364 research outputs found
M-health adoption by healthcare professionals : a systematic review
Objective The aim of this systematic review was to synthesize current knowledge of the factors influencing healthcare professional adoption of mobile health (m-health) applications. Methods Covering a period from 2000 to 2014, we conducted a systematic literature search on four electronic databases (PubMed, EMBASE, CINAHL, PsychInfo). We also consulted references from included studies. We included studies if they reported the perceptions of healthcare professionals regarding barriers and facilitators to m-health utilization, if they were published in English, Spanish, or French and if they presented an empirical study design (qualitative, quantitative, or mixed methods). Two authors independently assessed study quality and performed content analysis using a validated extraction grid with pre-established categorization
of barriers and facilitators. Results The search strategy led to a total of 4223 potentially relevant papers, of which 33 met the inclusion criteria. Main perceived adoption factors to m-health at the individual, organizational, and contextual levels were the following: perceived usefulness and
ease of use, design and technical concerns, cost, time, privacy and security issues, familiarity with the technology, risk-benefit assessment, and interaction with others (colleagues, patients, and management).
Conclusion This systematic review provides a set of key elements making it possible to understand the challenges and opportunities for m-health utilization by healthcare providers
Déterminants psychosociaux et organisationnels de l'adoption des technologies de télémédecine dans le Réseau québécois de télésanté élargi (RQTE)
La tĂ©lĂ©mĂ©decine constitue un outil en soutien Ă la prestation de services de santĂ© et prĂ©sente une solution potentielle Ă certains problĂšmes rencontrĂ©s dans les systĂšmes de santĂ©. Cette Ă©tude visait lâanalyse conjointe des facteurs individuels et organisationnels associĂ©s Ă lâadoption de la tĂ©lĂ©mĂ©decine dans le RĂ©seau quĂ©bĂ©cois de tĂ©lĂ©santĂ© Ă©largi (RQTE). Le premier article prĂ©sente une analyse des facteurs psychosociaux associĂ©s Ă lâintention des mĂ©decins dâutiliser la tĂ©lĂ©mĂ©decine, basĂ©e sur la ThĂ©orie des comportements interpersonnels. Un questionnaire a Ă©tĂ© distribuĂ© Ă lâensemble des mĂ©decins pratiquant dans les hĂŽpitaux du RQTE. La modĂ©lisation par Ă©quations structurales a permis de tester le modĂšle thĂ©orique. Ce modĂšle expliquait 81% (p < .001) de la variance dans lâintention des mĂ©decins dâutiliser la tĂ©lĂ©mĂ©decine. Lâintention Ă©tait prĂ©dite par un facteur normatif composite, comprenant les normes personnelles et sociales, (ÎČ = 1.08; p < .001) et par lâidentitĂ© personnelle (ÎČ = â.33; p < .001). Ainsi, les mĂ©decins possĂ©dant une forte perception des responsabilitĂ©s professionnelles et sociales associĂ©es Ă lâutilisation de la tĂ©lĂ©mĂ©decine dĂ©montrent une intention plus Ă©levĂ©e dâadopter celle-ci. Cependant, lâeffet de suppression de la variable dâidentitĂ© personnelle suggĂšre que la perception individuelle des mĂ©decins en tant quâutilisateurs de la tĂ©lĂ©mĂ©decine influence Ă©galement leur intention. Le deuxiĂšme article porte sur les caractĂ©ristiques organisationnelles influençant lâadoption de la tĂ©lĂ©mĂ©decine. Ă partir dâun cadre intĂ©grateur, combinant des concepts de diffĂ©rentes thĂ©ories, une Ă©tude exploratoire a Ă©tĂ© menĂ©e dans les 32 hĂŽpitaux du RQTE par le biais dâun questionnaire. Des analyses de contingence ont permis dâidentifier les facteurs organisationnels influençant lâadoption de la tĂ©lĂ©mĂ©decine. Ensuite, une Ă©tude de cas multiple a Ă©tĂ© conduite dans neuf hĂŽpitaux. Des entrevues avec des informateurs-clĂ©s ont permis dâenrichir la comprĂ©hension du contexte dans lequel cette technologie Ă©tait implantĂ©e. Enfin, la triangulation des rĂ©sultats a fait ressortir certaines caractĂ©ristiques organisationnelles ayant influencĂ© lâadoption de la tĂ©lĂ©mĂ©decine. Ainsi, la localisation de lâhĂŽpital, de mĂȘme que les Ă©quipements et les ressources humaines disponibles ont eu un impact sur lâadoption de la tĂ©lĂ©mĂ©decine. La participation des administrateurs et des mĂ©decins aux dĂ©cisions concernant la tĂ©lĂ©mĂ©decine est Ă©galement associĂ©e Ă son adoption.Telemedicine is considered as a tool to support healthcare delivery that can potentially answer some of the problems facing healthcare systems. This study was aimed at analyzing conjointly individual and organizational factors affecting the adoption of telemedicine in the Extended Telehealth Network of Quebec (RQTE). The first article presents an analysis of the psychosocial determinants of physiciansâ intention to use telemedicine, based upon the Theory of interpersonal behavior. All of the physicians involved in the RQTE were mailed a questionnaire. Structural equation modelling was applied to test the theoretical model. The theoretical model explained 81% (p < .001) of variance in physiciansâ intention to use telemedicine. The main predictors of intention were a composite normative factor, comprising personal as well as social norms (ÎČ = 1.08; p < .001) and self identity (ÎČ = â.33; p < .001). Thus, physicians who perceived professional and social responsibilities regarding adoption of telehealth in their clinical practice had stronger intention to use this technology. However, the suppression effect of the personal identity construct may indicate that physiciansâ self-perception as telemedicine users also influence their intention. The second article deals with organisational characteristics influencing telemedicine adoption. Based upon an integrated framework that combined concepts from different theories, an exploratory study was first conducted among the 32 healthcare centres involved in the RQTE. Then, a multiple case study was conducted among nine hospitals. In-depth interviews were conducted with key-informants in order to enrich the understanding of the context in which telemedicine was implemented. Triangulation of the results has permitted to underline some of the organizational dimensions that have influenced the adoption of telemedicine. Hence, hospitalâs localization as well as the availability of equipment and human resources have affected telemedicine adoption. Participation of administrators and physicians in telemedicine decision making has also influenced its adoption
Codified Knowledge and Decisions in a Major eHealth Project: Efforts to Introduce the Electronic Health Record in Quebec
Determinants of the intention of elementary school nurses to adopt a redefined role in health promotion at school
BACKGROUND: The quest for greater efficiency in the provision of primary healthcare services and the implementation of a "health-promoting school" approach encourage the optimal redefinition of the role of school nurses. School nurses are viewed as professionals who might be significant actors in the promotion of youth health. The aim of this study was to identify the determinants of the intention of elementary school nurses to adopt a new health-promotion role as a strategic option for the health-promoting school. METHODS: This study was based on an extended version of the theory of planned behaviour (TPB). A total of 251 respondents (response rate of 70%) from 42 school health programs across the Province of QuĂ©bec completed a mail survey regarding their intention to adopt the proposed health-promotion role. Multiple hierarchical linear regression analyses were performed to assess the relationship between key independent variables and intention. A discriminant analysis of the beliefs was performed to identify the main targets of action. RESULTS: A total of 73% of respondents expressed a positive intention to accept to play the proposed role. The main predictors were perceived behavioural control (ÎČ = 0.36), moral norm (ÎČ = 0.27), attitude (ÎČ = 0.24), and subjective norm (ÎČ = 0.21) (ps < .0001), explaining 83% of the variance. The underlying beliefs distinguishing nurses who had a high intention from those who had a low intention referred to their feelings of being valued, their capacity to overcome the nursing shortage, the approval of the school nurses' community and parents of the students, their leadership skills, and their gaining of a better understanding of school needs. CONCLUSIONS: Results suggest that leadership is a skill that should be addressed to increase the ability of school nurses to assume the proposed role. Findings also indicate that public health administrators need to ensure adequate nurse staffing in the schools in order to increase the proportion of nurses willing to play such a role and avoid burnout among these human resources
Tertiary Study on the Use of Artificial Intelligence for Service Delivery: A Bibliometric Analysis of Systematic Literature Reviews
Despite the large number of systematic literature reviews (SLRs) on the use of artificial intelligence (AI) for service delivery, scholars suggest more scientific evidence. However, the direction that these reviews will take depends on the knowledge accumulated in the existing literature. Therefore, the objective of this research is to explore SLRs that have synthesized the use of AI for service delivery. We conducted a tertiary study, which consists of a bibliometric analysis of SLRs. We searched SLRs published over the last ten years in six bibliographic databases. Sixty-six studies meeting the inclusion criteria were processed through a bibliometric analysis in which we combined article metadata with data extracted from the full-text review. The results describe the publication trends of SLRs, their application domains, and the particularities of the private and public sectors. Recommendations for future SLRs on the use of AI for service delivery are proposed
Telehealth in Light of Cloud Computing: Clinical, Technological, Regulatory and Policy Issues
In the health sector, information and communications technologies (ICT) are transforming the modes of practice and service delivery. Telehealth, which is the use of ICT to provide care and health services, is an example of this new model of services. However, telehealth is accompanied by many questions regarding the terms of exchange, archiving, control and security of medical and administrative patient data. These may be very useful but also harmful to patients, healthcare professionals, organizations and even countries. Indeed, with the globalization of information, national data protection policies are being overtaken by this new reality where the "regulatory sovereignty" of a country is challenged. The increasing use of Cloud Computing, as a form of exchange, management and storage of data in the practice of telehealth, is an illustrative example of such challenges
Dimensions psychologiques de la régulation du poids : modÚles théoriques et implications thérapeutiques
L'obĂ©sitĂ© constitue actuellement un des principaux enjeux en santĂ© publique. L'accroissement des taux de prĂ©valence du surplus de poids et de l'obĂ©sitĂ© menace la santĂ© et la qualitĂ© de vie des populations au niveau mondial (Organisation Mondiale de la SantĂ©, 1998; Statistique Canada, 2005). Jusqu'Ă maintenant, des efforts empiriques consistants ont permis le dĂ©veloppement d'une comprĂ©hension intĂ©grĂ©e des aspects biologiques et environnementaux du problĂšme. Cependant, considĂ©rant les Ă©tudes initiales ne montrant pas de diffĂ©rence entre le fonctionnement psychologique des individus obĂšses et celui des individus de poids normal, les dimensions psychologiques de la rĂ©gulation du poids ont Ă©tĂ© considĂ©rablement moins documentĂ©es au profit d'une vision presque strictement physiologique de l'obĂ©sitĂ©. Or, en rĂ©interprĂ©tant les rĂ©sultats de ces Ă©tudes, les chercheurs d'aujourd'hui concluent plutĂŽt que l'absence de diffĂ©rence significative reflĂšte en fait la grande hĂ©tĂ©rogĂ©nĂ©itĂ© de la population obĂšse. En effet, il semble de plus en plus clair que la rĂ©gulation du poids est un processus physiologique sous-tendu par des facteurs comportementaux eux-mĂȘmes influencĂ©s par des caractĂ©ristiques psychologiques variant grandement d'un sous-groupe Ă l'autre parmi la population obĂšse. Il s'avĂšre ainsi capital de dĂ©velopper une meilleure comprĂ©hension des facteurs psychologiques qui influencent les comportements susceptibles de contribuer au dĂ©veloppement et au maintien d'un surplus de poids pour Ă©largir les cibles de traitement de l'obĂ©sitĂ© et en amĂ©liorer l'efficacitĂ©. Le volet descriptif de la thĂšse vise Ă dĂ©crire un Ă©chantillon de femmes prĂ©occupĂ©es par leur poids prĂ©sentant un surplus de poids ou Ă©tant obĂšses en se basant sur les variables psychologiques associĂ©es Ă la suralimentation (insatisfaction corporelle, personnalitĂ©, affects nĂ©gatifs, restriction) Ă l'aide du modĂšle Ă double-voie de la suralimentation (Stice, 1994). Il est Ă©galement proposĂ© que les femmes de l'Ă©chantillon puissent ĂȘtre catĂ©gorisĂ©es selon les deux dimensions du modĂšle (restriction et affects nĂ©gatifs), formant des sous-groupes distincts sur les plans alimentaires et psychologiques. Le volet clinique de la thĂšse vise Ă discuter de l'intĂ©gration des variables psychologiques au traitement, d'abord d'un point de vue thĂ©orique en faisant la revue des traitements proposĂ©s, puis d'un point de vue empirique en Ă©valuant l'efficacitĂ© d'un traitement visant Ă prendre en compte les aspects psychologiques discutĂ©s
The Mixed Methods Appraisal Tool (MMAT) version 2018 for information professionals and researchers
INTRODUCTION: Appraising the quality of studies included in systematic reviews combining qualitative and quantitative evidence is challenging. To address this challenge, a critical appraisal tool was developed: the Mixed Methods Appraisal Tool (MMAT). The aim of this paper is to present the enhancements made to the MMAT. DEVELOPMENT: The MMAT was initially developed in 2006 based on a literature review on systematic reviews combining qualitative and quantitative evidence. It was subject to pilot and interrater reliability testing. A revised version of the MMAT was developed in 2018 based on the results from usefulness testing, a literature review on critical appraisal tools and a modified e-Delphi study with methodological experts to identify core criteria. TOOL DESCRIPTION: The MMAT assesses the quality of qualitative, quantitative, and mixed methods studies. It focuses on methodological criteria and includes five core quality criteria for each of the following five categories of study designs: (a) qualitative, (b) randomized controlled, (c) nonrandomized, (d) quantitative descriptive, and (e) mixed methods. CONCLUSION: The MMAT is a unique tool that can be used to appraise the quality of different study designs. Also, by limiting to core criteria, the MMAT can provide a more efficient appraisal
Use of parasites in stock identification of the deepwater redfish (Sebastes mentella) in the Northwest Atlantic
Les perceptions des infirmiĂšres et des Ă©tudiantes infirmiĂšres Ă lâĂ©gard des personnes vivant avec lâobĂ©sitĂ© : un protocole de revue de la portĂ©e
Introduction: There is significant and pervasive weight bias, weight stigma, and weight-based discrimination everywhere today, even in healthcare settings. Studies have shown that health care professionals (HCPs) hold negative perceptions toward people living with obesity (PLO), which results in heightened health risks for patients. Nurses play a central role in health promotion and the health management of PLO. Thus, identifying nurses' and nursing students' perceptions toward PLO within healthcare practice or educational contexts is paramount to consider further exploratory and intervention studies.
Objective: We aim to review and map nurses' and nursing students' perceptions toward PLO from available literature.
Method: A search of MEDLINE via PubMed, CINAHL Plus with Full Text (EBSCOhost), and PsycINFO (OVID) will be conducted to identify relevant studies in English, French, Spanish, Portuguese, or Italian on nurses' and nursing students' weight bias. The period covered will be from January 1, 2005, onward, including those available up until our scheduled search in January 2024. Two independent reviewers will conduct screening, study selection, and data extraction. Data will be charted according to the study design, the research setting, years and regions of publication, concepts, and use of theoretical models. The results will be summarized and reported, identifying implications for nursing research and practice.
Discussion and Research Spin-offs: This scoping review will inform nursing research and facilitate the development of educational and clinical tools aimed at preventing and reducing weight bias among nurses to promote nursing and interdisciplinary care that upholds principles of equity, diversity, and inclusion.Introduction : Les prĂ©jugĂ©s, la stigmatisation et la discrimination Ă lâĂ©gard du poids sont omniprĂ©sents, mĂȘme dans les Ă©tablissements de santĂ©. Des Ă©tudes ont montrĂ© que les professionnels de la santĂ© ont des perceptions nĂ©gatives envers les personnes vivant avec lâobĂ©sitĂ© (PVO), ce qui augmente les risques pour leur santĂ©. Les infirmiĂšres jouent un rĂŽle central dans la promotion de la santĂ© et la prise en charge des PVO. Il est ainsi impĂ©ratif dâidentifier les perceptions des infirmiĂšres et des Ă©tudiantes infirmiĂšres concernant les PVO dans les contextes acadĂ©miques et de la pratique clinique avant dâentreprendre dâautres Ă©tudes exploratoires ou dâintervention.
Objectif : Examiner et cartographier les perceptions des infirmiĂšres et des Ă©tudiantes infirmiĂšres Ă lâĂ©gard des PVO Ă partir de la littĂ©rature disponible.
MĂ©thode : Une recherche dans MEDLINE via PubMed, CINAHL Plus with Full Text (EBSCOhost) et PsycINFO (OVID) sera effectuĂ©e pour identifier les Ă©tudes sur les perceptions des infirmiĂšres et des Ă©tudiantes infirmiĂšres Ă lâĂ©gard des PVO publiĂ©es depuis le 1er janvier 2005, jusquâau moment de la recherche, qui est prĂ©vue en janvier 2024. La sĂ©lection, le tri et lâextraction des donnĂ©es seront effectuĂ©s par deux chercheuses indĂ©pendantes. Les donnĂ©es seront classĂ©es selon la mĂ©thodologie, le contexte de recherche, la rĂ©partition dans le temps, la rĂ©gion de publication, les concepts et lâutilisation de modĂšles thĂ©oriques. Les rĂ©sultats seront rĂ©sumĂ©s et prĂ©sentĂ©s de maniĂšre Ă identifier les implications pour la recherche et la pratique infirmiĂšres.
Discussion et retombĂ©es anticipĂ©es : Cette revue permettra dâĂ©clairer la recherche en sciences infirmiĂšres et de faciliter le dĂ©veloppement dâoutils pĂ©dagogiques et cliniques visant Ă prĂ©venir et Ă rĂ©duire les prĂ©jugĂ©s liĂ©s au poids chez les infirmiĂšres, afin de promouvoir des soins infirmiers et interdisciplinaires qui respectent les principes dâĂ©quitĂ©, de diversitĂ© et dâinclusion
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