Nurses perception, attitudes and preferences in using electronic documentation in a public hospital, Selangor

Background: Electronic documentation consists of electronic care plans and nursing, classification as well as all aspects of patient care from charting admissions to discharge. The aim of the study is to determine the perceptions, attitudes, and preferences of nurses, as well as other factors related to the use of electronic documentation. Materials and Methods: A cross-sectional design was used in this study. The data were collected from March until May 2017 using self-administered questionnaires; 95 nurses working in medical and surgical wards at a public hospital participated. P<0.05 was considered to be statistically significant, and data analysis was performed using IBM SPSS version 21. Result: A total of 95 respondents participated in the study. The findings of this study showed that 61.1% had a positive attitude. The majority were female (90.5%). Among the respondents, 81.1% were aged ≤30 years old; 69.5% had ≤6 years working experience as a staff nurse; 43.2% had computer education, and 61.1% had previously received computer training. There were associations between computer education (p<0.011), computer training (p<0.048), and positive attitude. Conclusion: The majority of the respondents had a positive attitude towards the use of electronic documentation. Electronic documentation should be included in formal nursing education to inculcate a positive attitude to electronic handover communication, which directly improves the quality of patient care

The effect of English Debate on Increasing Communication Skill

The Problem in this research students who have learnt English for six or more years are not as succesfull as the government expects especially in communication. This study intended to understand the impact of Debate in English on improving communication skills, especially oral communication. The type of this research was an experimental study with a pre-experimental design using one-group pre-test-post-test. The population in this research was 60 people divided in to two groups they were experimental and control groups and consisted of 30 people. The data were collected by using observation technique and documentation technique Many studies have reported how practical debate-based English learning activities are in improving overall English. The author found few results of studies that tried to understand the impact of debate-based English training and learning methods on improving and strengthening verbal communication skills. For this reason, we experimented with one of the study groups to prove the extent of the impact of debate-based learning in English and the improvement of communication skills. Our simple step is to experiment by designing the study into two groups; the first is the treatment group, and the other is the control group. We carried out this experiment with two classes of English students at the South Tapanuli educational institute. We have done a series of pretests in both groups.After seven face-to-face meetings for the next treatment class, at the eighth meeting, we gave a final test, also called a posttest, for both groups of students. We have carried out a series of data analyses, and surprisingly the treatment group has a very significant impact compared to the control group. In other words, there has been a change in improving oral communication skills in treating students. The hypothesis testing was done to demonstrate the outcome of the analysis. The null hypothesis was rejected in this example because t0 (3.14) was more significant than the value of the t-table from the table at the significance level of 0.05. (2.000). Consequently, the idea that English discussion significantly influences improving communication skills was developed. This was proven in this study. Hopefully, these findings will contribute new ideas to improving English learning with the discharge activity approach

Boundary Objects and their Use in Agile Systems Engineering

Agile methods are increasingly introduced in automotive companies in the attempt to become more efficient and flexible in the system development. The adoption of agile practices influences communication between stakeholders, but also makes companies rethink the management of artifacts and documentation like requirements, safety compliance documents, and architecture models. Practitioners aim to reduce irrelevant documentation, but face a lack of guidance to determine what artifacts are needed and how they should be managed. This paper presents artifacts, challenges, guidelines, and practices for the continuous management of systems engineering artifacts in automotive based on a theoretical and empirical understanding of the topic. In collaboration with 53 practitioners from six automotive companies, we conducted a design-science study involving interviews, a questionnaire, focus groups, and practical data analysis of a systems engineering tool. The guidelines suggest the distinction between artifacts that are shared among different actors in a company (boundary objects) and those that are used within a team (locally relevant artifacts). We propose an analysis approach to identify boundary objects and three practices to manage systems engineering artifacts in industry

Technology Target Studies: Technology Solutions to Make Patient Care Safer and More Efficient

Presents findings on technologies that could enhance care delivery, including patient records and medication processes; features and functionality nurses require, including tracking, interoperability, and hand-held capability; and best practices

Flight Operations and Engineering Documentation Managing and Distribution Supported by Intelligent Transport Systems

Aviation as a multitude of activities is meant to satisfy needs of its customers to overcome distance and time between any departure and arrival point in the world. Airlines and other aircraft operators (governments, armed forces, general aviation, and business aviation) differ in their structure depending on their size and services they provide. Some departments are to be found in larger airlines only. However, core departments, to every airline or aircraft operator, are flight operations department and engineering department. Sophistication and the size of these departments depend on the size of the system they are incorporated in. Business logistics of an airline consist of numerous distinctive activities and functions. These activities have to be planned and completed in synchronisation. The paper presents an overview to intelligent systems for the support to these activities with particular stress on flight operations and maintenance functions in a medium sized airline. Authors show how the approach to documentation management, as a part of logistics in the production of transportation service, has evolved since the early 1990s when aviation has started to recognise the value of digital technical data. In light of this, authors analyse conceptual framework adopted by today's aircraft manufacturers towards their logistics activities supported by Internet as a new means of transferring data. The advent of new sophisticated pilot-machine interfaces and aircraft systems tends to increase the volume of the documentation describing these tools drastically. The paper communicates how operational documentation has to change to move towards a more easy and modern media. Intelligent systems that prove aviation entering a period where the "written book" is going to be complemented if not largely supplemented by the "electronic book" are presented from the early beginnings of digital data application to the most recent achievements