: Discharge teaching in a pediatric hospital setting is difficult because the situation involves multiple learners, time constraints, and differing skill levels of nurse teachers. Shortened length of ...stay forces nurses to complete patient education efficiently. Unstructured education can lead to failed learning, as evidenced by readmissions and postdischarge feedback. A performance improvement project was conducted to evaluate the effectiveness of standardized teaching plans for diabetes mellitus and infant cardiopulmonary resuscitation. Preliminary data indicated a passing score of at least 90% on posttests by all learners, suggesting that standardized teaching plans may help nurses complete prescribed discharge teaching.
Patients with chronic diseases, such as diabetes, cancer, and heart disease, actively participate in disease management and seek health information on a constant basis for decision-making and self ...management. Patient focused health recommender systems (PHRSs) that suggest health information relevant to patients’ changing information needs across their disease trajectory can provide significant help to patients as they manage their disease on a day-to-day basis. A unique requirement of the PHRS would be to suggest health information in line with patients’ changing knowledge about the disease. It is crucial to recognize that patient knowledge of the disease may change as they become more actively involved in understanding and self-managing the illness. By providing patients with appropriate information, they are more likely to not only understand and engage, but also learn. Hence, the purpose of this doctoral thesis is to explore technologies in the field of recommender systems and personalized learning for the purpose of suggesting health information that accounts for patients’ dynamic information needs and level of knowledge about disease. We will explore these ideas in the context of developing a knowledge-appropriate PHRS (KA-Recsys). As a case study, a recommender will be integrated to an existing ovarian cancer patients’ information access portal. To assess the utility of KA-Recsys, the system will be evaluated based on expert-based and patient-based feedback. The expectation is that health information suggested by KA-Recsys will increase as well as benefit patients’ involvement in self management and treatment decisions.
The objective structured clinical examination (OSCE) is expected to be used for the Japanese medical license exami-nation (Advanced OSCE). An Advanced OSCE trial was conducted at Hyogo College of ...Medicine. We examined 96 stu-dents in 11 areas in 1 day with 58 examiners, 5 simulated patients, 70 student volunteers, and 34 clerks. According to thequestionnaire filled out by the students and examiners, this trial was moderately or rather difficult. This trial suggeststhat the Advanced OSCE can be used for the license examination, although some aspects should be improved.
The Patient Learning Centre was founded in Hyvinkää Hospital in 2000 to support patients and their families' informational needs. In order to evaluate the Learning Centre's effectiveness we started a ...development project. One of the purposes was to analyze patients' Internet and computer use. The data for the describing survey-research was collected by questionnaires at two occasions. At the end of the project a number of patients who used internet had increased, one third did not use a computer at all. Getting information in discussions with the nurse was however the most important way. To develop user friendly methods in getting information is a challenge.
In this paper we describe experiences from design of an informatics-based learning resource for patients and relatives. The prototype, REPARERE (learning REsource for PAtients and RElatives during ...REcovery), aims to support patients and their family recovering from heart surgery in meeting challenges in to daily living post discharge. Using recovery experiences and patient teaching material, REPARERE includes examples of textual information, video-clips, images and illustrations relevant to the recovery trajectory and a user's digitally represented profile. The development of the prototype focuses on flexibility and usability, tailoring and sequencing resources, and inclusion of recommendations for universal access. Development of web-based learning resources allows for exploration of 'just-in-case' and 'just-in-time' strategies to information retrieval and knowledge construction in health and learning trajectories. Findings from the literature, discussions with patients as well as health care providers indicate that unfulfilled information needs in the recovery period are common. Resources like REPARERE would be valuable supplement to facilitate patient learning about symptom management, self-care and coping while recovering.
