正阳软件及其全球战略合作伙伴美国Sybase会同美国RES-Q(r)Heahhcare System公司于日前在加利福尼亚州共同宣布，在正阳网络迁移开发产品Appeon for PowerBuilder的帮助下，美国主流保健系统——RES-Q保健系统中的主要功能模块已经成功...正阳软件及其全球战略合作伙伴美国Sybase会同美国RES-Q(r)Heahhcare System公司于日前在加利福尼亚州共同宣布，在正阳网络迁移开发产品Appeon for PowerBuilder的帮助下，美国主流保健系统——RES-Q保健系统中的主要功能模块已经成功的迁移到基于J2EE框架的Web上。而完成这些主要模块的Web迁移仅花费一个工程师一个月的时间。展开更多
Objectives:From the view of everyday practices and the socio-technical coordination lens,this study aimed to analyz the gap between creators’intention and the users’implementation(mainly nursing staff and social wor...Objectives:From the view of everyday practices and the socio-technical coordination lens,this study aimed to analyz the gap between creators’intention and the users’implementation(mainly nursing staff and social workers)of an alert system in assisted living communities.Methods:Qualitative methods were employed by way of five user interviews and focus groups with six system developers.Modeling instruments were applied for data collection to analyze the different clinical workflows versus the expectations of the system development team.Results:Results indicate that the clinical workflow changed over time,which led to a mismatch of nurse care coordination,social practices,and technology use.The results show different mental models of the socio-technical practice.Applying the coordination theory,the following recommendations could be developed to overcome the mismatch.First,it is recommended that nursing staff set goals together.Second,a communication rhythmwith the nursing staff and developer teams should be established,with guided questions to facilitate the conversation,to shed light on the different workflows and the difference in social practices when using sensor technologies or alert systems.Third,a checklist for new employees should be created so they know how and on which devices to use the alert system.Fourth,the user experience with the alert system should be improved(e.g.,an improved user interface).Conclusions:This work indicates recommendations to close the mental model gap to overcome the mismatch between optimal use of the alert system and how the nursing staff is actually using it.展开更多
文摘正阳软件及其全球战略合作伙伴美国Sybase会同美国RES-Q(r)Heahhcare System公司于日前在加利福尼亚州共同宣布，在正阳网络迁移开发产品Appeon for PowerBuilder的帮助下，美国主流保健系统——RES-Q保健系统中的主要功能模块已经成功的迁移到基于J2EE框架的Web上。而完成这些主要模块的Web迁移仅花费一个工程师一个月的时间。
基金This work was supported by the National Library of Medicine grant #1R01LM01222.
文摘Objectives:From the view of everyday practices and the socio-technical coordination lens,this study aimed to analyz the gap between creators’intention and the users’implementation(mainly nursing staff and social workers)of an alert system in assisted living communities.Methods:Qualitative methods were employed by way of five user interviews and focus groups with six system developers.Modeling instruments were applied for data collection to analyze the different clinical workflows versus the expectations of the system development team.Results:Results indicate that the clinical workflow changed over time,which led to a mismatch of nurse care coordination,social practices,and technology use.The results show different mental models of the socio-technical practice.Applying the coordination theory,the following recommendations could be developed to overcome the mismatch.First,it is recommended that nursing staff set goals together.Second,a communication rhythmwith the nursing staff and developer teams should be established,with guided questions to facilitate the conversation,to shed light on the different workflows and the difference in social practices when using sensor technologies or alert systems.Third,a checklist for new employees should be created so they know how and on which devices to use the alert system.Fourth,the user experience with the alert system should be improved(e.g.,an improved user interface).Conclusions:This work indicates recommendations to close the mental model gap to overcome the mismatch between optimal use of the alert system and how the nursing staff is actually using it.
