Health Information Technology Commons^™

Extrinsic Motivation To Use Mhealth Interventions In Maternal Healthcare In Rural Malawi, Priscilla Maliwichi, Wallace Chigona, Address Malata

African Conference on Information Systems and Technology

mHealth interventions have the potential to address the inequalities in accessing health information. In maternal healthcare, mHealth interventions provide information to pregnant women on how they can stay healthy during pregnancy, as well as on the danger signs in pregnancy that can contribute to maternal mortality. In this study we posit that extrinsic motivation could promote trialability of mHealth interventions. We employed qualitative research methods to investigate extrinsic factors that motivate maternal healthcare clients in rural Malawi to use mHealth interventions. Self-determination theory was used as the theoretical lens for the study. Data was collected using secondary data sources and …

A Structural Equation Model For Implementation Of Smart Card Technology In Public Healthcare, Lario Malungana, Lovemore Motsi

African Conference on Information Systems and Technology

The improvement of health care, efficiency, safety, and quality of delivery and access for patients highly portray a rather significant increase in public healthcare. The emergence of this proliferation of healthcare technology is then expected to grow. Therefore, Information technology (IT) has become significant part of providing consistent care quality by healthcare professionals to patients. The study seeks to explain on factors that influence the implementation of Smart Card Technology in South African public healthcare institutions. This was a cross-sectional study conducted in four Tshwane hospitals in Gauteng province, South Africa in 2021. A quantitative research method approach was used. …

Leveraging Clinical Digitized Data To Understand Temporal Characteristics And Outcomes Of Acute Myocardial Infarctions At A Tertiary Care Medical Centre In Pakistan From 1988-2018 - Methods And Results, Zainab Samad, Ali Aahil Noorali, Awais Farhad, Safia Awan, Nada Qaiser Qureshi, Mushyada Ali, Laiba Masood, Ghurfan Adnan, Zulfiqar Ahmed Bhutta, Javed Tai

Section of Cardiology

Background and objective: Few data exist on trends in acute myocardial infarction (AMI) patterns spanning recent epidemiological shifts in low middle-income countries (LMICs). To understand temporal disease patterns of AMI characteristics and outcomes between 1988-2018, we used digitized legacy clinical data at a large tertiary care centre in Pakistan.
Methods: We reviewed digital health information capture systems maintained across the Aga Khan University Hospital and obtained structured elements to create a master dataset. We included index admissions of patients >18 years that were discharged between January 1, 1988, and December 31, 2018, with a primary discharge diagnosis of AMI (using …

Respecting The Ethical Tension Between Surveillance And Privacy In Promoting Public Health And Disease Management, Kamal Althobaiti

Electronic Theses and Dissertations

The recognition of the need to undertake surveillance and to protect privacy is well established. However, the continually changing circumstances and fast-paced development of healthcare today requires a continuing need to respect this ethical tension between surveillance and privacy. Hence, this dissertation is to respect the ethical tension between surveillance and privacy in promoting public health and disease management. This dissertation investigates the ethics of conducting public health surveillance, including the challenges associated with obtaining consent and protecting data from unauthorized access. The dissertation will focus on the ethical consequences of big data, including issues associated with obtaining informed consent, …

Improving The Delivery Of Discharge Instructions On The Postpartum Unit By Increasing The Nurses' Knowledge, Judy Anne Settles

Master's Projects and Capstones

Abstract

The field of nursing prides itself on two critical functions: safety and patient education. One of the mechanisms for both education and safety is the discharge process. Improvements in the discharge process have been shown to increase patient comprehension and safety. This study is grounded in the (Barach & Johnson, 2006) healthcare organizational framework called the 5 Ps microsystems assessment to explore the impacts and improvements in the discharge instruction process on a postpartum unit in a large organization. It was found that HCAHPS scores regarding discharge instructions were 55-60%, which is below what is considered satisfactory. Utilizing the …

Self-Regulation As A Protective Factor For Diabetes Distress And Adherence In Youth With Type 1 Diabetes During The Covid-19 Pandemic., Alison L Miller, Dana K. Albright Phd, Katherine W Bauer, Hurley O Riley, Marisa E Hilliard, Julie Sturza, Niko Kaciroti, Sharon L Lo, Katy M Clark, Joyce M Lee, Emily M Fredericks

Health Services and Informatics Research

OBJECTIVE: The COVID-19 pandemic increased economic, social, and health stressors for families, yet its impacts on families of youth with chronic conditions, such as type 1 diabetes (T1D), are not well understood. Self-regulation (SR)-or the capacities to control emotions, cognition, and behavior in response to challenge-is known to support T1D management and coping in the face of stress. Strong SR may have protected youth with T1D from the impacts of pandemic-related stressors. This study compared youth and parent emotional functioning and T1D management before and after the pandemic's onset in relation to family pandemic-related stress and youth SR.

METHODS: Parents …

Comparing Outcomes For Community-Acquired Pneumonia Between Females And Males: Results From The University Of Louisville Pneumonia Study, Pavani Nathala, Simrat Sarai, Vidyulata Salunkhe, Mahder A. Tella, Stephen P. Furmanek, Forest W. Arnold

The University of Louisville Journal of Respiratory Infections

Introduction: Male sex is currently considered to be a risk factor for worsened community-acquired pneumonia (CAP) outcomes compared to female sex; hence, female sex equates to a lower score on the Pneumonia Severity Index. There is no recent update on sex-based outcomes of patients with CAP. The objective of this study was to compare the outcomes of CAP between females and males.

Methods: This was a secondary analysis of the University of Louisville Pneumonia Study database. It was a prospective population-based cohort study of all hospitalized adults with CAP who were residents of Jefferson County in the city of Louisville, …

A Smartwatch Step-Counting App For Older Adults: Development And Evaluation Study, George Boateng, Curtis L. Petersen, David Kotz, Karen L. Fortuna, Rebecca Masutani, John A. Batsis

Dartmouth Scholarship

Background: Older adults who engage in physical activity can reduce their risk of mobility impairment and disability. Short amounts of walking can improve quality of life, physical function, and cardiovascular health. Various programs have been implemented to encourage older adults to engage in physical activity, but sustaining their motivation continues to be a challenge. Ubiquitous devices, such as mobile phones and smartwatches, coupled with machine-learning algorithms, can potentially encourage older adults to be more physically active. Current algorithms that are deployed in consumer devices (eg, Fitbit) are proprietary, often are not tailored to the movements of older adults, and have …

Patient And Provider Experiences With Virtual Care During The Covid-19 Pandemic: A Mixed Methods Study, Mars Zhao, Hisham Elshoni, Jennifer O'Brien, Erin Barbour-Tuck, Mary Ellen Walker, Heather Dyck, Andrea Vasquez, Eric Sy, Angela Baerwald, Clara Michaels, Rejina Kamrul, Olivia Reis, Brenda Schuster, Barb Beaurivage, Adam Clay, Mark Lees, Jonathan Gamble

Patient Experience Journal

The COVID-19 pandemic prompted the rapid uptake of Virtual Care (VC). Positive patient outcomes with VC are previously reported but little is known about the experiences of patients and providers using VC during the pandemic. We aimed to describe patient and primary care provider experiences, satisfaction, perceptions, and attitudes to VC during the COVID-19 pandemic that might explain adoption of VC across the continuum of care and inform sustained uptake. We conducted a sequential explanatory mixed methods study using online surveys and virtual interviews with a convenience sample of primary care providers and patients in a Canadian province (July – …

Dnp Final Report: Implementation Of An Electronic Clinical Placement System For Improving Faculty Workflow And Accreditation Compliance, Janice R. Hawes

DNP Final Reports

Healthcare today is continually evolving and requires healthcare providers to coordinate and work together to provide quality care. Among healthcare changes is the increasing expansion of technological improvements assisting in mainstreaming processes. In the academic setting, these changes are currently needed to help improve faculty workflow and assist in regulatory compliance. The purpose of this paper is to discover if implementing technology in a clinical nursing setting through an evidence-based practice approach will improve nursing faculty workload and aid in accreditation compliance. The design and methodology for this project were developed using the Iowa model of evidence-based practice, the Donabedian …

A Digital Healthcare Application For Patient Monitoring And Assessment, Brandon Shumin

All Theses

The COVID-19 pandemic strained our healthcare resources and exacerbated the existing issues of primary care shortages and burnout rates for healthcare professionals. Due in part to these factors, telehealth has seen more wide-spread use during this time. However, current asynchronous telehealth applications require stable Internet to function fully. Since many medically underserved populations in the United States lack Internet access in their homes, an application that offers patient monitoring and assessment could extend their access to medical resources. This work proposes such a digital healthcare application for iOS devices and evaluates it based on the system requirements of availability, data …

Mobile Health With Head-Worn Devices: Challenges And Opportunities, Andrea Ferlini, Dong Ma, Lorena Qendro, Cecilia Mascolo

Research Collection School Of Computing and Information Systems

Monitoring human behavior and health status using mobile devices, a.k.a. Mobile Health, has gained increasing attention from both academia and industry in recent years. It allows imperceptible health tracking from the users and remote health management from the healthcare service providers. Headworn devices, such as earbuds, glasses, and BCIs (Brain Computer Interfaces), exhibit great potential for mobile health due to their advantageous wearing position, the human head, which is motion-resilient and full of human bio-signals. Although initial attempts have been conducted for different healthcare applications with head-worn devices, this fast-growing area is still under-explored and retains great promises. With this …

Analysis Of The Utilization Of Nebraska Medicine's Price Transparency Tool, Ingrid A. Olson

Capstone Experience: Master of Public Health

Healthcare costs have become a significant concern for patients, healthcare facilities, economists, and politicians within the United States. In an effort to understand and reduce health-related costs, price transparency laws were enacted at the beginning of 2021. Because of these new laws, hospitals must provide a price transparency tool for their patients. “Price transparency in healthcare makes pricing information more readily available, defines the value of services, and enables patients and other care purchasers to identify, compare, and choose providers that offer the desired level of value” (AAMC, 2022). However, research results on price transparency tools use and efficacy is …

Patient Preference For Virtual Versus In-Person Visits In Neuromuscular Clinical Practice, Komal Hafeez, Hani Kushlaf, Husam Al-Sultani, Anny-Claude Joseph, Zoya Zaeem, Zaeem Siddiqi, Shannon Laboy, Michael Pulley, Ali A Habib, Nathaniel M Robbins, Sean Zadeh, Muhammad Ubaid Hafeez, Yessar Hussain, Alexandria Melendez-Zaidi, Charles Kassardjian, Kristin Johnson, Holly Leonhard, Suur Biliciler, Jorge E Patino Murillas, Aziz I Shaibani

Faculty, Staff and Student Publications

INTRODUCTION/AIMS: It is unknown if patients with neuromuscular diseases prefer in-person or virtual telemedicine visits. We studied patient opinions and preference on virtual versus in-person visits, and the factors influencing such preferences.

METHODS: Telephone surveys, consisting of 11 questions, of patients from 10 neuromuscular centers were completed.

RESULTS: Five hundred and twenty surveys were completed. Twenty-six percent of respondents preferred virtual visits, while 50% preferred in-person visits. Sixty-four percent reported physical interaction as "very important." For receiving a new diagnosis, 55% preferred in-person vs 35% reporting no preference. Forty percent were concerned about a lack of physical examination vs 20% …

Moment-To-Moment Observation Of Parental Media Use And Parent-Child Interaction: Quality And Media Multitasking, Lisa Linder, Brandon T. Mcdaniel Phd, Heather Jaffe

Health Services and Informatics Research

Mobile media proliferation throughout society has infused and complicated environments that formerly were interaction rich (e.g., waiting rooms, restaurants, and playgrounds) with the presence of smart devices. Ethnographic studies have indicated that parental use negatively impacts parent-child interaction quality. The current study reviews and expands on previous research through observing systematically parent-child interaction quality throughout the course of an entire meal (30-140 minutes). Utilizing five-minute intervals, across 93 parent-child dyads, we assessed both within- and between-person moment-to-moment changes in parenting quality (i.e., parental positivity, negativity, and engagement) in the context of parental media use. Between-person, only positivity appeared to decrease …

Reduction Of Hopelessness Through Spiritual Emotional Freedom Techniques Therapy In Chronic Kidney Disease Patients Undergoing Hemodialysis, Ode Irman, Anggia Riske Wijayanti

Jurnal Keperawatan Indonesia

Hopelessness has been identified as a major psychological problem that exacerbates the clinical outcomes of chronic kidney disease (CKD) patients undergoing hemodialysis (HD). Hopelessness is mostly reduced by cognitive therapy, but the results are delayed, so a spiritual element is needed. Spiritual emotional freedom technique (SEFT) therapy can reduce hopelessness because it not only focuses on cognition, but also involves spiritual, psychological, and physical elements. This study aimed to determine the effects of SEFT therapy on the hopelessness of CKD patients undergoing HD. This research was quasi-experimental with pre- and post-test control group designs. The sample size was 64 respondents, …

Relationship Of Nursing Management Functions With Missed Nursing Care: A Cross-Sectional Study, Putri Nilasari, Rr Tutik Sri Hariyati, La Ode Abdul Rahman

Jurnal Keperawatan Indonesia

A crucial role of the nurse is to provide safe nursing care without missing anything. Unsafe care is a key contributor to morbidity and mortality in the world. This study aimed to identify the relationship between management functions and nursing care that were missed at three inpatient installations at regional general hospitals. The research used a quantitative approach with an analytic research and cross-sectional design. The sample consisted of 238 nursing staff comprising team leaders and implementing nurses who worked at Regional Hospitals A, B, and C. The management function (p = 0.001) and all its components of planning, organizing, …

Factors Related To Father’S Behavior In Preventing Childhood Stunting Based On Health Belief Model, Eka Mishbahatul Mar'ah Has, Candra Panji Asmoro, Wilhelmus Petrus Gua

Jurnal Keperawatan Indonesia

Childhood stunting is still a significant public health burden in Indonesia. Fathers' engagement in childcare could improve a child's health and help to prevent stunting. This study aimed to analyse factors related to the father's behaviour in preventing childhood stunting based on Health Belief Model. This study was used a correlational study design with a cross-sectional approach. This study involved 199 fathers who had children under five years old, recorded at Puskesmas (Public Health Center) Maronggela, East Nusa Tenggara, Indonesia. Samples were taken using the cluster random sampling technique. The independent variables were the father's perceived susceptibility, perceived severity, perceived …

Mental Health Problems Among Adolescent Students, Windu Astutuk, Ni Luh Made Asri Dewi

Jurnal Keperawatan Indonesia

Concern for adolescents usually focuses on physical problems, such as reproductive health and nutrition, including anemia and obesity. Nowadays, adolescent mental health has been recognized as essential, particularly in low- and middle-income countries. Mental health problems that often occur in adolescents include anxiety, depression, and the risk of suicide. This study aimed to determine the prevalence of mental health problems and the risk of suicide among adolescent students in Bali Province, Indonesia. The sample consisted of 435 students from four junior high schools (Grades 7, 8, and 9) aged 12–15 years who were selected with a multistage sampling technique. This …

Determinants Of Nurses’ Safety Attitudes In A Hospital Setting, Frima Ulfa Agustina, Hanny Handiyani, Tuti Afriani

Jurnal Keperawatan Indonesia

Hospital patient safety socialization is a routine part of nursing care. Although nurses’ knowledge of patient safety affects nurses’ safety attitudes, such knowledge may not be optimal. This study explored potential factors determining nurses’ safety attitudes in a hospital setting. This was a quantitative study with a cross-sectional design. The study population comprised 376 nurses who were recruited using the purposive sampling method. The instruments were valid and reliable. The test results were as follows: job satisfaction: 0.356 – 0.575 (Cronbach’s alpha: 0.724); workload: 0.338 – 0.613 (Cronbach alpha: 0.736), job stress: 0.542 – 0.719 (Cronbach’s alpha: 0.756); head nurse’s …