scholarly journals Nurse practitioners and eMedRec: a phenomenological exploration

Author(s):  
Nadine Medley

The impact of technology on patient safety has been inconclusive. A qualitative approach informed by Van Manen (1990; 2014) has the potential to reveal nuances inherent in the process of technology use in healthcare; therefore, this study’s purpose was to understand and assign meaning to the lived experience of Nurse Practitioners’ (NP) eMedRec use. Data were collected via two interviews per participant with a total sample of six NPs. A layered approach was used for data analysis including epoche-reduction, thematic analysis and cognitive mapping. The major themes identified were: 1) Caring for the patient and family, 2) Enacting patient safety, 3) Practicing within the professional role and scope, 4) Wading through the system and working through the process, and 5) Learning and unlearning overtime. Key recommendations are that eMedRec systems could better prioritize patients and be designed in consultation with the NPs, patients and their families.

2021 ◽  
Author(s):  
Nadine Medley

The impact of technology on patient safety has been inconclusive. A qualitative approach informed by Van Manen (1990; 2014) has the potential to reveal nuances inherent in the process of technology use in healthcare; therefore, this study’s purpose was to understand and assign meaning to the lived experience of Nurse Practitioners’ (NP) eMedRec use. Data were collected via two interviews per participant with a total sample of six NPs. A layered approach was used for data analysis including epoche-reduction, thematic analysis and cognitive mapping. The major themes identified were: 1) Caring for the patient and family, 2) Enacting patient safety, 3) Practicing within the professional role and scope, 4) Wading through the system and working through the process, and 5) Learning and unlearning overtime. Key recommendations are that eMedRec systems could better prioritize patients and be designed in consultation with the NPs, patients and their families.


2014 ◽  
Vol 9 (1) ◽  
pp. 14-28
Author(s):  
Steven Barreto ◽  
Sue K. Adams ◽  
Jennifer Daly

Digital technology use is an integral part of children’s and adolescent’s lives. With the rapid evolution of technology, adult caregivers can easily feel overwhelmed by the daunting task of setting boundaries on technology use. Family systems theory offers a unique perspective for understanding how external factors (i.e., technology) can impede or enhance the family system, particularly when integrated into a developmental framework. Five clinical concepts are presented that weave together developmental tasks and family systems theory. This paper offers recommendations for clinicians to help parents understand the potentially harmful consequences of technology use across the developmental spectrum. We also provide recommendations for how to support parents in discussing technology use with their children and adolescents. Lastly, we offer suggestions for how the impact of technology use on development can be integrated into human service courses at the university level.


SLEEP ◽  
2018 ◽  
Vol 41 (suppl_1) ◽  
pp. A140-A140
Author(s):  
L M Repa ◽  
N Rodriguez ◽  
S N Garland

2017 ◽  
Author(s):  
◽  
Nilay Muslu

Formative assessment is essential for improving student learning. Formative assessment research has predominantly used cognitive learning theories. In this dissertation study, I used sociocultural learning perspectives to understand how formative assessment supported student learning during interaction and how it empowered students. This dissertation included three manuscripts. The first manuscript was a conceptual study. I developed a new formative assessment cycle that was built on sociocultural perspectives and prior formative assessment cycles. The model included four steps: building community, monitoring community, community mediation, and redefining goals. These steps were described in detail with examples, and the roles of the teacher, learners, and peers were discussed. Future researchers may potentially use the model to understand formative assessment practices. Practicing teachers and teacher educators may benefit from the provided examples for classroom implementation of the model. In the empirical part of the dissertation, Chapter Three and Chapter Four, the participant teacher, who was a high school physics teacher, was selected from teachers that had been actively using iPads in their classrooms. This study was conducted at a public high school in the Midwest United States that had a diverse student population. Data were collected across eighteen class sessions. Primary data sources included video recorded observation of class sections, iPad applications, and teacher interviews. Supporting secondary sources included pictures taken during observations, lesson plans, assessment examples, student-works, and student interviews. In the second manuscript, I examined a high school physics teacher's technology enhanced classroom to understand the impact of technology on the teacher's formative assessment practices, and how the iPad influenced the formative assessment process, by using sociocultural learning perspectives. The participant teacher's formative assessment practices were described (members, tools, and classroom norms). Results showed that influences of the iPad on the formative assessment process were: 1) transforming classroom community, 2) empowering students, and 3) facilitating evidence-based discussions. This study shed light on: the impact of technology use on the teacher's formative assessment practice, how the impact rebuilt the classroom norms, and how technology use impacted student identity development. In the third manuscript, I focused on the most important aspect of formative assessment - feedback. I examined how well iPad applications (apps) supported providing feedback. Then, I compared the app affordances with teacher practice. To enable analysis of data, I enhanced Hatzipanagos and Warburton's (2009) feedback dimensions. Analysis revealed app diversity in supporting different feedback dimensions, and the teacher, through additional discussion and interactions with students, was able to support dimensions that an app did not. The provided examples of app affordances and teacher practices may be beneficial to prospective and practicing teachers. Application designers may benefit from this study towards improving their apps to support effective feedback.


2020 ◽  
Vol 8 (1) ◽  
Author(s):  
Dina Di Giacomo ◽  
Federica Guerra ◽  
Enrico Perilli ◽  
Jessica Ranieri

Digital innovation changed the daily living impacting Quality of Life of individuals. Our study was focused on adult and elder behavioural approach to the technology. Out study aimed to investigate the impact of technology use in not digital native in order to investigate the behavioural degree of adaptation. An observational study was conducted on adult and old subjects (age range 50–67 years) measuring computer anxiety and technology use ability variables identifying the indexes for technophobia risk in digital living. Not digital native subjects and more older ones appeared being influenced by technophobia features because of feeling themselves as inadequate in the management of technology. Oneway ANOVA and then Bonferroni’s post-hoc analysis showed that non-autonomous (p<0.01), low-frequency (p<0.01), and feelingneed- for-help users (p<0.01) had higher levels of computer anxiety. No significant effect was in gender distribution. Finally, social networking seems related better use of technology and lower anxiety for digital solutions. Our findings highlight technophobia as a possible new risk factor for not digital native because it can affect their daily life through lower adherence to digital solutions; rather than aging successfully, they could develop fragile ageing. More, they seemed inadequate to use the digital solutions for better living in aging.


Pharmacy ◽  
2019 ◽  
Vol 7 (1) ◽  
pp. 7 ◽  
Author(s):  
Kimberly Galt ◽  
Kevin Fuji ◽  
Ted Kaufman ◽  
Shweta Shah

This study aimed to describe the impact of 13 different health information technologies (HITs) on patient safety across pharmacy practice settings from the viewpoint of the working pharmacist. A cross-sectional mixed methods survey of all licensed practicing pharmacists in 2008 in Nebraska (n = 2195) was developed, pilot-tested and IRB approved. One-fourth responded (24.4%). A database of pharmacists’ responses to closed-ended quantitative questions and in vivo qualitative responses to open-ended questions was built. Qualitative data was coded and thematically analyzed, transformed to quantitative data and descriptive and relational statistics performed. One-third were involved in an error of any kind in the six months preceding the survey, and half observed an error or “near miss”. Most errors or near misses were attributed to workload. When asked specifically about the 13 HITs, these participants reported 3252 observations about the types of errors that were associated with each. These were reports about either error types reduced or eliminated by integration of HIT (n = 1908) or occurring in association with a specific technology’s use (n = 1344). Integration of HIT into pharmacy practice also introduced new error types such as excessive alert programming in the pharmacy computer systems clinical information support causing pharmacists to experience alert fatigue and ignore warnings or bar code scanners mismatching NDC codes of products resulting in wrong drug product identification. Continued vigilance is essential to identifying patient safety issues and implementing safety strategies specific to each HIT.


Author(s):  
Aubrey Statti ◽  
Kelly M. Torres

The following chapter will discuss the impact of technology use and mobile learning, specifically augmented reality (AR), in the process of learning a second or foreign language, namely English and Spanish. The chapter will begin with an overview of AR and then include a discussion of the theoretical framework, language learning contexts, as well as AR tools and applications in the process of second or foreign language learning. An overview of the benefits of AR in language learning will also be included, as well as an introduction to AR applications and specific AR systems, platforms, and case studies in language learning. The research will also provide a discussion of the challenges of using AR in language learning contexts, including specific attention to challenges with AR and learning, AR and language learning, and mobile learning as a whole. The chapter will conclude with final thoughts from the authors in terms of potential areas of AR development that are in need of further attention.


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