Digital Technology In Psychiatry: Expectations, Barriers And Understanding Of Clinicians (Preprint)

2021 ◽  
Author(s):  
William Andrew Sterling ◽  
Michael Sobolev ◽  
Anna Van Meter ◽  
Daniel Guinart ◽  
Michael Birnbaum ◽  
...  
Keyword(s):  
Digital Technology ◽  
Online Survey ◽  
Clinical Intervention ◽  
Digital Data ◽  
Patient Benefit ◽  
Effective Implementation ◽  
Clinical Benefits ◽  
Clinician Perspectives ◽  
Clinician Attitudes ◽  
Improve Patient

BACKGROUND Digital technology has the potential to transform psychiatry, but adoption has been limited. The proliferation of telepsychiatry during COVID increases urgency of optimizing technology for clinical practice. Understanding clinician attitudes and preferences is crucial to effective implementation and patient benefit. OBJECTIVE Our objective was to elicit clinician perspectives on emerging digital technology. METHODS Clinicians in a large psychiatry department (inpatient and outpatient) were invited to complete an online survey about their attitudes towards digital technology in practice, focusing on implementation, clinical benefits, and expectations about patients’ attitudes. The survey consisted of 23 questions that could be answered on either a 3-point or 5-point Likert scale. We report frequencies and percentages of responses. RESULTS 139 clinicians completed the survey. They represented a variety of years-experience, credentials and diagnostic sub-specialties (response rate of 69.5%). Eighty-three percent (n=116) stated that digital data could improve their practice. Twenty-three percent of responders reported that they had viewed patients’ profiles on social media (n=32). Among anticipated benefits, clinicians rated symptom self-tracking (n=101, 72.7%) as well as clinical intervention support (n=90, 64.7%) as most promising. Among anticipated challenges, clinicians mostly expressed concerns over greater time demand (n=123, 88.5%) and whether digital data would be actionable (n=107, 77%). Ninety-five percent (n=132) of clinicians expected their patients to share digital data. CONCLUSIONS Overall, clinicians reported a positive attitude toward the use of digital data to improve patient outcomes but also highlight significant barriers that implementation need to overcome. Although clinicians’ self-reported attitudes about digital technology may not necessarily translate into behavior, results suggest that technologies that reduce clinician burden and are easily interpretable have the greatest likelihood of uptake.

scholarly journals Writing’s on the wall: improving the WHO Surgical Safety Checklist

2021 ◽  
Vol 10 (1) ◽  
pp. e001086
Author(s):  
Claire Cushley ◽  
Tom Knight ◽  
Helen Murray ◽  
Lawrence Kidd
Keyword(s):  
Patient Safety ◽  
Online Survey ◽  
Improve Patient Safety ◽  
Surgical Safety Checklist ◽  
Surgical Safety ◽  
Time Out ◽  
Mandatory Requirement ◽  
Who Checklist ◽  
Improve Patient ◽  
Theatre Team

Background and problemThe WHO Surgical Safety Checklist has been shown to improve patient safety as well as improving teamwork and communication in theatres. In 2009, it was made a mandatory requirement for all NHS hospitals in England and Wales. The WHO checklist is intended to be adapted to suit local settings and was modified for use in Gloucestershire Hospitals NHS Foundation Trust. In 2018, it was decided to review the use of the adapted WHO checklist and determine whether improvements in compliance and engagement could be achieved.AimThe aim was to achieve 90% compliance and engagement with the WHO Surgical Safety Checklist by April 2019.MethodsIn April 2018, a prospective observational audit and online survey took place. The results showed compliance for the ‘Sign In’ section of the checklist was 55% and for the ‘Time Out’ section was 91%. Engagement by the entire theatre team was measured at 58%. It was proposed to move from a paper checklist to a wall-mounted checklist, to review and refine the items in the checklist and to change the timing of ‘Time Out’ to ensure it was done immediately prior to knife-to-skin.ResultsFollowing its introduction in September 2018, the new wall-mounted checklist was reaudited. Compliance improved to 91% for ‘Sign In’ and to 94% for ‘Time Out’. Engagement by the entire theatre team was achieved 100% of the time. Feedback was collected, adjustments made and the new checklist was rolled out in stages across all theatres. A reaudit in December 2018 showed compliance improved further, to 99% with ‘Sign In’ and to 100% with ‘Time Out’. Engagement was maintained at 100%.ConclusionsThe aim of the project was met and exceeded. Since April 2019, the new checklist is being used across all theatres in the Trust.

scholarly journals Digital Technology Differentiates Graphomotor and Information Processing Speed Patterns of Behavior

2021 ◽  
Vol 82 (1) ◽  
pp. 17-32 ◽  
Author(s):  
Stacy L. Andersen ◽  
Benjamin Sweigart ◽  
Nancy W. Glynn ◽  
Mary K. Wojczynski ◽  
Bharat Thyagarajan ◽  
...  
Keyword(s):  
Information Processing ◽  
Physical Function ◽  
Digital Technology ◽  
Test Scores ◽  
Neuropsychological Test ◽  
Apoe Genotype ◽  
Digital Data ◽  
Cognitive Test ◽  
Digit Symbol Substitution Test ◽  
Information Processing Speed

Background: Coupling digital technology with traditional neuropsychological test performance allows collection of high-precision metrics that can clarify and/or define underlying constructs related to brain and cognition. Objective: To identify graphomotor and information processing trajectories using a digitally administered version of the Digit Symbol Substitution Test (DSST). Methods: A subset of Long Life Family Study participants (n = 1,594) completed the DSST. Total time to draw each symbol was divided into ‘writing’ and non-writing or ‘thinking’ time. Bayesian clustering grouped participants by change in median time over intervals of eight consecutively drawn symbols across the 90 s test. Clusters were characterized based on sociodemographic characteristics, health and physical function data, APOE genotype, and neuropsychological test scores. Results: Clustering revealed four ‘thinking’ time trajectories, with two clusters showing significant changes within the test. Participants in these clusters obtained lower episodic memory scores but were similar in other health and functional characteristics. Clustering of ‘writing’ time also revealed four performance trajectories where one cluster of participants showed progressively slower writing time. These participants had weaker grip strength, slower gait speed, and greater perceived physical fatigability, but no differences in cognitive test scores. Conclusion: Digital data identified previously unrecognized patterns of ‘writing’ and ‘thinking’ time that cannot be detected without digital technology. These patterns of performance were differentially associated with measures of cognitive and physical function and may constitute specific neurocognitive biomarkers signaling the presence of subtle to mild dysfunction. Such information could inform the selection and timing of in-depth neuropsychological assessments and help target interventions.

Can digital technology help reduce smoke exposure and protect health in extreme air quality events?

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
S L Campbell ◽  
P J Jones ◽  
A J Wheeler ◽  
C Lucani ◽  
G J Williamson ◽  
...  
Keyword(s):  
Air Quality ◽  
Digital Technology ◽  
Online Survey ◽  
Quality Standard ◽  
Environmental Hazards ◽  
Smoke Exposure ◽  
Smartphone Apps ◽  
Individual Level ◽  
Health Authorities ◽  
Public Health Authorities

Abstract Background In the southern hemisphere summer of 2019-2020, Australia experienced its most severe bushfire season on record. Smoke from fires affected 80% of the population, with large exceedances of the Australian National Air Quality Standard for particulate air pollution recorded in all major population centres during this period. We examined if emerging and innovative digital technology can assist extreme smoke-affected populations to reduce their exposure and protect their health. Methods AirRater is a free smartphone app that tracks air quality and user symptoms in near real-time. We distributed an online survey to over 13,000 app users to assess how they used this information during the 2019-20 bushfire season, and if the app was helpful in decision-making around reducing personal smoke exposure. Results We received responses from 1732 users (13.3%). Respondents reported that the app was highly useful, supporting informed decisions regarding daily activities during the smoke-affected period. Commonly reported activities supported by information provided through the app were staying inside (76%), rescheduling or planning outdoor activities (64%), changing locations to less affected areas (29%) and informing decisions on medication use (15%). Conclusions Smartphone apps enable users to reduce smoke exposure and protect their health by providing individual-level and location-specific data. Furthermore, digital technology such as AirRater provides the potential to provide insight into the community impacts of environmental hazards such as bushfire smoke. Key messages Smartphone apps enable users to reduce their smoke exposure and protect their health. These emerging technologies can help public health authorities to understand the community impact of environmental hazards.

scholarly journals A Survey of the Non-clinical Benefits of EBVM

2017 ◽  
Vol 2 (3) ◽  
Author(s):  
Sarah Hauser ◽  
Elizabeth L Jackson
Keyword(s):  
Employee Engagement ◽  
Online Survey ◽  
Client Satisfaction ◽  
Quantitative Evidence ◽  
Journal Clubs ◽  
Survey Participation ◽  
Clinical Benefits ◽  
Survey Responses ◽  
Training Opportunities ◽  
Intellectual Challenge

<p><strong>Objective: </strong>This study aims to add non-clinical benefits to the virtues for adopting Evidence-based Veterinary Medicine (EBVM). The objective is to quantify the commercial benefits of EBVM through an online survey of veterinary professionals, giving clear indications of the key areas of non-clinical benefits of EBVM. Further, the study aims to outline barriers to the wider implementation of EBVM and find preferred ways of overcoming those barriers.</p><p><strong>Background:</strong> A PICO-based literature review (Hauser and Jackson, 2016) found that while there are some papers suggesting a link between the practice of EBVM and better non-clinical benefits such as client satisfaction, a single study, focusing on the non-clinical benefits of EBVM, had yet to be conducted. This study builds on the findings of an exploratory study (Jackson and Hauser, 2017) outlining key areas of non-clinical benefits of EBVM: increased client satisfaction and retention, improved reputation, confidence, as well as employee engagement.</p><p><strong>Evidentiary value:</strong> This online survey of veterinary professionals (n=407) provides evidence for practitioners, universities and other veterinary staff regarding the non-clinical benefits of EBVM, the barriers to a wider adoption of the practice and ways of overcoming those barriers.</p><p><strong>Methods: </strong>The online survey of veterinary professionals was conducted during September – October 2016 and contained 23 questions. Survey participation was voluntary and the data used for analysis were de-identified.</p><p><strong>Results:</strong> The survey responses of 407 veterinary professionals provide quantitative evidence of how EBVM is put into practice, how EBVM is perceived to impact client behaviour and employee engagement, what the barriers are to practising EBVM and how these could be overcome. Key findings are that veterinary professionals are more likely to practise EBVM if they have been taught how to do so at vet school. EBVM is a way to provide value to and build trust with clients. Survey respondents who practise EBVM are more likely to find their workplace inspiring and to be an intellectual challenge and the main barriers to EBVM are: time and access to information. Respondents, especially those who were employees suggested overcoming these barriers through attending journal clubs and other training opportunities.</p><p><strong>Conclusion: </strong>The study provides the view of veterinary professionals on the non-clinical benefits of EBVM, the barriers to wider implementation and ways of overcoming those barriers. Further research is needed to obtain the perspective of clients and more detailed cost effectiveness analyses could shed more light on specific practices of EBVM.</p><p><strong>Application:</strong> Findings are applicable to universities, veterinarians and vet nurses seeking to increase the practice of EBVM. The ultimate beneficiaries are those vets who seek additional non-clinical reasons for the adoption of EBVM in their practice.</p><br /> <img src="https://www.veterinaryevidence.org/rcvskmod/icons/oa-icon.jpg" alt="Open Access" /> <img src="https://www.veterinaryevidence.org/rcvskmod/icons/pr-icon.jpg" alt="Peer Reviewed" />

Transformation of the Personnel Management System in the Conditions of Digitalization of HR Processes

2021 ◽  
Vol 39 (6) ◽  
Author(s):  
Sergii Kholod ◽  
Valentyna Pavlova ◽  
Anhelina Spitsyna ◽  
Yuliia Maistrenko ◽  
Oksana Anufrieva ◽  
...  
Keyword(s):  
Artificial Intelligence ◽  
Personnel Management ◽  
Digital Technology ◽  
Management System ◽  
Digital Data ◽  
Ability To Work ◽  
Hr Management ◽  
Innovative Solutions ◽  
Personnel Management System ◽  
The Impact

Human capital is the driving force behind the digital economy. The use of digital technology has a significant impact on the entire life cycle of personnel in an organization, including hiring, onboarding, and firing. The authors examined the essence of the personnel management system, various models for building a personnel management system in an organization, and studied applying a particular model for a specific organization. The authors studied and visually presented the features of objects, subjects and goals of the personnel management system. The authors also examined the impact of digitalization on the personnel management system, what requirements are imposed on personnel's professional competencies, and new and already used trends in HR automation and recruiting that will help to work better and more efficiently. Generalization of theoretical and empirical experience, cognitive technologies based on the use of artificial intelligence and digital data in HR management allowed the authors to highlight innovative solutions and propose an algorithm for transforming the personnel management system in the context of digitalization of HR processes. Besides, the authors proposed criteria and a scale for assessing the effectiveness of the transformation of the personnel management system in the context of the digitalization of HR processes. Thanks to this, as well as the use of such elements in the framework of personnel management as cloud technology, the ability to work remotely, big data, social media and artificial intelligence, companies, can increase their lead over competitors.

scholarly journals Engagement with and delivery of the ‘parkrun practice initiative’ in general practice: a mixed methods study

2020 ◽  
Vol 70 (697) ◽  
pp. e573-e580
Author(s):  
Joanna Fleming ◽  
Carol Bryce ◽  
Joanne Parsons ◽  
Chrissie Wellington ◽  
Jeremy Dale
Keyword(s):  
General Practice ◽  
Mixed Methods ◽  
Focus Group ◽  
Online Survey ◽  
Mixed Methods Study ◽  
Structured Interviews ◽  
Practice Staff ◽  
Health And Wellbeing ◽  
Positive Effects ◽  
Improve Patient

BackgroundThe parkrun practice initiative, a joint collaboration between parkrun and the Royal College of General Practitioners, was launched to encourage general practices to improve the health and wellbeing of patients and staff through participating in local 5 km parkrun events. Why and how practices engage with the initiative is unknown.AimTo investigate engagement with and delivery of the parkrun practice initiative in general practice.Design and settingMixed methods study conducted from April–July 2019 comprising an online survey of all registered parkrun practices, and interviews and a focus group with practice staff in the West Midlands.MethodThe designated contacts at 780 registered parkrun practices were invited to complete an online survey. A purposive sample of parkrun practice staff and non-registered practice staff took part either in semi-structured interviews or a focus group, with transcripts analysed thematically.ResultsOf the total number of parkrun practices, 306 (39.2%) completed the survey. Sixteen practice staff (from nine parkrun practices and four non-registered practices) took part in either semi-structured interviews (n = 12) or a focus group (n = 4). Key motivators for becoming a parkrun practice were: to improve patient and staff health and wellbeing, and to become more engaged with the community and enhance practice image. Practices most commonly encouraged patients, carers, and staff to take part in parkrun and displayed parkrun flyers and posters. Challenges in implementing activities included lack of time (both personal and during consultations) and getting staff involved. Where staff did engage there were positive effects on morale and participation. Non-registered practices were receptive to the initiative, but had apprehensions about the commitment involved.ConclusionPractices were keen to improve patient and staff health. Addressing time constraints and staff support needs to be considered when implementing the initiative.

scholarly journals Clinician perspectives on strategies to improve patient maternal immunization acceptability in obstetrics and gynecology practice settings

2018 ◽  
Vol 14 (7) ◽  
pp. 1548-1557 ◽  
Author(s):  
Paula M. Frew ◽  
Laura A. Randall ◽  
Fauzia Malik ◽  
Rupali J. Limaye ◽  
Andrew Wilson ◽  
...  
Keyword(s):  
Obstetrics And Gynecology ◽  
Maternal Immunization ◽  
Clinician Perspectives ◽  
Improve Patient

Supporting the digital professor: information, training and support

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Shanna Coles ◽  
Florence Martin ◽  
Drew Polly ◽  
Chuang Wang
Keyword(s):  
Technology Integration ◽  
Adaptive Learning ◽  
Digital Technology ◽  
Online Survey ◽  
Teaching Method ◽  
Demographic Variable ◽  
Digital Technologies ◽  
Content Type ◽  
Collaboration Tools ◽  
Training And Support

PurposeThe purpose of this paper is to provide insight into institutions of higher education (IHE) on how to support faculty in the integration of digital technologies. The research explores faculty interest in types of digital technology information and training, and the types of support faculty are likely to participate in related to digital technology integration. The association of demographic factors of primary teaching method, and experience teaching online or hybrid is provided.Design/methodology/approachA sample of 247 faculty from 53 institutions in the USA completed an online survey related to information, training and support for digital technology integration. The analysis included exploring the descriptive ratings overall and by demographic variable and conducting the one-way multivariate analysis of variance (MANOVA) with reported effect sizes and Scheffe post-hoc tests.FindingsFrom a list of digital technologies that included the LMS, Collaboration Tools (social media and online meeting tools), Audio-Visual Tools (video creation and podcasts), and Technology Trends (mobile learning, games and adaptive learning), faculty ranked LMS highest in interest for training and information. Faculty who have taught hybrid are most interested in collaboration tools and trend tools. For support type, faculty ranked web resources slightly higher than other types of support.Practical implicationsIHE units involved in faculty development can use the findings to plan faculty support initiatives for future institutional needs.Originality/valueThis paper gathers insight from faculty on their preferences for information, training, and support for integrating digital technologies.

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