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Tucker S, Jonnalagadda S, Beseler C, Yoder A, Fruhling A. Exploring wearable technology use and importance of health monitoring in the hazardous occupations of first responders and professional drivers. J Occup Health 2024; 66:uiad002. [PMID: 38332724 PMCID: PMC11020306 DOI: 10.1093/joccuh/uiad002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2023] [Revised: 10/13/2023] [Accepted: 10/18/2023] [Indexed: 02/10/2024] Open
Abstract
OBJECTIVES Hazardous materials (HAZMAT) pose risks to the health and safety of professionals involved with transportation and emergency responses. Two distinct occupational groups that encounter HAZMAT events are first responders and professional drivers. Wearable technology is a tool that can assist with monitoring the health of professionals involved in HAZMAT events. The aim of this study was to compare and evaluate the perceptions of first responders and professional drivers on wearable technology and attitudes toward health monitoring. METHODS A survey was administered to first responders (n = 112) and professional drivers (n = 218). Statistical approaches included bivariate analysis, latent class analysis, logistic regression analysis, and path analysis for the variables of interest. RESULTS There were significant differences between the groups in perceptions of the benefits of monitoring certain health indicators. Professional drivers were more likely to have a history of wearable technology use compared with first responders (odds ratio [OR] = 10.1; 95% CI, 4.42-22.9), reported greater exposure to HAZMAT (OR = 4.32; 95% CI, 2.24-8.32), and were more willing to have their health data monitored by someone other than themselves (OR = 9.27; 95% CI, 3.67-23.4). A multinomial regression model revealed that occupation was not a significant predictor of class preference for acceptance of monitoring specific health indicators. CONCLUSIONS Occupation appeared to be important but further analysis uncovered that characteristics of individuals within the occupations were more salient to the use of wearable technology. HAZMAT exposure, someone else monitoring health data, and experience with wearable technology use were found to be important factors for perceptions about benefits of health monitoring with wearable technology.
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Affiliation(s)
- Sarah Tucker
- Department of Environmental, Agricultural and Occupational Health, College of Public Health, University of Nebraska Medical Center, Omaha, NE, 68198, United States
| | - Soundarya Jonnalagadda
- Information Systems and Quantitative Analysis, College of Information Science & Technology, University of Nebraska, Omaha, NE, 68182, United States
| | - Cheryl Beseler
- Department of Environmental, Agricultural and Occupational Health, College of Public Health, University of Nebraska Medical Center, Omaha, NE, 68198, United States
| | - Aaron Yoder
- Department of Environmental, Agricultural and Occupational Health, College of Public Health, University of Nebraska Medical Center, Omaha, NE, 68198, United States
| | - Ann Fruhling
- School of Interdisciplinary Informatics, College of Information Science & Technology, University of Nebraska, Omaha, NE, 68182, United States
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Grothe J, Tucker S, Blake A, Achutan C, Medcalf S, Suwondo T, Fruhling A, Yoder A. Exploring First Responders' Use and Perceptions on Continuous Health and Environmental Monitoring. Int J Environ Res Public Health 2023; 20:4787. [PMID: 36981694 PMCID: PMC10048923 DOI: 10.3390/ijerph20064787] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/12/2023] [Revised: 03/05/2023] [Accepted: 03/07/2023] [Indexed: 06/18/2023]
Abstract
First responders lose their lives in the line of duty each year, and many of these deaths result from strenuous physical exertion and exposure to harmful environmental agents. Continuous health monitoring may detect diseases and alert the first responder when vital signs are reaching critical levels. However, continuous monitoring must be acceptable to first responders. The purpose of this study was to discover first responders' current use of wearable technology, their perceptions of what health and environmental indicators should be monitored, and who should be permitted to monitor them. The survey was sent to 645 first responders employed by 24 local fire department stations. A total of 115 (17.8%) first responders answered the survey and 112 were used for analysis. Results found first responders perceived a need for health and environmental monitoring. The health and environmental indicators that respondents perceived as most important for monitoring in the field were heart rate (98.2%) and carbon monoxide (100%), respectively. Overall, using and wearing monitoring devices was not age-dependent and health and environmental concerns were important for first responders at any stage of their career. However, current wearable technology does not seem to be a viable solution for first responders due to device expense and durability issues.
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Affiliation(s)
- Jacob Grothe
- College of Public Health, University of Nebraska Medical Center, Omaha, NE 68198, USA
| | - Sarah Tucker
- College of Public Health, University of Nebraska Medical Center, Omaha, NE 68198, USA
| | - Anthony Blake
- College of Public Health, University of Nebraska Medical Center, Omaha, NE 68198, USA
| | - Chandran Achutan
- College of Public Health, University of Nebraska Medical Center, Omaha, NE 68198, USA
| | - Sharon Medcalf
- College of Public Health, University of Nebraska Medical Center, Omaha, NE 68198, USA
| | - Troy Suwondo
- College of Public Health, University of Nebraska Medical Center, Omaha, NE 68198, USA
| | - Ann Fruhling
- College of Information Science & Technology, University of Nebraska-Omaha, Omaha, NE 68182, USA
| | - Aaron Yoder
- College of Public Health, University of Nebraska Medical Center, Omaha, NE 68198, USA
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3
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Hubner S, Chataut A, Shade M, Fruhling A, Manley N, Walls MF, Boron JB. Technology Use, Comfort, and Interest: A comparison between caregiver and older adult populations. Innov Aging 2021. [PMCID: PMC8681342 DOI: 10.1093/geroni/igab046.2491] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Remaining community-dwelling is a goal for most aging adults; however, this may necessitate assistance from caregivers. To reduce burden and improve adult autonomy, recent technological advancements have provided various supports. These advancements may improve quality of life (QOL) while also enhancing psychological/physical well-being for adults and caregivers. To investigate relationships between technology, QOL, and caregiver burden, needs assessments with focus groups were utilized. Four older adult focus groups (N=20) and three caregiver focus groups (N=12) were convened. Older adult participants, aged 64-83 years (M=73.1,SD=5.3), were 50% female and generally white (90%). Caregiver participants, aged 31-78 years (M=61.9,SD=12.6), were majority female (83%) and generally white (92%). Because of the ongoing COVID-19 pandemic, focus groups were conducted via Zoom video-conferencing. Thematic analyses revealed major themes of privacy, transportation, and interest in streamlined technologies. Throughout groups, privacy was consistently described; participants were either 1) apathetic, noting absence of privacy or 2) hyper-vigilant about security, citing privacy as a major barrier to utilization. Transportation, specifically self-driving/enhanced vehicles, emerged as a focus for future technologies as a means to reduce care burden and improve personal autonomy/QOL. In general, participants noted that major barriers to technology use included complexity and cost; persons expressed interest in simpler/cheaper devices. This study indicates varied interest in technology while exposing barriers to use. Additionally, the methodology demonstrates the utility of technology (e.g., Zoom) in accessing vulnerable and/or isolated populations. Overall, understanding barriers to technology use and adoption informs upcoming developments and may improve accessibility and usefulness in future systems/devices.
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Affiliation(s)
- Sarah Hubner
- University of Nebraska Omaha, Omaha, Nebraska, United States
| | | | - Marcia Shade
- University of Nebraska Medical Center, Omaha, Nebraska, United States
| | - Ann Fruhling
- University of Nebraska Omaha, Omaha, Nebraska, United States
| | - Natalie Manley
- University of Nebraska Medical Center, Omaha, Nebraska, United States
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4
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Lyon V, LeRouge C, Fruhling A, Thompson M. Home testing for COVID-19 and other virus outbreaks: The complex system of translating to communities. Health Syst (Basingstoke) 2021; 10:298-317. [PMID: 34745591 PMCID: PMC8567871 DOI: 10.1080/20476965.2021.1952905] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/09/2020] [Accepted: 06/25/2021] [Indexed: 10/20/2022] Open
Abstract
Home testing is an emerging innovation that can enable nations and health care systems to safely and efficiently test large numbers of patients to manage COVID-19 and other viral outbreaks. In this position paper, we explore the process of moving home testing across the translational continuum from labs to households, and ultimately into practice and communities for optimal public health impact. We focus on the four translational science drivers to accelerate the implementation of systems-wide home testing programmes 1) collaboration and team science, 2) technology, 3) multilevel interventions, and 4) knowledge integration. We use the Socio Ecological Model (SEM) as a framework to illustrate our vision for the ideal future state of a comprehensive system of stakeholders utilising tech-enabled home testing for COVID-19 and other virus outbreaks, and we suggest SEM as a tool to address key translational readiness and response questions.
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Affiliation(s)
- Victoria Lyon
- Department of Family Medicine, Primary Care Innovation Lab, University of Washington, Seattle, Washington, USA
| | - Cynthia LeRouge
- Department of Family Medicine, Primary Care Innovation Lab, University of Washington, Seattle, Washington, USA
- Department of Information Systems & Business Analytics, Florida International University, Miami, FL, USA
| | - Ann Fruhling
- School of Interdisciplinary Informatics, University of Nebraska, Omaha, NE, USA
| | - Matthew Thompson
- Department of Family Medicine, Primary Care Innovation Lab, University of Washington, Seattle, Washington, USA
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Clarke MA, Schuetzler RM, Windle JR, Pachunka E, Fruhling A. Usability and cognitive load in the design of a personal health record. Health Policy and Technology 2020. [DOI: 10.1016/j.hlpt.2019.10.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Johnsen HM, Fossum M, Vivekananda-Schmidt P, Fruhling A, Slettebø Å. Nursing students' perceptions of a video-based serious game's educational value: A pilot study. Nurse Educ Today 2018; 62:62-68. [PMID: 29306100 DOI: 10.1016/j.nedt.2017.12.022] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/16/2017] [Revised: 11/19/2017] [Accepted: 12/18/2017] [Indexed: 06/07/2023]
Abstract
BACKGROUND Despite an increasing number of serious games (SGs) in nursing education, few evaluation studies specifically address their educational value in terms of face, content, and construct validity. OBJECTIVES To assess nursing students' perceptions of a video-based SG in terms of face, content, and construct validity. In addition, the study assessed perceptions of usability, individual factors, and preferences regarding future use. DESIGN A pilot study was conducted. SETTING AND PARTICIPANTS An SG prototype was implemented as part of two simulation courses in nursing education: one for home health care and one for hospital medical-surgical wards. The SG aimed to teach clinical reasoning and decision-making skills to nursing students caring for patients with chronic obstructive pulmonary disease. A total of 249second-year nursing students participated in pilot testing of the SG. METHOD A paper-based survey was used to assess students' perceptions of the SG's educational value. RESULTS Overall, students from both simulation courses perceived the SG as educationally valuable and easy to use. No significant differences were found in perceptions of educational value between nursing students with previous healthcare experience versus those with none. However, significantly more students in the home healthcare simulation course indicated that the SG tested their clinical reasoning and decision-making skills. Students from both the medical-surgical and home healthcare simulation courses suggested that more video-based SGs should be developed and used in nursing education. CONCLUSIONS Overall, the survey results indicate that the participants perceived the SG as educationally valuable, and that the SG has potential as an educational tool in nursing education, especially in caring for patients with chronic diseases and in home healthcare simulation. Showing a SG's educational value and user acceptance among nursing students may justify the development and application of more SGs in nursing education.
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Affiliation(s)
- Hege M Johnsen
- Department of Health and Nursing Science, Faculty of Health and Sport Sciences, University of Agder, Grimstad, Norway.
| | - Mariann Fossum
- Department of Health and Nursing Science, Faculty of Health and Sport Sciences, University of Agder, Grimstad, Norway
| | | | - Ann Fruhling
- School of Interdisciplinary Informatics, College of Information Science and Technology, University of Nebraska, Omaha, USA
| | - Åshild Slettebø
- Department of Health and Nursing Science, Faculty of Health and Sport Sciences, University of Agder, Grimstad, Norway
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Kettelhut VV, Vanschooneveld TC, McClay JC, Mercer DF, Fruhling A, Meza JL. Empirical Study on the Impact of a Tactical Biosurveillance Information Visualization on Users' Situational Awareness. Mil Med 2018; 182:322-329. [PMID: 28291493 DOI: 10.7205/milmed-d-16-00143] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
Abstract
Decisions on antibiotic-resistant infection (ARI) prevention in dynamic health care settings should be agile and target the right process at the right time. Health information technologies can aid the recognition of high-risk situations for ARI transmission and timely facilitate operators' situational awareness (SA) in various military and civilian health care locations or transport platforms. High SA is one of the significant predictors of better performance. The objective of this study was to evaluate the impact of the developed health information visualization (VIZ) on the users' SA regarding situations when risks of ARI transmission and exposure are high. The enrolled 19 subjects assessed the proposed VIZ artifacts representing 1 scenario, compared the VIZ effectiveness against the currently employed local methods, and reported their SA (perception and comprehension) with the use of a pre- and post-self-rating questionnaire. The results showed that the VIZ significantly increased SA in the study subjects and revealed the importance of communicating the risk of exposure to ARIs. The VIZ enabled the participants to quickly acknowledge the high-risk individuals (super-spreaders), locations (hot spots), and biosafety (deficient infection prevention). The study concluded that SA-oriented technologies may be promising for promoting better infection prevention practices.
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Affiliation(s)
- Valeriya V Kettelhut
- Department of Surgery, University of Nebraska Medical Center, 987424 Nebraska Medical Center, Omaha, NE 68198-7424
| | - Trevor C Vanschooneveld
- Division of Infectious Diseases, University of Nebraska Medical Center, 98431 Nebraska Medical Center, Omaha, NE 68198-4031
| | - James C McClay
- Biomedical Informatics Program, University of Nebraska Medical Center, 42nd and Emily Street, Omaha, NE 981150
| | - David F Mercer
- Transplantation, University of Nebraska Medical Center, 42nd and Emily Street, Omaha, NE 981150
| | - Ann Fruhling
- College of Information Science and Technology, University of Nebraska-Omaha, 1110 S, 67th Street, Omaha, NE 68182-0500
| | - Jane L Meza
- Department of Biostatistics, College of Public Health, University of Nebraska Medical Center, 42nd and Emily Street, Omaha, NE 68198-4375
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9
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Cooper KM, Bastola DR, Gandhi R, Ghersi D, Hinrichs S, Morien M, Fruhling A. Forecasting the Spread of Mosquito-Borne Disease using Publicly Accessible Data: A Case Study in Chikungunya. AMIA Annu Symp Proc 2017; 2016:431-440. [PMID: 28269838 PMCID: PMC5333282] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
Mosquito-borne diseases account for multiple public health challenges in our modern world. The international health community has seen a number of mosquito-borne diseases come to the forefront in recent years, including West Nile virus, Chikungunya virus, and currently, Zika virus. Predicting the spread of mosquito-borne disease can aid early decision support for when and how to employ public health interventions within a community; however, accurate and fast predictions, months into the future, are difficult to achieve in urgent scenarios, particularly when little information is known about infection rates. New sources of information including social media have been proposed to accelerate the development of predictive models of disease progression. In this research, we adapted a previously described model for the spread of mosquito-borne disease using open intelligence sources. The novel implementation of a mixed-model for mosquito-borne disease was capable of being executed in minimal runtime. The results indicate that this model yields fast and relevant results with acceptable margins of error.
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Affiliation(s)
- Kathryn M Cooper
- School of Interdisciplinary Informatics, University of Nebraska at Omaha, Omaha, NE, United States
| | - Dhundy R Bastola
- School of Interdisciplinary Informatics, University of Nebraska at Omaha, Omaha, NE, United States
| | - Robin Gandhi
- School of Interdisciplinary Informatics, University of Nebraska at Omaha, Omaha, NE, United States
| | - Dario Ghersi
- School of Interdisciplinary Informatics, University of Nebraska at Omaha, Omaha, NE, United States
| | - Steven Hinrichs
- Department of Pathology and Microbiology, University of Nebraska Medical Center, Omaha, NE, United States
| | - Marsha Morien
- Department of Health Services Research and Administration, College of Public Health, University of Nebraska Medical Center, Omaha, NE, United States
| | - Ann Fruhling
- School of Interdisciplinary Informatics, University of Nebraska at Omaha, Omaha, NE, United States
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Johnsen HM, Fossum M, Vivekananda-Schmidt P, Fruhling A, Slettebø Å. Teaching clinical reasoning and decision-making skills to nursing students: Design, development, and usability evaluation of a serious game. Int J Med Inform 2016; 94:39-48. [DOI: 10.1016/j.ijmedinf.2016.06.014] [Citation(s) in RCA: 46] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2016] [Revised: 06/15/2016] [Accepted: 06/23/2016] [Indexed: 01/08/2023]
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Kettelhut V, Van Schooneveld T, McClay J, Fruhling A, Dempsey K. The utility of electronic health record-based hygiene notes for chlorhexidine bathing practice evaluation. J Infect Prev 2016; 18:72-77. [PMID: 28989508 DOI: 10.1177/1757177416667288] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2015] [Accepted: 08/06/2016] [Indexed: 11/15/2022] Open
Abstract
BACKGROUND Unreliable compliance with infection prevention procedures necessitates an analysis of contributing factors. METHODS A retrospective study explored utility of 3236 nursing hygiene notes in the electronic healthcare record system (EHR). This 2012-2013 study identified defects in the chlorhexidine (CHG) bathing practice for a hospital unit. RESULTS The overall compliance with CHG bathing was 22.99%. Patients with length of stay less than 3 days, in most cases, did not have documentation for CHG bathing. Patient refusal to bathe was the most prevalent documented reason (66%) of the unsuccessful initial and repeated offers to bathe. The regular staff were statistically less successful in convincing patients to bathe. The 1455 notes produced by the regular staff (n = 10) demonstrated a significantly higher failure rate (56.08%) to execute this procedure in comparison with 1770 notes documented by the 246 temporary staff (31.19% failure rate) (P value <0.001) . DISCUSSION This analysis yielded three main insights: lack of the CHG documentation in a large number of short admissions; inconsistent use of CHG baths; and presence of workarounds due to patient refusals to bathe. The study concluded that EHR structured and unstructured data can unlock the opportunity for identifying hidden defects and inform decision-makers about the need for change.
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12
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McGrath SP, Coleman J, Najjar L, Fruhling A, Bastola DR. Comprehension and Data-Sharing Behavior of Direct-To-Consumer Genetic Test Customers. Public Health Genomics 2016; 19:116-24. [PMID: 26950077 DOI: 10.1159/000444477] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2015] [Accepted: 02/05/2016] [Indexed: 11/19/2022] Open
Abstract
AIM The aim of this study was to evaluate current direct-to-consumer (DTC) genetic customers' ability to interpret and comprehend test results and to determine if honest brokers are needed. METHOD One hundred and twenty-two customers of the DTC genetic testing company 23andMe were polled in an online survey. The subjects were asked about their personal test results and to interpret the results of two mock test cases (type 2 diabetes and multiple sclerosis), where results were translated into disease probability for an individual compared to the public. RESULTS When asked to evaluate the risk, 72.1% correctly assessed the first case and 77% were correct on the second case. Only 23.8% of those surveyed were able to interpret both cases correctly. x03C7;2 and logistic regression were used to interpret the results. Participants who took the time to read the DTC test-provided supplemental material were 3.93 times (p = 0.040) more likely to correctly interpret the test results than those who did not. The odds for correctly interpreting the test cases were 3.289 times (p = 0.011) higher for those who made more than USD 50,000 than those who made less. Survey results were compared to the Health Information National Trends Survey (HINTS) phase 4 cycle 3 data to evaluate national trends. CONCLUSIONS Most of the subjects were able to correctly interpret the test cases, yet a majority did not share their results with a health-care professional. As the market for DTC genetic testing grows, test comprehension will become more critical. Involving more health professionals in this process may be necessary to ensure proper interpretations.
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Johnsen HM, Fossum M, Vivekananda-Schmidt P, Fruhling A, Slettebø Å. A Serious Game for Teaching Nursing Students Clinical Reasoning and Decision-Making Skills. Stud Health Technol Inform 2016; 225:905-906. [PMID: 27332402] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
The aim of this study was to design and pilot-test a serious game for teaching nursing students clinical reasoning and decision-making skills in caring for patients with chronic obstructive pulmonary disease. A video-based serious game prototype was developed. A purposeful sample of six participants tested and evaluated the prototype. Usability issues were identified regarding functionality and user-computer interface. However, overall the serious game was perceived to be useful, usable and likable to use.
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Affiliation(s)
- Hege Mari Johnsen
- Faculty of Health and Sport Sciences, University of Agder, Grimstad, Norway
| | - Mariann Fossum
- Faculty of Health and Sport Sciences, University of Agder, Grimstad, Norway
| | | | - Ann Fruhling
- College of Information Science and Technology, University of Nebraska, Omaha, USA
| | - Åshild Slettebø
- Faculty of Health and Sport Sciences, University of Agder, Grimstad, Norway
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Hansen LIM, Fruhling A, Fossum M. The Use of Smartphones in Norwegian Social Care Services. Stud Health Technol Inform 2016; 228:220-224. [PMID: 27577375] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
This study aims to understand how smartphone technology was perceived by social workers responsible for piloting social services software and the experiences of involving end-users as co-developers. The pilot resulted in an improved match between the smartphone software and workflow as well as mutual learning experiences among the social workers, clients, and the vendor. The pilot study revealed several graphical user interface (GUI) and functionality challenges. Implementing an ICT social service smartphone application may further improve efficiencies for social workers serving citizens, however; this study validates the importance to study end-users' experiences with communication and the real-time use of the system in order reap the anticipated benefits of ICT capabilities for smart phone social service applications.
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Affiliation(s)
- Linda Iren Mihaila Hansen
- Department of Health and Nursing Science, Faculty of Health and Sport Sciences, University of Agder, Grimstad, Norway
| | - Ann Fruhling
- School of Interdisciplinary Informatics, University of Nebraska, Omaha, USA
| | - Mariann Fossum
- School of Interdisciplinary Informatics, University of Nebraska, Omaha, USA
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15
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Johnsen HM, Fruhling A, Fossum M. An Analysis Of The Work System Framework For Examining Information Exchange In A Healthcare Setting. CAIS 2016. [DOI: 10.17705/1cais.03905] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
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Hansen LM, Fossum M, Söderhamn O, Fruhling A. Experiences of Nursing Personnel Using PDAs in Home Health Care Services in Norwegian Municipalities. NI 2012 (2012) 2012; 2012:147. [PMID: 24199073 PMCID: PMC3799085] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
Abstract
Although nursing personnel have used personal digital assistants (PDAs) to support home health care services for the past ten years, little is known about their experiences. This study was conducted to examine experiences of nursing personnel using a specialized home health care computer software application called Gerica. In addition, this research analyzed how well this application aligned with the workflow of the nursing personnel in their daily care of patients. The evaluation methods included user observations and learnability testing. Nursing personnel from two different municipalities were observed while performing real tasks in natural settings. This study shows that the nursing personnel were satisfied with the PDA user interface and the Gerica software; however, they identified areas for improvement. For example, the nursing personnel were concerned about trusting the reliability of the PDA in order to eliminate the need for handwritten documentation. Solutions to meet these shortcomings for nursing managers and vendors are discussed.
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Affiliation(s)
- Linda M Hansen
- Centre for Care Research - Southern Norway, Department of Health and Nursing Science, Faculty of Health and Sport Sciences, University of Agder, Grimstad, Norway
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Fossum M, Ehnfors M, Fruhling A, Ehrenberg A. The experiences of using a computerized decision support system. NI 2012 (2012) 2012; 2012:113_5. [PMID: 24199144 PMCID: PMC3799172] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
Abstract
The aim was to describe the facilitators and barriers influencing the ability of nursing personnel to effectively use a CDSS for planning and treating pressure ulcers and malnutrition in nursing homes. Usability evaluations and group interviews were conducted. Facilitators were ease of use, usefulness and a supportive work environment. Lack of training, resistance to using computers and limited integration of the CDSS with the electronic health record system were reported.
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Affiliation(s)
- Mariann Fossum
- School of Health and Medical Sciences, Örebro University, Örebro, Sweden; ; Centre for Caring Research - Southern Norway, Department of Health and Nursing Sciences, Faculty of Health and Sport Sciences, University of Agder, Grimstad, Norway
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Fossum M, Ehnfors M, Fruhling A, Ehrenberg A. An evaluation of the usability of a computerized decision support system for nursing homes. Appl Clin Inform 2011; 2:420-36. [PMID: 23616886 DOI: 10.4338/aci-2011-07-ra-0043] [Citation(s) in RCA: 29] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2011] [Accepted: 09/09/2011] [Indexed: 11/23/2022] Open
Abstract
BACKGROUND Computerized decision support systems (CDSSs) have the potential to significantly improve the quality of nursing care of older people by enhancing the decision making of nursing personnel. Despite this potential, health care organizations have been slow to incorporate CDSSs into nursing home practices. OBJECTIVE This study describes facilitators and barriers that impact the ability of nursing personnel to effectively use a clinical CDSS for planning and treating pressure ulcers (PUs) and malnutrition and for following the suggested risk assessment guidelines for the care of nursing home residents. METHODS We employed a qualitative descriptive design using varied methods, including structured group interviews, cognitive walkthrough observations and a graphical user interface (GUI) usability evaluation. Group interviews were conducted with 25 nursing personnel from four nursing homes in southern Norway. Five nursing personnel participated in cognitive walkthrough observations and the GUI usability evaluation. Text transcripts were analyzed using qualitative content analysis. RESULTS Group interview participants reported that ease of use, usefulness and a supportive work environment were key facilitators of CDSS use. The barriers identified were lack of training, resistance to using computers and limited integration of the CDSS with the facility's electronic health record (EHR) system. Key findings from the usability evaluation also identified the difficulty of using the CDSS within the EHR and the poorly designed GUI integration as barriers. CONCLUSION Overall, we found disconnect between two types of nursing personnel. Those who were comfortable with computer technology reported positive feedback about the CDSS, while others expressed resistance to using the CDSS for various reasons. This study revealed that organizations must invest more resources in educating nursing personnel on the seriousness of PUs and poor nutrition in the elderly, providing specialized CDSS training and ensuring that nursing personnel have time in the workday to use the CDSS.
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Petter S, Fruhling A. Evaluating the success of an emergency response medical information system. Int J Med Inform 2011; 80:480-9. [DOI: 10.1016/j.ijmedinf.2011.03.010] [Citation(s) in RCA: 34] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2010] [Revised: 12/14/2010] [Accepted: 03/17/2011] [Indexed: 10/18/2022]
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Ali Z, Cousin S, Fruhling A, Brambilla E, Schumann P, Yang Y, Stackebrandt E. Flavobacterium rivuli sp. nov., Flavobacterium subsaxonicum sp. nov., Flavobacterium swingsii sp. nov. and Flavobacterium reichenbachii sp. nov., isolated from a hard water rivulet. Int J Syst Evol Microbiol 2009; 59:2610-7. [DOI: 10.1099/ijs.0.008771-0] [Citation(s) in RCA: 56] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
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Fruhling A. Information Systems and Health Care XIII: Examining the Critical Requirements, Design Approaches and Evaluation Methods for a Public Health Emergency Response System. CAIS 2006. [DOI: 10.17705/1cais.01820] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
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