr></tbody></table></div><p>Masalah kesehatan gigi terutama pada anak di Indonesia mencapai 93 %. Berdasarkan survey awal yang dilakukan oleh peneliti di Puskesmas Sentosa baru dengan melihat data sekunder diketahui bahwa pencapaian target tentang kesehatan gigi belum mencapai 80 %. Adapun tujuan  penelitian ini yaitu untuk menganalisis pengaruh perilaku siswa SD terhadap kunjungan pemeliharaan kesehatan gigi di Puskesmas Sentosa Baru. Jenis penelitian ini merupakan penelitian kuantitatif dengan menggunakan cross sectional. Penelitian dilakukan di wilayah kerja Puskesmas Sentosa Baru kota Medan. Sampel kuantitatif diperoleh dengan menggunakan teknik purposive sampling sebanyak 95 siswa. Sedangkan Informan pada peenlitian kualitatif berjumlah 3 orang siswa. Untuk menganalisis data kuantitatif digunakan uji Chi Square dan regresi logistik dan kualiatif dilakukan dengan observasi dan wawancara. Berdasarkan hasil penelitian kuantitatif diketahui bahwa ada 5 variabel yang memengaruhi siswa SD dalam kunjungan pemeliharaan kesehatan gigi dan mulut di Puskesmas Sentosa Baru yaitu pengetahuan, sikap, dukungan orangtua, dukungan guru, dukungan teman sebaya. Kesimpulan dalam penelitian ini yaitu bahwa variabel yang paling berpengaruh terhadap kunjungan pemeliharaan di Puskesmas Sentosa Baru yaitu dukungan guru. Sehingga disarankan agar guru dapat memberikan dukungan yang penuh kepada siswa agar siswa bersedia berkunjung ke Puskesmas Sentosa Baru untuk melakukan pemeliharaan kesehatan.</p><p> </p><p>Kata kunci: Perilaku, Kunjungan Pemeliharaan Gigi dan Mulut</p><p>Abstract</p><p>Dental health problems especially in children in Indonesia still very alarming 93%. Based on an initial survey conducted in the Sentosa Baru Public Health Center by looking at secondary data it was known that the achievement of targets on dental health has not reached 80%. The general purpose of this studied IS to analyzed the influence of students still low behavior on dental health service visits at the Sentosa Baru Public Health Center  The types of research was a mix methods with an explanatory research approach. Quantitative samples were obtained using a purposive sampling technique of 95 students. While the informants in qualitative research were 3 students. To analyzed quantitative data the Chi Square test was used and logistic and qualitative regression was carried out by observation and interview. Based on the results of quantitative research, it was known that there was 5 variables that affect elementary students in dental and oral health care visits at the Sentosa Baru Public Health Center, namely knowledge, attitudes, parental support, teacher support, and peer support. Based on qualitative research results, it was obtained that 2 informants experienced cavities and dirty teeth. The conclusion is that the most influential variable on maintenance visits at the Sentosa Baru Public Health Center is teacher’s support. So it was suggested that teachers can provide full support to students are willing to visit the Sentosa Baru Public Health Center to examing their teeth and mouths problems performing health care.</p><p> </p>Keywords: Behavior, Maintenance Visit Dental and Mouth

General Practitioners’ Roles in Disaster Health Management: Perspectives of Disaster Managers

2021 ◽  
pp. 1-8
Author(s):  
Penelope L. Burns ◽  
Gerard J. FitzGerald ◽  
Wendy C. Hu ◽  
Peter Aitken ◽  
Kirsty A. Douglas
Keyword(s):  
Health Care ◽  
New Zealand ◽  
General Practitioners ◽  
Health Management ◽  
Health Care Systems ◽  
Health Resources ◽  
Local Health ◽  
Structured Interviews ◽  
Care Needs ◽  
Study Objective

Abstract Introduction: General Practitioners (GPs) are inevitably involved when disaster strikes their communities. Evidence of health care needs in disasters increasingly suggests benefits from greater involvement of GPs, and recent research has clarified key roles. Despite this, GPs continue to be disconnected from disaster health management (DHM) in most countries. Study Objective: The aim of this study was to explore the perspectives of disaster management professionals in two countries, across a range of all-hazard disasters, regarding the roles and contributions of GPs to DHM, and to identify barriers to, and benefits of, more active engagement of GPs in disaster health care systems. Methods: A qualitative research methodology using semi-structured interviews was conducted with a purposive sample of Disaster Managers (DMs) to explore their perspectives arising from experiences and observations of GPs during disasters from 2009 through 2016 in Australia or New Zealand. These involved all-hazard disasters including natural, man-made, and pandemic disasters. Responses were analyzed using thematic analysis. Results: These findings document support from DM participants for greater integration of GPs into DHM with New Zealand DMs reporting GPs as already a valuable integrated contributor. In contrast, Australian DMs reported barriers to inclusion that needed to be addressed before sustained integration could occur. The two most strongly expressed barriers were universally expressed by Australian DMs: (1) limited understanding of the work GPs undertake, restricting DMs’ ability to facilitate GP integration; and (2) DMs’ difficulty engaging with GPs as a single group. Other considerations included GPs’ limited DHM knowledge, limited preparedness, and their heightened vulnerability. Strategies identified to facilitate greater integration of GPs into DHM where it is lacking, such as Australia, included enhanced communication, awareness, and understanding between GPs and DMs. Conclusion: Experience from New Zealand shows systematic, sustained integration of GPs into DHM systems is achievable and valuable. Findings suggest key factors are collaboration between DMs and GPs at local, state, and national levels of DHM in planning and preparedness for the next disaster. A resilient health care system that maximizes capacity of all available local health resources in disasters and sustains them into the recovery should include General Practice.

Sign in / Sign up

Export Citation Format

Share Document