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    A. Fruhling

    This research presents a case study examining mobile guidelines and strategies used in the development of a mobile e-health Emergency Response System (ERS). The system reviewed in this study is a public health ERS, called STATPack™ that... more
    This research presents a case study examining mobile guidelines and strategies used in the development of a mobile e-health Emergency Response System (ERS). The system reviewed in this study is a public health ERS, called STATPack™ that utilizes video telemedicine technology for microbiology laboratory diagnostics and consultation relating to suspicious organisms. A major goal of STATPack ™ is to enhance remote laboratories’ ability to communicate information and make decisions in biosecurity and biosafety scenarios. The main contribution of this research is two-fold. First, it provides further understanding of the key issues and unique requirements in developing mobile delivery systems and it provides strategies to assist developers in better designing future mobile applications. Second, this study provides an example for practitioners to see how a mobile e-health system can be applied to processes unique to a laboratory setting as a proof of concept for other healthcare diagnostic applications.
    In order to comply with changing regulations and to improve support for office staff, clinicians, and patients, healthcare organizations worldwide are currently undertaking massive transformations and additions to their IT infrastructure.... more
    In order to comply with changing regulations and to improve support for office staff, clinicians, and patients, healthcare organizations worldwide are currently undertaking massive transformations and additions to their IT infrastructure. History suggests that the success of the healthcare applications that emerge from this process will depend to a large degree on the ability of people to use them effectively
    Computerized decision support systems (CDSSs) have the potential to significantly improve the quality of nursing care of older people by enhancing the decision making of nursing personnel. Despite this potential, health care organizations... more
    Computerized decision support systems (CDSSs) have the potential to significantly improve the quality of nursing care of older people by enhancing the decision making of nursing personnel. Despite this potential, health care organizations have been slow to incorporate CDSSs into nursing home practices. This study describes facilitators and barriers that impact the ability of nursing personnel to effectively use a clinical CDSS for planning and treating pressure ulcers (PUs) and malnutrition and for following the suggested risk assessment guidelines for the care of nursing home residents. We employed a qualitative descriptive design using varied methods, including structured group interviews, cognitive walkthrough observations and a graphical user interface (GUI) usability evaluation. Group interviews were conducted with 25 nursing personnel from four nursing homes in southern Norway. Five nursing personnel participated in cognitive walkthrough observations and the GUI usability eval...
    ABSTRACT The STATPackTM is a telemedicine consultation and emergency response system which was developed to increase statewide laboratory responsiveness to public health emergencies. Although several emergency response management... more
    ABSTRACT The STATPackTM is a telemedicine consultation and emergency response system which was developed to increase statewide laboratory responsiveness to public health emergencies. Although several emergency response management information systems ...
    Research Interests:
    There has been limited research on how non-conventional system development methodologies such as, Agile modeling methods could improve the successful development and implementation of telehealth services. The goal of this research was to... more
    There has been limited research on how non-conventional system development methodologies such as, Agile modeling methods could improve the successful development and implementation of telehealth services. The goal of this research was to increase the understanding of the impact of using the Extreme Programming process, an Agile modeling approach, to the development effort of a biosecurity telehealth project. Overall, the
    ... It compares system performance to benchmark standards in time and effort required to ... For example, in questionnaires, interviews, or during code inspection, users work with their ... A number of researchers have addressed... more
    ... It compares system performance to benchmark standards in time and effort required to ... For example, in questionnaires, interviews, or during code inspection, users work with their ... A number of researchers have addressed collaborative aspects of usability evaluation methods ...
    During the last decade, pilot studies and focused projects have established the efficacy of the Internet for increasing quality of life in rural areas of developing nations; however, connectivity remains uncommon and it is generally slow... more
    During the last decade, pilot studies and focused projects have established the efficacy of the Internet for increasing quality of life in rural areas of developing nations; however, connectivity remains uncommon and it is generally slow and unreliable. The developing nations are too poor to attract sufficient capital to build modern Internet infrastructure, particularly in rural areas. The activity of
    The aim was to describe the facilitators and barriers influencing the ability of nursing personnel to effectively use a CDSS for planning and treating pressure ulcers and malnutrition in nursing homes. Usability evaluations and group... more
    The aim was to describe the facilitators and barriers influencing the ability of nursing personnel to effectively use a CDSS for planning and treating pressure ulcers and malnutrition in nursing homes. Usability evaluations and group interviews were conducted. Facilitators were ease of use, usefulness and a supportive work environment. Lack of training, resistance to using computers and limited integration of the CDSS with the electronic health record system were reported.
    ... She has published papers on usability user interface evaluation, eXtreme Programming, collaboration engineer-ing, and emergency response systems, and is a ... He is also affiliated with the Faculty of Technology, Policy and Management... more
    ... She has published papers on usability user interface evaluation, eXtreme Programming, collaboration engineer-ing, and emergency response systems, and is a ... He is also affiliated with the Faculty of Technology, Policy and Management of Delft University of Tech-nology in the ...
    Research Interests:
    Although nursing personnel have used personal digital assistants (PDAs) to support home health care services for the past ten years, little is known about their experiences. This study was conducted to examine experiences of nursing... more
    Although nursing personnel have used personal digital assistants (PDAs) to support home health care services for the past ten years, little is known about their experiences. This study was conducted to examine experiences of nursing personnel using a specialized home health care computer software application called Gerica. In addition, this research analyzed how well this application aligned with the workflow of the nursing personnel in their daily care of patients. The evaluation methods included user observations and learnability testing. Nursing personnel from two different municipalities were observed while performing real tasks in natural settings. This study shows that the nursing personnel were satisfied with the PDA user interface and the Gerica software; however, they identified areas for improvement. For example, the nursing personnel were concerned about trusting the reliability of the PDA in order to eliminate the need for handwritten documentation. Solutions to meet these shortcomings for nursing managers and vendors are discussed.
    ABSTRACT
    Research Interests:
    ... She has published papers on usability user interface evaluation, eXtreme Programming, collaboration engineer-ing, and emergency response systems, and is a ... He is also affiliated with the Faculty of Technology, Policy and Management... more
    ... She has published papers on usability user interface evaluation, eXtreme Programming, collaboration engineer-ing, and emergency response systems, and is a ... He is also affiliated with the Faculty of Technology, Policy and Management of Delft University of Tech-nology in the ...
    Extreme Programming (XP) is a well known agile software development methodology which is ideal for projects featured as highly unpredictable in tasks with limited resources. The continuous discussion on the usage and importance of each XP... more
    Extreme Programming (XP) is a well known agile software development methodology which is ideal for projects featured as highly unpredictable in tasks with limited resources. The continuous discussion on the usage and importance of each XP practice ...
    ... Ann Fruhling¹, Anthony Sambol², Steven Hinrichs², Gert-Jan deVreede¹ afruhling@unomaha. edu asambol@unmc.edu shinrich@unmc.edu ... These include the National Biosurveillance Informatics System (NBIS), the Public Health Informatics... more
    ... Ann Fruhling¹, Anthony Sambol², Steven Hinrichs², Gert-Jan deVreede¹ afruhling@unomaha. edu asambol@unmc.edu shinrich@unmc.edu ... These include the National Biosurveillance Informatics System (NBIS), the Public Health Informatics Network (PHIN), the National ...
    User interfaces generally rely on a main menu for navigation and orientation. Therefore, the main (navigational) menu layout design is a determinant of user performance and satisfaction levels. Effective menu designs also help users avoid... more
    User interfaces generally rely on a main menu for navigation and orientation. Therefore, the main (navigational) menu layout design is a determinant of user performance and satisfaction levels. Effective menu designs also help users avoid feeling lost and disoriented when seeking information or finding functionality. Research on menu design finds that an understanding of users' ability to recognize a menu
    The purpose of this research was to conduct an assessment in support of the facilitation of access to public health data and information in Nebraska. This was accomplished by surveying public health stakeholders on their data needs and... more
    The purpose of this research was to conduct an assessment in support of the facilitation of access to public health data and information in Nebraska. This was accomplished by surveying public health stakeholders on their data needs and priorities. Appropriate quantitative and qualitative statistical analyses were used to draw sound conclusions on respondents' data needs and priorities. Most commonly-accessed sources