Review of Key Stakeholders for an mHealth Pilot Study in Malawi Motivations and Expectations

2015 ◽  
Vol 4 (2) ◽  
pp. 51-66 ◽  
Author(s):  
Yvonne O'Connor ◽  
Ciara Heavin ◽  
John O'Donoghue

The trial and evaluation of mobile health (mHealth) applications in society is necessary to explore the potential use and benefits of the solution post-trial. In recent years, there is a proliferation of mHealth projects developed and tested in the continent of Africa. The complexity of these projects means that there are typically many stakeholders who are integral to the success of the project. Yet, extant research falls short of capturing the motivations and expectations of multiple key stakeholders (i.e. direct and indirect users) in a single study towards participating in mHealth pilots. To address this gap in research a conceptual model is proposed and examined to explore the impact of motivations and expectations on both community health workers' (direct users) and caregivers' (indirect users) decision to participate in mHealth pilot studies. Findings reveal that both motivations and expectations positively impact decision making, i.e. their decision to participate in the study, with no significant differences emerging between these two groups of stakeholders.

2019 ◽  
Vol 33 (2) ◽  
pp. 710-754 ◽  
Author(s):  
Monica Adya ◽  
Gloria Phillips-Wren

Purpose Decision making is inherently stressful since the decision maker must choose between potentially conflicting alternatives with unique hazards and uncertain outcomes. Whereas decision aids such as decision support systems (DSS) can be beneficial in stressful scenarios, decision makers sometimes misuse them during decision making, leading to suboptimal outcomes. The purpose of this paper is to investigate the relationship between stress, decision making and decision aid use. Design/methodology/approach The authors conduct an extensive multi-disciplinary review of decision making and DSS use through the lens of stress and examine how stress, as perceived by decision makers, impacts their use or misuse of DSS even when such aids can improve decision quality. Research questions examine underlying sources of stress in managerial decision making that influence decision quality, relationships between a decision maker’s perception of stress, DSS use/misuse, and decision quality, and implications for research and practice on DSS design and capabilities. Findings The study presents a conceptual model that provides an integrative behavioral view of the impact of a decision maker’s perceived stress on their use of a DSS and the quality of their decisions. The authors identify critical knowledge gaps and propose a research agenda to improve decision quality and use of DSS by considering a decision maker’s perceived stress. Originality/value This study provides a previously unexplored view of DSS use and misuse as shaped by the decision and job stress experienced by decision makers. Through the application of four theories, the review and its findings highlight key design principles that can mitigate the negative effects of stressors on DSS use.


10.2196/27472 ◽  
2021 ◽  
Vol 1 (1) ◽  
pp. e27472
Author(s):  
Leonardo W Heyerdahl ◽  
Benedetta Lana ◽  
Tamara Giles-Vernick

Background The COVID-19 pandemic has been widely described as an infodemic, an excess of rapidly circulating information in social and traditional media in which some information may be erroneous, contradictory, or inaccurate. One key theme cutting across many infodemic analyses is that it stymies users’ capacities to identify appropriate information and guidelines, encourages them to take inappropriate or even harmful actions, and should be managed through multiple transdisciplinary approaches. Yet, investigations demonstrating how the COVID-19 information ecosystem influences complex public decision making and behavior offline are relatively few. Objective The aim of this study was to investigate whether information reported through the social media channel Twitter, linked articles and websites, and selected traditional media affected the risk perception, engagement in field activities, and protective behaviors of French Red Cross (FRC) volunteers and health workers in the Paris region of France from June to October 2020. Methods We used a hybrid approach that blended online and offline data. We tracked daily Twitter discussions and selected traditional media in France for 7 months, qualitatively evaluating COVID-19 claims and debates about nonpharmaceutical protective measures. We conducted 24 semistructured interviews with FRC workers and volunteers. Results Social and traditional media debates about viral risks and nonpharmaceutical interventions fanned anxieties among FRC volunteers and workers. Decisions to continue conducting FRC field activities and daily protective practices were also influenced by other factors unrelated to the infodemic: familial and social obligations, gender expectations, financial pressures, FRC rules and communications, state regulations, and relationships with coworkers. Some respondents developed strategies for “tuning out” social and traditional media. Conclusions This study suggests that during the COVID-19 pandemic, the information ecosystem may be just one among multiple influences on one group’s offline perceptions and behavior. Measures to address users who have disengaged from online sources of health information and who rely on social relationships to obtain information are needed. Tuning out can potentially lead to less informed decision making, leading to worse health outcomes.


Author(s):  
Nunik Suryanti ◽  
Rr. Tutik Sri Hariyati ◽  
Umi Fatmawati

Background: One of the strategies to improve integrated care focused on patients is the supervision of nursing care and documentation. Aims: this study aims to describe the innovation project to improve supervision. Method: This study used the pilot study design to innovation and improvement with the PDSA approach and management function, designed a draft a guidelines, standard operating procedures, forms and fair guideline, socialization, role play, mentoring and evaluation with monitoring and evaluation to four head nurses on scheduled supervision, unscheduled and group directing. Results: the highest increase was 94.76% on group direction process, 70.83% nursing evaluation supervision, supervision more structured, frequency and duration that increased. The impact of nursing care increased 4.94% and documentation increased 7.18%. Conclusions: The improvement of supervision can be done, with pilot studies using tha PDSA approach and management functions to providing a guidance, standard operational procedures, fair guideline and checklist forms, socialization, mentoring and evaluation, supported by direct manager, motivated head nurse and staff. Recommendations: The results of this pilot study are expected to be considered to improve supervision, motivation to implementation, and monitoring and evaluating of supervision. Keywords: nursing care; head nurse; management; supervision ABSTRAK Latar Belakang: Salah satu strategi meningkatkan asuhan terintegrasi berfokus pada pasien adalah supervisi asuhan keperawatan dan pendokumentasiannnya. Tujuan: studi ini bertujuan mendeskripsikan project inovasi meningkatkan supervisi. Metode: Studi ini menggunakan desain pilot study dengan inovasi dan improvement dengan pendekatan PDSA dan fungsi manajemen, dengan merancang panduan, standar operasional prosedur, formulir supervisi dan petunjuk penilaian, disosialisasikan, pendampingan, role play dan dimonitoring dan evaluasi terhadap empat kepala ruang, baik supervisi terjadwal, tidak terjadwal dan pengarahan berkelompok. Hasil: peningkatan tertinggi adalah proses pengarahan berkelompok 94,76%, supervisi evaluasi keperawatan 70,83%, lebih terstruktur dan meningkat frekuensi dan durasinya. Dampaknya asuhan keperawatan meningkat 4,94% dan pendokumentasiannya meningkat 7,18%. Kesimpulan: peningkatan supervisi dapat dilakukan, dengan pilot study menggunakan pendekatan PDSA dan fungsi manajemen untuk menyediakan panduan, standar operational prosedur, petunjuk penilaian dan formulir berbentuk checklist, disosialisasikan, pendampingan dan dievaluasi, adanya dukungan atasan langsung, motivasi kepala ruang dan staf. Rekomendasi: Hasil pilot study ini diharapkan dapat menjadi bahan pertimbangan meningkatkan supervisi, memotivasi penerapannya, dan memonitoring dan evaluasi pelaksanaannya. Kata kunci: asuhan keperawatan; kepala ruang; manajemen; supervisi


2020 ◽  
Vol 17 (6) ◽  
pp. 675-683
Author(s):  
Alisha Gupta ◽  
Gabrielle Ocker ◽  
Philip I Chow

Background Nearly half of newly diagnosed breast cancer patients will report clinically significant symptoms of depression and/or anxiety within the first year of diagnosis. Research on the trajectory of distress in cancer patients suggests that targeting patients early in the diagnostic pathway could be particularly impactful. Given the recent rise of smartphone adoption, apps are a convenient and accessible platform from which to deliver mental health support; however, little research has examined their potential impact among newly diagnosed cancer patients. One reason is likely due to the obstacles associated with in-clinic recruitment of newly diagnosed cancer patients for mHealth pilot studies. Methods This article draws from our experiences of a recently completed pilot study to test a suite of mental health apps in newly diagnosed breast cancer patients. Recruitment strategies included in-clinic pamphlets, flyers, and direct communication with clinicians. Surgical oncologists and research staff members approached eligible patients after a medical appointment. Research team members met with patients to provide informed consent and review the study schedule. Results Four domains of in-clinic recruitment challenges emerged: (a) coordination with clinic staff, (b) perceived burden among breast cancer patients, (c) limitations regarding the adoption and use of technology, and (d) availability of resources. Potential solutions are provided for each challenge. Conclusion Recruitment of newly diagnosed cancer patients is a major challenge to conducting mobile intervention studies for researchers on a pilot-study budget. To realize the impact of mobile interventions for the most vulnerable cancer patient populations, health researchers must address barriers to in-clinic recruitment to provide vital preliminary data in proposals of large-scale research projects.


Author(s):  
Saulo Silva ◽  
Mariana Carvalho ◽  
Orlando Belo

While interactive systems have the potential to increase human work performance, those systems are predisposed to usability problems. Different factors might contribute to these problems during the interaction process and as result, the decision-making process might be compromised. This work uses decision support system methods and tools to assist in the analysis of the usability of a university library website, measuring the constructs of effectiveness, efficiency, and learnability. The pilot study involved thirty-five subjects, and after collecting data, a multidimensional view of the data is created and discussed. Later, a What-if analysis is used to investigate the impact of different scenarios on system-use. The work has the potential to assist designers and system administrators at improving their systems.


2015 ◽  
Vol 28 (2) ◽  
pp. 167-185 ◽  
Author(s):  
Mohammed Tubigi ◽  
Sarmad Alshawi

Purpose – The purpose of this paper is to evaluate knowledge management (KM) processes and to investigate their impact on organisational performance (OP) within the context of the airline industry (AI). Design/methodology/approach – An inductive and deductive qualitative approach was used based on a preliminary study. A pilot study was conducted which involved the use of interviews as a primary data collection method. Content analysis was used to extract and analyse themes from the data. Findings – The study showed that knowledge usage is the most influential aspect of KM in terms of the impact on OP. Moreover, the study revealed that knowledge transfer is a common KM process employed by organisations. Research limitations/implications – This study outlined the findings of a pilot study which aimed to test a proposed conceptual model and to provide an initial understanding of the interrelationships between KM processes and OP. To this end, a number of interviews were conducted in order to consolidate a conceptual model. As such, the nature of this preliminary study imposed some time and context limitations. These limitations will be dealt within later stages of the research journey. Originality/value – The value of the study is generated from the extensive review of the literature it provided which enhanced proposing a conceptual model that was initially tested with the aim of defining an appropriate KM processes within a unique and yet untested context as well as describing the impact of these processes on OP. Determination of KM processes is expected to set a guideline for future research in the AI.


2019 ◽  
Vol 108 ◽  
pp. 93-96
Author(s):  
KATARZYNA ŚMIETAŃSKA ◽  
PIOTR PODZIEWSKI

A human quality control system in furniture manufacturing – a pilot study. The article presents the results of pilot studies in which an attempt was made to check what the subjectivity of visual inspection looks like during the control of MDF delamination process in the milling process. 100% match of assessors’ scores was obtained only with low (VB = 0–0.08mm) and high (VB = 0.3–0.33mm) tool wear. In addition, the impact of gender on the results was significant. Women rated items less restrictively. Based on the results obtained, one can expect a problem with subjectivity when using a single-person human quality control system.


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