Description:
Background There is an ongoing need for preregistration healthcare students to acquire skills that equip them to collaborate with others for patient-centred care and outcomes. Traditional models of university learning and clinical placement seldom offer students the opportunities to experience interprofessional learning or to ‘test the waters’ of collaborative practice. Aims A range of interprofessional learning opportunities were offered to preregistration healthcare students while on clinical placement in a large metropolitan health service. This research evaluated interprofessional learning opportunities for preregistration healthcare students as preparation for collaborative practice. It also explored the perceived value for student learning of these activities and examined the challenges and opportunities accompanying the design and implementation of the student-led beds model. Methods A mixed methods approach was undertaken. In particular, there was a focus on the experiences of students in an immersive two-week interprofessional placement in which interprofessional student teams worked together to lead the care of inpatients in a variety of clinical settings. This experience enabled students to experience authentic collaborative practice in a real clinical setting. The Theory of Planned Behaviour was used to retrospectively evaluate the findings presented in the published papers. Outcomes This research reflects a journey of student experience of clinical interprofessional learning (IPL), from understanding attitudes to IPL to perceptions of clinical workshops and culminating in the experience of an immersive clinical placement. Outcomes included positive learning experiences and a sense of clarity of professional and interprofessional identity. The model of placement was informed by the international literature, most notably the ‘student-led bed’ model pioneered at Karolinska Institute in Sweden. Despite solid evidence of the usefulness and efficacy of this model, it is yet to be embedded in clinical environments across the world. This research demonstrated that the model can be successfully implemented in a metropolitan health service and may contribute to real behavioural change of our future health professionals
Description:
Background There is an ongoing need for preregistration healthcare students to acquire skills that equip them to collaborate with others for patient-centred care and outcomes. Traditional models of university learning and clinical placement seldom offer students the opportunities to experience interprofessional learning or to ‘test the waters’ of collaborative practice. Aims A range of interprofessional learning opportunities were offered to preregistration healthcare students while on clinical placement in a large metropolitan health service. This research evaluated interprofessional learning opportunities for preregistration healthcare students as preparation for collaborative practice. It also explored the perceived value for student learning of these activities and examined the challenges and opportunities accompanying the design and implementation of the student-led beds model. Methods A mixed methods approach was undertaken. In particular, there was a focus on the experiences of students in an immersive two-week interprofessional placement in which interprofessional student teams worked together to lead the care of inpatients in a variety of clinical settings. This experience enabled students to experience authentic collaborative practice in a real clinical setting. The Theory of Planned Behaviour was used to retrospectively evaluate the findings presented in the published papers. Outcomes This research reflects a journey of student experience of clinical interprofessional learning (IPL), from understanding attitudes to IPL to perceptions of clinical workshops and culminating in the experience of an immersive clinical placement. Outcomes included positive learning experiences and a sense of clarity of professional and interprofessional identity. The model of placement was informed by the international literature, most notably the ‘student-led bed’ model pioneered at Karolinska Institute in Sweden. Despite solid evidence of the usefulness and efficacy of this model, it is yet to be embedded in clinical environments across the world. This research demonstrated that the model can be successfully implemented in a metropolitan health service and may contribute to real behavioural change of our future health professionals
Description:
Pre-professional healthcare courses, including nursing, are increasingly focused on interprofessional learning and experimentation with clinical education in ‘training wards’. This involves students from at least two disciplines who, under supervision, are responsible for patients' care. There is no consensus on how students' clinical learning experiences in this context are evaluated. We report the development and testing of the Interprofessional Clinical Placement Learning Environment Inventory (ICPLEI) in the Australian context. A question set was developed to measure student's perceptions of key variables in an interprofessional clinical learning environment: orientation, supervision, roles, learning and autonomy. An expert nursing panel rated items for a Content Validity Index of .93. Reliability was tested with 38 students. After a 2-week interprofessional ward placement nursing, medical and allied health students (n = 38) rated their learning environment highly, with median responses 4 or 5 of five (mean total 83%). The scale was reliable with a Cronbach alpha of .80 and moderate item-to-total correlations for 22/26 items. The Interprofessional Clinical Placement Learning Environment Inventory is a reliable, feasible, fast to complete tool, suitable for use with pre-registration healthcare students in this setting. Further testing of the tool's psychometric properties is recommended.
Description:
The Internet of Things (IoT) has facilitated services without human intervention for a wide range of applications, including continuous remote patient monitoring (RPM). However, the complexity of RPM architectures, the size of data sets generated and limited power capacity of devices make RPM challenging. In this paper, we propose a tier-based End to End architecture for continuous patient monitoring that has a patient centric agent (PCA) as its center piece. The PCA manages a blockchain component to preserve privacy when data streaming from body area sensors needs to be stored securely. The PCA based architecture includes a lightweight communication protocol to enforce security of data through different segments of a continuous, real time patient monitoring architecture. The architecture includes the insertion of data into a personal blockchain to facilitate data sharing amongst healthcare professionals and integration into electronic health records while ensuring privacy is maintained. The blockchain is customized for RPM with modifications that include having the PCA select a Miner to reduce computational effort, enabling the PCA to manage multiple blockchains for the same patient, and the modification of each block with a prefix tree to minimize energy consumption and incorporate secure transaction payments. Simulation results demonstrate that security and privacy can be enhanced in RPM with the PCA based End to End architecture.
Description:
The Internet of Things (IoT) has facilitated services without human intervention for a wide range of applications, including continuous remote patient monitoring (RPM). However, the complexity of RPM architectures, the size of data sets generated and limited power capacity of devices make RPM challenging. In this paper, we propose a tier-based End to End architecture for continuous patient monitoring that has a patient centric agent (PCA) as its center piece. The PCA manages a blockchain component to preserve privacy when data streaming from body area sensors needs to be stored securely. The PCA based architecture includes a lightweight communication protocol to enforce security of data through different segments of a continuous, real time patient monitoring architecture. The architecture includes the insertion of data into a personal blockchain to facilitate data sharing amongst healthcare professionals and integration into electronic health records while ensuring privacy is maintained. The blockchain is customized for RPM with modifications that include having the PCA select a Miner to reduce computational effort, enabling the PCA to manage multiple blockchains for the same patient, and the modification of each block with a prefix tree to minimize energy consumption and incorporate secure transaction payments. Simulation results demonstrate that security and privacy can be enhanced in RPM with the PCA based End to End architecture.
Description:
This study aimed to explore the cybersecurity landscape to identify cybersecurity indexes that may be relevant to the health industry. While the healthcare sector poses security concerns regarding patients' records, cybersecurity in the healthcare sector has not been given much consideration. Cybersecurity indexes are a survey that measures security preparedness and capabilities of a country or organisation. An index is made up of a series of questions, often broken into categories. These categories target areas such as law, technical responses, organisational threats, capacity building and social context. Some indexes provide ranking capabilities against other countries, while others directly evaluate what it means to be cyber-ready. In this paper, cybersecurity indexes were reviewed regarding the level of assessment (country level/organisation level), and their consideration of the wider community, the health sector, and their appearance in academic literature. Results from this study found that there was no consistency between the indexes investigated, with each index having a diverse number of categories and indicators. Some indexes resulted in a score; others did not rank their results in league tables. Evidence to calculate the level of adherence was often obtained from secondary sources, with four of the country indexes using both primary and secondary sources. Eight (out of fourteen) indexes measured wider community indicators and only one index specifically measured eHealth services. Findings from the initial systematic review suggest that hardly any peer-reviewed journal articles exist on the topic of cybersecurity indexes. The paper concludes that most of the indexes studied are broad and do not consider the eHealth sector specifically. Each index relies on a different process to gauge cybersecurity, with little to no academic rigour. It is expected that this research will contribute to the current (limited) literature addressing cybersecurity indexes.
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ACM International Conference Proceeding Series
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This paper examines the notion of clinical supervision and takes a close look at what it means from the perspective of both the supervisee and the supervisor, considering how it can be of benefit to the learner, the teacher and the patient. Clinical supervision has been shown to be vital for the development and consolidation of undergraduate and postgraduate education, while having a positive impact on patient outcomes and as such is a fundamental component in healthcare education. Central to supervision is achieving the best outcomes for the supervisee, and effective supervision ensures the development of confidence, professional identity, and the consolidation of therapeutic knowledge. Clinical supervision provides a platform for extending the supervisor-supervisee relationship beyond the student-teacher model to one of mutual personal development in contemporary knowledge and skills for clinical practice. Despite the perceived importance of clinical supervision for healthcare more broadly, there is evidence to suggest that few supervisors are adequately prepared with the theory and practice of clinical supervision to adequately fulfill the expectations that the role entails. It follows therefore, that in many cases, there is an expectation that the health professionals will supervise without adequate preparation. This paper, although not a panacea, may assist those who are supervising and who seek or require some guidance and support.
Description:
This paper examines the notion of clinical supervision and takes a close look at what it means from the perspective of both the supervisee and the supervisor, considering how it can be of benefit to the learner, the teacher and the patient. Clinical supervision has been shown to be vital for the development and consolidation of undergraduate and postgraduate education, while having a positive impact on patient outcomes and as such is a fundamental component in healthcare education. Central to supervision is achieving the best outcomes for the supervisee, and effective supervision ensures the development of confidence, professional identity, and the consolidation of therapeutic knowledge. Clinical supervision provides a platform for extending the supervisor-supervisee relationship beyond the student-teacher model to one of mutual personal development in contemporary knowledge and skills for clinical practice. Despite the perceived importance of clinical supervision for healthcare more broadly, there is evidence to suggest that few supervisors are adequately prepared with the theory and practice of clinical supervision to adequately fulfill the expectations that the role entails. It follows therefore, that in many cases, there is an expectation that the health professionals will supervise without adequate preparation. This paper, although not a panacea, may assist those who are supervising and who seek or require some guidance and support.
Description:
Social media applications are increasingly being used by healthcare providers because of the numerous communication, information, and public relations benefits they offer. Despite the growing adoption of social media in healthcare settings, its specific uses and value propositions are not well understood. To ensure continuous improvement, social media performance must be measured. However, little is known about the tools, techniques and yardsticks used to measure social media performance in healthcare settings. This study adopts qualitative research methods to explore healthcare providers’ perspectives on the value of social media in healthcare settings. Australian healthcare providers, from organizations of different sizes and locations, who use social media, were interviewed and the transcripts thematically analysed. The results demonstrate the uses of social media in health care, as well as the steps and techniques in social media measurement. Based on the findings, it is clear that the ability of social media to support various activities in healthcare settings makes it valuable to healthcare providers. Drawing on Bakhtin’s ‘theories’ and Stevens’s theory of measurement, this study theorises on the value of social media and introduces a protocol for measuring social media performance in healthcare settings. As one of the first studies to apply Bakhtinian ideas to consumer health informatics, this study has the potential to pave a new approach to conceptualizing the role of social media, particularly in healthcare settings. By using Stevens’s theory of measurement to explore the yardsticks suitable for social media measurement, this study provides a more nuanced framework for measuring the value of social media in healthcare settings.
Description:
Social media applications are increasingly being used by healthcare providers because of the numerous communication, information, and public relations benefits they offer. Despite the growing adoption of social media in healthcare settings, its specific uses and value propositions are not well understood. To ensure continuous improvement, social media performance must be measured. However, little is known about the tools, techniques and yardsticks used to measure social media performance in healthcare settings. This study adopts qualitative research methods to explore healthcare providers’ perspectives on the value of social media in healthcare settings. Australian healthcare providers, from organizations of different sizes and locations, who use social media, were interviewed and the transcripts thematically analysed. The results demonstrate the uses of social media in health care, as well as the steps and techniques in social media measurement. Based on the findings, it is clear that the ability of social media to support various activities in healthcare settings makes it valuable to healthcare providers. Drawing on Bakhtin’s ‘theories’ and Stevens’s theory of measurement, this study theorises on the value of social media and introduces a protocol for measuring social media performance in healthcare settings. As one of the first studies to apply Bakhtinian ideas to consumer health informatics, this study has the potential to pave a new approach to conceptualizing the role of social media, particularly in healthcare settings. By using Stevens’s theory of measurement to explore the yardsticks suitable for social media measurement, this study provides a more nuanced framework for measuring the value of social media in healthcare settings.
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This chapter focuses specifically on the use of three-dimensional multi-user virtual environments (3D MUVEs) for simulation-based teaching and learning in tertiary-level healthcare education. It draws on a broad range of extant research conducted over the past three decades, synthesizing this with newer developments and examples that have emerged since the advent and proliferation of the “3D Web.” The chapter adopts and advocates a research-informed approach to surveying and examining current initiatives and future directions, backed by relevant literature in the areas of online learning, constructivist learning theory, and simulations. Both opportunities and challenges are discussed, with the aim of making a contribution to the development of best practice in the field.