scholarly journals Tool-Box- Standardized Tool-Box for the assessment of the stress-physiological consequences of digitalization for medical practitioners

2021 ◽  
Author(s):  
Magdalena Wekenborg
Keyword(s):  
Implementation Process ◽  
Healthcare Sector ◽  
Key Factors ◽  
Target Groups ◽  
Pilot Studies ◽  
Medical Practitioners ◽  
Advantages And Disadvantages ◽  
Health Promoting ◽  
Valid Assessment ◽  
Final Selection

A valid assessment of digitization-associated stress appears to be crucial for the successful and health-promoting design of digitization processes in the healthcare sector. The present Tool-Box aims to contribute to this goal by providing an overview of central methods for assessing stress and associated constructs in the context of digitization processes, as well as their advantages and disadvantages. The methods included in the Tool-Box were selected based on an extensive review of existing literature on assessment of stress and associated constructs in the context of digitalization processes and beyond. In addition, we conducted expert interviews and pilot studies for the final selection and shaping of the Tool-Box.The target groups of our Tool-Box are researchers as well as all individuals which are involved in the design and implementation of digital innovations within the health care sector: monitoring digitalization-associated stress throughout the entire implementation process with methodologically sound tools might be one of the key factors for successful digital transformations.

Evidence-based eHealth interventions for caregivers of people with dementia (Myinlife and Partner in Balance): Evaluation of implementations in municipality contexts (Preprint)

2020 ◽  
Author(s):  
Hannah Liane Christie ◽  
Lizzy Mitzy Maria Boots ◽  
Huibert Johannes Tange ◽  
Frans Rochus Josef Verhey ◽  
Marjolein Elizabeth de Vugt
Keyword(s):  
Self Efficacy ◽  
Measurement Instrument ◽  
Implementation Process ◽  
Successful Implementation ◽  
Evidence Based ◽  
Multiple Sources ◽  
Target Groups ◽  
Face To Face ◽  
People With Dementia ◽  
Implementation Context

BACKGROUND Very few evidence-based eHealth interventions for caregivers of people with dementia are implemented into practice. Municipalities are one promising context to implement these interventions, due to their available policy and innovation incentives regarding (dementia) caregiving and prevention. In this study, two evidence-based eHealth interventions for caregivers of people with dementia (Partner in Balance and Myinlife) were implemented in eight municipalities in the Euregion Meuse-Rhine. OBJECTIVE This study’s objectives were to (1.) evaluate this implementation and (2.) investigate determinants of successful implementation. METHODS This study collected eHealth usage data, Partner in Balance coach evaluation questionnaires, and information on implementation determinants. This was done by conducting interviews with the municipality officials, based on the Measurement Instrument for Determinants of Implementation (MIDI). This data from multiple sources and perspectives was integrated and analysed to form a total picture of the municipality implementation process. RESULTS The municipality implementation of Partner in Balance and Myinlife showed varying levels of success. In the end, three municipalities planned to continue the implementation of Partner in Balance, while none planned to continue the implementation of Myinlife. The two Partner in Balance municipalities that did not consider the implementation to be successful, viewed the implementation as an external project. For Myinlife, it was clear that more face-to-face contact was needed to engage the implementing municipality and the target groups. Successful implementations were linked to implementer self-efficacy CONCLUSIONS The experiences of implementing these interventions suggested that this implementation context was feasible regarding the required budget and infrastructure. The need to foster sense of ownership and self-efficacy in implementers will be integrated into future implementation protocols, as part of standard implementation materials for municipalities and organisations implementing Myinlife and Partner in Balance.

scholarly journals Six Key Advantages and Disadvantages of Working from Home in Europe during COVID-19

2021 ◽  
Vol 18 (4) ◽  
pp. 1826
Author(s):  
Christine Ipsen ◽  
Marc van Veldhoven ◽  
Kathrin Kirchner ◽  
John Paulin Hansen
Keyword(s):  
Knowledge Work ◽  
Well Being ◽  
Key Factors ◽  
Differential Impact ◽  
Home Office ◽  
Negative Experience ◽  
Number Of Children ◽  
Advantages And Disadvantages ◽  
Working From Home ◽  
And Performance

The number of people working from home (WFH) increased radically during the coronavirus (COVID-19) pandemic. The purpose of this study was therefore to investigate people’s experiences of WFH during the pandemic and to identify the main factors of advantages and disadvantages of WFH. Data from 29 European countries on the experiences of knowledge workers (N = 5748) WFH during the early stages of lockdown (11 March to 8 May 2020) were collected. A factor analysis showed the overall distribution of people’s experiences and how the advantages and disadvantages of WFH during the early weeks of the pandemic can be grouped into six key factors. The results indicated that most people had a more positive rather than negative experience of WFH during lockdown. Three factors represent the main advantages of WFH: (i) work–life balance, (ii) improved work efficiency and (iii) greater work control. The main disadvantages were (iv) home office constraints, (v) work uncertainties and (vi) inadequate tools. Comparing gender, number of children at home, age and managers versus employees in relation to these factors provided insights into the differential impact of WFH on people’s lives. The factors help organisations understand where action is most needed to safeguard both performance and well-being. As the data were collected amidst the COVID-19 pandemic, we recommend further studies to validate the six factors and investigate their importance for well-being and performance in knowledge work.

The role of the registered nurse first assistant within the perioperative setting

2021 ◽  
Vol 30 (3) ◽  
pp. 148-153
Author(s):  
Roland Pika ◽  
Brid O'Brien ◽  
Jill Murphy ◽  
Kathleen Markey ◽  
Claire O'Donnell
Keyword(s):  
Registered Nurse ◽  
Healthcare Sector ◽  
Review Of The Literature ◽  
Surgical Interventions ◽  
Medical Practitioners ◽  
Nursing Role ◽  
Perioperative Nursing ◽  
Recent Emergence ◽  
Provision Of Care

Perioperative setting registered nurse first assistants (RNFAs) are described as non-medical practitioners who perform surgical interventions during surgery. They provide medical care to perioperative patients under the supervision of a consultant surgeon. First assistants in surgery can be an expanded perioperative nursing role. A review of the literature illuminates the need for continuous learning in developing skills in becoming competent RNFA practitioners and how they utilise acquired skills to assist, mentor and teach their colleagues within the perioperative setting. The RNFA is an advanced and expanded practice role. RNFAs contribute significantly to the provision of care within all phases of perioperative care (preoperative, intraoperative, postoperative). There is little literature on the role of the RNFA due to its relatively recent emergence in the healthcare sector and the small number of countries where it is implemented.

Economic Evaluation of a Mobile Diary App versus Paper-based Diary Cards for Patients with Borderline Personality Disorder (Preprint)

2021 ◽  
Author(s):  
Sidsel Lund Laursen ◽  
Astrid Langergaard ◽  
Jesper Søndergaard ◽  
Sabrina Storgaard Sørensen ◽  
Stig Helweg-Jørgensen ◽  
...  
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Data Collection ◽  
Suicidal Behaviour ◽  
Borderline Personality ◽  
Healthcare Sector ◽  
Qaly Gain ◽  
Depression Severity ◽  
Advantages And Disadvantages ◽  
Psychiatric Outpatient

BACKGROUND The use of mobile diary applications (apps) in dialectical behaviour therapy (DBT) could entail several positive consequences, such as allowing therapists to follow their patients during treatment. OBJECTIVE The objective of this study was to examine the costs and consequences of using a mobile diary app compared to paper-based diary cards in DBT treatment for patients with borderline personality disorder (BPD) in a psychiatric outpatient facility to develop the current knowledge. METHODS The study was conducted alongside a pragmatic, multicentre randomized controlled trial. Participants were recruited at five Danish psychiatric outpatient facilities and were randomized to register emotions, urges, and skills use in a mobile diary app or on paper-based diary cards. Participants in both groups received DBT delivered by therapists. A cost-consequence analysis with a time horizon of 12 months was undertaken. Consequences included quality-adjusted life years (QALY), depression severity, borderline severity, suicidal behaviour, healthcare use, and treatment compliance. Moreover, advantages and disadvantages of using a mobile diary app were studied. All relevant costs were included. RESULTS In total, 78 participants were included in the analysis. Participants in both groups had a QALY gain, and a decrease in depression severity, borderline severity, and suicidal behaviour. Significant differences were found between the app group and the paper group for both QALY gain (adjusted difference -0.054, SE 0.03) and depression severity (adjusted difference -1.11, SE 1.57). The use of services in the healthcare sector was similar across both time points and groups (difference: psychiatric hospitalization <5 and <5, general practice -1.32, SE 3.68 and 2.02, SE 3.19). An insignificantly higher number of participants in the paper group dropped out before treatment start (P value .07). Of those starting treatment, participants in the app group had an average of 37.1 (SE 27.55) more days of treatment and registered an average of 3.16 (SE 5.10) more skills per week than participants in the paper group. The mobile diary app was considered timesaving as it was expected to be 1 minute faster to complete. Advantages of the app were the opportunity to choose between different methods of registering; comparative ease of use; increased self-insight; and a new type of data collection. Disadvantages were a negative influence on the therapist-patient interaction; worries about performance goals; reduced flexibility in data collection; and implementation issues. The between-group difference in total costs ranged from £78.15-234.44 per participant during the 12-months. CONCLUSIONS A mobile diary app can potentially entail several positive consequences for patients suffering from BPD although at a higher cost than paper-based diary cards. A mobile diary app might contribute with new information on the patients, which is not available from the paper diary. Further research is encouraged, as this is still a new field. CLINICALTRIAL ClinicalTrials.gov NCT03191565 INTERNATIONAL REGISTERED REPORT RR2-

How Do Cardiology Practitioners Interpret an Electrocardiogram: An Eye Tracking Study (Preprint)

2021 ◽  
Author(s):  
Mohammed Tahri Sqalli ◽  
Dena Al-Thani ◽  
Mohamed Badreldin Elshazly ◽  
Mohammed Ahmad Al-Hijji ◽  
Yahya Sqalli Houssaini
Keyword(s):  
Standard Deviation ◽  
Medical Students ◽  
Eye Tracking ◽  
Practical Experience ◽  
Healthcare Sector ◽  
Visual Expertise ◽  
Medical Practitioners ◽  
Eye Fixations ◽  
Expertise Level ◽  
Ecg Leads

BACKGROUND Visual expertise refers to advanced visual skills demonstrated when executing domain‐specific visual tasks. Understanding healthcare practitioners’ visual expertise across different levels in the healthcare sector is crucial in clarifying how to acquire accurate interpretations of electrocardiograms (ECGs). OBJECTIVE The study aims to quantify, through the use of eye-tracking, differences in the visual expertise of medical practitioners, such as medical students, cardiology nurses, technicians, fellows, and consultants, when interpreting ECGs. METHODS Sixty-three participants with different healthcare roles participated in an eye-tracking study that consisted of interpreting 10 ECGs with different heart abnormalities. A counterbalanced within-subjects design was employed with one independent variable consisting of the expertise level of the medical practitioners and two measured eye-tracking dependent variables (fixations count and fixations revisitation). Eye-tracking data was assessed according to the accuracy of interpretation and frequency interpreters visited different leads in ECGs. In addition, the median and standard deviation in the interquartile range for the fixations count and the mean and standard deviation for the ECG lead revisitations were calculated. RESULTS Accuracy of interpretation ranged between 98% among consultants and 52% among medical students. Eye-tracking features also reflected this difference in the accuracy of interpretation. The results of the eye fixations count and eye fixations revisitations indicate that the less experienced medical practitioners need to observe various ECG leads more carefully. However, experienced medical practitioners rely on visual pattern recognition to provide their ECG diagnoses. CONCLUSIONS The results show that visual expertise for ECG interpretation is linked to the practitioner’s role within the healthcare system and the number of years of practical experience interpreting ECGs. Medical practitioners focus on different ECG leads and different waveform abnormalities according to their role in the healthcare sector and their expertise levels.

scholarly journals How implementation of a national strategy for nursing homes is experienced by the healthcare personnel: A qualitative study with content analysis of interviews.

2020 ◽  
Author(s):  
Beate Andre ◽  
RN. Kjersti Grønning ◽  
Frode F. Jacobsen ◽  
Gørill Haugan
Keyword(s):  
Content Analysis ◽  
Nursing Home ◽  
Nursing Homes ◽  
Qualitative Content Analysis ◽  
Implementation Process ◽  
Care Quality ◽  
Healthcare Personnel ◽  
Health Promoting ◽  
Positive Experiences

Abstract Background: Nursing homes are under strong pressure to provide good care to the residents. In Norway, municipalities have applied the ‘Joy-of-Life-Nursing-Home’ strategy to increase a health-promoting perception that focuses on the older persons` resources. Implementations represent introducing changes to the healthcare personnel; however, changing one’s working approaches, routines and working culture may be demanding. On this background, we explored how the ‘Joy-of-Life-Nursing-Home’ strategy is perceived by the employees in retrospective, over a period after the implementation and which challenges the employees experience with this implementation.Method: We used a qualitative approach and interviewed 14 healthcare personnel working in nursing homes in one Norwegian municipality, which had implemented the ‘Joy-of-Life-Nursing-Home’ strategy. The analysis was conducted following Kvale’s approach to qualitative content analysis.Results: The main categories were: (a) the characteristics of care activities before implementations of ‘Joy-of-Life-Nursing-Home’, (b) how ‘Joy-of-Life-Nursing-Home’ influenced the care activities, and (c) challenges with the implementation of ‘Joy-of-Life-Nursing-Home’. Some of the informants spoke well about the implementation concerning the care quality stating “to see the joy in the eyes of the resident then I feel we have succeeded”. For informants who experienced resistance toward the implementation, they felt it was too much to document, it was too complicated, and the requirements were too many. Conclusions: Quality of care seems to have increased after the implementation, as perceived by the informants. Nevertheless, the fact that the informants seemed to be divided into two different groups related to their main perspective of the implementation is concerning. One group has positive experiences with the implementations process and the benefits of it, while the other group focuses on lack of benefits and problems with the implementation process. In order to understand what facilitates and hinders the implementation, research on contextual factors like work environment and leadership is recommended.

scholarly journals The impact of socio-cultural factors on blended learning in the development of academic literacy in a tertiary vocational context

2009 ◽  
Author(s):  
◽  
Robert Geoffrey Gutteridge
Keyword(s):  
Blended Learning ◽  
Information And Communication Technologies ◽  
Delivery System ◽  
Social Power ◽  
Critical Realism ◽  
Cultural Factors ◽  
Delivery Mode ◽  
Key Factors ◽  
Advantages And Disadvantages ◽  
The Impact

This study investigated key factors impacting on blended learning delivery with particular focus on socio-cultural and human-computer-interface issues, in the hope that the outcome of this enquiry might contribute positively towards the empowerment of learners and facilitators alike. The study involved a group of first year students enrolled in a Communications Skills Course offered by the (then) Department of English and Communication at the Durban University of Technology. The PRINTS Project, a webquest around which the course activities were based, provided an example of a blended delivery course in practice. While the teaching paradigm used in the course was constructivist, the research orientation employed in this project was critical realist. Critical realism focuses on transformation through praxis and also lends itself to modelling, which provides a way to understand the factors at play within a social system. In the preliminary stages of the research, an exploratory empirical (i.e. applied) model of blended learning delivery was formulated from a theoretical model of course delivery in order to assess which factors in blended learning were systemic and which were variables. The investigation then sought to uncover key factors impacting on the blended delivery system, utilising both quantitative and qualitative methodologies. The findings were analysed in terms of the empirical model to gain an understanding of any factors that might be seen to either enhance or inhibit learning in blended delivery mode. The result was that certain core issues in blended learning and teaching could be clarified, including the use, advantages and disadvantages of information and communication technologies (ICTs) in a learning environment. The notion of the digital divide could also be reconceptualised, and the relationship between literacy (be it academic, professional or social), power and culture could be further elucidated, drawing specific attention to the South African educational environment. The notion of iv culture and its relevance in a blended delivery environment was also further clarified, since the findings of this research project suggested how and why certain key socio-cultural factors might impact, as both enhancers and inhibitors, on the blended learning delivery system.

scholarly journals US INVESTMENTS IN PRIORITY SECTORS OF THE ECONOMY OF KAZAKHSTAN

THE BULLETIN ◽  
2020 ◽  
Vol 5 (387) ◽  
pp. 199-207
Author(s):  
G. Т. Shakulikova ◽  
◽  
Zh. K. Yerzhanova ◽  
Zh. Zh. Gabbassova ◽  
R. A. Karabassov ◽  
...  
Keyword(s):  
Comparative Analysis ◽  
Stock Market ◽  
Foreign Investment ◽  
Mining Industry ◽  
Raw Material ◽  
Key Factors ◽  
Investment Funds ◽  
The Public ◽  
Advantages And Disadvantages ◽  
Returns On Investment

In the conditions of self-isolation, a small and medium business suffered as a result of a pandemic, however, large business remained afloat due to large “long money”. Large business in Kazakhstan is mainly a raw material business, i.e., the mining industry, as a priority, has not suspended its activities. The tasks in the field of attracting investment remained the same. For Kazakhstan, in the direction of attracting foreign investment, firstly, it is worth identifying competitive sectors of the economy. Secondly, clearly understand the key factors in the development of these industries. Thirdly, to conduct a comparative analysis and assess the advantages and disadvantages in relation to other countries, which will be the main competitors in this industry. Fourth, identify potential investors. Fifth, optimize the activities of the coordinating agency or body that is responsible for investments in Kazakhstan. For US investors, the stock market in Kazakhstan is very small. It presents mainly companies in the mining and financial sectors of the economy, as well as the public sector. The limited financing opportunities in the stock market do not allow providing higher returns on investment funds, and this in turn negatively affects the influx of potential investors and investors.

Big Data Analytics in Healthcare Sector

2019 ◽  
pp. 94-106 ◽  
Author(s):  
Sheik Abdullah A. ◽  
Selvakumar S. ◽  
Parkavi R. ◽  
Suganya R. ◽  
Abirami A. M.
Keyword(s):  
Big Data ◽  
Data Analytics ◽  
Data Science ◽  
Big Data Analytics ◽  
Implementation Process ◽  
Healthcare Sector ◽  
Data Preparation ◽  
Healthcare Data ◽  
R Programming ◽  
Python Programming

The importance of big data over analytics made the process of solving various real-world problems simpler. The big data and data science tool box provided a realm of data preparation, data analysis, implementation process, and solutions. Data connections over any data source, data preparation for analysis has been made simple with the availability of tremendous tools in data analytics package. Some of the analytical tools include R programming, python programming, rapid analytics, and weka. The patterns and the granularity over the observed data can be fetched with the visualizations and data observations. This chapter provides an insight regarding the types of analytics in a big data perspective with the realm in applicability towards healthcare data. Also, the processing paradigms and techniques can be clearly observed through the chapter contents.

scholarly journals Towards Clinical Translation of LED-Based Photoacoustic Imaging: A Review

Sensors ◽  
2020 ◽  
Vol 20 (9) ◽  
pp. 2484 ◽  
Author(s):  
Yunhao Zhu ◽  
Ting Feng ◽  
Qian Cheng ◽  
Xueding Wang ◽  
Sidan Du ◽  
...  
Keyword(s):  
Ex Vivo ◽  
Photoacoustic Imaging ◽  
Imaging Techniques ◽  
Clinical Translation ◽  
Key Factors ◽  
Pilot Studies ◽  
History Of ◽  
Molecular Components ◽  
Clinical Potential

Photoacoustic imaging, with the capability to provide simultaneous structural, functional, and molecular information, is one of the fastest growing biomedical imaging modalities of recent times. As a hybrid modality, it not only provides greater penetration depth than the purely optical imaging techniques, but also provides optical contrast of molecular components in the living tissue. Conventionally, photoacoustic imaging systems utilize bulky and expensive class IV lasers, which is one of the key factors hindering the clinical translation of this promising modality. Use of LEDs which are portable and affordable offers a unique opportunity to accelerate the clinical translation of photoacoustics. In this paper, we first review the development history of LED as an illumination source in biomedical photoacoustic imaging. Key developments in this area, from point-source measurements to development of high-power LED arrays, are briefly discussed. Finally, we thoroughly review multiple phantom, ex-vivo, animal in-vivo, human in-vivo, and clinical pilot studies and demonstrate the unprecedented preclinical and clinical potential of LED-based photoacoustic imaging.

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