scholarly journals A Qualitative Evaluation of the Usability of a Hospital-Wide Electronic Medication Management System in the Oncology setting using the Unified Theory and Use of Technology Framework

2020 ◽  
Author(s):  
racha dabliz ◽  
Simon K. Poon ◽  
Angus Ritchie ◽  
Rosemary Burke ◽  
Jonathan Penm
Keyword(s):  
Management System ◽  
Contextual Factors ◽  
Evaluation Studies ◽  
Medication Management ◽  
Qualitative Evaluation ◽  
Multidisciplinary Teams ◽  
Structured Interviews ◽  
Medication Process ◽  
User Groups ◽  
Oncology Unit

Abstract Background: In light of the complexity of the medication process and the difficultly of examining it in isolation from other interrelated processes and contextual factors, this qualitative research aims to fill the gap in the literature by cohesively determining the usability of a hospital-wide Electronic Medication Management System in a specialised oncology unit by bringing in the perspective of three key user groups. Furthermore, it demonstrates how the UTAUT can be used to guide qualitative evaluation studies in evaluating the usability of an integrated EMMS. Methods: This was a qualitative study conducted in a 12-bed hospital outpatient Oncology unit in a major teaching hospital. In-depth semi-structured interviews were performed with the doctors, nurses and pharmacists to identify user’s requirements. Data were analysed by using the UTAUT framework for analysis. Results: The UTAUT framework facilitated the evaluation of interrelated aspects and provided a structured summary of user experience usability factors. The direct cross comparison between user groups illustrated that doctors and pharmacists were generally satisfied with the facilitating conditions (hardware and training), but had varying perceptions of performance (automation, standardised protocols and communication and documented) and effort (mental and temporal demand). On the other hand, nurses were generally satisfied across all constructs. It also illustrated the key role that ‘previous system experience’ plays in developing user’s system frustrations and acted as a moderator for these constructs. Conclusion: Considering the complexity of the medication process and the difficultly of examining it in isolation from other interrelated processes and contextual factors, this study cohesively demonstrated the need to explore perceptions of usability across user groups. It illustrated that doctors and pharmacists were satisfied with the EMMS if it provided desirable utility to their practice, and nurses when the EMMS was easy to use in the nursing processes using the UTAUT framework. As multidisciplinary teams are involved in cancer care, all potential users and their requirements should be considered.

scholarly journals Usability evaluation of an integrated electronic medication management system implemented in an oncology setting using the unified theory of the acceptance and use of technology

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Racha Dabliz ◽  
Simon K. Poon ◽  
Angus Ritchie ◽  
Rosemary Burke ◽  
Jonathan Penm
Keyword(s):  
Management System ◽  
Medication Management ◽  
Hospital Environment ◽  
Unified Theory ◽  
Structured Interviews ◽  
Multiple User ◽  
Usability Problems ◽  
Use Of Technology ◽  
User Groups ◽  
Oncology Unit

Abstract Background Medication management processes in an Oncology setting are complex and difficult to examine in isolation from interrelated processes and contextual factors. This qualitative study aims to evaluate the usability of an Electronic Medication Management System (EMMS) implemented in a specialised oncology unit using the Unified Theory of Acceptance and Use of Technology (UTAUT) framework. Methods The study was conducted in a 12-bed outpatient Oncology unit of a major teaching hospital 6 months following implementation of a commercial EMMS. In-depth semi-structured interviews were conducted with doctors, nurses and pharmacists using the system to assess usability. The UTAUT framework was used to analyse the results, which facilitated evaluation of interrelated aspects and provided a structured summary of user experience and usability factors. Results Direct cross-comparison between user groups illustrated that doctors and pharmacists were generally satisfied with the facilitating conditions (hardware and training), but had divergent perceptions of performance (automation, standardised protocols and communication and documented) and effort (mental and temporal demand) expectancy. In counterpoint, nurses were generally satisfied across all constructs. Prior experience using an alternative EMMS influenced performance and effort expectancy and was related to early dissatisfaction with the EMMS. Furthermore, whilst not originally designed for the healthcare setting, the flexibility of the UTAUT allowed for translation to the hospital environment. Conclusion Nurses demonstrated overall satisfaction with the EMMS, whilst doctors and pharmacists perceived usability problems, particularly related to restricted automaticity and system complexity, which hindered perceived EMMS success. The study demonstrates the feasibility and utility of the UTAUT framework to evaluate usability of an EMMS for multiple user groups in the Oncology setting.

scholarly journals Usability evaluation of an integrated electronic medication management system implemented in an Oncology setting using the Unified Theory of the Acceptance and Use of Technology.

2020 ◽  
Author(s):  
Racha Dabliz ◽  
Simon K. Poon ◽  
Angus Ritchie ◽  
Rosemary Burke ◽  
Jonathan Penm
Keyword(s):  
Management System ◽  
Medication Management ◽  
Hospital Environment ◽  
Unified Theory ◽  
Structured Interviews ◽  
Multiple User ◽  
Usability Problems ◽  
Use Of Technology ◽  
User Groups ◽  
Oncology Unit

Abstract Background: Medication management processes in an Oncology setting are complex and difficult to examine in isolation from interrelated processes and contextual factors. This qualitative study aims to evaluate the usability of an Electronic Medication Management System (EMMS) implemented in a specialised oncology unit using the Unified Theory of Acceptance and Use of Technology (UTAUT) framework.Methods: The study was conducted in a 12-bed outpatient Oncology unit of a major teaching hospital six months following implementation of a commercial EMMS. In-depth semi-structured interviews were conducted with doctors, nurses and pharmacists using the system to assess usability. The UTAUT framework was used to analyse the results, which facilitated evaluation of interrelated aspects and provided a structured summary of user experience and usability factors.Results: Direct cross-comparison between user groups illustrated that doctors and pharmacists were generally satisfied with the facilitating conditions (hardware and training), but had divergent perceptions of performance (automation, standardised protocols and communication and documented) and effort (mental and temporal demand). In counterpoint, nurses were generally satisfied across all constructs. Prior experience using an alternative EMMS influenced performance and effort expectancy and was related to early dissatisfaction with the implemented system. Furthermore, whilst not originally designed for the healthcare setting, the flexibility of the UTAUT allowed for translation to the hospital environment.Conclusion: Nurses demonstrated overall satisfaction with the EMMS, whilst doctors and pharmacists perceived some usability problems, particularly related to restricted automaticity and system complexity, which hindered user uptake and EMMS success. The study demonstrates the feasibility and utility of the UTAUT framework to evaluate usability of an EMMS for multiple user groups in the Oncology setting.

scholarly journals Usability evaluation of an integrated Electronic Medication Management System implemented in an Oncology setting using the Unified Theory of the Acceptance and Use of Technology.

2020 ◽  
Author(s):  
racha dabliz ◽  
Simon K. Poon ◽  
Angus Ritchie ◽  
Rosemary Burke ◽  
Jonathan Penm
Keyword(s):  
Management System ◽  
Medication Management ◽  
Hospital Environment ◽  
Unified Theory ◽  
Structured Interviews ◽  
Multiple User ◽  
Usability Problems ◽  
Use Of Technology ◽  
User Groups ◽  
Oncology Unit

Abstract Background: Medication management processes in an Oncology setting are complex and difficult to examine in isolation from interrelated processes and contextual factors. This qualitative study aims to evaluate the usability of an Electronic Medication Management System (EMMS) implemented in a specialised oncology unit using the Unified Theory of Acceptance and Use of Technology (UTAUT) framework. Methods: The study was conducted in a 12-bed outpatient Oncology unit of a major teaching hospital six months following implementation of a commercial EMMS. In-depth semi-structured interviews were conducted with doctors, nurses and pharmacists using the system to assess usability. The UTAUT framework was used to analyse the results, which facilitated evaluation of interrelated aspects and provided a structured summary of user experience and usability factors. Results: Direct cross-comparison between user groups illustrated that doctors and pharmacists were generally satisfied with the facilitating conditions (hardware and training), but had divergent perceptions of performance (automation, standardised protocols and communication and documented) and effort (mental and temporal demand). In counterpoint, nurses were generally satisfied across all constructs. Prior experience using an alternative EMMS influenced performance and effort expectancy and was related to early dissatisfaction with the implemented system. Furthermore, whilst not originally designed for the healthcare setting, the flexibility of the UTAUT allowed for translation to the hospital environment. Conclusion: Nurses demonstrated overall satisfaction with the EMMS, whilst doctors and pharmacists perceived some usability problems, particularly related to restricted automaticity and system complexity, which hindered user uptake and EMMS success. The study demonstrates the feasibility and utility of the UTAUT framework to evaluate usability of an EMMS for multiple user groups in the Oncology setting.

scholarly journals Usability evaluation of an integrated electronic medication management system implemented in an Oncology setting using the Unified Theory of the Acceptance and Use of Technology.

2020 ◽  
Author(s):  
Racha Dabliz ◽  
Simon K. Poon ◽  
Angus Ritchie ◽  
Rosemary Burke ◽  
Jonathan Penm
Keyword(s):  
Management System ◽  
Medication Management ◽  
Hospital Environment ◽  
Unified Theory ◽  
Structured Interviews ◽  
Multiple User ◽  
Usability Problems ◽  
Use Of Technology ◽  
User Groups ◽  
Oncology Unit

Abstract Background: Medication management processes in an Oncology setting are complex and difficult to examine in isolation from interrelated processes and contextual factors. This qualitative study aims to evaluate the usability of an Electronic Medication Management System (EMMS) implemented in a specialised oncology unit using the Unified Theory of Acceptance and Use of Technology (UTAUT) framework. Methods: The study was conducted in a 12-bed outpatient Oncology unit of a major teaching hospital six months following implementation of a commercial EMMS. In-depth semi-structured interviews were conducted with doctors, nurses and pharmacists using the system to assess usability. The UTAUT framework was used to analyse the results, which facilitated evaluation of interrelated aspects and provided a structured summary of user experience and usability factors. Results: Direct cross-comparison between user groups illustrated that doctors and pharmacists were generally satisfied with the facilitating conditions (hardware and training), but had divergent perceptions of performance (automation, standardised protocols and communication and documented) and effort (mental and temporal demand). In counterpoint, nurses were generally satisfied across all constructs. Prior experience using an alternative EMMS influenced performance and effort expectancy and was related to early dissatisfaction with the implemented system. Furthermore, whilst not originally designed for the healthcare setting, the flexibility of the UTAUT allowed for translation to the hospital environment. Conclusion: Nurses demonstrated overall satisfaction with the EMMS, whilst doctors and pharmacists perceived some usability problems, particularly related to restricted automaticity and system complexity, which hindered user uptake and EMMS success. The study demonstrates the feasibility and utility of the UTAUT framework to evaluate usability of an EMMS for multiple user groups in the Oncology setting.

scholarly journals THE ARCHITECTURE OF PAGODAS VIEWED FROM THE ANGLE OF SITE LAY-OUT, PROPORTION, AND SYMBOLIZATION

2017 ◽  
Vol 1 (02) ◽  
pp. 192-208
Author(s):  
Raymond William
Keyword(s):  
Data Analysis ◽  
Quantitative Evaluation ◽  
Theoretical Study ◽  
Evaluation Studies ◽  
Qualitative Evaluation ◽  
Main Section ◽  
Structured Interviews ◽  
Close Relationship ◽  
Data Collection Technique ◽  
And Function

Abstract – On Bali the islanders enjoy a close relationship with their Creator. The majority of Balinese worship in temples or shrines called Pura. These form a complex of sacred buildings that have a certain significance and function. One prominent type is the so-called Meru or Pagoda. Not all Pura temples have such a pagoda, but those that have more than one are found quite frequently. The placement of a pagoda in a temple is usually made at the main section due to its holiness or purity. Their shape differs from other constructions because their layered roof is multi-tiered, always uneven in number, starting from 3 up to 11. Therefore, these pagodas attain a different height so that their proportions are interesting to observe in order to determine whether there is a pole (patokan) or not. The pagodas carry divine symbols, ones referring to other temples or shrines, or ancestral symbols. This study employs the descriptive-analytical method by conducting a qualitative-quantitative evaluation. The qualitative evaluation investigates the lay-out of the placement and examines symbolization, whereas the quantitative evaluation studies the proportions of the pagodas. The data collection technique contains three parts, namely studying the relevant background literature, making observations, and holding structured interviews. The data analysis subjects the outcome of the observations and interviews to analysis, to be joined with theoretical study. The conclusion may be drawn that the ordering principle behind the placement of pagodas is situated in the main area, considered the most sacred part of a Pura temple. These proportions prove to have several features in common by comparison, so that it can be turned into a pole (patokan). No uniformity was detected in the symbolization of the pagoda in terms of carvings or the number of joinings.Keywords: pagoda, site lay-out, proportion, symbolization, temples on Bali

scholarly journals RFID Medication Management System in Hospitals

2020 ◽  
Vol 16 (12) ◽  
pp. 155
Author(s):  
Safae El Abkari ◽  
Abdelilah Jilbab ◽  
Jamal El Mhamdi
Keyword(s):  
Radio Frequency Identification ◽  
Digital Signature ◽  
Management System ◽  
Medication Management ◽  
World Health ◽  
Pharmacy Services ◽  
Medication Process ◽  
The World ◽  
Frequency Identification ◽  
Health Organization

<p class="0abstract"><span lang="EN-US">One of the primary concerns of the World Health Organization is the improvement of medical care by reducing adverse events in the medication process and enhancing the safety of patients. These issues are mainly related to the management of expensive and high-risk medicines in hospitals. In this paper, we enhanced medication management by minimizing the possibility of medication errors from its prescription-validation to its preparation. For this purpose, we designed a hospital and pharmacy services management system by employing digital signature using Radio Frequency IDentification technology. Our proposed system is equipped with ESP8266 modules, RFID readers and tags which allow the detection of taking medications and ensures an automated medication management. </span></p>

scholarly journals The Importance of Perceived Relevance: A Qualitative Evaluation of Patient’s Perceptions of Value and Impact Following a Low-Intensity Group-Based Pain Management Program

Medicina ◽  
2021 ◽  
Vol 57 (1) ◽  
pp. 46
Author(s):  
Joshua W. Pate ◽  
Elizabeth Tran ◽  
Seema Radhakrishnan ◽  
Andrew M. Leaver
Keyword(s):  
Pain Management ◽  
Qualitative Evaluation ◽  
Management Program ◽  
Structured Interviews ◽  
Patient Beliefs ◽  
Pain Management Program ◽  
Westmead Hospital ◽  
Group A ◽  
Perceived Relevance ◽  
Beliefs And Attitudes

Background and objectives: Limited evidence exists exploring perceptions of which aspects of a pain management program are perceived as valuable and impactful. The aim of this study was to explore patient beliefs about which aspects of a pain management program were valued and/or had perceived impact. Materials and Methods: One-on-one structured interviews were conducted with 11 adults three months after their completion of the Spark Pain Program at Westmead Hospital, Sydney, Australia. Concepts in the transcripts were inductively identified and explored, utilizing thematic analysis to better understand their relevance to the study aim. Results: Four themes emerged: (1) “The program overall was positive, but…”; (2) “I valued my improved knowledge and understanding of pain, but…”; (3) “I valued the stretching/relaxation/pacing/activity monitoring”; and (4) “I valued being part of a supportive and understanding group”. Participants reported that they liked being treated as an individual within the group. A lack of perceived personal relevance of key messages was identified in some participants; it appears that patients in pain programs must determine that changes in knowledge, beliefs, and attitudes are personally relevant in order for the changes to have a significant impact on them. Conclusions: This study provides new insights into aspects of a pain management program that were perceived as valuable and impactful, areas that “missed the mark”, and hypotheses to guide the implementation of service delivery and program redesign.

#69: Improving Communication About the Care and Prevention of Infections in a Pediatric Oncology Unit by Using Patient Daily Goals in Multidisciplinary Rounds

2021 ◽  
Vol 10 (Supplement_1) ◽  
pp. S22-S22
Author(s):  
Escobedo-Melendez Griselda ◽  
Martinez-Albarran Manuel ◽  
Magaña-Saldivar Isadora ◽  
Jimenez Norma ◽  
Gomez-Huerta Elizabeth ◽  
...  
Keyword(s):  
Length Of Stay ◽  
Pediatric Oncology ◽  
Multidisciplinary Team ◽  
Statistical Significance ◽  
Healthcare Providers ◽  
Multidisciplinary Teams ◽  
Use Of Resources ◽  
Multidisciplinary Rounds ◽  
Prevention Of Infections ◽  
Oncology Unit

Abstract Background In children with cancer infections are the most frequent complication, with fatal outcomes if not addressed promptly. Therefore, care and prevention of infections in these patients require multidisciplinary interventions, with effective communication among healthcare providers to reduce the morbidity, length of stay, and the inappropriate use of resources. We used the Institute of Healthcare Improvement (IHI) model for improving the communication among healthcare providers by using patient daily goals after the oncology pediatric unit multidisciplinary rounds. Methods A multidisciplinary team was identified in the pediatric oncology unit. The team received weekly coaching on the IHI methodology. The methodology used included the creation of a block diagram to understand the baseline processes and a key driver diagram. Then, after a literature review, a data collection plan and measures were identified. The team identified different ideas for changes and prioritized them using an impact-effort matrix. Finally, several rounds of Plan-Do-Study-Act (PDSA) cycles reached the desired changes that organized the patient daily goals for sharing in the form of a worksheet. This worksheet was shared with nurses and pharmacist staff, a chat group was created, and the routine use of the daily goals for patient management was taught and incorporated into the rest of the care team staff. The percentage of excellent communication among all multidisciplinary teams and outcomes (length of stay, intensive care unit admission, and mortality) were recorded at baseline and endline. We determined the statistical significance of the baseline vs. endline difference by using χ 2 and t-tests. Results A total of 105 patients with suspected infections were included over a 6-month period (June through November 2019). We found a significant increase per month in the percent of agreement in excellent communication in the patient daily goals between infectious diseases specialist faculty and fellows, nurses, pharmacist, and pediatric oncology faculty and fellows (33.3% vs. 91.3%) (P = 0.004). Length of stay decreased monthly after our interventions (baseline: mean 14.7 days [SD 12.4] vs. after intervention: mean 6.7 days [SD 2.7]) (P = 0.014). There were only one ICU admission and no deaths during the implementation period. Conclusions Our approach using patient daily goals improved communication among a multidisciplinary team, leading to decreased length of stay and supporting adequate outcomes.

scholarly journals Improving the experience of facility-based delivery for vulnerable women through obstetric care navigation: a qualitative evaluation

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Kirsten Austad ◽  
Michel Juarez ◽  
Hannah Shryer ◽  
Patricia L. Hibberd ◽  
Mari-Lynn Drainoni ◽  
...  
Keyword(s):  
Health Workers ◽  
Positive Impact ◽  
Qualitative Evaluation ◽  
Obstetric Care ◽  
Hospital Staff ◽  
Public Hospitals ◽  
Future Research ◽  
Care Seeking ◽  
Structured Interviews ◽  
The Impact

Abstract Background Global disparities in maternal mortality could be reduced by universal facility delivery. Yet, deficiencies in the quality of care prevent some mothers from seeking facility-based obstetric care. Obstetric care navigators (OCNs) are a new form of lay health workers that combine elements of continuous labor support and care navigation to promote obstetric referrals. Here we report qualitative results from the pilot OCN project implemented in Indigenous villages in the Guatemalan central highlands. Methods We conducted semi-structured interviews with 17 mothers who received OCN accompaniment and 13 staff—namely physicians, nurses, and social workers—of the main public hospital in the pilot’s catchment area (Chimaltenango). Interviews queried OCN’s impact on patient and hospital staff experience and understanding of intended OCN roles. Audiorecorded interviews were transcribed, coded, and underwent content analysis. Results Maternal fear of surgical intervention, disrespectful and abusive treatment, and linguistic barriers were principal deterrents of care seeking. Physicians and nurses reported cultural barriers, opposition from family, and inadequate hospital resources as challenges to providing care to Indigenous mothers. Patient and hospital staff identified four valuable services offered by OCNs: emotional support, patient advocacy, facilitation of patient-provider communication, and care coordination. While patients and most physicians felt that OCNs had an overwhelmingly positive impact, nurses felt their effort would be better directed toward traditional nursing tasks. Conclusions Many barriers to maternity care exist for Indigenous mothers in Guatemala. OCNs can improve mothers’ experiences in public hospitals and reduce limitations faced by providers. However, broader buy-in from hospital staff—especially nurses—appears critical to program success. Future research should focus on measuring the impact of obstetric care navigation on key clinical outcomes (cesarean delivery) and mothers’ future care seeking behavior.

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