Characteristics of Complete and Incomplete Physicians’ Unlearning with Electronic Medical Record

This study examines the concept of unlearning, the process of disuse or replacement of an action, procedure or belief in favor of a new one, in the context of healthcare. Little is known about the true nature of unlearning and related learning change processes within the context of healthcare. The study of unlearning continues to be important not only due to the nature of the discipline itself, but physicians are required to support knowledge change for improved care quality. The study argues the introduction of new Health Information Technologies (HITs), such as EMRs, affect the unlearning process in physician providers. We address the following research question: “What are the characteristics of the unlearning process by physicians who are using EMRs?” using a qualitative case study methodology. Interviews, the primary data collection method and coding is mainly used for data analysis. Results show physician unlearning is characterized as either complete unlearning or incomplete unlearning

Transactions of 2015 International Conference on Health Information Technology Advancement Vol.3, No. 1

The Third International Conference on Health Information Technology Advancement Kalamazoo, Michigan, October 30-31, 2015 Conference Chair Bernard Han, Ph.D., HIT Pro Department of Business Information Systems Haworth College of Business Western Michigan University Kalamazoo, MI 49008 Transactions Editor Dr. Huei Lee, Professor Department of Computer Information Systems Eastern Michigan University Ypsilanti, MI 48197 Volume 3, No. 1 Hosted by The Center for Health Information Technology Advancement, WM

The process of individual unlearning: a neglected topic in an under-researched field

This article presents the findings of a participative action research project into how arts-based inquiry can revitalise equality and diversity organisational practices. We demonstrate that the arts-based methodologies introduced enabled participants to explore the meanings they brought to equality and diversity work, by creating a liminal space for learning. We illustrate our findings through an exploration of how participants engaged with the inquiry, the learning about equality and diversity that took place in the workshops and the challenges and opportunities of translating this into change practice in the workplace. The article’s originality lies in its analysis of poetic writings, dreams and visual artefacts created in the context of participative inquiry. Engaging with tacit knowledge extended understanding of the contribution that arts-based, aesthetic inquiry can bring to organisational practice, and more specifically towards restoring the transformative potential of organisational practices to promote equality and diversity

Healing conversations: Developing a practical framework for clinical communication between Aboriginal communities and healthcare practitioners

In recognition of the ongoing health disparities experienced by Aboriginal and Torres Strait Islander peoples (hereafter Aboriginal), this scoping review explores the role and impact of the clinical communication process on Aboriginal healthcare provision. A medical education lens is applied, looking at the utility of a tailored clinical communication framework to assist health practitioners work more effectively with Aboriginal peoples and communities. The initial framework, building on existing communication guides, proposes four domains: content, process, relational and environmental. It places emphasis on critical self-reflection of the health practitioner’s own cultural identity and will be guided by collective Aboriginal world-views in select Australian settings. Using a two-eyed seeing approach the framework will be developed and tested in health professional education. The aim of this research journey is to enable health practitioners to have more effective healthcare conversations with Aboriginal peoples, working toward more socially just and equitable healthcare interactions and outcome

Health Information Systems – Opportunities and Challenges in a Global Health Ecosystem

Health Information Systems (HIS) and Health Information Technology (HIT) have experienced significant growth in use and improved functionality in recent years. The global HIS/HIT market is estimated to grow exponentially in value by 2020. This growth in market size is largely attributable to three key factors: 1) the need for disruptive solutions to challenge the spiraling cost of healthcare, 2) the increased penetration into new markets of healthcare related systems, and 3) the increasing demand for personalized medicine driven by the availability of novel, real-time data streams not previously experienced in the healthcare domain. This short article explores these three aspects of HIS/HIT. In order to achieve meaningful advances in people\u27s health through the provision of new technologies, a more integrated and holistic approach is needed in the design and implementation of HIS. The increasing costs of healthcare coupled with the heightened expectations of stakeholders continues to place increasing pressure on those tasked with delivering new health technologies that are ‘fit for purpose’ in respective healthcare settings. More attention needs to be given to understanding the cost of healthcare and how HIS/HIT may create value in healthcare services

To a Better Understanding of Professional Practice: Provider Decision-Making When Delivering HIV Services

Over the last several decades an abundance of research has been conducted on HIV/AIDS. These studies have focused on the infection, impact of the disease on the health and quality of life of people living with the infection, and on treatment effectiveness. However, limited studies are available that explore the experiences of providers delivering HIV/AIDS services. Research demonstrates that providers have an important impact on treatment, shaping not only patient retention, but also treatment adherence. The critical role HIV/AIDS providers have in shaping treatment makes understanding provider experiences a pertinent area of inquiry to understand HIV/AIDS care. In this study, an analytic autoethnography was performed to acquire an understanding of provider experience working in an HIV/AIDS treatment milieu. A reflexive research treatment practice was used to write about experiences as a provider, and processed in context of the limited available literature. In doing so, a number of institutional, professional-contextual, client, and provider level factors were identified as shaping professional practice. The findings of this study provide insight into the intuitional, relational, and contextual factors shaping HIV/AIDS care. The findings validate the importance of researching HIV/AIDS provider experiences, and punctuates the necessity of continued research in this area