Dissertations / Theses on the topic 'Interface-patient'
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Gargiulo, Gaetano <1977>. "Portable bio-signals devices for brain computer interface and long-term patient monitoring." Doctoral thesis, Alma Mater Studiorum - Università di Bologna, 2010. http://amsdottorato.unibo.it/3011/1/Gaetano_Gargiulo_tesi.pdf.
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Gargiulo, Gaetano <1977>. "Portable bio-signals devices for brain computer interface and long-term patient monitoring." Doctoral thesis, Alma Mater Studiorum - Università di Bologna, 2010. http://amsdottorato.unibo.it/3011/.
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Lourdais, Chloé. "Optimisation d'une interface numérique de santé à distance pour une meilleure expérience-patient." Electronic Thesis or Diss., Ecole centrale de Nantes, 2022. http://www.theses.fr/2022ECDN0054.
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Les services de santé à distance, dans un cadre médical ou de bien-être, sont actuellement en pleine croissance, soulevant de nouveaux challenges. De par l’utilisation d’inter-faces numériques de santé (applications, objets connectés ou sites Internet), ces services s’intègrent de plus en plus dans la vie quoti-dienne des patients, à domicile et sans soutien médical, faisant évoluer l’exercice de consul-tation de leurs données de santé. Ce travail de recherche étudie l’impact émo-tionnel de la consultation de données person-nelles sensibles et vise à améliorer l’expérience-patient dans l’utilisation des interfaces de santé. Une première expérimentation a permis d’éva-luer les réponses émotionnelles à la consultation des données de santé. Les résultats soulèvent des impacts sur le stress perçu, la durée de la consultation et l’activité cardiaque des participants, montrant la nécessité de consi-dérer les émotions dans la conception des outils de santé à distance. Une méthode de conception centrée-patient d’une interface de santé est ensuite proposée. Elle comprend : une comparaison culturelle des outils existants, une enquête sur les expérien-ces et préférences des patients, et une expé-rimentation basée sur un algorithme génétique interactif visant à optimiser le design de l’inter-face pour améliorer la satisfaction-patient. La représentation des données de glycémie sur une application de diabète est utilisée comme un cas d’application. Les résultats soulèvent l’intérêt de l’optimisation des interfaces de santé pour améliorer l’expérience-patient et en-courager des comportements sains. La person-nalisation de ces interfaces pour répondre aux besoins de chacun est aussi suggéréeRemote health services, in a medical or well-being context, are currently growing rapidly, raising new challenges. Through the use of digital health interfaces (apps, connected devices or websites), these services are increa-singly integrated into the daily lives of patients, at home and without medical support, changing the way they consult their health data. This research work investigates the emotional impact of the consultation of sensitive personal data and aims at improving the patient expe-rience in the use of health interfaces. A first experiment assessed emotional res-ponses to the consultation of health data. The results showed the impacts on the perceived stress, the duration of the data consultation and the cardiac activity of the participants, sug-gesting the need to consider emotions in the design of remote health tools. A patient-centered design method of a health interface is then proposed. It includes: a cul-tural comparison of existing tools, a survey on patients' expériences and preferences, and an experiment based on an Interactive Genetic Algorithm optimizing the interface design to im-prove patient satisfaction. The representation of blood sugar data on a diabetes app is used as an application case. The results show the interest of optimizing health interface to im-prove patient experience and encourage heal-thy behaviors. Customization of these interfa-ces to meet individual needs is also suggested
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Sze, Hang-chi Candice. "An evaluation of the Hospital Authority public private interface : electronic patient record (PPI-ePR)sharing /." View the Table of Contents & Abstract, 2007. http://sunzi.lib.hku.hk/hkuto/record/B38478638.
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Sze, Hang-chi Candice, and 施行芝. "An evaluation of the Hospital Authority public private interface: electronic patient record (PPI-ePR)sharing." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2007. http://hub.hku.hk/bib/B39724591.
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Greenaway, John Richard. "The utilisation of endoscopy services : strategies for patient management at the primary/secondary care interface." Thesis, University of Newcastle Upon Tyne, 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.391398.
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Ayyagari, Pavani. "A visualization framework for patient data and its environment." Manhattan, Kan. : Kansas State University, 2010. http://hdl.handle.net/2097/4256.
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Gregory, Margaret F. "Client/patient need at the interface between health and social services on discharge from an acute general hospital." Thesis, University of Nottingham, 1997. http://eprints.nottingham.ac.uk/13047/.
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One thousand four hundred and twenty two patients in an Acute General Hospital in Mansfield were studied over a one year period, 1989-90, in order to determine their needs for formal and informal care on discharge. The research method included a screening project for 189 patients on admission, an analysis of 1064 referrals to the Hospital Social Workers, and 169 referrals to the Hospital Discharge Scheme for Volunteer support. Patient/client needs for formal and informal care were found, and unmet needs after Hospital discharge were identified. Problems relating to formal care systems and shortage of Public Sector resources were found to cause serious difficulties for patients and Carers. The availability of Carers and lack of family members in informal care structures was a key issue. The work showed how Volunteers from the Discharge Scheme were able to contribute to the work of formal and informal Carers and ensure that safe Hospital Discharges occurred for very vulnerable people.
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Hale, Nicholas David. "A narrative theory of patient centrality : the impact of nurses on the interface between carers' and patients' experience." Thesis, King's College London (University of London), 2005. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.422650.
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Maqabuka, Qawekzi. "The interface between nurse and patient in health care: exploring the use of emotional labour among nurses in Mthatha." Thesis, Rhodes University, 2016. http://hdl.handle.net/10962/1477.
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In exploring the use of emotional labour among nurses within the nurse/patient relationship, this study employed the conceptual framework of ‘emotional labour’ associated with Arlie Hochschild-as a means of examining the “nature” of the nurse patient interface, including the dynamics, challenges and intricacies that shape this relationship of care. The portrayal of emotional care offered to patients dealing with suffering and illness by nurses as an entirely natural activity for women is related to the devaluation of emotional labour. The focus of this study is how nurses manage their emotional involvement with patients to provide quality services. The study was conducted in Mthatha in the former Transkei in the Eastern Cape Province with nurses who worked St Mary’s Life Group and the Nelson Mandela Academic Hospital. A qualitative research design and qualitative ethnographic research methodology was chosen as suitable for answering the research question. Data was collected using semi-structured interviews and a focus group, and transcribed verbatim. Data analysis included identifying consistent emotional labour themes in the responses. The study’s main findings revealed that emotional labour strategies of surface acting and deep acting were utilised as a means of meeting organisational rules established by management of the two health care institutions that were investigated. Nurses understood that only desirable traits like include friendliness, smiling and proving a calming environment for patients should be exhibited. It was revealed that nurses often used sentimental work and emotion work in performing their tasks as this made their work easier. Lastly, the research revealed that external factors like overcrowding and shortages in personnel, accompanied by the emotional demands on nurses’ work has adverse effect on nurses work environment. The dissertation has contributed to the limited body of knowledge about emotional labour in the South African context and the lived experiences of nurses deploying their labour to patients.
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Kahn, Julie. "Biomechanics of Patient Handling Slings Associated with Spinal Cord Injuries." Scholar Commons, 2013. http://scholarcommons.usf.edu/etd/4702.
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Pressure ulcers and related skin integrity threats are a significant problem in current transfer/transport systems used for spinal cord injury patients. To understand this problem twenty-three different slings with varying type, material, and features were analyzed in hopes to identify at-risk areas for skin integrity threats such as pressure ulcers. Population samples included non-disabled (otherwise referred to as "healthy") volunteers as well as SCI patients from the James A. Haley Veterans Hospital. High resolution pressure interface mapping was utilized to directly measure the interface pressures between the patient and sling interface. Overall results provide relevant feedback on the systems used and to suggest a particular type of sling that might reduce and possibly minimize skin integrity threats as well as extend safe patient handling guidelines with sling use. It was found that the highest interface pressures convened along the seams of the sling, regardless of manufacturer or type.
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Light, Geraldine. "User-Centered Design Strategies for Clinical Brain-Computer Interface Assistive Technology Devices." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/6349.
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Although in the past 50 years significant advances based on research of brain-computer interface (BCI) technology have occurred, there is a scarcity of BCI assistive technology devices at the consumer level. This multiple case study explored user-centered clinical BCI device design strategies used by computer scientists designing BCI assistive technologies to meet patient-centered outcomes. The population for the study encompassed computer scientists experienced with clinical BCI assistive technology design located in the midwestern, northeastern, and southern regions of the United States, as well as western Europe. The multi-motive information systems continuance model was the conceptual framework for the study. Interview data were collected from 7 computer scientists and 28 archival documents. Guided by the concepts of user-centered design and patient-centered outcomes, thematic analysis was used to identify codes and themes related to computer science and the design of BCI assistive technology devices. Notable themes included customization of clinical BCI devices, consideration of patient/caregiver interaction, collective data management, and evolving technology. Implications for social change based on the findings from this research include focus on meeting individualized patient-centered outcomes; enhancing collaboration between researchers, caregivers, and patients in BCI device development; and reducing the possibility of abandonment or disuse of clinical BCI assistive technology devices.
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Jain, Sulabh. "Event-Driven Dynamic Query Model for Sleep Study Outcomes Research." Case Western Reserve University School of Graduate Studies / OhioLINK, 2012. http://rave.ohiolink.edu/etdc/view?acc_num=case1323377417.
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Kong, Wei. "EXPLORING HEALTH WEBSITE USERS BY WEB MINING." Thesis, Universal Access in Human-Computer Interaction. Applications and Services Lecture Notes in Computer Science, 2011, Volume 6768/2011, 376-383, DOI: 10.1007/978-3-642-21657-2_40, 2011. http://hdl.handle.net/1805/2810.
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Indiana University-Purdue University Indianapolis (IUPUI)With the continuous growth of health information on the Internet, providing user-orientated health service online has become a great challenge to health providers. Understanding the information needs of the users is the first step to providing tailored health service. The purpose of this study is to examine the navigation behavior of different user groups by extracting their search terms and to make some suggestions to reconstruct a website for more customized Web service. This study analyzed five months’ of daily access weblog files from one local health provider’s website, discovered the most popular general topics and health related topics, and compared the information search strategies for both patient/consumer and doctor groups. Our findings show that users are not searching health information as much as was thought. The top two health topics which patients are concerned about are children’s health and occupational health. Another topic that both user groups are interested in is medical records. Also, patients and doctors have different search strategies when looking for information on this website. Patients get back to the previous page more often, while doctors usually go to the final page directly and then leave the page without coming back. As a result, some suggestions to redesign and improve the website are discussed; a more intuitive portal and more customized links for both user groups are suggested.
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Cui, Licong. "Ontology-guided Health Information Extraction, Organization, and Exploration." Case Western Reserve University School of Graduate Studies / OhioLINK, 2014. http://rave.ohiolink.edu/etdc/view?acc_num=case1401709795.
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Utarini, Adi. "Evaluation of the user-provider interface in malaria control programme : The case of Jepara District, Central Java Province, Indonesia." Doctoral thesis, Umeå : Univ, 2002. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-11.
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Maric, Danilo. "Firmware development of a User Interface on medical devices of DIMA ITALIA Srl." Master's thesis, Alma Mater Studiorum - Università di Bologna, 2018.
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This dissertation was written based on an internship experience at Dima Italia Srl, a leader in designing, production and marketing of medical ventilators. Once these ventilators were simple machines for breathing support, manually pumping the air in and out. Today, medical ventilators are computerized machines, electronically controlled by a small embedded system. They feature a plethora of available modes and an easy-to-use graphical interface. Exactly this is the topic of the thesis: developing a firmware with graphical interface for the next ventilator, produced and sold by Dima Italia. The firmware is based on C++ language and was developed in a Qt Creator framework, ideal for developing applications with graphical interfaces on Linux-based devices. In the paper are found all the pages of the firmware, along with the logic of operation of the application. Moreover, all the details about the operation and modes of a medical ventilator are also found in the document. In the end, there's a section related to deployment of a Qt application on a device, along with the issues and bugs encountered during the development process.
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Zary, Nabil. "Virtual patients for education, assessment and research : a web-based approach /." Stockholm, 2007. http://diss.kib.ki.se/2007/978-91-7357-272-9/.
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Pereira, Francisco Gilberto Fernandes. "Erros de medicaÃÃo antibacteriana e a interface com a seguranÃa do paciente." Universidade Federal do CearÃ, 2015. http://www.teses.ufc.br/tde_busca/arquivo.php?codArquivo=15092.
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nÃo hÃA seguranÃa relacionada ao sistema de medicaÃÃo tem sido objeto de pesquisas recentes, principalmente, em relaÃÃo aos antibacterianos que possuem alta especificidade farmacolÃgica e podem ter sua aÃÃo prejudicada em detrimento de erros associados Ãs fases de preparo e administraÃÃo. Assim, o estudo teve como objetivo geral: Analisar os fatores comportamentais e ambientais envolvidos na ocorrÃncia de erros durante as etapas de preparo de administraÃÃo de antibacterianos. Trata-se de um estudo observacional, exploratÃrio e transversal, de natureza quantitativa, realizado entre agosto a dezembro de 2014 em Hospital da Rede Sentinela em Fortaleza. A amostra compreendeu 44% das doses de antibiÃticos das clÃnicas mÃdicas A e B, 108 e 157, respectivamente. A coleta de dados se deu em duas fases: a primeira para caracterizar o perfil sÃcio ocupacional dos profissionais de enfermagem; e a segunda para identificar as adequaÃÃes e inadequaÃÃes comportamentais e ambientais nas fases de preparo e administraÃÃo. Os dados foram organizados em tabelas e analisados por meio da estatÃstica descritiva e analÃtica. Todos os princÃpios bioÃticos foram respeitados, conforme aprovaÃÃo da pesquisa pelo Comità de Ãtica da Universidade Federal do CearÃ, protocolo nÃmero 660.897. Os resultados permitiram realizar as seguintes inferÃncias: a concretizaÃÃo do preparo e administraÃÃo dos antibacterianos foi realizada por tÃcnicos de enfermagem (100%), predominantemente do sexo feminino, na faixa etÃria de 31 a 40 anos, que concluÃram a formaÃÃo entre os Ãltimos dez a 20 anos e atuam na Ãrea por um perÃodo semelhante, no entanto, hà menos de dez anos na instituiÃÃo onde a pesquisa foi realizada. Sobre a influÃncia de fatores ambientais verificou-se que durante o preparo houve inadequaÃÃo em 136 observaÃÃes na variÃvel limpeza e em 187 na organizaÃÃo. A dimensÃo para o preparo foi inadequada na ClÃnica MÃdica A (3,8m2), e os itens iluminaÃÃo, temperatura e ruÃdo foram extremamente oscilantes nos trÃs turnos e nas duas clÃnicas, com mÃdias geralmente acima do recomendado. Quanto Ãs variÃveis comportamentais observou-se: fontes produtoras de interrupÃÃes em 145 doses durante o preparo, e, no entanto, nÃo foram estatisticamente significativas para aumentar o tempo de preparo dos antibiÃticos (p=0,776). Houve maior frequÃncia de nÃo-conformidades respectivamente nas clÃnicas A e B quanto ao itens: comportamento de utilizaÃÃo da prescriÃÃo 86 (79,6%) e 157 (100%); confirmaÃÃo do nome do paciente 68 (62,9%) e 142 (90,4%); e, monitoramento 84 (77,7%) e 82 (52,2%). Jà a ClÃnica MÃdica B apresentou maiores Ãndices de conformidade no controle do tempo de infusÃo 84 (53,5%) e checagem imediata 93 (59,2%). Fator que contribuiu para aumentar as chances de interaÃÃo medicamentosa foi a ausÃncia de diretrizes com informaÃÃes sobre o medicamento (p=0,003). A principal categoria de erro encontrada foi o erro de dose (157). Jà o antibiÃtico mais comumente utilizado foi a Piperaciclina + Tazobactan com 51 doses. Conclui-se que o ambiente de trabalho e o comportamento adotado pelos profissionais de enfermagem sÃo condiÃÃes que podem favorecer a ocorrÃncia de erros com antibiÃticos.
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Eynakchi, Reza. "Development of A Patient-Centered Symptom Management Mobile Application." Thesis, Université d'Ottawa / University of Ottawa, 2019. http://hdl.handle.net/10393/39299.
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The evolution of Patient Reported Outcomes (PROs), has made an essential impact on patient-centered symptom management. PROs enable us to measure the patient‘s feels about their symptoms during treatment. ePROs (electronic PROs) are interfaces that allow a patient or health care provider to manage symptoms using an application such as mobile computing applications. The growth of mobile technologies in the healthcare sector has enabled us to take advantage of features like data manipulation, portability and standardization enable a better patient-driven symptom management.
The Pan-Canadian Oncology Symptom Triage and Remote Support (COSTaRS) is a paper-based symptom management guideline designated for nurses. The objective of COSTaRS is to help and improve the decision-making process and create a consistent symptom management reporting system. Although this tool introduces numerous advantages in cancer symptom management, it also induces a number of issues for patients due to being overwhelming. Moreover, a noticeable portion of drawbacks originates from the paper-based nature of COSTaRS. In addition, cancer care symptom management mobile applications do not offer proper evidence-based centered symptom management system to the users. The purpose of this study is to design and developed the mobile version of COSTaRS for patients and caregivers. We identify problems with the current paper-based structure and related academic and non-academic works and then, we design and evaluate a mobile version of COSTaRS that takes advantage of advances in mobile technology. We leverage COSTaRS knowledge to create a mobile application for symptom management. We create an evidence-based platform for cancer treatment-related symptom management. A usability testing has been conducted for evaluation of the COSTaRS mobile application. The results of this study verify the usability of COSTaRS mobile application.
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Ameisen, David. "Intégration des lames virtuelles dans le dossier patient électronique." Paris 7, 2013. http://www.theses.fr/2013PA077010.
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Les avancées technologiques dans le domaine de l'informatique médicale ainsi que l'augmentation systématique du volume d'information produit engendrent des questions de changement d'échelle et d'interopérabilité des nouveaux matériels, en particulier en imagerie, avec les systèmes d'information de santé. Il en résulte actuellement un manque de diversité d'images numériques sur lesquelles baser un avis médical ou en demander un second, sur place ou à distance. Nous avons ainsi conçu, développé et mis en production une plateforme web de mise en commun d'images médicales en rendant interopérable les systèmes d'acquisition et de restitution d'images normalisés et non normalisés avec les serveurs hospitaliers hébergeant les données patient. Cette plateforme donne accès à plus de 50000 documents multimédia tels que des rapports contenant du texte et des images, des images usuelles ou encore des images composées de plusieurs milliards de pixels : les lames virtuelles. Au cours de la réalisation de ces travaux, nous avons entrepris de formaliser l'appréciation visuelle de la qualité d'une image numérique et d'une lame virtuelle en élaborant des algorithmes proches de l'appréciation visuelle et plus rapide que les existants pour détecter le degré de flou présent dans les images numériques. Nous avons ensuiti développé des outils d'estimation en temps quasi-réel du flou comme premier indicateur pour l'analyse générale de la qualité des lames virtuelles pour les usages cliniques, pédagogiques et en recherche. Deux demandes de brevets, dont une en PCT, ainsi qu'une publication résultent de ces travaux, avec en perspective de nombreuses applications en imagerie généraliste et médicaleAdvances in medical informatics as well as the systematic increase of volume of digital information that is produced leads to the questions of scalability and interoperability of new hardware, particularly in imaging, with health information Systems. This can explain the present lack of diversity of digital images on which to base - or ask for - a medical opinion, whether on-site or from a remote location. We therefore designed, developed and put into production a web platform for sharing medical images by making acquisition and visualization Systems of standardized and non-standardized image interoperable with health information Systems hosting the patients' medical information. This platform provides access to more than 50000 multimedia files such as reports containing both text and images, common medical images and images made of billions of pixels: the whole slide images. During the completion of this work, we undertook to formalize what the visual assessment of the quality of a digital image and a whole slide image meant. We so designed algorithms or methods close to the visual assessment and faster than those published for 40 years in this field of imaging to detect in particular the amount of blur present in digital images. We then designed and developed tools to assess in near real-time the amount of blur present in a whole slide image as a first indicator for a more general assessment of the quality of a whole slide image for clinical use, teaching and research. This research resulted in two patent applications, including one in PCT, and one publication with the perspective of numerous applications in digital medical imaging
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Sousa, Etelvaldo Francisco Rêgo. "Convivência com a asma da criança: a interface entre a família e o apoio profissional." Universidade de São Paulo, 2013. http://www.teses.usp.br/teses/disponiveis/7/7141/tde-18072014-143854/.
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Introdução: A convivência com a doença crônica da criança torna a presença dos profissionais de saúde uma constante na vida das famílias, havendo na literatura lacunas no que diz respeito à perspectiva da unidade familiar quanto ao apoio profissional recebido. A asma é uma doença que geralmente inicia-se na infância, e tem ganhado destaque nas políticas de saúde brasileiras, em virtude da transição epidemiológica vivida pelo país. A família da criança com asma passa a necessitar do apoio profissional para lidar com este novo evento. Objetivo: Esta pesquisa objetivou compreender a experiência da família acerca do apoio dos profissionais de saúde no convívio com a doença crônica da criança. Método: Teve como referencial teórico o Interacionismo Simbólico e a Pesquisa de Narrativa como referencial metodológico. Os dados foram coletados através de entrevistas com nove famílias, totalizando 30 sujeitos, que convivem com a asma da criança, selecionadas por meio do Ambulatório de Cuidados Pediátricos de um hospital universitário. Resultados: Da análise dos dados emergiram três temas que descrevem a experiência da família em relação ao apoio recebido dos profissionais da saúde na sua convivência com a asma da criança: O QUE É PRECISO PARA COMEÇAR; COM QUEM CONTAR: PROFISSIONAIS DE REFERÊNCIA; A FORÇA QUE VEM DA AJUDA: REDEFINIÇÃO DE CAMINHOS. Conclusões: Este estudo propiciou um maior entendimento das potencialidades da atuação profissional no cuidado à família que experiência a asma da criança. Os resultados evidenciam a necessidade de novas abordagens que considerem o caminho que a família percorre na convivência com a doença da criança. Os profissionais devem conscientizar-se de que sua atuação é importante elemento na construção dos significados que a família atribui à convivência com a asma da criança. É necessário pensar em novas praticas para a relação profissional com a família, pois esta relação é capaz de suscitar e/ou fortalecer na família habilidades amenizadoras de sofrimentoIntroduction: Living with a chronic illness of the child makes the presence of health professionals is a constant in the lives of families, with gaps in the literature with regard to the perspective of the family unit as the professional support received. Asthma is a disease that usually begins in childhood, and has gained prominence in health policies in Brazil, due to the epidemiological transition experienced by the country. The family of the child with asthma starts to require professional support to deal with this new event. Objective: This study aimed to understand the experience of the family about the support of health professionals to living with the chronic illness of the child. Method: Had the theoretical Symbolic Interaction and Narrative Research as a methodological reference. Data were collected through interviews with nine families, totaling 30 people, who live with childhood asthma were selected by the Ambulatory Pediatric Care of a university hospital. Results: Data analysis revealed three themes that describe the experience of the family in relation to the support received from health professionals in their coexistence with childhood asthma: WHAT YOU NEED TO START, WITH WHO COUNT: PROFESSIONAL REFERENCE; STRENGTH COMING OF HELP: WAYS RESET. Conclusions: This study provided a better understanding of the potential of professional practice in the care of family experience childhood asthma. The results highlight the need for new approaches that consider the road that runs in the family living with the child\'s illness. Practitioners should be aware that their performance is an important element in the construction of meanings that the family attaches to living with childhood asthma. It is necessary to think of new practices to the professional relationship with the family, because this relationship is able to raise and / or strengthen family skills decrease suffering
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Marques, Liéte de Fátima Gouvêia. "Uso de medicamentos e a segurança do paciente na interface entre hospital, atenção básica e domicílio." Universidade de São Paulo, 2013. http://www.teses.usp.br/teses/disponiveis/6/6135/tde-02042013-105600/.
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A segurança do paciente e a qualidade da assistência à saúde, no uso de medicamentos, têm sido foco de preocupação e estudos em nível mundial. Os pacientes podem estar especialmente vulneráveis a danos imediatamente após alta hospitalar, e a ocorrência de eventos adversos relacionados a medicamentos pode resultar em atendimento em serviços de urgência ou em readmissão hospitalar. Este estudo teve como objetivo compreender a dinâmica e os desafios do cuidado fornecido ao paciente, pela equipe de saúde do hospital, visando à segurança no processo de uso de medicamentos após alta hospitalar. Foi realizada pesquisa exploratória por meio de entrevistas junto a médicos, enfermeiros, farmacêuticos e assistentes sociais do Hospital Universitário da Universidade de São Paulo. Atualmente, a principal estratégia adotada pelo hospital visando à segurança do paciente, com foco no processo de uso de medicamentos após alta hospitalar, é a orientação de alta ao paciente e/ou cuidador, realizada de forma estruturada, em casos selecionados, principalmente envolvendo pacientes pediátricos. A reconciliação medicamentosa está em fase de implantação na instituição e, em situações específicas, ocorre mobilização da equipe multidisciplinar para viabilização do acesso a medicamentos prescritos na alta hospitalar. Visita domiciliar é desenvolvida junto a pacientes críticos com problemas de locomoção, e não conta com a participação de farmacêuticos. As principais barreiras para implantação, desenvolvimento e ampliação dessas atividades são a falta de recursos humanos e de tecnologias da informação e a necessidade de alterações no procedimento de alta. Entre os fatores facilitadores estão características da equipe, como iniciativa, comprometimento, responsabilidade por resultados e qualificação, além do apoio da alta administração. O desenvolvimento de atividades acadêmicas junto à atenção básica facilita o estabelecimento de pontes entre o hospital e demais serviços de saúde, contribuindo para a transposição da barreira da falta de contato entre as equipes. No entanto, as limitações das atividades desenvolvidas e a falta de articulação adequada para a continuidade do cuidado, com foco no processo de uso de medicamentos, podem comprometer a segurança do paciente na interface entre hospital, atenção básica e domicílio.Patient safety and quality of health care on medication use have been a central topic of discussion and focused in studies worldwide. Patients can be particularly vulnerable in the period immediately following their discharge from hospital and the occurrence of adverse drug events may require emergency care and hospital readmission. The present study aimed to understand the dynamics and challenges of care provided to patients by hospital providers focusing on safe use of medications after discharge. An exploratory study was conducted. Data was collected through interviews with physicians, nurses, pharmacists and social workers at the Hospital Universitário da Universidade de São Paulo, Brazil. The hospitals current main strategy for safe use of medications after hospital discharge is to provide structured counseling to selected patients and/or their caregivers especially pediatric patients. Medication reconciliation is being implemented and a multidisciplinary team can help ensure access to prescription drugs at discharge in some cases. Home visits are paid to patients with severe conditions and mobility problems but pharmacists are not involved. The main barriers to implementation, development, and expansion of these activities include limited human and information technology resources and changes required to patient discharge procedures. The main facilitators are a skilled team of care providers, committed to improving care and accountable for results and support from senior management. Care provided by students and residents at a primary care setting helps create bridges to integrate hospital care and other care services and overcome the interaction barrier between care teams. However, limited actions and inadequate coordination of follow- up care focused on medication use may compromise patient safety at the interface of hospital, primary care and the home setting.
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Pham, Gia-Toan Durand-Gasselin Bernard. "Interface ville-hôpital d'un court séjour gériatrique vue à travers la demande téléphonique, la lettre du médecin traitant lors de la demande d'admission et à travers le compte rendu hospitalier de sortie." Créteil : Université de Paris-Val-de-Marne, 2006. http://doxa.scd.univ-paris12.fr:80/theses/0249020.pdf.
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Vassal, Patrick. "Fusion d'images multi-modales pour la radiothérapie conformationnelle : application au repositionnement du patient." Phd thesis, Université Joseph Fourier (Grenoble), 1998. http://tel.archives-ouvertes.fr/tel-00005155.
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Le traitement des cancers par radiothérapie externe met en .uvre un environnement complexe. L'irradiation doit être le plus possible limitée au volume tumoral, en évitant au maximum les tissus et organes sains avoisinants. L'utilisation de logiciels dosimétriques en trois dimensions permet d'adapter exactement la balistique d'irradiation à la forme de la tumeur. Le patient est replacé à chaque séance de son traitement dans la même position pour permettre de reproduire avec précision la balistique d'irradiation. Un système de contention assure son immobilisation, un appareil de contrôle permet de vérifier sa position, et un collimateur multi-lames adapte la forme du faisceau d'irradiation au profil de la tumeur. La radiothérapie externe traditionnelle devient la radiothérapie conformationnelle Cette étude présente une procédure de repositionnement du patient par mise en correspondance d'informations issues de différentes sources d'imagerie médicale. En début de séance, des images de contrôle sont acquises par un système adapté au type et à la localisation de la tumeur. Les informations fournies par les images de contrôle sont fusionnées avec des informations de référence corrrespondant à la position attendue du patient. Le décalage entre les deux informations donne l'erreur d'installation en translation et en rotation. Une correction est calculée et appliquée à l'environnement de traitement (position et orientation du patient, position et orientation de la source d'irradiation). Le système de contrôle permet de déterminer directement ou indirectement la position précise du volume tumoral. L'échographie, associé à un localisateur optique tridimensionnel, permet de déterminer la position d'un organe comme la prostate, qui peut changer de place en fonction des réplétions vésicale et rectale. Le capteur de surface est utilisé pour localiser les tumeurs de la face ou du cerveau, par rapport à la position du visage, l'acquisition et le traitement de l'information ne prennent que quelques minutes. L'imageur par rayons X s'applique à la localisation de structures osseuses.
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Caballero, Larissa Gussatschenko. "Informação de pesquisa clínica e a interface com o aplicativo de gestão para hospitais universitários : desafios éticos e regulatórios." reponame:Biblioteca Digital de Teses e Dissertações da UFRGS, 2018. http://hdl.handle.net/10183/181266.
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Introdução: A utilização das ferramentas e instrumentos da informática no processo do atendimento de pacientes auxilia os profissionais da saúde, pois facilita a coleta e armazenamento das informações, proporcionando qualidade no atendimento e criando condições de enfrentamento dos desafios do mundo globalizado. Nesse contexto, a utilização de dados de prontuário eletrônico de pacientes vinculados à pesquisa clínica em um hospital universitário público pode auxiliar no aprimoramento da assistência à saúde, assim como subsidia dados de pesquisas no âmbito da saúde. Objetivos: Identificar e avaliar os registros provenientes de pesquisas clínicas postos nos sistemas coorporativos do Hospital de Clínicas de Porto Alegre (HCPA), no período de 2014 a 2016. Método: A pesquisa utilizou abordagem quantitativa e qualitativa, de análise de conteúdo de referências e de dados provenientes da rede de informação clínica e assistencial através do cruzamento de informações do sistema integrado Aplicativo para Gestão de Hospitais Universitários (AGHU) e pelo Grupo de Pesquisa e Pós-Graduação (GPPG) do Hospital de Clínicas de Porto Alegre, no período entre janeiro de 2014 e dezembro de 2016. Resultados: Entre os projetos, 58,6% encaminharam relatórios de pesquisa, sendo que somente 23,8% possuem registro de participantes de pesquisa. No entanto, apenas 10,3% dentre todos os estudos que indicaram utilizar pacientes no seu protocolo de pesquisa tem concordância de registro entre o GPPG8 e o AGHU. Cerca de 25,6% do total de relatórios de pesquisa encaminhados apresentam informações quanto aos seus produtos de pesquisa. As pesquisas com patrocínio privado demonstraram encaminhar mais relatórios de atualização dos projetos, porém com menor índice na apresentação dos produtos científicos (1,4%). Considerações finais: Potenciais limitações no uso dos registros existentes no AGHU foram identificadas para decisões terapêuticas pela equipe assistencial de maneira geral, tendo em vista a aparente subnotificação de informações relativas ao andamento e desfecho dos estudos desenvolvidos. Entretanto, não foi possível analisar as causas dos registros possivelmente inadequados ou incompletos, sugerindo-se pesquisas específicas com a incorporação de questionários ou entrevistas individuais para permitir maior aprofundamento na temática. Produtos: A pesquisa identificou a necessidade de três produtos derivados do estudo: (1) material explicativo para os pesquisadores informando a necessidade do registro apropriado dos participantes no sistema coorporativo; (2) modelo de relatório de pesquisa para encerramento de projeto, disponibilizado pelo GPPG, em formato online para pesquisadores responsáveis pelo projeto de pesquisa; e (3) sugestão de melhoria das informações disponibilizadas pela aba “Projetos de Pesquisa” no prontuário online dos pacientes que estão vinculados a projetos de pesquisa, informando os potenciais resultados de pesquisas envolvidas com estes à área assistencial.Introduction: Using informatics tools on the medical care process for patients helps health professionals, makes easier to collect and to storage information, as well as exchange this information among professionals and institutions, offering quality of care and creating conditions to face challenges in a globalized world. In this context, using electronic medical records data of patients enrolled on clinical trials in a public hospital may help improving health care, as well as provide research health data. Objectives: To identify and evaluate records from clinical trials registered on corporative systems from Hospital de Clinicas de Porto Alegre (HCPA), from 2014 to 2016. Method: The research used quantitative and qualitative approach, analyzing references content and data from the network for clinical data, crossing information from Aplicativo para Gestão de Hospitais Universitários (AGHU) and Grupo de Pesquisa e Pós-Graduação (GPPG) of HCPA, from 2014 and 2016. Results: Among the projects 58,6% forwarded research reports, but just 23,8% with record of research participants. However, only 10,3% of studies that report participants enrolled in study protocol matched records in GPPG8 and AGHU. About 25,6% of total research reports informed research products. Researches with private sponsor showed more update reports, but with lower presentations of scientific products (1,4%). Final considerations: Potential limitations on using existent records on AGHU were identified for therapeutic decisions by clinical team in general, with apparent underreporting of information relate to development and closure for studies developed. However was not possible to analyze causes for possibly inaccurate or incomplete records, suggesting specific research with individual questionnaires or interviews in order to allow deepening the understanding on the theme. Products: The research identify the need for three product from the study: (1) a explicative material to researchers, informing an appropriate participant’s registration on the corporative system; (2) a model of research report for project termination, available on GPPG, online, to lead researchers in research projects; and (3) improvement suggestion on information available by “research projects” tab on the online medical records for patients enroll in research projects, informing potential results associated to medical care area.
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Tran, Quoc Huy Martin, and Carl Ronström. "Mapping and Visualisation of the Patient Flow from the Emergency Department to the Gastroenterology Department at Södersjukhuset." Thesis, KTH, Medicinteknik och hälsosystem, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-279605.
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The Emergency department at Södersjukhuset currently suffers from very long waiting times. This is partly due to problems within visualisation and mapping of patient data and other information that is fundamental in the handling of patients at the Emergency department. This led to a need in the creation of improvement suggestions to the visualisation of the patient flow between the Emergency department and the Gastroenterology department at Södersjukhuset. During the project, a simulated graphical user interface was created with the purpose of mimicking Södersjukhusets current patient flow. This simulated user interface would visualise the patient flow between the Emergency department and the Gastroenterology department. Additionally, a patient symptoms estimation algorithm was implemented to guess the likelihood of a patient being admitted to a department. The result shows that there are many possible improvements to Södersjukhusets current hospital information system, TakeCare, that would facilitate the care coordinators work and in turn lower the waiting times at the Emergency department.Akutmottagningen på Södersjukhuset har i dagsläget väldigt långa väntetider. Detta beror till viss del utav problem inom visualiseringen och kartläggning av patient data och annan fundamental information för att hantera patienter på akutmottagningen. Detta ledde till att det finns ett behov att skapa förbättringsförslag på visualiseringen av patientflödet mellan akutmottagningen och gastroenterologiavdelningen på Södersjukhuset. Under projektets gång skapades ett simulerat användargränssnitt med syfte att efterlikna Södersjukhusets nuvarande patientflöde. Denna lösning visualiserar patientflödet mellan akutmottagningen och gastroenterologiavdelningen. Dessutom implementerades en enkel sorteringsalgoritm som kan bedöma sannolikheten om en patient skall bli inlagd på en avdelning. Resultatet visar att det finns flera möjliga förbättringar i Södersjukhusets nuvarande elektroniska journalsystemet, TakeCare, som skulle underlätta vårdkoordinatorernas arbete och därmed sänka väntetiderna på akutmottagningen.
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Rolfson, Robert P. "The design, biomechanics and ergonomics of a novel patient lifting interface." 2004. http://proquest.umi.com/pqdweb?did=1166575921&sid=2&Fmt=2&clientId=12520&RQT=309&VName=PQD.
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Chang, Kai-Jiun, and 張凱鈞. "Speech Recognition for the Patient of Cerebral Palsy and Interface Development." Thesis, 2007. http://ndltd.ncl.edu.tw/handle/42139222007780537307.
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碩士國立暨南國際大學
資訊工程學系
95
The word “Cerebral Palsy” is used to describe a medical condition that affects control of the muscles. If someone has cerebral palsy, it means that he is not able to use some of the muscles in their body in the normal way. People, who have cerebral palsy, may not be able to walk, talk, eat or play in the same ways as most other people. One student who has cerebral palsy is currently studying in our school, and he has problems communicating with others. He cannot use keyboard to type normally, cannot write with the pen, and cannot speak fluently. Some of the papers analyze the speech recognition with Dysarthric speakers [1][2][8]. They found that the patients, including serious cerebral palsy sufferers, can have acceptable speech recognition results by collecting more voice samples. It gives us an idea: we can develop the speech recognition system for the student as input interface. In this thesis, we explored the vocal ability of people who have cerebral palsy, looked for the robust vocabularies, and constructed a suitable speech recognition system. We tried some methods of speech recognition, like Dynamic Time Warping and discrete hidden Markov model (dHMM), taking Mel-Frequency Cepstral Coefficients (MFCC) as features, to find robust vowels and robust consonants that people who have cerebral palsy can pronounce. Finally, we combine theorems and experimental results to design the speech recognition system that is convenient for the cerebral palsy sufferer. The system encodes frequent Symbols to Morse code. Tester can pronounce based on Morse code table, and combines with Morse code to match the Symbol which he think. We can associate with other assistant to increase the convenience and performance of the system.
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Bhatnagar, Manas. "Design and Evaluation of a Context-aware User-interface for Patient Rooms." Thesis, 2012. http://hdl.handle.net/1807/42686.
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The process of patient care relies on clinical data spread across specialized hospital departments. Powerful software is being designed to assimilate this disconnected patient data before treatment can be decided. However, these data are often presented to clinicians on interfaces that do not fit clinical workflows, leading to poor operational efficiency and increased patient safety risks. This project relies on ethnographic design methods to create evidence of clinician preferences pertaining to the presentation and collection of information on user interfaces in patient rooms. Using data gathered in clinical observation, a prototype interface was designed to enable doctors to conduct clinical tasks through a usable patient room interface. The prototype evaluation with doctors identified clinical tasks that are relevant in the patient room and provided insight into the perceived usability of such an interface. The evaluation sessions also elucidated on issues of patient-centeredness in technology design, effortless authentication and interface customizability.
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Liu, Chia-Ming, and 劉家銘. "A Study of the Development Model for Iconic Function Interface — Patient Care Record System." Thesis, 2000. http://ndltd.ncl.edu.tw/handle/13810871525471564790.
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碩士國立成功大學
工業設計學系
88
System development includes wide fields, such as system planning, icon design, program design, usability engineering, system maintenance. This study proposes a model to developing an iconic function interface. This model could make the process of interface development standardized. It includes four phases. (1) The analysis of users’ requirement. (2) Icon design. (3) Screen design. (4) Interface and system evaluation. In the phase of the analysis of users’ requirement, the author found that patient care record system mainly includes “Admission assessment”, “Withdrawal advice”, “Vital signs”, “Care documentation” and “Care plans” subsystem. If the contents of these subsystems were admitted by nurses, the 「Patient Care Record System」 would be more organization and standardization. In the phase of icon design, some principles of Feature-Matching Theory were applied in forming the icon design process. This design process could divide into four steps: firstly, the questionnaire was used to investigate the meanings of the main functions and their constructive features. Secondly, investigating the weighting of different features. Thirdly, the existing samples of standard icons were collected and the basic features of each component among these samples were taken down. Finally, the concept design and the evaluation work were carried out according to the investigative results. In the phase of screen design, the existing principles of screen design were examined and the suitable rules were applied to arrange the screen elements of patient care record system. If screen design is suitable to the principles of standardization and consistency, the users usually have worthy evaluation. In order to obtain the benefits of survey and experimental methods, this study applied Heuristic Evaluation and Teaching Methods in the phase of interface and system evaluation. For executing the works of survey and experiment, the nurses and system developers were chosen as the subjects in this study. According to the analysis of this study, some conclusions are summarized as follows: (1) Nurses focus on the questions of nurse work, but system developers concentrate on the problems of system usability. (2) Interface and system evaluation needs two kinds of subjects - actual users (nurses) and system developers, to find out different kinds of usability problems. Finally, the author established a Patient Care Record System for nurse routine work. This Patient Care Record System could let nurses reduce the time on patient care record and pay more time on the direct patient care. When the nurses use this new Patient Care Record System, they could obtain more comprehensive data, make decision rapidly and execute nurse work correctly. This new Patient Care Record System could increase nursing service quality and nurses’ satisfaction for their patient care record work.
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McLoughlin, Rosemary A. "An exploratory study of learner satisfaction in a Web-based FAQs interface for patient education." 2005. http://link.library.utoronto.ca/eir/EIRdetail.cfm?Resources__ID=232580&T=F.
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Inampudi, Venkata Srihari. "A Real Time Web Based Electronic Triage, Resource Allocation and Hospital Dispatch System for Emergency Response." 2011. https://scholarworks.umass.edu/theses/541.
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Disasters are characterized by large numbers of victims and required resources, overwhelming the available resources. Disaster response involves various entities like Incident Commanders, dispatch centers, emergency operations centers, area command and hospitals. An effective emergency response system should facilitate coordination between these various entities. Victim triage, emergency resource allocation and victim dispatch to hospitals form an important part of an emergency response system. In this present research effort, an emergency response system with the aforementioned components is developed.
Triage is the process of prioritizing mass casualty victims based on severity of injuries. The system presented in this thesis is a low-cost victim triage system with RFID tags that aggregate all victim information within a database. It will allow first responders' movements to be tracked using GPS. A web-based real time resource allocation tool that can assist the Incident Commanders in resource allocation and transportation for multiple simultaneous incidents has been developed. This tool ensures that high priority resources at emergency sites are received in least possible time. This web-based tool also computes the patient dispatch schedule from each disaster site to each hospital. Patients are allocated to nearest hospitals with available medical facilities. This tool can also assist resource managers in emergency resource planning by computing the time taken to receive required resources from the nearest depots using Google Maps. These web-based tools complements emergency response systems by providing decision-making capabilities.
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Shahidzay, Amir Kror. "Development of a health management information system using agile software-engineering methods." 2013. http://hdl.handle.net/11394/3882.
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>Magister Scientiae - MScThe purpose of this thesis is to discuss the development of a web application from scratch. It serves to build a health management information system from basic principles and covers all the software engineering activities starting from the gathering of requirements, evaluating these and eventually implementing a health management information system by applying several iterations of the Agile-extreme-programming-software-engineering approach to develop a Health Management System for the Kabul University Poly-clinic located at Kabul University campus in order to computerize clerical activities at the hospital. Questionnaires were used to uncover the clerical problems experienced by the hospital sta . Attempts to address these problems by designing and im- plementing software and re ne the software after some iterations of feedback- redesign-and-implementation following the guidelines of Agile extreme pro- gramming. The previous Health management systems at the hospital were paper based. The new computerized system has eased the burdens of tracking the les of patients at the hospital, leading to easier and more e cient access to information by the health-care professionals at the hospital. An assessment of the impact this has had on the medical and clerical sta and the smoother administration of the hospital by repeated user acceptance testing by means of questionnaires con rms the success of the project.
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Yu, Erin. "Design and Evaluation of an Improved Patient Information Management System for Emergency Department Physicians." Thesis, 2011. http://hdl.handle.net/1807/29650.
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Designing a software interface for healthcare requires thorough domain knowledge, and effective user research and benchmark analysis. This thesis examines the requirements for an improved patient information management system for emergency medicine and describes the iterative process of designing and evaluating the system. I conducted observational study of Emergency Department (ED) physicians’ workflow and information needs, from which I derived a set of functional requirements, created scenarios, performed hierarchical task analysis, and developed a preliminary user model for the patient information management system. Based on these, I developed an interface prototype and evaluated the design with a sample of ED physicians. I review the user testing and design iterations carried out and report on the design improvements made based on the user feedback.
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Bakirtzian, Armen. "A Method of Measuring Force/Torque at the Tool/Tissue Interface in Endoscopy." Thesis, 2010. http://hdl.handle.net/1807/25418.
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The adoption of Minimally Invasive Surgery (MIS) and Robot-Assisted MIS has resulted in the distortion of haptic cues surgeons rely on. The application of excessive force during port creation has lead to increased surgical access trauma. This study aims to quantify the forces experienced during port creation with a blunt-ended Threaded Visual Cannula (TVC) in an effort to ameliorate patient safety, provide a quantitative platform for surgeon training, and offer a gateway for the eventual automation of this problematic aspect of MIS. A method of determining the torque encountered during port creation was established. It was found that the magnitude of torque required to cannulate different materials was unique and was dictated by the friction observed at the tool/tissue interface. Furthermore, the ability to detect instantaneous changes in torque arising from the transition between two different media was not found to be possible with the current design of the TVC.
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"Comparison of two types of virtual patient when teaching acute pain management to final year medical students." 2011. http://library.cuhk.edu.hk/record=b5894624.
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Leung, Yiu Cho Joseph.Thesis (M.Phil.)--Chinese University of Hong Kong, 2011.
Includes bibliographical references (leaves 116-118).
Abstracts in English and Chinese.
LIST OF ABBREVIATIONS --- p.viii
LIST OF TABLES --- p.xiii
LIST OF FIGURES --- p.xv
Chapter CHAPTER 1: --- INTRODUCTION --- p.1
Chapter CHAPTER 2: --- VIRTUAL PATIENT AND IT USES AROUND THE WORLD --- p.5
Chapter 2.1: --- Introduction --- p.5
Chapter 2.2: --- Advantages of Virtual Patient --- p.6
Chapter 2.2.1: --- Improved Access to Learning Material --- p.6
Chapter 2.2.2: --- Development of Higher Order Learning Skills --- p.6
Chapter 2.2.3: --- Provide an Environment for Safe Practice --- p.7
Chapter 2.2.4: --- Efficient Use of Teacher's Time --- p.7
Chapter 2.2.5: --- Teach Interdisciplinary Care --- p.7
Chapter 2.2.6: --- Used for Assessment --- p.8
Chapter 2.3: --- Categorizing Virtual Patients --- p.8
Chapter 2.4: --- Virtual Patient Authoring System --- p.9
Chapter 2.5: --- Virtual Patients Authoring Systems around the World --- p.10
Chapter 2.5.1: --- Introduction --- p.10
Chapter 2.5.2: --- The CASUS System --- p.10
Chapter 2.5.3: --- The CAMPUS System --- p.10
Chapter 2.5.4: --- Web-SP --- p.11
Chapter 2.5.5: --- OpenLabyrinth --- p.11
Chapter 2.5.6: --- vpSim --- p.12
Chapter 2.5.7: --- Others Centres Using VPs --- p.12
Chapter CHAPTER 3: --- FORMATIVE ASSESSMENT CASES STUDIES --- p.13
Chapter 3.1: --- History of FACS --- p.13
Chapter 3.2: --- FACS Authoring System --- p.13
Chapter 3.3: --- Teaching and Learning Resources Centre --- p.16
Chapter CHAPTER 4: --- ANAESTHESIA TEACHING IN CUHK --- p.18
Chapter 4.1: --- Introduction --- p.18
Chapter 4.2: --- E-learning in Anaesthesia in CUHK --- p.19
Chapter 4.2.1: --- Introduction: --- p.19
Chapter 4.2.2: --- Preoperative Assessment FACS --- p.19
Chapter 4.2.3: --- Storyline Virtual Patient --- p.23
Chapter 4.3: --- Preparing the VPs --- p.27
Chapter 4.3.1: --- Introduction --- p.27
Chapter 4.3.2: --- Focus Group Interview --- p.28
Chapter 4.3.3: --- Summary of Findings --- p.29
Chapter 4.4.1: --- Methods --- p.29
Chapter 4.4.2: --- Results --- p.31
Chapter 4.4.2.1: --- Student Usage --- p.31
Chapter 4.4.2.2: --- Surveys --- p.32
Chapter CHAPTER 5: --- ACUTE PAIN MANAGEMENT VIRTUAL PATIENTS --- p.37
Chapter 5.1: --- Introduction --- p.37
Chapter 5.2: --- Acute Pain Management FACS --- p.38
Chapter 5.3: --- Storyline Virtual Patient Chapter 6 --- p.40
Chapter CHAPTER 6: --- COMPARING FACS AND SL-VP ON APM (2009-2010) --- p.41
Chapter 6.1: --- Introduction --- p.41
Chapter 6.2: --- Study Design --- p.42
Chapter 6.2.1: --- Background Information --- p.42
Chapter 6.2.2: --- Research Plan --- p.43
Chapter 6.3: --- Hypothesis --- p.44
Chapter 6.4: --- Module MCQ Examination --- p.44
Chapter 6.4.1 --- Administration of Test: --- p.44
Chapter 6.4.2 --- IDEAL Programme: --- p.46
Chapter 6.5: --- Module MEQ Examination --- p.51
Chapter 6.6: --- Final MEQ Examination --- p.52
Chapter 6.7: --- Login Data --- p.52
Chapter 6.8: --- Survey --- p.53
Chapter 6.9: --- Student-Teacher Questionnaire --- p.53
Chapter 6.10: --- Results and Findings --- p.54
Chapter 6.10.1: --- Introduction --- p.54
Chapter 6.10.2 --- Module MCQ Examination --- p.55
Chapter 6.10.2.1: --- Result --- p.55
Chapter 6.10.2.2: --- Discussion --- p.58
Chapter 6.10.3: --- Module MEQ Examination --- p.59
Chapter 6.10.3.1: --- Result --- p.59
Chapter 6.10.3.2: --- Discussion --- p.61
Chapter 6.10.4.1: --- Result --- p.62
Chapter 6.10.4.2: --- Discussion --- p.67
Chapter 6.10.5: --- Login Time --- p.68
Chapter 6.10.5.1: --- Result --- p.68
Chapter 6.10.5.2: --- Discussion --- p.69
Chapter 6.10.6: --- Survey --- p.70
Chapter 6.10.6.1: --- Usage --- p.70
Chapter 6.10.6.2: --- E-Learning Material from Anaesthesia Department --- p.71
Chapter 6.10.6.3: --- Comparisons between FACS and SL-VP --- p.72
Chapter 6.10.6.4: --- Improving Students for their Future Role as Surgical House Officers --- p.73
Chapter 6.10.6.5: --- Students' opinion on teaching methods --- p.74
Chapter 6.10.6.6: --- Free text comments --- p.74
Chapter 6.10.6.7: --- Discussion --- p.75
Chapter 6.10.7: --- Student-Teacher Questionnaire --- p.77
Chapter 6.10.7.1: --- Result --- p.77
Chapter 6.11: --- Discussion --- p.78
Chapter 6.11.1: --- VPs on students' examination outcome --- p.78
Chapter 6.11.2: --- Comparing between FACS and SL-VP --- p.79
Chapter 7.1: --- Introduction --- p.82
Chapter 7.2: --- Study Design --- p.82
Chapter 7.3: --- Research Plan --- p.83
Chapter 7.3.1: --- Module MCQ Examination --- p.84
Chapter 7.3.2: --- Module MEQ Examination --- p.84
Chapter 7.3.3: --- Final MEQ Examination --- p.84
Chapter 7.4: --- Hypothesis --- p.85
Chapter 7.5: --- Result and Findings --- p.85
Chapter 7.5.1: --- Introduction --- p.85
Chapter 7.4.2: --- Module MCQ Examination --- p.85
Chapter 7.4.2.1: --- Result --- p.85
Chapter 7.4.2.2: --- Discussion --- p.88
Chapter 7.4.3: --- Module MEQ Examination --- p.89
Chapter 7.4.3.1: --- Result --- p.89
Chapter 7.4.3.2: --- Discussion --- p.90
Chapter 7.4.4: --- Final MEQ Examination --- p.91
Chapter 7.4.4.1: --- Result --- p.91
Chapter 7.4.4.2: --- Discussion --- p.92
Chapter 7.5: --- Conclusion --- p.93
Chapter CHAPTER 8: --- SUMMARY AND CONCLUSION --- p.94
Chapter 8.1: --- Summary of thesis --- p.94
Chapter 8.2: --- Limitation --- p.94
Chapter 8.3: --- Conclusion --- p.95
APPENDIX --- p.96
REFERENCES --- p.116
38
Marovic, Snezana. "Beyond cybernetics : connecting the professional and personal selves of the therapist." Thesis, 2000. http://hdl.handle.net/10500/18132.
Full textAbstract:
Text in EnglishThis research explores the meaning of the first and second-order therapeutic stances with reference to the therapist's professional and personal development. The dominant positivist paradigm was reflected in the therapist's initial position of expert observer, outside of the observed. The observed phenomena were a group of children suffering from thalassemia major, a terminal genetic disease, and their mothers. The initial idea of short-term intervention and focus on the observed evolved into six-year journey where the observer and the observed became an interconnected unit of observation, understanding and change. A first-order stance led to therapeutic stuckness, where the therapist's confrontation with her therapeutic failure and the limitations of the dominant paradigm provoked a deconstruction of the expert position and promoted a self-reflexive therapeutic stance. The author's self-searching process took her back to her personal self, her family of origin and the ''wounded healer". The researcher moved from an initial disconnection between her professional and personal selves to an awareness of the interface between the two and, ultimately, to a unification of her professional and personal selves. Such development involved an individuation process moving from a narcissistic belief in her objective stance towards a therapeutic stance where she sees herself less as a powerful agent of change and moves to an increasingly higher order of integration of the professional and personal selves (Skovholt & Ronnestad, 1992). The process with the children and mothers shifted from a focus on compliance and medical issues to more personal and emotional stories. The therapist's participation and collaborative stance created a context for change, where greatly improved medical compliance was just one of the many transformations experienced by all the participants. The researcher speculates that development of a second-order stance requires second-order change, which comes "at the end of long, often frustrating mental and emotional labor" (Watzlawick et al., 1974, p. 23), promoting integration between the professional and personal selves of the therapist. The researcher therefore contends that this process has important implications for psychotherapy training, supervision and continuing education.
Psychology
D. Litt. et Phil. (Psychology)