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Getting off the Universal Serial Bus (USB) – An Innovative Approach to Nursing and Midwifery Recruitment
Background: In 2020, an application for funding was successful for the development of a digital solution, building on a pilot at the Prince of Wales Hospital (POWH). Given the current pandemic response environment, there is a critical need to develop an industry leading Nursing and Midwifery skills development approach, enabled by emerging technology. Currently Nursing orientation and information on-boarding processes at SESLHD are not standardized. Med App is an offline-accessible, mobile-first tool for accessing clinical and hospital guidelines, communicating with clinicians, and facilitating education and training. It offers an innovative digital solution to support not only Orientation, but also staff education, quality improvement, real-time clinical decision support and communication. Across SESLHD the tool has been trialed in a COVID-19 testing clinic, Vaccination Hub, with Nursing and Midwifery Graduates and most recently, with a nursing and midwifery casual staffing office.
Aims: To address the growing healthcare system pressures requiring remote and innovative ways of delivering education and information to clinicians, enhancing access to information and education in a way that provides an alternate medium to interact with educators, teams and colleagues.
Methods: Rollout via New Graduate coordinators to 2021 new Graduate Nurses and Midwives prior to commencement of graduate program. Mixed method evaluation focusing on a time in motion study, interviews, focus groups and surveys will explore the experiences of participants.
Results: To date, over 300 users across 7 SESLHD facilities with 859 hours of productive time returned to practice. Next steps include the launch of a Falls Quality Improvement project and a Wellbeing Initiative using a Wellbeing Index.
Conclusions: With a formal evaluation underway, early data shows strong engagement with the platform by both users and coordinators with anecdotal data further demonstrating the value of timely access to information in a rapidly changing world
Evaluating single-sample Google Trends research studies: What’s hype and what’s not
Background: Digital health studies using Google Trends (GT) have increased exponentially since the release of the first GT paper in 2009. However, the recommendations of two systematic reviews (Nuti et al, 2014; Mavragani et al, 2018) have largely been ignored. Also, only a handful of several thousand studies have used multiple sampling techniques to improve their estimates. The impact of inadequate sampling is unknown.
Aims: To re-examine published studies using multiple sampling from GT and estimate the impact of inadequate sampling.
Methods: We identified four studies with published data: Lazer et al (2014), Gamma et al (2016), Husnayain et al (2019), Schneider et al (2020). We replicated the methods of each study using their own data, confirming their results. We extracted 130 samples of GT data using the same specifications (time, region, terms) as the authors. We repeated the four article analyses on each sample and tallied the impact on the results.
Results: Each study showed some variation in its results across multiple samples, from minor, but noticeable, to significantly different outcomes. As expected, the best estimate was obtained using the mean series across all 130 samples.
Conclusions: Research using GT needs to take multiple samples of data to obtain accurate estimates before analysis. The number of samples needed appear to be related to the time frame (earlier data require more samples). The four studies all used different methods of analysis, and more research is needed to determine the extent to which different analysis methods are impacted by inadequate sampling
Digital health startups in the time of the COVID-19 crisis
The digital health industry has focused on designing and developing various technological solutions, such as digital health applications, wireless medical devices, cybersecurity, AI/ML in medical software, robotics assist surgery, logistics, clinicians training, and personalized medicine. Within this industry, the role of digital health startups is rapidly growing. The COVID-19 global pandemic has been a catalyst for the increased use of digital health within healthcare services. The role of digital health startups during the pandemic cannot be understated. This study aimed to fill the gap.
Scopus, IEEE Xplore, and ACM digital library were scanned between 2020 and 2021. The data were also collected from research-based business magazines (Harvard Business Review, MIT Sloan Management Review, etc.). In addition, 25 digital health startup founders were interviewed. An inductive approach was used to analyze the data using Braun and Clarke’s thematic analysis approach.
Out of 795 identified articles, eighteen studies were relevant to the topic. Startups’ stakeholders (entrepreneurs, providers, regulators, and investors) perspectives have been changed towards digital healthcare in COVID-19. Some startups showed adaptive behavior, strategic development, and established million-dollar businesses, while some exhibited malfunctions and had to shut their services. Four themes have emerged from the triangulation of the data- market orientation approach, developing dynamic capabilities, bringing competitive advantage, and improving business performance.
Digital health startups altered their ways of survival and serving during the COVID-19 crisis. Understanding the new norm in business transformation aids startups in implementing digital health services successfully
Framing ‘Rightlessness’: Narrating Refugee Experiences in the Graphic Form. A Reading of the Graphic Text The Unwanted by Don Brown
Pathogenic Reminiscences in the Formation of Identities in Khaled Hosseini’s A Thousand Splendid Suns
Literature, Rhetorical Devices, and Juridical Imagination: A Symbiotic Dynamic
Literature has long been held as a powerful medium by which the world can be perceived through aesthetic forms of rending. Literary devices have often been deployed as vehicles of meaning outside their original contexts and one key instance of this practice is the area of legal doctrine. Detailed analysis of legal practice illustrates the deeply ingrained aesthetic nature of the area that relies heavily on literary tropes that are frequently applied in the service of authority and reason. Imagistic language and literary devices remains a central driving force in the creation and expression of legal principle and key concepts it relies upon to effect its judgements and decisions. This text seeks to explore and illustrate the manner and means of how this relationship has developed in certain contexts dating back a number of centuries to a time when important legal concepts where first being developed and which required the imaginative use of language to ensure their coming into being was as effective as possible. Certain rhetorical devices in this context are thus explored to illustrate their nature and impact.