Accessing Knowledge from the Bedside

Tablet computers are very powerful devices that have numerous potential uses in the medical field. Already, the development community has created a wide range of applications that can be used for everything from the most basic level of medical undergraduate education to specialist care delivery. The challenge with tablet computers as a new technology is to find where they fit most effectively into healthcare. In this chapter, the authors focus on how tablets might find a role in the area of care delivery in the educational setting. Included is a discussion on the tablet computer’s place on the eLearning / mLearning spectrum, an annotated list of recommended medical applications, a description of challenges and issues when deploying the tablet computers to clinical settings, and finally a proposed pilot study that will explore the effectiveness of using a tablet computer in a clinical teaching setting. The content of this chapter can be applied to many workplace and learning settings that may find tablet computers beneficial such as businesses that require mobile communications, K-12 schools, and higher learning institutions.

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A Qualitative Examination of User Perceptions of User-Driven and App-Controlled Hearing Technologies

American Journal of Audiology ◽

10.1044/2019_aja-19-0022 ◽

2019 ◽

Vol 28 (4) ◽

pp. 993-1005 ◽

Cited By ~ 2

Author(s):

Gitte Keidser ◽

Nicole Matthews ◽

Elizabeth Convery

Keyword(s):

Hearing Aids ◽

Care Delivery ◽

Hearing Aid ◽

New Technology ◽

Successful Implementation ◽

Semistructured Interview ◽

User Perceptions ◽

Template Analysis ◽

Training And Support ◽

And Training

Purpose The aim of this study was to examine how hearing aid candidates perceive user-driven and app-controlled hearing aids and the effect these concepts have on traditional hearing health care delivery. Method Eleven adults (3 women, 8 men), recruited among 60 participants who had completed a research study evaluating an app-controlled, self-fitting hearing aid for 12 weeks, participated in a semistructured interview. Participants were over 55 years of age and had varied experience with hearing aids and smartphones. A template analysis was applied to data. Results Five themes emerged from the interviews: (a) prerequisites to the successful implementation of user-driven and app-controlled technologies, (b) benefits and advantages of user-driven and app-controlled technologies, (c) barriers to the acceptance and use of user-driven and app-controlled technologies, (d) beliefs that age is a significant factor in how well people will adopt new technology, and (e) consequences that flow from the adoption of user-driven and app-controlled technologies. Specifically, suggested benefits of the technology included fostering empowerment and providing cheaper and more discrete options, while challenges included lack of technological self-efficacy among older adults. Training and support were emphasized as necessary for successful adaptation and were suggested to be a focus of audiologic services in the future. Conclusion User perceptions of user-driven and app-controlled hearing technologies challenge the audiologic profession to provide adequate support and training for use of the technology and manufacturers to make the technology more accessible to older people.

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The Clinician Directed Hierarchy: A Clinical Training Tool

Perspectives on Issues in Higher Education ◽

10.1044/ihe11.2.56 ◽

2008 ◽

Vol 11 (2) ◽

pp. 56-60 ◽

Cited By ~ 1

Author(s):

Jill K. Duthie

Keyword(s):

Clinical Supervision ◽

Clinical Training ◽

Clinical Teaching ◽

Clinical Skills ◽

Clinical Settings ◽

Specific Level ◽

Problem Solving Skills ◽

Training Tool ◽

Target Behaviors ◽

Intervention Process

Abstract Clinical supervisors in university based clinical settings are challenged by numerous tasks to promote the development of self-analysis and problem-solving skills of the clinical student (American Speech-Language-Hearing Association, ASHA, 1985). The Clinician Directed Hierarchy is a clinical training tool that assists the clinical teaching process by directing the student clinician’s focus to a specific level of intervention. At each of five levels of intervention, the clinician develops an understanding of the client’s speech/language target behaviors and matches clinical support accordingly. Additionally, principles and activities of generalization are highlighted for each intervention level. Preliminary findings suggest this is a useful training tool for university clinical settings. An essential goal of effective clinical supervision is the provision of support and guidance in the student clinician’s development of independent clinical skills (Larson, 2007). The student clinician is challenged with identifying client behaviors in the therapeutic process and learning to match his or her instructions, models, prompts, reinforcement, and use of stimuli appropriately according to the client’s needs. In addition, the student clinician must be aware of techniques in the intervention process that will promote generalization of new communication behaviors. Throughout the intervention process, clinicians are charged with identifying appropriate target behaviors, quantifying the progress of the client’s acquisition of the targets, and making adjustments within and between sessions as necessary. Central to the development of clinical skills is the feedback provided by the clinical supervisor (Brasseur, 1989; Moss, 2007). Particularly in the early stages of clinical skills development, the supervisor is challenged with addressing numerous aspects of clinical performance and awareness, while ensuring the client’s welfare (Moss). To address the management of clinician and client behaviors while developing an understanding of the clinical intervention process, the University of the Pacific has developed and begun to implement the Clinician Directed Hierarchy.

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Platelet-Rich Plasma: Principles and Applications in Plastic Surgery

Seminars in Plastic Surgery ◽

10.1055/s-0039-1693400 ◽

2019 ◽

Vol 33 (03) ◽

pp. 155-161 ◽

Cited By ~ 1

Author(s):

Amjed Abu-Ghname ◽

Aurelia Trisliana Perdanasari ◽

Matthew J. Davis ◽

Edward M. Reece

Keyword(s):

Plastic Surgery ◽

Platelet Rich Plasma ◽

New Technology ◽

Clinical Applications ◽

Great Promise ◽

Clinical Settings ◽

Skin Rejuvenation ◽

Basic Principles ◽

Reconstructive Plastic Surgery ◽

Reconstructive Plastic

AbstractPlatelet-rich plasma (PRP) is an autogenously harvested liquid platelet concentrate extracted from a patient's peripheral blood that contains higher than baseline concentrations of growth factors and cytokines. This innovative new technology has demonstrated great promise in the field of plastic surgery, and its use has been evaluated in several clinical settings including wound healing, hair restoration, and skin rejuvenation. The goal of this article is to explain the biology behind PRP and to review the basic principles involved in its preparation. This will be followed by a discussion of some clinical applications of PRP in both aesthetic and reconstructive plastic surgery.

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Determinants of Adoption of New Technology in Telecom Sector: A Structural Equation Modeling Approach

Global Business Review ◽

10.1177/0972150918802534 ◽

2018 ◽

Vol 20 (1) ◽

pp. 166-178 ◽

Cited By ~ 2

Author(s):

Susmita Chatterjee ◽

Bibek Ray Chaudhuri ◽

Debabrata Dutta

Keyword(s):

Structural Equation Modeling ◽

Mobile Communications ◽

Structural Equation ◽

Low Cost ◽

New Technology ◽

Equation Modeling ◽

Technology Standards ◽

Technology Standard ◽

The Usa ◽

Adoption Of New Technology

In this article, we look at the determinants of the new technology adoption by consumers in the case of mobile telecommunications. The dynamic nature of the telecom industry is a result of the frequent technological change. Consumers witness different technology standards in mobile communications, starting from the first generation (1G) to second generation (2G) subsequently to third (3G) and now experiencing fourth (4G) in some countries such as Norway, Sweden, South Korea, and the USA including ours. The movement from one standard to the other has been predicted to be smooth as all of them are vertical substitutes for each other. Given the various dimensions such as price, requirements, utility and so on, these technology standards are not perfect substitutes. The article investigates the prospect of a new technology standard roll out in India. A survey of 400 mobile phone customers in metro telecom circles has been carried out for this purpose. The study applies structural equation modeling (SEM) and explores the adoption intention of this new technology among the respondents. Results show that the presence of low-cost alternatives that is the availability of a lower technology standard poses a significant hurdle to the adoption of new technology services.

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What Matters to Us: Impact of Telemedicine During the Pandemic in the Care of Patients With Sarcoma Across Scotland

JCO Global Oncology ◽

10.1200/go.20.00599 ◽

2021 ◽

pp. 1067-1073

Author(s):

Holly M. McCabe ◽

Alannah Smrke ◽

Fiona Cowie ◽

Jeff White ◽

Peter Chong ◽

...

Keyword(s):

Care Delivery ◽

Mixed System ◽

Specialist Care ◽

Team Members ◽

Delivery Of Care ◽

Face To Face ◽

Patients With Cancer ◽

Rapid Changes ◽

Regular Practice ◽

Survey Questionnaires

PURPOSE In Scotland, approximately 350 sarcoma cases are diagnosed per year and treated in one of the five specialist centers. Many patients are required to travel long distances to access specialist care. The COVID-19 pandemic brought a number of rapid changes into the care for patients with cancer, with increasing utilization of telemedicine. We aimed to evaluate how the utilization of telemedicine affects professionals and patients across Scotland and care delivery, at the Beatson West of Scotland Cancer Centre Sarcoma Unit. METHODS Between June 8 and August 25, 2020, we invited patients and professional sarcoma multidisciplinary team members to participate in separate online anonymous survey questionnaires, to assess their attitudes toward telemedicine. Data were extracted, and descriptive statistics were performed. RESULTS Patient satisfaction (n = 64) with telemedicine was high (mean = 9.4/10) and comparable with traditional face-to-face appointments (mean = 9.5/10). Patients were receptive to the use of telemedicine in certain situations, with patients strongly opposed to being told bad news via telemedicine (88%). Providers recommended the use of telemedicine in certain patient populations and reported largely equivalent workloads when compared with traditional consultations. Providers reported that telemedicine should be integrated into regular practice (66%), with patients echoing this indicating a preference for a majority of telemedicine appointments (57%). CONCLUSION Telemedicine in sarcoma care is favorable from both clinician and patient perspectives. Utilization of telemedicine for patients with rare cancers such as sarcomas is an innovative approach to the delivery of care, especially considering the time and financial pressures on patients who often live a distance away from specialist centers. Patients and providers are keen to move toward a more flexible, mixed system of care.

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The millimeter frequency range as a perspective for 5G networks

Yearbook Telecommunications ◽

10.33919/ytelecomm.19.6.16 ◽

2019 ◽

Vol 6 ◽

pp. 161-170

Author(s):

Rosen Pasarelski

Keyword(s):

Mobile Communications ◽

Spectrum Sharing ◽

New Technology ◽

Weather Conditions ◽

5G Networks ◽

Frequency Range ◽

Long Distance ◽

Data Rates ◽

Bad Weather ◽

4G Cellular Networks

The currently widely used 4G cellular networks face many challenges. The growing demand for high-resolution mobile multimedia applications is bringing these networks to their practical limits. 5G networks, the next generation of wireless communications, are standardized to ease the burden on current infrastructure by offering significantly higher data rates through increased channel bandwidth. Given the lack of accessible frequencies traditionally used for mobile communications, millimeter bandwidths (mmWave) are quite a challenging alternative. This technology is a cornerstone of upcoming 5G networks, allowing faster data speeds and much higher bandwidth than ever before, but not every 5G network will necessarily use this frequency band, at least not all the time. As with any new technology, there are unavoidable problems that need to be overcome. The purpose of the research and analysis in this article is to systematize issues and solutions related to the potential problems of spectrum sharing in mmWave frequency range, its suitability for long-distance communications, indoors, in bad weather conditions, as well as biological aspects, and relevant conclusions have been done to meet these challenges.

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Enseñanza clínica en enfermería: escenario del aprendizaje y sus actores

Revista CuidArte ◽

10.22201/fesi.23958979e.2015.4.7.69108 ◽

2015 ◽

Vol 4 (7) ◽

pp. 44

Author(s):

Norma Ivette Beltran Lugo ◽

Betsy Flores Atilano ◽

Dulce María Guillén Cadena

Keyword(s):

Actual World ◽

Clinical Teaching ◽

Clinical Settings ◽

Clinical Practices ◽

Continuous Formation ◽

Great Responsibility ◽

Health Institutions ◽

Personnel Needs ◽

The Moment ◽

Sobre Todo

<div>La enseñanza se concibe como la tarea más peculiar de la escuela, cuyas funciones educativas deben estructurarse (Pérez Gómez, 1992) en torno a dos funciones. El acto de enseñar no es responsabilidad totalmente del docente universitario, sino que involucra al personal operativo de las instituciones de salud. La enseñanza clínica es el momento donde se tiene contacto con el mundo real y los diferentes ambientes que se generan para la construcción de nuevos hábitos profesionales, el desarrollo de la empatía con la disciplina y hasta el gusto de ser enfermero. La problemática que tenemos actualmente es que a veces el personal de Enfermería da por hecho que los y las estudiantes ya tienen los conocimientos pero sobre todo las habilidades prácticas para ejecutar intervenciones que implican gran responsabilidad, pero cuando la alumna demuestra que no tiene esas habilidades es desplazada y limitada a la observación. El profesorado debe tener una formación continua y también debe salir a hacer prácticas clínicas para que de esta forma no pierda las habilidades y destrezas en la ejecución de diversos procedimientos de Enfermería. Aunque existe el programa de estancias clínicas para profesores, éstos deben ser comprometidos a ejecutarlas independientemente de que laboren en algún otro lugar, ya que de ésta forma se pueden actualizar en las nuevas tecnologías del cuidado y tendrán herramientas muy útiles durante su enseñanza.</div><div><br /></div><div><div>Teaching is conceived as the most peculiar task of the school, which educative functions must be structured (Pérez Gómez, 1992) around two functions. The act of teaching isn’t the universitarian teacher’s responsibility completely, but also the health institutions’ personnel´s. Clinical teaching is the moment when contact is had with the actual world and the different environments created to construct new professional habits, development of empathy and even the joy of being a nurse. The issue we currently have is that sometimes nursing personnel take for granted that students already have all the knowledge, but mostly all the practical abilities to perform interventions that imply great responsibility, but when the student shows the lack those skills, they’re set aside and limited to observation only. Teaching personnel needs to have a continuous formation and they also have to do clinical practices so this way they won´t lose the abilities and dexterities on the execution of different nursing procedures. Even though there’s the clinical settings program for teachers, they have to be committed to execute it, whether they work or not at other place, so this way caring technologies can be updated and they’ll have very useful tools for teaching.</div></div><div><br /></div>

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Beyond the 3G (Third Generation) of Mobile Communications Technology Standards

Evolution and Standardization of Mobile Communications Technology - Advances in IT Standards and Standardization Research ◽

10.4018/978-1-4666-4074-0.ch008 ◽

2013 ◽

pp. 162-172

Keyword(s):

Mobile Communications ◽

New Technology ◽

Communications Technology ◽

Third Generation ◽

Technology Standards ◽

Next Generation

How the decade-long unfolding of 3G is being morphed into the convergence of communications and computing is described. With this new technology direction, actors in both the mobile and computing industries have started fighting to define the next generation mobile standard.

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Transforming K-12 Classrooms With Digital Technology

Information and Technology Literacy ◽

10.4018/978-1-5225-3417-4.ch078 ◽

2017 ◽

pp. 1506-1530

Author(s):

Robert J. Leneway

Keyword(s):

20Th Century ◽

21St Century ◽

Emerging Technologies ◽

New Technology ◽

Digital Technologies ◽

Learning Needs ◽

Data Systems ◽

Industrial Age ◽

Evaluative Research ◽

K 12

Powerful emerging technologies, data systems, and communications have converged to change how we play, work, communicate, learn, and even what we think. It is fundamentally changing our institutions and support systems, especially our schools and their classrooms. Thus, the teachers that use these classrooms need to also change. If schools and classroom designed for a 20th century industrial age are to survive, then how do they need to be transformed to respond to the rapidly changing needs of today's 21st century students? There is currently much “hype” on what technology can do for students and their classrooms. This chapter explores what the research says works regarding the integration of digital technologies for schools, teachers, and most importantly the 21st century students that today's classrooms are intended to serve. However, with most emerging technologies, the research has not kept pace with the ever increasing advance, so this chapter also highlights some of the promising new technology devices, programs, and educational practices in need of quality evaluative research. By exploring how today's students and their learning needs are being changed by current and emerging promising digital technologies, a personal vision for the reader should begin to emerge on how schools might transform their 20th century teachers and classrooms into spaces, including virtual spaces, that better serve today's 21st century students.

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Clinical teachers’ motivations for feedback provision in busy emergency departments: a multicentre qualitative study

Emergency Medicine Journal ◽

10.1136/emermed-2019-208908 ◽

2020 ◽

pp. emermed-2019-208908

Author(s):

Chung-Hsien Chaou ◽

Shiuan-Ruey Yu ◽

Roy Yi Ling Ngerng ◽

Lynn Valerie Monrouxe ◽

Li-Chun Chang ◽

...

Keyword(s):

Qualitative Study ◽

Emergency Departments ◽

Teaching And Learning ◽

Clinical Teaching ◽

Structured Interview ◽

Clinical Settings ◽

Clinical Teachers ◽

Protected Time ◽

Assessment Feedback ◽

Clinical Feedback

BackgroundFeedback is an effective pedagogical tool in clinical teaching and learning, but the actual perception by learners of clinical feedback is often described as unsatisfactory. Unlike assessment feedback or teaching sessions, which often happen within protected time and space, clinical feedback is influenced by numerous clinical factors. Little is known about clinical teachers’ motivations to provide feedback in busy clinical settings. We aimed to investigate the motivations behind feedback being given in emergency departments (EDs).MethodsA qualitative analysis of semi-structured interview data was conducted between August 2015 and June 2016. Eighteen attending physicians were purposively sampled from three teaching hospital EDs in Taiwan. Data were thematically analysed, both inductively (from the data) and deductively (using self-determination theory (SDT)). Themes were mapped to the different motivation types identified by the SDT.Results and discussionDespite working in busy clinical settings, Taiwanese ED clinical teachers reported being motivated to provide feedback when they felt responsible for their learners, when they understood the importance of feedback (patient safety and partner building), or simply because they were committed to following a tradition of passing on their clinical knowledge to their juniors. Suggestions to facilitate the internalisation of external motivations are proposed.ConclusionsIn this qualitative study, motivations for clinical feedback were identified. Although the motivations are mostly extrinsic, the elicitation of internal motivation is possible once true satisfaction is fostered during the feedback-giving process. This understanding can be used to develop interventions to enable clinical feedback to be provided in a sustained manner.

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