scholarly journals Healthcare experience design: A conceptual and methodological framework for understanding the effects of usability on the access, delivery, and receipt of healthcare

2020 ◽  
pp. 505-520
Keyword(s):  
Healthcare System ◽  
Methodological Approach ◽  
Critical Role ◽  
Design Framework ◽  
Experience Design ◽  
Patient Centered ◽  
Usability Problems ◽  
Quadruple Aim ◽  
Healthcare Experience ◽  
New Framework

Health information technology (HIT) is a key component of healthcare today and has the potential to help support the quadruple aim of patient-centered healthcare. The access, delivery, and receipt of healthcare involves many stakeholders interacting with different HIT, and the usability of HIT is known to impact the acceptance and adoption of HIT, as well as health outcomes of populations. Understanding the influence that various individual and contextual factors have on the usability of HIT is challenging because of the network of interactions between humans and technology that occur in the same or different contexts within a unique healthcare system. Yet, it is important to identify usability problems in order to be able to design and implement HIT. This article begins by describing the current use of HIT with respect to the healthcare landscape. Next, usability is defined and demonstrated to play a critical role in users’ acceptance and adoption of HIT. The remainder of the article describes a new framework called, healthcare experience design. The healthcare experience design framework models the healthcare experience, which is defined as the composite of all of an individual’s interactions with other humans and HIT. The healthcare experience design framework is a useful conceptual model and methodological approach to identify usability problems in the healthcare system, and its practical application is illustrated using an artificial use case.

scholarly journals Linking the Unitary Paradigm to Policy through a Synthesis of Caring Science and Integrative Nursing

2017 ◽  
Vol 30 (3) ◽  
pp. 262-268 ◽  
Author(s):  
Mary S. Koithan ◽  
Mary Jo Kreitzer ◽  
Jean Watson
Keyword(s):  
Patient Care ◽  
Healthcare System ◽  
Care Delivery ◽  
Healthcare Policy ◽  
Patient Centered ◽  
Nursing Knowledge ◽  
Call To Action ◽  
Caring Science ◽  
Patient Care Delivery

The principles of integrative nursing and caring science align with the unitary paradigm in a way that can inform and shape nursing knowledge, patient care delivery across populations and settings, and new healthcare policy. The proposed policies may transform the healthcare system in a way that supports nursing praxis and honors the discipline’s unitary paradigm. This call to action provides a distinct and hopeful vision of a healthcare system that is accessible, equitable, safe, patient-centered, and affordable. In these challenging times, it is the unitary paradigm and nursing wisdom that offer a clear path forward.

Towards a Rational, Narrative-Based Design Framework for Navigating Radical Uncertainty in Engineering Design

2021 ◽  
Author(s):  
Kenneth M. Bryden ◽  
Scott Ferguson
Keyword(s):  
Decision Making ◽  
Engineering Design ◽  
Critical Role ◽  
Social Enterprises ◽  
Design Framework ◽  
Design Alternatives ◽  
Human Decision ◽  
Practical Engineering ◽  
Radical Uncertainty ◽  
High Level

Abstract This paper examines decision making under radical uncertainty in engineering design, that is, engineering decision making in those situations where it is not possible to know the outcomes and/or construct the utility functions and probabilities needed to support rational-human decision making. In these situations, despite being faced with radical uncertainty, engineers do (and must) proceed forward in a linear, clear, and predictable manner. Yet, they may not proceed in a manner that is well described by current engineering design frameworks. Examining the role of decision making in business and other social enterprises, Tuckett and Nikolic [1] have proposed conviction narrative theory (CNT) to describe how rational decision-makers confronted with situations in which insufficient information is available to support traditional decision-making tools use narrative and intuition to reach convincing and actionable decisions. This paper proposes that, in a manner similar to what is described in CNT, narrative and engineering judgment play a critical role in engineering design situations dominated by radical uncertainty. To that end, this paper integrates the traditional rational-human view of decision making as expressed by Hazelrigg in the well-known Decision-Based Design (DBD) framework and CNT as proposed by Tuckett and Nikolic. In the resulting rational, narrative-based design framework, narrative structures are used to describe and develop design alternatives and provide the ideas, beliefs, and preferences needed by the DBD framework. The resulting preferred design is expressed as a narrative and tested using engineering judgement. Specifically, the goal of the design process is expressed as a high-level guiding narrative that fosters the development of design narratives (design alternatives), and ultimately results in a convincing narrative that describes the preferred design. The high-level guiding narrative outlines the event(s), entity(s), preferences, and beliefs needed to support the design. The design narratives are narrative fragments that are nested within the high-level narrative and include the proposed action (idea), the specific challenges that the design faces, and the possible (but not yet verified) outcomes. The convincing narrative is the validated, preferred option that results from the DBD analysis and optimization process and is reviewed using engineering judgement. Following development of the rational, narrative-based design framework, the value of the framework is discussed within the context of practical engineering design.

scholarly journals THE CRITICAL ROLE OF THE HEALTHCARE SYSTEM ON LONG-TERM CARE ADMISSIONS OF PEOPLE WITH DEMENTIA

2017 ◽  
Vol 1 (suppl_1) ◽  
pp. 969-969
Author(s):  
N. Donnelly ◽  
N. Humphries ◽  
A. Hickey ◽  
F. Doyle
Keyword(s):  
Healthcare System ◽  
Long Term Care ◽  
Critical Role ◽  
Term Care ◽  
People With Dementia

scholarly journals Personal Network Analysis in the Study of Social Support: The Case of Chronic Pain

2018 ◽  
Vol 15 (12) ◽  
pp. 2695 ◽  
Author(s):  
Rosario Fernández-Peña ◽  
José Molina ◽  
Oliver Valero
Keyword(s):  
Social Support ◽  
Chronic Pain ◽  
Network Analysis ◽  
Network Structure ◽  
Methodological Approach ◽  
Critical Role ◽  
Support Network ◽  
Structured Interviews ◽  
Personal Network ◽  
Support Providers

In the context of chronic illness, the individual’s social and relational environment plays a critical role as it can provide the informal support and care over time, beyond healthcare and social welfare institutions. Social Network Analysis represents an appropriate theoretical and methodological approach to study and understand social support since it provides measures of personal network structure, composition and functional content. The aim of this mixed method study is to present the usefulness of Personal Network Analysis to explore social support in the context of chronic pain. Personal and support network data of 30 people with chronic pain (20 alters for each ego, 600 relationships in total) were collected, obtaining measures of personal network structure and composition as well as information about social support characteristics. Also, semi-structured interviews with participants were conducted to identify the context of their experience of pain, their limitations as regards leading an autonomous life, their social support needs and other aspects concerning the effect of pain on their social and relational lives. This approach shows the importance of non-kin social support providers and the significant role of non-providers in the personal networks of people suffering chronic pain.

Knowing Kids Makes a Huge Difference, Part I: Exploring the Principal–Student Relationship

2020 ◽  
pp. 105268462092308
Author(s):  
Jamie Kudlats ◽  
Kathleen M. Brown
Keyword(s):  
School Leadership ◽  
Methodological Approach ◽  
Effective School ◽  
Data Set ◽  
Teacher Student Relationships ◽  
Teacher Student ◽  
Study Results ◽  
Effective School Leadership ◽  
Student Relationship ◽  
New Framework

Teacher–student relationships (TSRs) have important implications for building trust, motivation, and engagement and improving both behavior and academic achievement. What about students’ relationships with principals? Given the scarcity of literature on the PSR, research on the TSR was used to buttress the findings from this empirical study of the PSR to describe more nuanced implications and deeper understandings of the influence and impact principals have on students and vice versa. This work resulted in a two-part series. Part I, included in this issue, focuses heavily on the literature review and detailed findings of the study. Part II, included in a forthcoming issue, embeds the study results more firmly within theoretical underpinnings and extends them toward establishing a new conceptual framework for the PSR and a new dimension of scholarship on effective school leadership. Qualitative narrative inquiry was chosen as the methodological approach. Interviews with four principals and three of their former students along with observations of each principal provided the data set. Findings from Part I, reveal nine dominant themes indicating that the PSR is a primary consideration for many principals not only for the personal satisfaction of interacting with students but also because of the belief that the relationships significantly contribute to principals’ ability to effectively meet their many responsibilities. Part I findings, which expose some of the challenges and complications in developing healthy PSRs, were then integrated with the synthesis of the existing literature in order to briefly propose a new framework for exploring the phenomenon.

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