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  • 1.
    Andersson, Klara
    et al.
    Blekinge Institute of Technology.
    Hassan, Monia
    Blekinge Institute of Technology.
    Varför är munvård en försummad omvårdnadsåtgärd?: En integrerad litteraturstudie2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Munhälsan är en viktig grundläggande del i individens hälsa och välbefinnande. Regelbunden munhygien ger en bättre självkänsla samt god livskvalité oavsett ålder eller kön. Inom hälso- och sjukvården stöter sjuksköterskan på många som är i behov av stöd gällande munvård. Konsekvenserna av utebliven munvård kan vara vårdskador, sjukdomar och onödigt lidande som kan hota patientsäkerheten. Trots att munvård är en viktig grundläggande del i omvårdnadsarbetet påvisas det att sjuksköterskans följsamhet rådande munvård uteblir av olika skäl.

    Syfte: Syftet med studien var att belysa faktorer som kan medföra utebliven munvård hos patienter inom hälso- och sjukvården ur ett sjuksköterskeperspektiv.

    Metod: Studien genomfördes som integrerad litteraturstudie med en induktiv ansats och inkluderade studier med kvalitativ, kvantitativ samt mixad metod. Tolkningen av analysen utfördes manifest med latenta inslag.

    Resultat: Föreliggande studies resultat belyser olika faktorer som kan medföra utebliven munvård hos patienter inom hälso- och sjukvården. Faktorerna som framkom är sjuksköterskans okunskaper, organisationens kultur, sjuksköterskans attityder och resursbrist

    Slutsats: Sjuksköterskan saknar formell kompetens och behöver utbildning inom munvård då detta är en försummad omvårdnadsåtgärd. Framtida forskning behöver uppmärksamma området samt utökas då munvård är ett grundläggande omvårdnadsbehov som behöver prioriteras bättre inom hälso- och sjukvården. Tandvården bör på sikt ses som en integrerad del av hälso- och sjukvården för att bibehålla det hälsofrämjande arbetet.

  • 2.
    Georgsson, Mattias
    Blekinge Institute of Technology, Faculty of Computing, Department of Creative Technologies.
    Quantifying usability: an evaluation of a diabetes mHealth system on effectiveness, efficiency, and satisfaction metrics with associated user characteristics2016In: JAMIA Journal of the American Medical Informatics Association, ISSN 1067-5027, E-ISSN 1527-974X, Vol. 23, no 1, p. 5-11Article in journal (Refereed)
    Abstract [en]

    Objective Mobile health (mHealth) systems are becoming more common for chronic disease management, but usability studies are still needed on patients' perspectives and mHealth interaction performance. This deficiency is addressed by our quantitative usability study of a mHealth diabetes system evaluating patients' task performance, satisfaction, and the relationship of these measures to user characteristics. Materials and Methods We used metrics in the International Organization for Standardization (ISO) 9241-11 standard. After standardized training, 10 patients performed representative tasks and were assessed on individual task success, errors, efficiency (time on task), satisfaction (System Usability Scale [SUS]) and user characteristics. Results Tasks of exporting and correcting values proved the most difficult, had the most errors, the lowest task success rates, and consumed the longest times on task. The average SUS satisfaction score was 80.5, indicating good but not excellent system usability. Data trends showed males were more successful in task completion, and younger participants had higher performance scores. Educational level did not influence performance, but a more recent diabetes diagnosis did. Patients with more experience in information technology (IT) also had higher performance rates. Discussion Difficult task performance indicated areas for redesign. Our methods can assist others in identifying areas in need of improvement. Data about user background and IT skills also showed how user characteristics influence performance and can provide future considerations for targeted mHealth designs. Conclusion Using the ISO 9241-11 usability standard, the SUS instrument for satisfaction and measuring user characteristics provided objective measures of patients' experienced usability. These could serve as an exemplar for standardized, quantitative methods for usability studies on mHealth systems.

  • 3.
    Georgsson, Mattias
    Blekinge Institute of Technology, Faculty of Computing, Department of Creative Technologies.
    Using activity theory as a framework for the usability evaluation process and task determination in mhealth self-management systems for diabetes2018In: PROCEEDINGS OF THE 15TH INTERNATIONAL CONFERENCE ON WEARABLE MICRO AND NANO TECHNOLOGIES FOR PERSONALIZED HEALTH (PHEALTH 2018), IOS Press , 2018, Vol. 249, p. 158-163Conference paper (Refereed)
    Abstract [en]

    mHealth systems can be used for patients in their diabetes selfmanagement, but usability evaluations are often needed to determine how to make them more useful for the diabetes patient user in the monitoring and managing of their disease. Activity Theory (AT) was developed within Russian psychology to define the work and activity process in an activity system. AT was here considered to also be a particularly suitable framework for inspiration in usability evaluation both for the whole evaluation process and also for the usability task determination in this process for diabetes patient users. In the following paper, examples are provided from four usability studies using both user-based and expert usability methods in evaluation showing how AT was applied to guide the thoughts in evaluating the usability of two mHealth self-management systems for diabetes. Experiences and insights are provided from this process. © 2018 The authors and IOS Press. All rights reserved.

  • 4.
    Moraes, Ana Luiza Dallora
    et al.
    Blekinge Institute of Technology, Faculty of Engineering, Department of Health.
    Anderberg, Peter
    Blekinge Institute of Technology, Faculty of Engineering, Department of Health.
    Kvist, Ola
    KI, SWE.
    Mendes, Emilia
    Blekinge Institute of Technology, Faculty of Computing, Department of Software Engineering.
    Ruiz, Sandra
    KI, SWE.
    Sanmartin Berglund, Johan
    Blekinge Institute of Technology, Faculty of Engineering, Department of Health.
    Bone age assessment with various machine learning techniques: A systematic literature review and meta-analysis2019In: PLoS ONE, ISSN 1932-6203, E-ISSN 1932-6203, Vol. 14, no 7, article id e0220242Article, review/survey (Refereed)
    Abstract [en]

    Background The assessment of bone age and skeletal maturity and its comparison to chronological age is an important task in the medical environment for the diagnosis of pediatric endocrinology, orthodontics and orthopedic disorders, and legal environment in what concerns if an individual is a minor or not when there is a lack of documents. Being a time-consuming activity that can be prone to inter- and intra-rater variability, the use of methods which can automate it, like Machine Learning techniques, is of value. Objective The goal of this paper is to present the state of the art evidence, trends and gaps in the research related to bone age assessment studies that make use of Machine Learning techniques. Method A systematic literature review was carried out, starting with the writing of the protocol, followed by searches on three databases: Pubmed, Scopus and Web of Science to identify the relevant evidence related to bone age assessment using Machine Learning techniques. One round of backward snowballing was performed to find additional studies. A quality assessment was performed on the selected studies to check for bias and low quality studies, which were removed. Data was extracted from the included studies to build summary tables. Lastly, a meta-analysis was performed on the performances of the selected studies. Results 26 studies constituted the final set of included studies. Most of them proposed automatic systems for bone age assessment and investigated methods for bone age assessment based on hand and wrist radiographs. The samples used in the studies were mostly comprehensive or bordered the age of 18, and the data origin was in most of cases from United States and West Europe. Few studies explored ethnic differences. Conclusions There is a clear focus of the research on bone age assessment methods based on radiographs whilst other types of medical imaging without radiation exposure (e.g. magnetic resonance imaging) are not much explored in the literature. Also, socioeconomic and other aspects that could influence in bone age were not addressed in the literature. Finally, studies that make use of more than one region of interest for bone age assessment are scarce. Copyright: © 2019 Dallora et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

  • 5.
    Topaz, Maxim
    et al.
    Harvard Medical School, USA.
    Ronquillo, Charlene
    The University of British Columbia, CAN.
    Peltonen, Laura Maria
    Turun yliopisto, FIN.
    Pruinelli, Lisiane
    University of Minnesota Twin Cities, USA.
    Sarmiento, Raymond Francis
    National Institute for Occupational Safety and Health, USA.
    Badger, Martha
    University of Wisconsin Milwaukee, USA.
    Ali, Samira
    Grand Canyon University, USA.
    Lewis, Adrienne
    Independent Researcher, CAN.
    Georgsson, Mattias
    Blekinge Institute of Technology, Faculty of Computing, Department of Creative Technologies.
    Jeon, Eunjoo
    Seoul National University, KOR.
    Tayaben, Jude
    Benguet State University, PHL.
    Kuo, Chiuhsiang
    Tzu Chi University of Science and Technology, TWN.
    Islam, Tasneem
    Deakin University, AUS.
    Sommer, Janine
    Scopus - Author details - Sommer, Janine A. Instituto Universitario del Hospital Italiano de Buenos Aires, ARG.
    Jung, Hyunggu
    University of Washington, USA.
    Eler, Gabrielle
    Federal Institute of Paraná, BRA.
    Alhuwail, Dari
    University of Maryland, USA.
    Lee, Yingli
    National Yang-Ming University, TWN.
    Nurse Informaticians Report Low Satisfaction and Multi-level Concerns with Electronic Health Records: Results from an International Survey2016In: Advances in Printing and Media Technology, ISSN 0892-2284, E-ISSN 1942-597X, Vol. 2016, p. 2016-2025Article in journal (Refereed)
    Abstract [en]

    This study presents a qualitative content analysis of nurses' satisfaction and issues with current electronic health record (EHR) systems, as reflected in one of the largest international surveys of nursing informatics. Study participants from 45 countries (n=469) ranked their satisfaction with the current state of nursing functionality in EHRs as relatively low. Two-thirds of the participants (n=283) provided disconcerting comments when explaining their low satisfaction rankings. More than one half of the comments identified issues at the system level (e.g., poor system usability; non-integrated systems and poor interoperability; lack of standards; and limited functionality/missing components), followed by user-task issues (e.g., failure of systems to meet nursing clinical needs; non nursing-specific systems) and environment issues (e.g., low prevalence of EHRs; lack of user training). The study results call for the attention of international stakeholders (educators, managers, policy makers) to improve the current issues with EHRs from a nursing perspective.

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