Acceptance model of electronic medical record

This paper discusses acceptance issues of Electronic Medical Record System (EMR), particularly in Malaysia. A detailed overview of EMR and its benefits are firstly discussed. A number of acceptance models are scrutinized. Then factors affecting EMR acceptance are put forward. Finally, before proposing an EMR acceptance model, an instrument formed by adapting and then finding its factors loading is presented

Nursing Home Implementation of Health Information Technology: Review of the Literature Finds Inadequate Investment in Preparation, Infrastructure, and Training.

Health information technology (HIT) is increasingly adopted by nursing homes to improve safety, quality of care, and staff productivity. We examined processes of HIT implementation in nursing homes, impact on the nursing home workforce, and related evidence on quality of care. We conducted a literature review that yielded 46 research articles on nursing homes' implementation of HIT. To provide additional contemporary context to our findings from the literature review, we also conducted semistructured interviews and small focus groups of nursing home staff (n = 15) in the United States. We found that nursing homes often do not employ a systematic process for HIT implementation, lack necessary technology support and infrastructure such as wireless connectivity, and underinvest in staff training, both for current and new hires. We found mixed evidence on whether HIT affects staff productivity and no evidence that HIT increases staff turnover. We found modest evidence that HIT may foster teamwork and communication. We found no evidence that the impact of HIT on staff or workflows improves quality of care or resident health outcomes. Without initial investment in implementation and training of their workforce, nursing homes are unlikely to realize potential HIT-related gains in productivity and quality of care. Policy makers should consider creating greater incentives for preparation, infrastructure, and training, with greater engagement of nursing home staff in design and implementation

Towards an integrated model for citizen adoption of E-government services in developing countries: A Saudi Arabia case study

This paper considers the challenges that face the widespread adoption of E-government in developing countries, using Saudi Arabian our case study. E-government can be defined based on an existing set of requirements. In this paper we define E-government as a matrix of stakeholders; governments to governments, governments to business and governments to citizens using information and communications technology to deliver and consume services. E-government has been implemented for a considerable time in developed countries. However E-government services still faces many challenges their implemented and general adoption in developing countries. Therefore, this paper presents an integrated model for ascertaining the intention to adopt E-government services and thereby aid governments in accessing what is required to increase adoption

Institutional Change and Acceptance of Quality Assurance: The Case of Organic Farming in Germany

The institutional framework of the certification scheme is a crucial factor for the future success of the organic market. Increasing complexity and a few scandals indicate that the current control structures might be insufficient. A better understanding of farmers’ attitudes is necessary to increase acceptance and to guarantee the longer-term success of the organic certification system. Against this background we designed a theoretical framework based on a cognitive perspective. The empirical basis of the study was a survey conducted with organic farmers in Germany. Results highlight that the majority of the farmers accept the present organic certification system, but are not convinced of its cost-benefit relationship.organic certification system, food quality, institutional change, guidelines and control, Farm Management, Institutional and Behavioral Economics, Marketing,

An evaluation of the perceived value and effectiveness of the Continuous Professional Development Journal for postgraduate Human Resource Management Diploma students and their employers

Report describing one of a number of learning and teaching projects undertaken in 2004/05Research undertaken with groups of first and second year Postgraduate Human Resource Management Diploma students at the University of Wolverhampton Business School. As part of their assessment in the first year students are required to undertake a work based project and accompanying reflective journal in order to develop a holistic approach to using their theoretical learning in practice. In the second year they are required to continue the process of maintaining a development journal to meet professional requirements and to build on their reflective practice. A pilot study of 19 postgraduate students indicated that there was little enthusiasm or genuine engagement with the process of maintaining a learning journal and it appeared that students were missing a valuable learning opportunity

A framework on information behaviour of SME managers for decision-making on emerging ICTs

The aim of this study is to explore the perceived information needs and information behaviours of manager of UK small and medium-sized enterprises (SMEs). As technology advancement and innovation are changing rapidly affecting organisations in different ways, organization executives are introducing new technologies for their operations and business environment becomes more complex and dynamic, government introducing different policies to guide the use of these emerging ICTs. As a result, information becomes significant during adoption decision-making process for SME managers to make an inform decision. To achieve this aim, a framework is developed based on existing literature, using the technology organization environmental (TOE) model as the theoretical underpinning for empirical investigation on information behaviour of SME managers in this study. This study is qualitative in nature, and semi-structured face-to-face interviews were conducted with twenty SME managers in the UK service sector. The interviews were recorded and transcribed. Following Myers and Newman’s (2007) guidelines for qualitative interview and triangulation method were used to validate the conceptual framework and established the research rigour and quality. The research findings explained information behaviours of SME managers in the contexts of technology organisation environment as information behaviour triggered and perceived information needs during the adoption decision in SMEs. These findings provide further insight into ICT adoption in SMEs through information behaviours and highlighted the significant of sources of information and pre-information needed during the decision-making process. The research also contributes to theory in the information systems field by using relevant literature from information science field to explore information behaviours of SME managers. Future research can be done in other sectors of the economy to show more holistic behaviours of SME managers

Applying the trigger review method after a brief educational intervention: potential for teaching and improving safety in GP specialty training?

<p>Background: The Trigger Review Method (TRM) is a structured approach to screening clinical records for undetected patient safety incidents (PSIs) and identifying learning and improvement opportunities. In Scotland, TRM participation can inform GP appraisal and has been included as a core component of the national primary care patient safety programme that was launched in March 2013. However, the clinical workforce needs up-skilled and the potential of TRM in GP training has yet to be tested. Current TRM training utilizes a workplace face-to-face session by a GP expert, which is not feasible. A less costly, more sustainable educational intervention is necessary to build capability at scale. We aimed to determine the feasibility and impact of TRM and a related training intervention in GP training.</p> Methods We recruited 25 west of Scotland GP trainees to attend a 2-hour TRM workshop. Trainees then applied TRM to 25 clinical records and returned findings within 4-weeks. A follow-up feedback workshop was held. <p>Results: 21/25 trainees (84%) completed the task. 520 records yielded 80 undetected PSIs (15.4%). 36/80 were judged potentially preventable (45%) with 35/80 classified as causing moderate to severe harm (44%). Trainees described a range of potential learning and improvement plans. Training was positively received and appeared to be successful given these findings. TRM was valued as a safety improvement tool by most participants.</p> <p>Conclusion: This small study provides further evidence of TRM utility and how to teach it pragmatically. TRM is of potential value in GP patient safety curriculum delivery and preparing trainees for future safety improvement expectations.</p&gt

The transfer of pupils from primary to secondary school: A case study of a foundation subject - physical education

A series of transitions, from class to class, year to year and school to school, are integral to the education system in England. The transfer of pupils from primary to secondary education is an important stage of transition. Models for managing this transfer highlight different aspects of the experience, including social/pastoral integration and curriculum continuity and progression of individual pupils. The purpose of this study was to investigate the transfer of pupils from primary to secondary school in relation to physical education. Semi-structured interviews were conducted with 14 secondary school physical education heads of department. Results showed that although all of the heads of department reported the transfer of pupils from primary to secondary school to be very important in relation to physical education, this was not translated into practice. There was limited involvement in activities supporting the transfer from primary to secondary school, and what involvement there was placed greater emphasis on activities to support social/pastoral integration than to support continuity and progression of individual pupils during transfer. Some possible reasons for these results are considered, along with some suggestions for further research

Development of a complex intervention to support the initiation of advance care planning by general practitioners in patients at risk of deteriorating or dying: a phase 0-1 study

Background: Most patients with life-limiting illnesses are treated and cared for over a long period of time in primary care and guidelines suggest that ACP discussions should be initiated in primary care. However, a practical model to implement ACP in general practice is lacking. Therefore, the objective of this study is to develop an intervention to support the initiation of ACP in general practice. Methods: We conducted a Phase 0-I study according to the Medical Research Council (MRC) Framework. Phase 0 consisted of a systematic literature review about the barriers and facilitators for GPs to engage in ACP, focus groups with GPs were held about their experiences, attitudes and concerns regarding initiating ACP in general practice and a review of ACP interventions to identify potential components for the development of our intervention. In Phase 1, we developed a complex intervention to support the initiation of ACP in general practice in patients at risk of deteriorating or dying, based on the results of Phase 0. The complex intervention and its components were reviewed and refined by two expert panels. Results: Phase 0 resulted in the identification of the factors inhibiting or enabling GPs' initiation of ACP and important components underpinning existing ACP interventions. Based on these findings, an intervention was developed in Phase 1 consisting of: (1) a training for GPs in initiating and conducting ACP discussions, (2) a register of patients eligible for ACP discussions, (3) an educational booklet on ACP for patients to prepare the ACP discussions that includes general information on ACP, a section on the role of GPs in the process of ACP and a prompt list, (4) a conversation guide to support GPs in the ACP discussions and (5) a structured documentation template to record the outcomes of discussions. Conclusion: Taking into account the barriers and facilitators for GPs to initiate ACP as well as the key factors underpinning successful ACP intervention in other health care settings, a complex intervention for general practice was developed, after gaining feedback from two expert panels. The feasibility and acceptability of the intervention will subsequently be tested in a Phase II study