2,766 research outputs found

    Facilitating prosociality through technology: Design to promote digital volunteerism

    Get PDF
    Volunteerism covers many activities involving no financial rewards for volunteers but which contribute to the common good. There is existing work in designing technology for volunteerism in HumanComputer Interaction (HCI) and related disciplines that focuses on motivation to improve performance, but it does not account for volunteer wellbeing. Here, I investigate digital volunteerism in three case studies with a focus on volunteer motivation, engagement, and wellbeing. My research involved volunteers and others in the volunteering context to generate recommendations for a volunteer-centric design for digital volunteerism. The thesis has three aims: 1. To investigate motivational aspects critical for enhancing digital volunteers’ experiences 2. To identify digital platform attributes linked to volunteer wellbeing 3. To create guidelines for effectively supporting volunteer engagement in digital volunteering platforms In the first case study I investigate the design of a chat widget for volunteers working in an organisation with a view to develop a design that improves their workflow and wellbeing. The second case study investigates the needs, motivations, and wellbeing of volunteers who help medical students improve their medical communication skills. An initial mixed-methods study was followed by an experiment comparing two design strategies to improve volunteer relatedness; an important indicator of wellbeing. The third case study looks into volunteer needs, experiences, motivations, and wellbeing with a focus on volunteer identity and meaning-making on a science-based research platform. I then analyse my findings from these case studies using the lens of care ethics to derive critical insights for design. The key contributions of this thesis are design strategies and critical insights, and a volunteer-centric design framework to enhance the motivation, wellbeing and engagement of digital volunteers

    What works to reduce equality gaps for disabled students in higher education: Rapid Combined Evidence Review

    Get PDF
    This evidence review explores what works to reduce equality gaps for disabled students in higher education (HE) through an extensive systematic review of the academic literature, engagement with expert stakeholders, and analysis of institutional data

    Enhancing primary care psychological therapy for clients with comorbid physical health conditions: A Critical Discourse Analysis investigation into interprofessional identity

    Get PDF
    Background / Aim: Improving Access to Psychological Therapies (IAPT) services are the largest provider in England of primary care psychological therapy for depression and anxiety disorders. Over recent years there has been increased recognition of the importance of therapists and their physical health colleagues (e.g. nurses, physiotherapists or other allied health professionals) integrating care for patients with comorbid long-term health conditions and common psychological disorders. Specialist teams have been creating differentiating Psychological Therapists as Core and Integrated. The aim is to investigate the implications of this shift for Therapists’ professional identity. Method: A Critical Discourse Analysis was conducted based on five focus groups with eighteen professionals from Core IAPT, Integrated IAPT and physical healthcare backgrounds. Key Findings: Discourses related to expertise, responsibility and innovation / creativity emerged from the corpora. The research highlights the niche set of behaviours, skills, values and attitudes under construction by Integrated Therapists and the way in which their role shapes and is shaped by their interactions with their counterparts. Implications: The research makes recommendations for Integrated Therapists’ professional identity including to showcase niche skills and effective collaborative therapy. Future research recommendations are made regarding unheard voices and silenced discourses in professional identity reconstruction. Key Terms: Professional Identity; Integrated Therapy; Cognitive Behaviour Therapy; Long-Term Conditions and Medically Unexplained Symptoms (LTC/MUS

    Academic integrity : a call to research and action

    Get PDF
    Originally published in French:L'urgence de l'intĂ©gritĂ© acadĂ©mique, Éditions EMS, Management & société, Caen, 2021 (ISBN 978-2-37687-472-0).The urgency of doing complements the urgency of knowing. Urgency here is not the inconsequential injunction of irrational immediacy. It arises in various contexts for good reasons, when there is a threat to the human existence and harms to others. Today, our knowledge based civilization is at risk both by new production models of knowledge and by the shamelessness of knowledge delinquents, exposing the greatest number to important risks. Swiftly, the editors respond to the diagnostic by setting up a reference tool for academic integrity. Across multiple dialogues between the twenty-five chapters and five major themes, the ethical response shapes pragmatic horizons for action, on a range of disciplinary competencies: from science to international diplomacy. An interdisciplinary work indispensable for teachers, students and university researchers and administrators

    Power, Gender, and Trust in Experiences of Pediatric Emergency Physician Teleconsultation and Maternal Antenatal Anxiety in Pakistan

    Get PDF
    Background: In Pakistan, innovative strategies for improving access to health care, such as telemedicine (TM) and task shifting, are growing rapidly to address critical gaps in maternal and child health (MCH). Qualitative studies of social and contextual factors can help improve the development or implementation of such interventions. Objectives: This dissertation closely examines constructs of power, gender, and trust in the contexts of two populations: (1) pediatric emergency medicine (PEM) providers in a novel TM program applying synchronous expert teleconsultation to improve quality of care, and (2) pregnant women with experiences of anxiety informing the content of a psychological intervention by non-specialists. Methods: Manuscript one uses the TM Theory of Use framework to thematically analyze 20 in-depth interviews covering experiences or perspectives of doctors, nurses, and TM program administrators, while Manuscript two draws on conversation analysis methods to examine transcripts of 88 PEM teleconsultations. Manuscript three is a secondary analysis applying a women’s empowerment framework to formative research interviews on sources and mitigators of antenatal anxiety in 19 symptomatic women. Data for the qualitative TM program evaluation were collected from October 2019 to January 2020 at Sindh government hospitals, while formative research interviews on antenatal anxiety were conducted between September 2017 and August 2018 at Holy Family Hospital in Rawalpindi. Results: Perceived levels of asymmetric power and mutual trust in TM produced widely divergent and conflicting theories of use among PEM providers, while some gender-based opportunities in TM contributed to emergent social functions beyond its intended aims. Although teleconsultants accounted for a disproportionate share of asking questions and controlling topic, closer examination revealed strategic ambiguity and reciprocity as means of negotiating power and building trust in TM-mediated clinical discourse, particularly by women teleconsultants. For antenatal anxiety, gender norms and women’s disempowerment were key contextual factors contributing to women’s symptoms and limiting pregnancy-related agency and available coping strategies. Conclusion: Efforts to expand access to high quality care for mothers and children must include studies of context, whether the sociotechnical context of TM innovations or the cultural context of psychosocial interventions, to understand associated opportunities, constraints, successes, and failures in improving MCH

    Methodological challenges in the evidence synthesis of health outcomes of digital health technologies [vĂ©dĂ©s elƑtt]

    Get PDF
    Medical devices and pharmaceuticals are worlds apart, but healthcare would be impossible without them. Digital biomarkers are the subject of this thesis defined as objective, measurable, physiological, and behavioural parameters collected using wearable, portable, implantable, or digestible digital devices. Since the 1970s, systematic reviews and meta-analyses have dominated medical evidence synthesis. They provide medical decision-making evidence. To avoid biases and maintain methodological quality, the Cochrane Handbook recommends systematic reviews follow certain procedures during study stages. This thesis comprises six hypotheses related to digital biomarkers. The first hypothesis aimed to evaluate the suitability of using tools provided by the World Health Organization (WHO), including ICD-11 (International Classification of Diseases, 11th Revision), ICHI (International Classification of Health Interventions), and ICF (International Classification of Functioning, Disability and Health), for categorizing populations, interventions, outcomes, and behavioral/physiological data in studies involving digital biomarkers. The results indicated that these tools were not applicable for categorizing digital biomarker studies as a whole. However, further analysis revealed that these tools were suitable for categorizing digital biomarker studies involving non-general populations or populations with specific diseases. The second hypothesis focused on comparing the statistical power of direct and indirect digital biomarkers. The results indicated that there was no significant difference in power between these two types of digital biomarkers (p-value > 0.05). The next three hypotheses compared the characteristics of systematic reviews and meta-analyses of digital biomarker-based interventions with those of non-digital biomarkers or pharmaceuticals. The comparisons were made in terms of methodological quality, quality of evidence, and publication bias. Although all these hypotheses revealed non-significant differences between the two groups (p-values > 0.05), the results showed that both digital biomarkers and non-digital biomarkers or pharmaceuticals systematic reviews did not exhibit high methodological quality or quality of evidence. The Medical Device Regulation (MDR) has significantly improved European medical device regulatory standards, addressing the above concerns and improving clinical evidence. Despite MDR implementation delays, digital health technology evidence requirements are rising. Companies that achieve these higher clinical requirements will survive and obtain access to large interconnected markets, while those that fail may lose their market authorisation. Thus, medical technology enterprises may gain a competitive edge by strategically planning and executing extensive clinical investigations to provide high-quality clinical data. Developing these essential skills needs immediate attention and effort. Digital health investors should actively monitor industry players' evidence quality and clinical trial competence, since these characteristics may significantly increase company risk

    A qualitative study about first year students’ experiences of transitioning to higher education and available academic support resources

    Get PDF
    Successfully transitioning students to higher education is a complex problem that challenges institutions internationally. Unsuccessful transitions have wide ranging implications that include both social and financial impacts for students and the universities. There appears to be a paucity in the literature that represents student perspectives on their transition experiences. This research study aimed to do two things: first to better understand the transition experience and use of academic support services from the student perspective and second to provide strategies for facilitating a more effective transition experience based on student discussions. This research explores the experiences of primarily non-traditional students at one institution in Australia. Data collection involved two phases using a yarning circle approach. The first involved participants in small unstructured yarning circles where they were given the opportunity to speak freely about their transition experience and their use of academic support services. This was then followed by a larger yarning circle that was semi-structured to explore some of the themes from the small yarning circles more fully. The yarning circle data was analysed using Braun and Clarke’s (2006) six-steps of thematic analysis. The analysis indicated that participants felt that the available academic support services did not meet their needs. It also provided insight into how the students approach higher education and what they are seeking from their institution by means of support. One major finding that has the potential to impact transition programs around the world is that older non-traditional students appear to approach higher education as they would a new job. This shifts the lens away from the traditional transition program of social integration to one that uses workplace induction strategies as a form of integration. The recommendations from this study also include recognising and accepting the emotions associated with transitioning to higher education, reworking the transition strategies for non-traditional students and facilitating opportunities for engagement as opposed to providing them directly

    To be or not to be: a critical realist exploration of factors motivating doctors in their commitment to improve their teaching practice in a clinical setting in Oman

    Get PDF
    Adopting a critical realist framework, this study explored how medical doctors come to understand and espouse, or resist, their roles as teachers in clinical settings and how they seek to become more proficient in that role. This work builds on earlier research on doctors’ professional development as teachers and extends it into the particular cultural context of medical practice and education in the Sultanate of Oman. A qualitative approach was adopted. Data were collected in 2016 through semi-structured in-depth interviews with 27 senior clinicians and by the examination of relevant institutional policy documents. Interviews were conducted in two hospital settings: the Sultan Qaboos University Hospital (SQUH) and the Royal Hospital (RH), which is a Ministry of Health Hospital (MoHH). The findings suggest that Omani medical doctors’ orientation to their roles as teachers and their understanding of their responsibility to prepare the next generation of medical professionals have been transformed by three main events over the last 3 decades. First was the establishment of Sultan Qaboos University College of Medicine and Health Sciences (CoMHS) in 1986. Next came the governmental authorities’ decision to train medical doctors in the overseas hospitals that have structured postgraduate clinical training since the 1990s. Thus, while the senior doctors contributing to this study had received some or all of their medical training outside of Oman, they were helping to build a medical education system which sought to raise the next generations of doctors at home. Finally came the establishment of the Oman Medical Speciality Board (OMSB) in 2006 as the official body responsible for the graduate medical education in Oman. However, due to a lack of clear policy regarding their teaching roles, the Ministry of Health (MoH) doctors felt that they, as compared to their colleagues in the university teaching hospital (SQUH), were being expected to make an extra effort to teach in their clinical setting. All respondents, whether recruited from RH or SQUH, recognised the influence their own experience of being taught had on their personal development as clinical teachers on their return to Oman. Respondents’ exposures to different teaching and learning cultures and styles contributed to their motivation to teach and learn about teaching. In particular, many respondents believed that the religious culture of the country contributed to a pervasive attitude of altruism in the orientation of doctors to both their patients and their students. However, demotivators such as the health system’s hierarchical structure, unclear educational roles, lack of resources—time, human and suitable facilities—for teaching in their hospitals are significant challenges in accomplishing their multiple roles and developing themselves for their educational roles. What emerged as a fundamental challenge for the RH respondents was the lack of any clear policy regarding the doctor’s role as a teacher. The respondents believed that having a clear policy would empower the doctors and give them the support they need for their multiple roles in the clinical setting. Such policy would also guide the administrators and decision-makers in the support and resourcing that they provide to doctors, which they believed were so essential to ensure the next generation of doctors developed according to Oman’s mission and vision. This study’s findings show clearly the need to establish and standardise national medical education policy and procedures for the MoH doctors, thus giving them a clarity of roles and responsibilities they believe to exist for their SQUH colleagues. Having such national standards and policy is an essential part of a health organisation, and hence its implication for the doctors will be to provide them with the road map for the day-to-day management of their multiple complex roles. It is also clear that the Ministry of Health and the educational institutions (governmental and private at both the undergraduate and the postgraduate levels) need to collaborate and cooperate to establish an integrated medical education system for clinical settings, not just for the learners but also for the doctors who teach them, and thus to establish a stable teaching and learning environment. The presence of such a national policy for medical education will have a positive impact upon the quality of medical education, patient care, and upon junior doctors’ willingness to pursue careers as medical educators in clinical settings

    Respecting the Voices of Individuals from Marginalised Communities in Research

    Get PDF
    This book considers the development of "respectful research" through an emphasis on partnership between researchers and those who are the subjects of research. It presents examples from a range of international contexts or projects that have worked to ensure that the voices of marginalised individuals and communities are accessed in a manner that respects their individuality and culture

    The Application of Computer Techniques to ECG Interpretation

    Get PDF
    This book presents some of the latest available information on automated ECG analysis written by many of the leading researchers in the field. It contains a historical introduction, an outline of the latest international standards for signal processing and communications and then an exciting variety of studies on electrophysiological modelling, ECG Imaging, artificial intelligence applied to resting and ambulatory ECGs, body surface mapping, big data in ECG based prediction, enhanced reliability of patient monitoring, and atrial abnormalities on the ECG. It provides an extremely valuable contribution to the field
    • 

    corecore