A tacit health care knowledge explication info-structure using contrived knowledge acquisition and representation approaches.

Projek ini telah menghasilkan suatu Info-Struktur Pengeksplikasian Pengetahuan Kesihatan Tersirat yang mampu mempero1ehi, menyimpan dan menyebarkan pengetahuan kesihatan tersirat untuk digunakan oleh para pakar dan doktor kesihatan supaya perkhidmatan kesihatan yang berkualiti dapat diberi secara berterusan. The project has produced a Tacit Health care Knowledge Explication Info Structure that is designed to acquire, store and disseminate tacit health care knowledge to be used by health care specialists, experts and practitioners to ensure the provision and continuation of expert-quality health care services

Knowledge management and organizational culture

This paper explores the relationship between organisational knowledge, organisational culture, and Process Based Systems (PBS), in the U.K. National Health Service (NHS). Links between PBS and organisational culture have been observed before(Perry, 2003); the contribution made by PBS to organisational knowledge has also been suggested (Perry, 2004). However, links between organisational knowledge and organisational culture in the NHS have not been widely studied. A qualitative study of these links across clinical functions has been used in conjunction with a literature review to consider in particular the use of tacit knowledge and the role that might be played by PBS in mediating and sharing this "embedded" or experiential form of knowledge. While there may be some opportunity for "externalisation" (Nonaka, 1994) - the conversion of tacit to explicit knowledge, this paper argues that PBS may also contribute to "socialisation" - the direct generation of tacit knowledge by tacit knowledge.Process Based Systems, knowledge management, organisational culture

Supporting professional learning in a massive open online course

Professional learning, combining formal and on the job learning, is important for the development and maintenance of expertise in the modern workplace. To integrate formal and informal learning, professionals have to have good self-regulatory ability. Formal learning opportunities are opening up through massive open online courses (MOOCs), providing free and flexible access to formal education for millions of learners worldwide. MOOCs present a potentially useful mechanism for supporting and enabling professional learning, allowing opportunities to link formal and informal learning. However, there is limited understanding of their effectiveness as professional learning environments. Using self-regulated learning as a theoretical base, this study investigated the learning behaviours of health professionals within Fundamentals of Clinical Trials, a MOOC offered by edX. Thirty-five semi-structured interviews were conducted and analysed to explore how the design of this MOOC supported professional learning to occur. The study highlights a mismatch between learning intentions and learning behaviour of professional learners in this course. While the learners are motivated to participate by specific role challenges, their learning effort is ultimately focused on completing course tasks and assignments. The study found little evidence of professional learners routinely relating the course content to their job role or work tasks, and little impact of the course on practice. This study adds to the overall understanding of learning in MOOCs and provides additional empirical data to a nascent research field. The findings provide an insight into how professional learning could be integrated with formal, online learning

An Ontology-Driven Methodology To Derive Cases From Structured And Unstructured Sources

The problem-solving capability of a Case-Based Reasoning (CBR) system largely depends on the richness of its knowledge stored in the form of cases, i.e. the CaseBase (CB). Populating and subsequently maintaining a critical mass of cases in a CB is a tedious manual activity demanding vast human and operational resources. The need for human involvement in populating a CB can be drastically reduced as case-like knowledge already exists in the form of databases and documents and harnessed and transformed into cases that can be operationalized. Nevertheless, the transformation process poses many hurdles due to the disparate structure and the heterogeneous coding standards used. The featured work aims to address knowledge creation from heterogeneous sources and structures. To meet this end, this thesis presents a Multi-Source Case Acquisition and Transformation Info-Structure (MUSCATI). MUSCATI has been implemented as a multi-layer architecture using state-of-the-practice tools and can be perceived as a functional extension to traditional CBR-systems. In principle, MUSCATI can be applied in any domain but in this thesis healthcare was chosen. Thus, Electronic Medical Records (EMRs) were used as the source to generate the knowledge. The results from the experiments showed that the volume and diversity of cases improves the reasoning outcome of the CBR engine. The experiments showed that knowledge found in medical records (regardless of structure) can be leveraged and standardized to enhance the (medical) knowledge of traditional medical CBR systems. Subsequently, the Google search engine proved to be very critical in “fixing” and enriching the domain ontology on-the-fly

Developing Process Model for Management of Knowledge-Intensive Organization – A Case Study of a Hospital

This study explores knowledge management practices in a Malaysian public healthcare organization. Knowledge management has gained much attention not only from business enterprises but also in other fields such as education, urban planning and development, governance as well as healthcare and has allowed for an enterprise-wide structure to be put in place to promote efficient and effective decision-making process. As a result, many organizations are now more serious about managing knowledge and embracing the concepts associated with knowledge management to remain competitive, or even to survive. Healthcare practitioners are a knowledge-based community that depend heavily on knowledge management activities. However, little study has explored the processes used by practitioners in managing knowledge as one of the intellectual assets of the business. Hence, this paper focuses on knowledge management practices among medical staffs particularly on how they build their knowledge schemes, scan for knowledge and use knowledge in their organizations. The paper\u27s primary goal is to examine how medical staffs employ knowledge management processes to the benefit of their clinical routines and ultimately to develop a knowledge management model for disease management. Theoretically, this study aims to provide a model that will add to the existing models on knowledge management processes; extend the initial model used in this study; examine the contribution of different knowledge workers to the model as well as guide practitioners in understanding, acquiring and applying knowledge effectively. By adopting an interpretive case study approach, two distinct roles of medical staffs were selected to reflect how knowledge management process is being practiced in their organization

Ludic Learning Lab: Serious Games for Nurses. Theatre Training Reimagined

Theatre improvisation supports the development of interpersonal skills, building verbal and physical imagination, whilst enabling compassionate interaction between people to enhance connections. Improvisation is emerging in health care as a pedagogical tool that can enhance human to human connections such as the interaction between a nurse and patient enabling experiential learning. This thesis argues that the ludic nature of improvisation exercises stimulates enhanced interaction skills (Toivanen, 2011). The ancient body-mind practices that improvisation draws on offer valuable skills to the learner, contributing to the andragogy of nurse practice and pre-registration education and training. Nurses require unique cognitive capabilities to multi-task, problem-solve and prioritise urgent needs in a fast-paced hospital environment. Human factors such as communication and situational awareness are essential to maintaining high-level patient care across a challenging environment (Eisenhardt, 2021). The World Health Organisation (WHO, 2019) and The Australian Commission for Quality and Safety in Health Care (Report The State of Patient Safety and Quality in Australian Hospitals, 2019; Fotis, 2010) found that deficiencies in human factor skills in hospital settings are affecting patient safety; fifty per cent of adverse events are preventable. Communicating for safety in training is a number one priority to reduce preventable adverse events. This thesis explores the principles and theories of theatrical improvisation through engaging with the work of Viola Spolin, Rudolph Laban, Augusto Boal, Jacob L Moreno, David Kolb and Howard Gardner. It comprises both a theoretical/critical component and a creative component which is a digital toolkit, the Improv-e-toolkit designed to be used in blended delivery, face-to-face and digital mode. The Improv-e-toolkit is a prototype that aims to unite important clinical nursing skills such as situational awareness, decision making and relationship management. I argue, drawing on the work of Hager (2004) that improvisation training develops team-based trust and effective communication to support positive nurse-patient connections which deliver favourable patient outcomes

Exploring the Knowledge Sharing Practices among Medical Doctors in Ibadan Metropolis, Nigeria

Medical doctors constitute a vital component of the health sector’s workforce. One major factor that aids their efficiency is knowledge of practice and what they do with it. Literature is replete with knowledge-sharing cases among other professionals but less visible concerning physicians, especially in Nigeria. This study investigates the knowledge-sharing practices among doctors in Ibadan, one of the country’s major cities. The descriptive survey research design was adopted, and data collected through interviews with sixteen doctors selected through convenience sampling. Findings show that the doctors shared knowledge regularly through social media, formal discussions, and informal deliberations. The findings also indicated that the doctors derive benefits from exchanging information, while the knowledgesharing process challenges stem from adverse social factors. This study is useful to medical practitioners, medical associations, and policymakers who need data for staff development and how that impacts the health sector

Development of a conceptual model of Horizon Scanning for the Lisbon City Council

Mestrado Ciências EmpresariaisThe objective of this dissertation is to draw a conceptual model of Horizon Scanning for the Lisbon City Council. In order to do this, a brief introduction to Foresight and Horizon Scanning is given, as well as a presentation of the rationales and purposes behind the Horizon Scanning system. The proposed model is divided in four steps: signals’ search, classification and organization of the gathered signals, sensemaking, and dissemination of the results. Some suggestions regarding the practical implementation of the system are also presented.O objectivo desta dissertação é o desenho de um modelo conceptual de Horizon Scanning para a Câmara Municipal de Lisboa. Assim, é feita uma breve introdução à Prospectiva e ao Horizon Scanning, assim como uma apresentação dos princípios e objectivos que sustentam o sistema. O modelo proposto é dividido em quatro passos: procura de sinais, classificação e organização dos sinais recolhidos, sense-making, e divulgação dos resultados. Algumas sugestões relativas à implementação prática do sistema são também apresentadas

Effects of Nurse-Patient Relationship on Mental Health Patients’ Medication Adherence/Healthcare Outcome

Background and Significance: Medication adherence among mentally ill patients (MIP) is a significant issue which require extra support & guidance to encourage better recovery. Administering medication is a critical role of nurses that must be performed effectively and appropriately, especially for MIPs. Literature Review and Gap in the Literature: There is insufficient research exploring NPR and medication adherence specifically for MIPs. Participants’ cultural variations, age range, specific interventions & economic factors influencing medication compliance are missing. The current study aims to explore strategies that nurses can implement during patient interaction in the hospital setting. Study Design and Method: A qualitative method will be used as a study design with two groups having one control group. One-on-one interviews and focus groups will be conducted as the study method to gather results toward the end of the shift. Sample and Setting: Participants will involve patients in multiple psychiatric/behavioral hospitals around Marin County. Gathering data from multiple settings can ensure that various cultural groups, age ranges, and economic statuses are considered for meaningful results. Participants will vary from 18 to 65 years of age which can also determine the severity of symptoms related to the onset of their mental health conditions. Data Collection Method: After conducting interviews and focus groups, participants\u27 descriptive responses will be analyzed by looking for similarities and differences. Subsequently, the results will be categorized into themes in finding deep understanding and perspective from patients with mental illness. Anticipated Results: It is anticipated that the control group of participants with increased nursing interaction will have positive outcomes in improving their medication adherence and being committed to following medical treatments. Clinical implications: Demonstrating effective strategies to improve medication adherence in MIPs can guide nurses and other healthcare professionals to value patient interaction. Establishing conversational relationships and building supportive environments can contribute to the rich experience of implementing patient-centered care as an important nursing component