Aspects of Technology That Influence Athletic Trainers' Current Patient Care Documentation Strategies in the Secondary School

Context Previous research on athletic trainers' (ATs) documentation practices in the secondary school setting has focused on users of 1 electronic medical record (EMR) platform. These studies have identified that ATs use multiple platforms for documentation, including paper, even when an EMR is available. Objective To examine the documentation practices of ATs who use various forms of patient care documentation, including paper, EMRs, or both. Design Qualitative study. Setting Individual telephone interviews. Patients or Other Participants Twenty ATs participated in this study: 12 women and 8 men who averaged 38 ± 14 years of age, 15 ± 13 years of clinical experience, and 11 ± 11 years of employment at their current secondary school. Data Collection and Analysis Semistructured telephone interviews were conducted to gain insight into ATs' documentation practices. Three researchers and 2 auditors inductively coded the transcripts using a consensual qualitative research process that consisted of 4 rounds of consensus coding and determination of data saturation. Trustworthiness was addressed with member checking, multiple-analyst triangulation, and peer review. Results The ATs' documentation practices were largely influenced by technology, organized in 3 themes. Participants' current documentation strategies included the use of both paper and EMRs, as they found different benefits to using each platform. Oftentimes documentation practices were shaped by technological challenges, including unreliable networks, software design problems, and the lack of a streamlined approach. Lastly, participants identified future strategies for improving documentation, including the need for better EMR options and streamlining their individual documentation behaviors. Conclusions Many ATs wanted to incorporate EMRs in their clinical practice but faced challenges when attempting to do so. In turn, clinicians often duplicated documentation or used 2 platforms. Athletic trainers should communicate with administrators to select an EMR that fits their documentation needs and seek resources, such as network access and educational opportunities, to learn how to use EMRs.

Survey of Network Coding Based P2P File Sharing in Large Scale Networks

Peer-to-peer (P2P) content distribution and file sharing systems aim to facilitate the dissemination of large files over unreliable networks. Network coding is a transmission technique that has captured the interest of researchers because of its ability to increase throughput and robustness of the network, and decrease the download time. In this survey paper, we extensively summarize, assess, compare, and classify the most recently used techniques to improve P2P content distribution systems performance using network coding. To the best of our knowledge, this survey is the first comprehensive survey that specifically focuses on the performance of network coding based P2P file sharing systems.

Survey of Network Coding Based P2P File Sharing in Large Scale Networks

Peer-to-peer (P2P) content distribution or file sharing system aims to facilitate the dissemination of large files over unreliable networks. Network coding is a new transmission technique that has captured the interest of researchers because of its ability to increase throughput and robustness of the network, and decrease the download time. In this survey paper, we extensively summarize, assess, compare, and classify the most recently used techniques to improve P2P content distribution systems performance using network coding. To the best of our knowledge, this survey is the first comprehensive survey that specifically focuses on the performance of network coding based P2P file sharing systems.