When staff handle Staph

Verhoeven, Fenne

doi:10.3990/1.9789036528689

Cited by 9 publications

(7 citation statements)

References 142 publications

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“…Whereas nurses expressed a clear need for practical "how-to" suggestions, physicians also showed interest in interactively discussing and even "playing-around" with the data themselves. Differences between nurses and physicians were also found in other studies within the context of AMR [46][47][48][49] and literature on AF also suggests other feedback recipient characteristics (e.g. intrinsic mastery goal orientation [5]) influence the success of AF.…”

Section: Audit and Feedback: How?supporting

confidence: 61%

Finding the match between healthcare worker and expert for optimal audit and feedback on antimicrobial resistance prevention measures

Keizer

Jong

Naiemi

et al. 2020

Antimicrob Resist Infect Control

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Background: The potentials of audit and feedback (AF) to improve healthcare are currently not exploited. To unlock the potentials of AF, this study focused on the process of making sense of audit data and translating data into actionable feedback by studying a specific AF-case: limiting antimicrobial resistance (AMR). This was done via audit and feedback of AMR prevention measures (APM) that are executed by healthcare workers (HCW) in their day-today contact with patients. This study's aim was to counterbalance the current predominantly top-down, expert-driven audit and feedback approach for APM, with needs and expectations of HCW. Methods: Qualitative semi-structured interviews were held with sixteen HCW (i.e. physicians, residents and nurses) from high-risk AMR departments at a regional hospital in The Netherlands. Deductive coding was succeeded by open and axial coding to establish main codes, subcodes and variations within codes. Results: HCW demand insights from audits into all facets of APM in their working routines (i.e. diagnostics, treatment and infection control), preferably in the form of simple and actionable feedback that invites interdisciplinary discussions, so that substantiated actions for improvement can be implemented. AF should not be seen as an isolated ad-hoc intervention, but as a recurrent, long-term, and organic improvement strategy that balances the primary aims of HCW (i.e. improving quality and safety of care for individual patients and HCW) and AMR-experts (i.e. reducing the burden of AMR). Conclusions: To unlock the learning and improvement potentials of audit and feedback, HCW' and AMR-experts' perspectives should be balanced throughout the whole AF-loop (incl. data collection, analysis, visualization, feedback and planning, implementing and monitoring actions). APM-AF should be flexible, so that both audit (incl. collecting and combining the right data in an efficient and transparent manner) and feedback (incl. persuasive and actionable feedback) can be tailored to the needs of various target groups. To balance HCW' and AMR-experts' perspectives a participatory holistic AF development approach is advocated.

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Section: Audit and Feedback: How?supporting

confidence: 61%

Finding the match between healthcare worker and expert for optimal audit and feedback on antimicrobial resistance prevention measures

Keizer

Jong

Naiemi

et al. 2020

Antimicrob Resist Infect Control

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“…9 However, the differences in system use between parents and professionals emphasize the importance of involving the users in an iterative development, adoption and implementation process, applying continuous feedback. 10,11…”

Section: Discussionmentioning

confidence: 99%

A web-based communication system for integrated care in cerebral palsy: design features, technical feasibility and usability

et al. 2010

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We developed a secure, web-based system for parent-professional and inter-professional communication. The aim was to improve communication in the care of children with cerebral palsy. We conducted a six-month trial of the system in three Dutch health-care regions. The participants were the parents of 30 cerebral palsy patients and 120 professional staff involved in their care. Information about system usage was extracted from the system's database. The experience of the parents and professionals was evaluated by a questionnaire after six months. The system proved to be technically robust and reliable. A total of 21 parents (70%) and 66 professionals (55%) used the system. The parents submitted 111 questions and 59 responses, with a mean of 5 questions (range 1-17) and 3 responses (range 1-9) per parent. The professionals submitted 79 questions and 237 responses, with a mean of 2 questions (range 1-8) and 4 responses (range 1-23) per professional. Most parents (95%) and some professionals (30%) reported value in using the system, which ranged from efficiency and accessibility to flexibility and transparency. The web-based communication system was technically feasible and produced improved parent-professional and inter-professional communication. It may be especially valuable if frequent interventions or consultations about a child's care are required, involving complex care networks of different professionals and organisations.

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“…We introduce six working principles derived from the review of current frameworks, as well as from empirical research [ 7 - 9 , 14 , 21 , 56 ]. These principles are the groundwork for a holistic framework for the development of eHealth technologies.…”

Section: A Holistic Framework For the Development Of Ehealth Technolomentioning

confidence: 99%

“…To fine-tune the format and content, persuasive techniques [ 71 , 73 ] and card sorting [ 113 , 114 ] can be used to match the information to users’ needs. For example, to increase adherence to medical protocols, these documents can be made more user friendly via Web-based communication systems using card sorting to attune the information structure to their mental models and information-searching behavior [ 21 ]. In general, the quality of the design can be assessed at different levels [ 32 ]: system quality , creating technology that is user friendly, is easy to manage, and matches end users’ profiles and roles or tasks in the care-delivery process; content quality , creating information that is meaningful (accuracy, legibility, comprehensiveness, consistency, and reliability) and persuasive (format fits with users profile); and service quality , providing an e-service that is adequate (timely, responsive, and empathetic) and feasible, and measuring the degree to which the e-service is compatible with the health care system.…”

Section: A Holistic Framework For the Development Of Ehealth Technolomentioning

confidence: 99%

A Holistic Framework to Improve the Uptake and Impact of eHealth Technologies

Gemert-Pijnen¹,

Nijland²,

Limburg³

et al. 2011

J Med Internet Res

953

992

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BackgroundMany eHealth technologies are not successful in realizing sustainable innovations in health care practices. One of the reasons for this is that the current development of eHealth technology often disregards the interdependencies between technology, human characteristics, and the socioeconomic environment, resulting in technology that has a low impact in health care practices. To overcome the hurdles with eHealth design and implementation, a new, holistic approach to the development of eHealth technologies is needed, one that takes into account the complexity of health care and the rituals and habits of patients and other stakeholders.ObjectiveThe aim of this viewpoint paper is to improve the uptake and impact of eHealth technologies by advocating a holistic approach toward their development and eventual integration in the health sector.MethodsTo identify the potential and limitations of current eHealth frameworks (1999–2009), we carried out a literature search in the following electronic databases: PubMed, ScienceDirect, Web of Knowledge, PiCarta, and Google Scholar. Of the 60 papers that were identified, 44 were selected for full review. We excluded those papers that did not describe hands-on guidelines or quality criteria for the design, implementation, and evaluation of eHealth technologies (28 papers). From the results retrieved, we identified 16 eHealth frameworks that matched the inclusion criteria. The outcomes were used to posit strategies and principles for a holistic approach toward the development of eHealth technologies; these principles underpin our holistic eHealth framework.ResultsA total of 16 frameworks qualified for a final analysis, based on their theoretical backgrounds and visions on eHealth, and the strategies and conditions for the research and development of eHealth technologies. Despite their potential, the relationship between the visions on eHealth, proposed strategies, and research methods is obscure, perhaps due to a rather conceptual approach that focuses on the rationale behind the frameworks rather than on practical guidelines. In addition, the Web 2.0 technologies that call for a more stakeholder-driven approach are beyond the scope of current frameworks. To overcome these limitations, we composed a holistic framework based on a participatory development approach, persuasive design techniques, and business modeling.ConclusionsTo demonstrate the impact of eHealth technologies more effectively, a fresh way of thinking is required about how technology can be used to innovate health care. It also requires new concepts and instruments to develop and implement technologies in practice. The proposed framework serves as an evidence-based roadmap.

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When staff handle Staph

Cited by 9 publications

References 142 publications

Finding the match between healthcare worker and expert for optimal audit and feedback on antimicrobial resistance prevention measures

Finding the match between healthcare worker and expert for optimal audit and feedback on antimicrobial resistance prevention measures

A web-based communication system for integrated care in cerebral palsy: design features, technical feasibility and usability

A Holistic Framework to Improve the Uptake and Impact of eHealth Technologies

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