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Website redesign in a maternity setting: Co-designing a resource for consumer support and education
Full text linkWomen want to be informed about their healthcare. Google searches provide an accessible option for women during pregnancy, but the content is largely unmonitored. Women have expressed dissatisfaction and confusion about receiving conflicting information from clinicians across the maternity service. It is essential for providers to offer person-centred care and listen to the voices of consumers. If the aim is to provide a service women want to use, women must have the opportunity to voice what they want. The local health district (LHD) maternity website development project aimed to redesign maternity website pages over 12 months to meet community needs and increase hits to the site by 70% within six months. Consumers were approached to participate through maternity services in a regional Australian health district where approximately 3,500 babies are born yearly. In a three-phase participatory action research study, researchers identified the areas of concern for consumers, worked with them to co-design and implement a new website, and evaluated the changes. Almost 20% of women who birthed from January to March 2022 responded to the evaluation survey. Half of these had explored the website. After the upgrades, the number of hits to the district website service page increased by 875 (from 124 to 999). Post-development surveys showed that women who felt they received inconsistent information at the hospital during their pregnancy were more likely to visit the website for clarification (p = 0.009). Of women who visited the website, 78% found the information useful, and 73% said they would use it again. This study highlighted that women engaging in maternity services desire access to relevant, quality information through digital technology. Maternity website development improvements increased patient satisfaction and reduced confusion, providing a reliable source of accessible health information for consumers.
Year 5 Buddha Triad: Aggregate
No full texthttps://platform.readworkbench.org/ira/view/52863587-155d-424f-b571-863a687a5894?fullscreen=
Catholicism and pan-European identity from Schuman to Orbán
Full text linkThe aim of this article is to examine the role of Catholic political thought in relation to the history of European integration and show how the shift away from this communitarian tradition by mainstream social democratic and conservative parties can help explain the rise of populism. The idea of Europe as a unified entity has always been grounded in its Christian character, and this was the basis of the Christian Democratic pan-European project of the EU’s ‘founding fathers’ in the mid-twentieth century. The rise of both social and economic liberalism in the ensuing years led to a disconnect between the political establishment – who remain largely supportive of the project – and growing numbers of disaffected citizens. A refocusing of the political narrative in relation to European integration on the continent’s communitarian and Christian (and Social) Democratic traditions could halt the advance of populist-nationalism and Eurosceptic parties
EU Cultural Policy: Divided institutional interrelationships and strategic changes in policy development
Full text linkThe EU has engaged with cultural policy especially after the Maastricht treaty in 1992. To compare the division within two EU institutions, this paper mainly analyses the EU official documents: the “European Agenda for culture in a globalizing world”, published by the European Commission in 2007 – which was the first “Communication” regarding cultural policy – and “Work Plan for Culture” which was published as “Conclusions” by the Council of the European Union. The aim of this paper is to reveal that the Council focus only on a part of the policy of the European Commission on culture. It also concluded that the main strategies of the EU cultural policy have changed to incorporate some non-profitable aims
Parochial Canons: Teaching Australian Literature in Western Australia
Full text linkIn recent years, various studies have drawn attention to a lack of Australian literature being taught in secondary classrooms in Australia, with these findings often attributed to teachers’ minimal experience of Australian texts during their senior secondary and tertiary education. This paper draws on a state-wide study of texts studied in Year 12 English and Literature classrooms in Western Australia in 2018, which revealed that Australian works, and particularly Western Australian texts, were popular inclusions for study. The externally examined English course in WA not having a prescribed text list, yet this condition of text list expansion does not necessarily ensure that a wider variety of texts will be studied in schools. This paper explores some possible explanations for this situation by referring to sites of sociability and to the work of John Guillory on canonicity and cultural capital (1993), to consider the impact of a parochial canon on Western Australian English subjects
Evaluating the usability of Electronic Medication Management Systems (EMMS) during design and redesign: Time to consider new approaches
No full textTitle: Evaluating the usability of Electronic Medication Management Systems (EMMS) during design and redesign: Time to consider new approaches
Background: Electronic Medication Management Systems (EMMS) support the prescribing, review and administration of medications. Poor EMMS usability can result in inefficiencies and use errors which may lead to patient harm. The application of human factors methods can support the usable and safe design of EMMS.
Aims: To identify human factors methods that have been used to evaluate the usability of hospital EMMS during design or redesign.
Methods: A systematic review, following PRISMA guidelines, was conducted by searching online databases and relevant journals from January 2011 to May 2022. Studies were included if they described the application of human factors methods to evaluate the usability of EMMS during design or redesign.
Results: Nineteen papers met the inclusion criteria and these described 12 human factors methods to evaluate the usability of EMMS designs. The most frequently used were prototyping, usability testing, participant surveys/questionnaires and interviews. These generally aimed to identify usability issues, heuristic violations and design enhancements. Only one paper utilised a safety-oriented method and one, a mental workload assessment method.
Conclusions: While the review identified 12 methods used to evaluate the usability of EMMS designs, these reflect only a subset of available methods. Given the high-risk nature of medication management in complex hospital environments, and the potential for harm due to poorly designed EMMS, there is significant potential to apply methods that aim to identify safety-critical issues during usability evaluations
Cyberscams and Acquired Brain Injury: Developing a measure to assess online risk and safety for people with ABI.
No full textTitle: Cyberscams and Acquired Brain Injury: Developing a measure to assess online risk and safety for people with ABI.
Background: Individuals with acquired brain injury (ABI) may be vulnerable to cyberscams due to cognitive and social changes post-injury. However, lack of existing measures regarding online risk for people with ABI limits our ability to objectively investigate ABI-specific risk factors to cyberscams, assess the frequency of this problem, and evaluate evidence-based interventions. The CyberAbility Scale was developed to assess vulnerability for people with ABI via self-rated statements and a practical scam identification activity.
Aims: This study aimed to develop and refine The CyberAbility Scale through feedback from ABI clinicians and people with ABI. This forms part of a larger ongoing scale development project.
Methods: Scale feedback was collected via three rounds of feedback with ABI clinicians (n=14) using Delphi methods, and two rounds of feedback with participants with ABI (n=8) who participated in a cognitive interview. Following each round, feedback was summarised and revisions were made accordingly.
Results: Key revisions from clinician feedback included removing a total of 12 items deemed clinically irrelevant. Instructions and rating scales were revised to improve clarity. Cognitive interviews identified 15 comprehension errors, and further revisions were made to support recall and response difficulties for participants with ABI. Overall, clinician and ABI participants supported the content and face validity of The CyberAbility Scale. Initial psychometric evaluation will also be discussed.
Conclusions: The CyberAbility Scale has the potential to be an effective screening measure of online vulnerability for persons with ABI with utility within clinical and research settings. Further validation work is currently underway
Health Professionals’ perspectives on Virtual Reality in healthcare
No full textBackground: Research has provided evidence for the effective use of Virtual Reality (VR) for mental health services, pain management, rehabilitation and surgical skills development. Despite the growing interest in VR in healthcare, its implementation as part of routinely delivered care remains a challenge.
Aims: The aim of this study was to understand the barriers and enablers to use of VR in service provision.
Methods: Data was collected via an anonymous online survey between 2019 and 2021. The survey was developed by the researchers to collect data on VR use in health care. It consisted of five demographic questions, twelve structured and Likert style questions and nine open-response questions.
Results: Sixteen health professionals completed the survey. All respondents indicated they had previous experience with VR, but of these only a minority (n=6, 37.50%) indicated that they had used VR in their practice or in the context of health services delivery. The majority of respondents (n=15, 93.75%) felt that VR had value in healthcare. However, respondents identified barriers to using VR in practice including concerns about the time involved using VR in practice (n=7, 43.75%) or setting up the headset (n=6, 37.50%); not having access to organisational infrastructure to use VR (n=10, 62.50%); and not feeling confident using VR in practice (n=7, 43.75%).
Conclusions: Health professionals are interested in using VR to support service delivery, but require infrastructure support and resources to improve their personal confidence for implementing VR with patients
Localisation and usability evaluation of an information diary tool to measure health information access and exposure
No full textTitle: Localisation and usability evaluation of an information diary tool to measure health information access and exposure
Background: It is a challenge to connect data about the health information people are exposed to and their health attitudes and behaviours. A digital information diary tool was developed to address this challenge, and we tested its usability when localised for a specific study.
Methods: We used a mixed methods design to evaluate how participants used the information diary and their perspectives of usability. Participants were recruited from a primary care clinic and used the tool for a week. We measured usability with the System Usability Scale (SUS) questionnaire. We explored issues qualitatively via interviews with participants, analysing the data using thematic analysis.
Results: The tool was updated for use in three languages and tested with 24 participants. The mean SUS score was 69.8±12.9. Five themes emerged related to utility: functioning as a health information diary; discussing information diary with their doctor; learning about the credibility of information; being more aware of what they access because of the tool; and comparing their results with others. Four themes related to usability were: ease of use; confusion about selecting information source categories; capturing offline information with photos; and assigning a trust level.
Conclusions: We evaluated the process of localising an information diary tool and discovered challenges related to balancing the requirements of researchers using the tool for data collection and the way users wanted to use the tool. We did not encounter any major challenges with localisation, suggesting the tool could be quickly adapted to local contexts globally