Advances in Human Aspects of Healthcare最新文献

{"title":"Human Factors View of the Assistant at Laparoscopic Procedures – A Pilot Study","authors":"Kristian Karlovic, S. Pfeffer, T. Maier, K. Sievert","doi":"10.54941/ahfe100482","DOIUrl":"https://doi.org/10.54941/ahfe100482","url":null,"abstract":"This study is part of a research project with the aim of reducing physical demand and workload of surgery staff. In a first step, human factors of assistant additional to the surgeon should be analyzed. Therefore subjective and objective measurement approach was utilized. In general the subjective results show slight perceived demand. Furthermore, the assistant in urology perceived less demand than in gynecology. The objective results show slight demand for the assistant in gynecology. Life-record-data revealed similar static body, head and arm postures for the assistant and the surgeon in gynecology. Furthermore, this study shows the observation that human factors are influenced by the common working space and the significance of the common task as a team. The workflow-chart shows many parallels in the movements of the upper arm of the surgeon and the assistant during the preparation phase. In conclusion, one similar technical supporting system might be developed for the surgeon and the assistant because of many parallels in ergonomics with the aim of reducing physical demand and workload.","PeriodicalId":236236,"journal":{"name":"Advances in Human Aspects of Healthcare","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127201004","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Telehealth Technology Enabling Medication Management of Children with Autism","authors":"Uwe Reischl a, Ron Oberleitner b","doi":"10.54941/ahfe100511","DOIUrl":"https://doi.org/10.54941/ahfe100511","url":null,"abstract":"To assist healthcare providers in the management of autism symptoms, a new smartphone application was developed that now allows physicians to observe patient behaviors between office visits, and allows physicians to manage a patient’s medication based on the severity and dynamics of the symptoms observed. A technology evaluation was conducted to determine ease of use of the smartphone application by two physicians and three caregivers of autism patients. The results showed that the new smartphone application is able to assist the physician in monitoring patients with an autism spectrum disorder more accurately than when using subjective reports provided by caregivers during office visits. The smartphone application technology demonstrated a potential new way to help both caregivers and physicians in improving medication management for children with autism.","PeriodicalId":236236,"journal":{"name":"Advances in Human Aspects of Healthcare","volume":"75 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126300349","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Formative Intervention to Change the School Health Center Activity","authors":"Susana Vi Costa a, Rodolfo AG Vilela a, Marco Antonio Pereira Querolb","doi":"10.54941/ahfe100490","DOIUrl":"https://doi.org/10.54941/ahfe100490","url":null,"abstract":"The aim of this paper is to propose an interventionist approach for transforming a School Health Center (CSE) in São Paulo, Brazil. The Center is in a situation of crisis, providing precarious health services due to limited human and material resources. In the article we argue that the solution for the crisis depends on how it is interpreted. We present an ethnographic narrative constructed collectively by researcher and practitioners through data from interviews and a mini-intervention. The aim of this narrative was to provide a better understanding about the development of the activity of health care and education/research conducted at the CSE. As it will be argued this hypothesis is the first step towards a broader on-going intervention using a method called Change Laboratory, which is based on an Activity Theoretical approach. The narrative shows that the School Health Center’s object (primary and secondary health care) and the object of the Faculty of Public Health (research and education) have changed towards different developmental directions. The integration between these two objects is narrower than when the Center was first created, and this can be a key source of conflicts between CSE by the Faculty. The results suggest that a more effective solution to the crisis would involve the reconstruction of the object motivation (product service) produced in the activity.","PeriodicalId":236236,"journal":{"name":"Advances in Human Aspects of Healthcare","volume":"105 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124086834","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Music Therapy as an Interactive Rehabilitation Tool for People with Alzheimer’s: Ergonomical Issues","authors":"G. Andreonib, A. Carpentieroa, F. Costaa, S. Muschiatoa, L. Spreaficoc","doi":"10.54941/ahfe100497","DOIUrl":"https://doi.org/10.54941/ahfe100497","url":null,"abstract":"The aim of this paper is to report the process to develop a new interactive tool for Alzheimer disease that utilizes music therapy. It is a design approach based on users’ needs, which involves the collaboration between patients, doctors, music therapists and designers, in order to develop a tool that can effectively works with patient’s memories. The work process was based on a multidisciplinary approach, and demonstrates how it is possible influence in a positive way different kind of patients, stimulating their lost memories with a new music therapy tool. The analysis work about the patients’ mental health, and their musical memories, was a fundamental part of the design process; the integration of new technologies – and the acceptance of those -, was one of the first goals that we wanted to achieve during the interaction between the product and the patient. With the assistance of an expert in music therapy, we have been able to integrate traditional tools for medical evaluation of memory and cognitive deterioration with new stimuli from the past life memories. When we finished designing the product, we conducted an evaluative test; this is the methodological process that we used to conduct it:a. Preparation:Setting: a room with no distractions, in order to create a relaxing environment that would not distract the patient’s attention.Staff: Music therapist / psychologistInclusion criteria: patients suffering from dementia (Alzheimer's) MMSE score = 15-20 (intermediate phase).We have chosen the interaction with patients undergoing intermediate because, since they still have good verbal expressive capabilities, they could directly, and more easily, provide important insights and analysis reflections.b. Tracks selection:6 tracks were needed in order for the test to take place; those tracks needed to be known and significant to the test subject. Tracks were selected following the directions of the medical director of the facility. We selected 30 tracks: in this way it would have been possible to select the 6 that would suit the patient best. The songs were divided into three categories: classical, traditional, light jazz.c. TestTo establish a communication channel linked to the archaic manipulation and sounds, from which arise the emotions of the person, speaking on the same conducting sound variations .After explaining in simple words what the object is, it is asked to press one of the buttons placed on the faces of the cube.After the button is pressed, a song previously selected is played; the therapist asks to the patients if he knows the song and if he likes it. After the patient has familiarized with the object, he is asked to press a button he has already pushed; then the therapist asks if he recognizes the song associated to the same button.","PeriodicalId":236236,"journal":{"name":"Advances in Human Aspects of Healthcare","volume":"65 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131090141","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Ergomedical Design: Integrating a Medical Approach into the Innovative Design Process","authors":"Virginie Rosa a, B. ., Franck Handgraaf a, Jean Sayeuxc, Brice Pereyred, Frédéric Cordiere","doi":"10.54941/ahfe100509","DOIUrl":"https://doi.org/10.54941/ahfe100509","url":null,"abstract":"Ergonomics, usability and user-centered design are terms that are well known among designers. Yet, products often seem to fail to meet the users' needs, resulting in a gap between expected and experienced usability. Prospective users of a new design in the area of everyday products offer innumerable opportunities for measurement and observation, in view of both the diversity in user populations and the freedom of where and how to use a product. In this research we wanted to show the impact of integrating a medical approach with an ergonomic approach to create a new sphere of innovation. This is what we called the Ergomedical design. This design process allows innovating protection concepts, but also in the wellness or human performance. All the examples are in the field of physical activity. We illustrate the integration of medical experts and their approach to innovation and design product with an innovative concept of earplug. Generally, it's explained that earplug protects of environment (pollution), water and maybe the cold (or wind). But the problem for users is not pollution, water or cold but the otitis and the exostisis. So with our medical team, we decide to change our approach and develop an earplug, which protects patients about otitis and exostisis. With this new design approach, a new concept of earplug was born. During the conception, the medical team has validated or not the different designs with medical arguments. The first test has been centered about the health used of the product on extreme condition. We have tested this product during many days and every tester has kept the earplug in his ear during 6 to 8 hours by days. Our medical manager has tested a non-irritability of this product. To finish we have tested this earplug during one year in order to prove the concept efficiency to prevent the otitis and the exostisis. Ergonomic tests have proved the comfort, the fit design and the good adaptability for the sport practice. The Ergomedical concept completes the ergonomic and user's centered approaches to design new product.","PeriodicalId":236236,"journal":{"name":"Advances in Human Aspects of Healthcare","volume":"110 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115876508","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Work Ability and Psychosocial Factors in Healthcare Settings: Results from a National Study","authors":"T. Cotrim, C. Fernandes da Silva, Vânia Amaral, P. Bem-haja, A. Pereira","doi":"10.54941/ahfe100477","DOIUrl":"https://doi.org/10.54941/ahfe100477","url":null,"abstract":"Interactions between the ageing process, heath status, lifestyle and work strongly influence the work ability. In this paper, the healthcare workers were the selected professional group and their Work Ability was analysed in order to develop Portuguese reference values and to determine the influence of socio-demographic and psychosocial factors in the WAI. The methodology encompassed the work ability analysis using the Portuguese Version of the Work Ability Index and the characterization of the psychosocial factors using the Portuguese Version of Copenhagen Psychosocial Questionnaire. The sample included 1016 individuals from Portuguese hospitals with different professional categories. In average our sample had good work ability. WAI did not correlate with age. Among those with better WAI, physicians and nursing aides were the seniors, pointing to a probable healthy worker effect. The COPSOQ showed critical values in the scales’ cognitive and emotional demands. The scales quantitative demands, role conflicts, sleep troubles, burnout, stress, depressive symptoms and offensive behaviors correlated negatively with WAI meaning that when these risk factors are lower the work ability is better. The scales role clarity, recognition, social community at work, quality of leadership, justice, self-efficacy, meaning of work, job satisfaction and development opportunities correlated positively with WAI probably acting as work ability protecting factors.","PeriodicalId":236236,"journal":{"name":"Advances in Human Aspects of Healthcare","volume":"1037 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123138759","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patient Safety, Human Factors & Ergonomics, and Design: The Environment as a Larger-Scale Strategy to Reduce Falls","authors":"E. Taylor, S. Hignett","doi":"10.54941/ahfe100535","DOIUrl":"https://doi.org/10.54941/ahfe100535","url":null,"abstract":"Falls are a key consideration for patient safety and play a prominent role under US legislation for affordable care. The built environment can either enhance safe practices and policy or act as an impediment for safe patient care. Falls are associated increased length of stay in hospitals and higher healthcare costs due to additional care, discharges to institutional care and litigation claims. With an increased focus on reimbursement related to patient safety as part of healthcare reform in the USA, organizations are becoming more aware of their own shortcomings and grappling with solutions to improve performance – typically people and processes. Yet the influence of the built environment, the space in which care is provided, can act as a barrier or enhancement to achieving the desired results – physically, cognitively, and organizationally. This paper presents the results from a mixed methods literature review on healthcare facility environmental design and falls. It is part of on-going research for the development of a Safety Risk Assessment (SRA) tool to promote discussion for proactive decision-making during the design of healthcare facility projects.","PeriodicalId":236236,"journal":{"name":"Advances in Human Aspects of Healthcare","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130233866","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessment of Risk Factors of Low Back Pain Among Hospital Nurses","authors":"Chuliporn Sopajareeya","doi":"10.54941/ahfe100473","DOIUrl":"https://doi.org/10.54941/ahfe100473","url":null,"abstract":"Nursing is an occupation with high prevalence of low back pain (LBP). This pain is multifactorial and assessing its risk factors is essential. The study aim was to determine the prevalence and risk factors of LBP among 225 hospital nurses in Thailand in a cross-sectional study. A self-reported questionnaire divided into six parts including personal factors, working factors, job stress modified from the Nursing Stress Scale, low back pain modified from the Standardized Nordic Questionnaire, health behaviors, and work environment was used for collecting the data. Data were analyzed by descriptive statistics and logistic regression. Study results revealed that the prevalence of LBP in the past seven days was 34.2%. Logistic regression analysis indicated that lifting overweight patients without assistance (OR=1.8; 95%CI=0.95-3.77) and having previous diseases related to LBP (OR=6.3; 95%CI=1.65-24.32) were important risk factors of LBP. Study findings are useful for developing LBP preventive strategies including training on lifting and transferring overweight patients by using a lift team method and lifting devices, developing a manual or guidelines for safe patient handling, and treatment of LBP.","PeriodicalId":236236,"journal":{"name":"Advances in Human Aspects of Healthcare","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132281696","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Standards and Cross-Organization of Work: Two Useful Tools for A Prevention of Manual Handling of Patients in the Healthcare Sector","authors":"Jean -Pierre Zana","doi":"10.54941/ahfe100471","DOIUrl":"https://doi.org/10.54941/ahfe100471","url":null,"abstract":"Preventive responses most often made to caregivers are too often \"gestures and postures training\" type to reduce these occupational hazards. Taking the party to focus on manual handling of patients (MMP), it seemed appropriate to revisit prevention measures being implemented by combining the results of international standardization and reflections on the organization of work. The approach described above has found its place in the training actions in applied ergonomics and prevention of risks related to physical activity for caregivers and their management. The objective is to convey to employees, tools for evaluation of work situations, adapted to their activity for taking into account the ergonomics for reducing the risk occurrence of MSDs. Such an approach fit into the development of working group and the cross disciplinary organizations.","PeriodicalId":236236,"journal":{"name":"Advances in Human Aspects of Healthcare","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127826499","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Working Conditions of Health Technicians in Ceará’s Public Health System","authors":"Regina Heloisa Maciel, João Bosco Feitosa dos Santos, Ana Paula Torres do Nascimento","doi":"10.54941/ahfe100520","DOIUrl":"https://doi.org/10.54941/ahfe100520","url":null,"abstract":"The study aims to analyze the working conditions of health professionals of Basic Health Units (BHU) of Fortaleza, Ceará, Brazil. BHUs are primary health care units that are the front door of the national public health system. The research analyzes working conditions of primary care auxiliary and/or technicians and their perceptions regarding working conditions and harassment. It is a cross-sectional survey of exploratory nature, using quantitative and qualitative methods. 120 mid-educational level background workers answered a questionnaire containing socio-economic information; an occupational stressors scale and the Negative Acts Questionnaire (NAQ). Nine technicians and auxiliaries participated in individual interviews. Observations of workplaces were also done. 2.5% of participants declared to have suffered workplace harassment. However, 11.7% reported negative acts towards them, weekly or daily in the last six months. The participants perceive their working conditions as precarious. They report employment instability, lack of equipment, low salaries, and long working journeys. They appear to worry about exercising their activities with prejudice to the services’ quality and to their health. The study points to the need for actions that bring egalitarian conditions in terms of employment to this category of workers, better working conditions, and financial and social recognition.","PeriodicalId":236236,"journal":{"name":"Advances in Human Aspects of Healthcare","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130859024","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}