ORCID Profile
0000-0002-2197-2824
Current Organisations
University of the Sunshine Coast
,
University of Queensland
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Publisher: Springer Science and Business Media LLC
Date: 27-11-2020
Publisher: Springer Science and Business Media LLC
Date: 17-01-2020
Publisher: JMIR Publications Inc.
Date: 18-11-2018
Abstract: ngaging patients in the delivery of health care has the potential to improve health outcomes and patient satisfaction. Patient portals may enhance patient engagement by enabling patients to access their electronic medical records (EMRs) and facilitating secure patient-provider communication. he aim of this study was to review literature describing patient portals tethered to an EMR in inpatient settings, their role in patient engagement, and their impact on health care delivery in order to identify factors and best practices for successful implementation of this technology and areas that require further research. systematic search for articles in the PubMed, CINAHL, and Embase databases was conducted using keywords associated with patient engagement, electronic health records, and patient portals and their respective subject headings in each database. Articles for inclusion were evaluated for quality using A Measurement Tool to Assess Systematic Reviews (AMSTAR) for systematic review articles and the Quality Assessment Tool for Studies with Diverse Designs for empirical studies. Included studies were categorized by their focus on input factors (eg, portal design), process factors (eg, portal use), and output factors (eg, benefits) and by the valence of their findings regarding patient portals (ie, positive, negative, or mixed). he systematic search identified 58 articles for inclusion. The inputs category was addressed by 40 articles, while the processes and outputs categories were addressed by 36 and 46 articles, respectively: 47 articles addressed multiple themes across the three categories, and 11 addressed only a single theme. Nineteen articles had high- to very high-quality, 21 had medium quality, and 18 had low- to very low-quality. Findings in the inputs category showed wide-ranging portal designs patients’ privacy concerns and lack of encouragement from providers were among portal adoption barriers while information access and patient-provider communication were among facilitators. Several methods were used to train portal users with varying success. In the processes category, sociodemographic characteristics and medical conditions of patients were predictors of portal use some patients wanted unlimited access to their EMRs, personalized health education, and nonclinical information and patients were keen to use portals for communicating with their health care teams. In the outputs category, some but not all studies found patient portals improved patient engagement patients perceived some portal functions as inadequate but others as useful patients and staff thought portals may improve patient care but could cause anxiety in some patients and portals improved patient safety, adherence to medications, and patient-provider communication but had no impact on objective health outcomes. hile the evidence is currently immature, patient portals have demonstrated benefit by enabling the discovery of medical errors, improving adherence to medications, and providing patient-provider communication, etc. High-quality studies are needed to fully understand, improve, and evaluate their impact.
Publisher: Informa UK Limited
Date: 24-06-2022
Publisher: Informa UK Limited
Date: 31-03-2022
Publisher: Elsevier BV
Date: 11-2023
Publisher: Informa UK Limited
Date: 27-03-2020
Publisher: JMIR Publications Inc.
Date: 11-04-2019
DOI: 10.2196/12779
Publisher: Wiley
Date: 11-04-2021
Publisher: Society of Exploration Geophysicists
Date: 06-2022
Abstract: Understanding seismic wave propagation in granular porous media is important for subsurface characterization. The presence of fluids, their distribution, and the prevailing wettability condition result in additional complexities. Although it is known that wave propagation in dry granular porous media is dominated by the presence of force chains, their influence in (partially) saturated granular porous media with different wettability conditions remains largely unexplored. To make progress in this direction, we have designed laboratory experiments by combining core flooding and ultrasonic measurements in glass bead packings that are chemically treated to alternate the wettability. The P- and S-wave velocity-saturation relation and attenuation-saturation relation are retrieved from the waveforms for water- and gas-wetting s les. The results demonstrate that there is a transition from an attenuating but stable P-wave pulse at low and moderate saturation to a set of incoherently scattered waves at high saturation. The incoherent scattering in the gas-wetting case is negligibly small, whereas it is more pronounced in the water-wetting case. We interpret these observations in terms of the wettability-dependent ability for water to penetrate into grain contacts. In the water-wetting case, liquid bridges are thought to locally reinforce the force chains and to increase their characteristic length scale. This leads to an increase in P-wave velocity and promotes incoherent scattering because the ratio of dominant wavelength to characteristic length scale decreases. In the gas-wetting case, however, the presence of gas prevents the water from direct contact with the glass beads and therefore stops the formation and growth of the liquid bridges within the force-chain network.
Publisher: Informa UK Limited
Date: 10-2019
Publisher: Informa UK Limited
Date: 24-10-2017
Publisher: Informa UK Limited
Date: 18-01-2022
Publisher: Wiley
Date: 03-11-2022
DOI: 10.1111/JAN.15091
Abstract: To explore undergraduate nursing and midwifery student perspectives of using digital patient systems on clinical placements. This was an interpretative qualitative design study. Undergraduate nursing and midwifery students in a large Australian metropolitan university were invited to participate in two focus groups from April to June 2019. Twenty (20) students participated and data on their perspective of using digital systems on placement were collected. Thematic analysis using NVivo 12 software was undertaken. Students identified benefits and challenges when moving between paper records and digital systems. Whilst paper reporting was more efficient for some processes, the students recognised the advantages of digital technology, such as enabling greater confidentiality and consolidation of patient data in one place. However, they also reported difficulty with student access and the size of the portal digital workstation at the bedside. Generally, the lack of preparation and access was considered frustrating and mitigated some of the benefits described when using digital systems. Nursing and midwifery students prefer to be prepared for both paper and digital record keeping. Whilst students identify the benefits of digital platforms, not having direct access mitigates the benefits of these systems. Students identified the use of simulation and interactive modules prior to commencement of clinical practice to enable them to feel more confident with using the systems in patient care. Health care students require direct access to digital health platforms whilst on clinical placement to facilitate their learning. Higher Education Institutions (HEIs) are in a unique position to work with health care providers to better prepare health care professionals, including nurses and midwives, to work with digital health care systems. Further research is needed to develop the educational preparation for nurses, midwives, and other health care professionals to work with digital systems in practice.
Publisher: Informa UK Limited
Date: 26-08-2021
Publisher: American Society of Civil Engineers
Date: 06-07-2017
Publisher: Elsevier BV
Date: 02-2019
No related grants have been discovered for Christine Slade.