Advances in Human Aspects of Healthcare最新文献

{"title":"Collaboration Expertise in Health Care - Mapping the Mosaic of Shared Work Experience, Transactive Memory System and Performance","authors":"J. Kiesewetter, Fara Semmelies, B. Saravo, Martin R. Fischer, Birgit Wershofen","doi":"10.54941/ahfe100528","DOIUrl":"https://doi.org/10.54941/ahfe100528","url":null,"abstract":"In all domains teams knowledge of the others team members’ expertise is of high importance and has been named transactive memory system (TMS). Especially in healthcare, where teams are often formed ad-hoc and the performance directly reflects patients’ wellbeing, the relationship between TMS, shared collaborative experience and performance needs to be examined. This study examines this relationship in the context of nursing. Knowledge about the teammate’s domains of expertise should only have a performance-critical impact in tasks innate to the own profession, while general collaboration tasks should not benefit from a strong TMS. 52 nurses of which about half had working experience together filled out a TMS questionnaire. Two groups of dyads (with and without prior shared work experience) performed one task of their own profession and one domain-general task. The results could show that performance in the working-domain specific task was higher in the group with shared experience than in the group without shared experience. No difference could be found in the domain-general task. This study adds evidence to the body of literature that collaboration is a domain-specific skill and that performance depends on it. Methodological implications to possibly improve TMS and collaboration expertise in teams are discussed.","PeriodicalId":236236,"journal":{"name":"Advances in Human Aspects of Healthcare","volume":"11 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":"124862628","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":"Using Simulation to Provide Insights into the Concept Development of Patient-Centered Care Services","authors":"Jason Cadwalladera, Steve Mellemab, Nancy J. Lightnera","doi":"10.54941/ahfe100495","DOIUrl":"https://doi.org/10.54941/ahfe100495","url":null,"abstract":"The United States’ Institute of Medicine established patient-centered care as an aim for the 21st-century health care system. Patient-centered care focuses on the patient, their family members and staff experience, while ensuring patient safety and high clinical quality. A medical center in the Veterans Affairs healthcare system approached the Veterans Affairs Center for Applied Systems Engineering to assist in the redesign of the facility that provides medical cancer care. Their goals were to design a patient-centered, state-of-the-art center. Discrete event simulation provided rough order of magnitude estimates for facility and resource planning. Primary metrics of concern were patient length of stay, patient wait time, and room and staff utilization. The simulation included an animated visualization of ‘a day in the life’ of a patient. It also collected metrics on patient experience and center efficiency. Watching the patient flow animation provided two primary insights to the stakeholders. First, it was evident that the patient care process was patient-centered in that it limited patient movement. Second, observations of traffic flow indicated that the design can accommodate the desired patient demand. The visualization showed that increasing the number of providers resulted in reductions in patient wait times and that reducing the number of exam rooms did not significantly affect patient wait time. This exercise demonstrated the value of simulation in the planning and analysis of facility configurations when considering patient-centered design.","PeriodicalId":236236,"journal":{"name":"Advances in Human Aspects of Healthcare","volume":"3 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":"121065622","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":"Evaluation of Professional Ultrasound Probes with Santos DHM. Handling Comfort Map Generation and Ergonomic Assessment of Different Grasps","authors":"M. Mazzolaa, L. Forzonib, S. D’Onofriob, T. Marlerc, S. Becksd","doi":"10.54941/ahfe100500","DOIUrl":"https://doi.org/10.54941/ahfe100500","url":null,"abstract":"Sonographers’ work-related musculoskeletal disorder is a critical but often neglected problem, with reports indicating that approximately 80% of them experience pain from the extended use of sonography probes. Also transducer design can be a common cause of hand-wrist complaints. Moreover, there are many opportunities to minimize the risk of musculoskeletal disorders. A possible solution was proposed by Esaote, whereby the probe-handle shape is redesigned with a more ergonomically effective profile, appleprobe Design, that can be used with two or more different handling positions. This paper presents: details of this new design, where 6 different probes were analyzed experimentally for ergonomic purposes; virtual analyses of the evaluation of the contact surfaces (hand/probes) for each probe and each grasp, using an advanced Digital Human Model (DHM), Santos, and results of experiments to evaluate actual user discomfort. Results indicate the advantages of the proposed design and an acceptable correlation between the virtual and the experimental analyses. This work represents the first step towards the use of Santos DHM not only for comfort/ergonomics evaluation/validation after the production of the probe, but also for the simulation of new design concepts before prototypes are even manufactured, thus reducing production costs and improving quality.","PeriodicalId":236236,"journal":{"name":"Advances in Human Aspects of Healthcare","volume":"6 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":"128395666","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 Needs of Smart Medication Reminder for Elderly s","authors":"F. Huang","doi":"10.54941/ahfe100523","DOIUrl":"https://doi.org/10.54941/ahfe100523","url":null,"abstract":"The increasing burden of chronic illness is currently a significant challenge due to the aging of the global population. For most people who suffer from chronic illnesses, lifelong treatment is needed for their health management. This study is focused on the needs of elderly people with chronic conditions who require lifelong treatment for disease management in taking medications as prescribed. A face-to-face survey and a multiple case study were conducted to elicit the reasons why elderly s use pill box and to determine the effectiveness of the smart medication reminder system. The results indicated that 60% patients need a tool for assistance in taking their medication as prescribed. The experimental results showed that the smart medications reminder may effectively assist users in taking their medications as prescribed. The patients’ needs for the smart mediation reminder include reminder design, mobile medication reminder, ease of use, flexible design, and Modular Design. By using the smart medication reminder, the pressure of taking medications as prescribed may be relieved for the most elderly users. Furthermore, economic, social support, and elder care subsidies are the important factors for patient welfare.","PeriodicalId":236236,"journal":{"name":"Advances in Human Aspects of Healthcare","volume":"21 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":"116936534","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":"Development of Telemedicine in Oil & Gas through the Capabilities Approach","authors":"Alexandra Fernandes, Kine Reegård, A. Drøivoldsmo, John E. Simensen, G. Rindahl","doi":"10.54941/ahfe100515","DOIUrl":"https://doi.org/10.54941/ahfe100515","url":null,"abstract":"The oil & gas companies operating in the Norwegian Continental Shelf have commonly used the capabilities approach within the context of Integrated Operations. This approach focuses on understanding organisations as dynamic systems and provides concepts and a language for developing resources. Recent efforts are focusing on extending Integrated Operations and the capabilities approach to medical services offshore, specifically on the use of telemedicine. Telemedicine in this context involves the connection between offshore and onshore medical staff through the use of communication systems, as well the distribution of medical data obtained offshore (for instance HD images or vital signs readings). In this work we describe the elaboration of a new tool: the Capability Development Resource Matrix, based on the People - Capability Maturity Model (P-CMM) proposed by Curtis, Hefley, and Miller in 2009. This tool is designed to guide organisational development and is generated directly from the work with industry partners, being continuously tested and improved. We discuss the tool’s value for planning, development, and implementation of telemedicine in Oil & Gas and other contexts. We wrap-up with considerations about future steps in the methodology conception and evaluation.","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":"133216653","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":"Cen / ISO Technical Report (TR) 12296 - 2013 Ergonomics, Manual Handling of People in the Healthcare Sector International Consensus","authors":"Elly M. Waaijer","doi":"10.54941/ahfe100479","DOIUrl":"https://doi.org/10.54941/ahfe100479","url":null,"abstract":"In 2012 a new ISO Technical Report (TR) 12296) was published, this TR was endorsed by CEN in July 2013. A working group of specialists have been working on this document for a period of more then 3 years. The working group was formed under the responsibility of Technical Committee ISO/TC 159, Ergonomics, Subcommittee SC3, Anthropometry and Biomechanics, representing 23 participating and 12 observing countries. Previous ISO standards and TR’s have had too little attention for the specific problems of patient handling in health care. ISO 11228 parts 1-2-3 address ergonomics and manual handling in general. ISO 11228 part 1 considers in an Annex in short the aspects of manual handling of living persons. The new TR is therefore intended to be a tool for assisting with the application of this series in the context of the healthcare sector. Its main goals are to improve caregivers' working conditions by decreasing biomechanical overload risk, thus limiting work-related illness and injury, as well as the consequent costs and absenteeism, and to account for patients' care quality, safety, dignity and privacy as regards their needs, including specific personal care and hygiene. The work was mainly done in a close cooperation with a scientific group called EPPHE (European Panel on Patient Handling Ergonomics). Members of this group have been working on the TR and have also been available to support ideas, provide materials and additional resources to assist in the development of the TR. EPPHE was formed in 2004 from a collaboration of Experts from the IEA Technical Committees on Healthcare Ergonomics and Musculoskeletal Disorders. (Hignett 2014). The final consensus document includes 6 Annexes with additional information and tools regarding:Risk Assessment and Risk EvaluationOrganizational aspects of patient handling interventionsAids and EquipmentBuildings and EnvironmentStaff education and trainingThe evaluation of intervention effectiveness","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":"132145410","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":"Analysis of a Transfer Device for Horizontal Transfers and Repositioning on an ICU: Effects on the Quality of Care and the Quality of Work","authors":"Hanneke JJ Knibbea, M. Onrustb, Wim Dieperinkb And Jan Zijlstrab","doi":"10.54941/ahfe100526","DOIUrl":"https://doi.org/10.54941/ahfe100526","url":null,"abstract":"A new patient lifting device has been developed in close cooperation with the University Medical Center Groningen. This specially designed, transfer sheet (TS) for horizontal transfers and repositioning can stay under the patient at all times and is easily connected to a ceiling- or mobile lifter to facilitate quick and comfortable transfer- and repositioning activities which can be relevant in the complex environment of an ICU. Assumptions are that the device significantly improves the quality of care for patients and the quality of work for nurses. In addition to this, pilot studies indicate that the nursing time required for the transfers is significantly reduced. This, in turn, results in a decrease of occupational hazards and an increased efficiency and productivity of nursing work. Further research is necessary and this study intends to fill this need. In this paper the outline of the study is described (prospective, single center case study with a pre-post design in a clinical setting) and the first results. The post-intervention data are currently being collected and will be presented. The results of the biomechanical part of the study are available and indicate that the TS does result in a significant decrease in physical exposure for nurses by 1. reducing the physical load associated with specified transfers and 2. by eliminating the need for some specified transfers altogether. The effects are more positive when the TS is used in combination with a traverse ceiling-lifter system as opposed to either a single track ceiling-lifter system or a floor lifter.","PeriodicalId":236236,"journal":{"name":"Advances in Human Aspects of Healthcare","volume":"108 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":"132650565","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":"Superficial Electromyography and Motion Analysis Technologies applied to Ultrasound System User Interface and Probe Ergonomics Evaluation","authors":"F. Vannettia, T. Atzoria, G. Pasquinia, L. Forzonib, L. Modib, R. Molino-Lovaa","doi":"10.54941/ahfe100493","DOIUrl":"https://doi.org/10.54941/ahfe100493","url":null,"abstract":"The present work describes the ergonomics and usability preliminary tests regarding the human upper limb kinematics and strength evaluation of two diagnostic portable ultrasound scanners. The tests were performed by one expert sonographer in vivo on one subject in abdominal and vascular clinical applications and in vitro using a dynamometer. The two portable systems had different user interfaces and probe design: one system had traditionally-designed probes, a classic Soft keys interactive Menu, placed in the lower part of the screen, with toggles and buttons for the activation and adjustment of the functions, then a physical qwerty keyboard and a control panel. The other system had appleprobe-designed transducers, a touch screen integrated in the control panel with an interactive user interface and reduced number of physical buttons. Comparisons between the two systems considering the sonographer’s use are provided. Motion Analysis and Superficial Electromyography results will be presented and discussed on both systems regarding tests in vivo and in vitro only concerning Superficial Electromyography.","PeriodicalId":236236,"journal":{"name":"Advances in Human Aspects of Healthcare","volume":"40 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":"124105428","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":"Changes in Electroencephalography Signals During Massage","authors":"H. Yuminaga, Katsuma Yamada, Masaru Ogiri***","doi":"10.54941/ahfe100488","DOIUrl":"https://doi.org/10.54941/ahfe100488","url":null,"abstract":"This study aimed to analyze the effect of massage on mental mechanisms by using electroencephalography (EEG) before, during, and after massage. The patient was placed in a supine position and received a massage from both an expert physical therapist, with 20 years experiences, and a person with no experience in therapeutic massage. EEG was recorded before, during, and after the massage. The portion of the body given the massage was only the left-side plantar arch, and the massage method was finger pressure applied by the thumb. The massage given by the expert evident alpha waves after massage. In contrast, the massage given by the inexperienced person did not induce any alpha changes. In this study, a massage from an inexperienced person did not change alpha activity before, during, or after the massage. Accordingly, the appearance of an alpha wave after massage is thought to correspond to the level of arousal of the patient gradually decreasing after massage—an indication that the patient had had a comfortable experience. In this study, it is suggested that a massage given by an expert physical therapist promotes emotional stability.","PeriodicalId":236236,"journal":{"name":"Advances in Human Aspects of Healthcare","volume":"85 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":"127965083","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 Challenge of Early Mobilization on the Intensive Care Unit: The Ergonomic Opportunities and Barriers","authors":"Hanneke JJ Knibbe a, Nico E. Knibbea, Elly Waaijerb","doi":"10.54941/ahfe100484","DOIUrl":"https://doi.org/10.54941/ahfe100484","url":null,"abstract":"In recent years ICU-care and ICU-management of the critically ill patient is paying more attention to long term effects of the stay on the ICU and of the negative consequences of immobilization, long periods of bed rest, mechanical ventilation and medication aimed at pain reduction and sedation. Immobilization in bed affects practically all body conditions within a very short time frame: ranging from less than an hour to a few days. Some of these effects are reversible, some are not and may result in negative long term effects of the stay on the ICU. Recently new devices and equipment have been developed that enable mobilization of ICU patients at an extremely early stage, even without the patient being aware of being mobilized and being ventilated. This so-called Early Mobilisation (EM) has shown to be safe, feasible and improves outcomes both in the short term and especially also in the long run. There is a gradually building body of knowledge demonstrating the positive effects. In spite of these positive developments mobilizing critically ill and very passive patients in the complicated and often crowded ICU environment is also a first degree ergonomic challenge. Currently occupational musculoskeletal disorders are already prevalent in an ICU environment among nurses and physical therapists across the world. Lifting, assisting and supporting these complicated patients often attached to monitoring and (live) supportive equipment 24 hours a day can be very strenuous. EM requires considerable additional effort from these workers. These ergonomic implications will need to be resolved if an EM policy is to be successfully implemented. Therefore a study was undertaken describing the current situation and the potential of EM for the ICU’s in Dutch hospitals. The results indicate a whole array of different descriptions of EM and a lack of consensus, the lack of sufficient and adequate equipment especially when it comes to ergonomic considerations for the nurses, a lack of knowledge of what is required for EM and a lack of up-to-date protocols indicating safe procedures for both patient and nurse. Nevertheless most nurses are convinced of the need for and relevance of EM and see opportunities there. However: they are mostly focused on the patient side of EM and have not sufficiently analyzed the potential consequences for their own health.","PeriodicalId":236236,"journal":{"name":"Advances in Human Aspects of Healthcare","volume":"4 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":"115044724","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}