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OP224 Strategies and methods for HIT Training 06.30.09 June 30, 2009

Posted by Scott Erdley in conference, education, nursing informatics, speaker.

James Turley, first speaker, speaking about moving to a science from a discipline. See his paper on CD for background or 1st part of this talk. Outlines advantages and disadvantages of ‘discipline’. Questions: Have we moved past the notion of biomedical informatics as a discipline, and, if so, have we begun to see the outline of a science develop?

What is knowledge? See Kuhn’s definition involving knowledge & theory. Knowledge as a core of science is raised next as in different types (declarative, et al) as well as also formal, completed, and so forth. Basic assumptions are data/information/knowledge/wisdom; praxis and nature of science and, role of theory. Within praxis, core issues have to do with methods / mechanisms of communication, mediated communications (p2p, p2media, media2p). P2P same level, different level, different assumptions about context & knowledge.

Ellis (1968) – theory is critical practices discipline (theory IN, Theory OF and theory FOR). Definition -> computation knowledge modeling IN, OF, and FOR health including healthcare.  Role of HI: develop models. Set of Axioms for discussion:

  1. Axiom 1 [sorry, missed this one]
  2. Axiom 2 [see Axiom 1 apology]
  3. Axiom 2a representations interact with KNOWLEDGE to alter the meaning
  4. The PURPOSE and CONTEXT for the use of knowledge changes frequently and rapidly
  5. computational knowledge is technology dependent (tech should not limit vision but application; connot do what is NOT tech feasible even if we envision it)
  6. socio-tech model of use (avail, accept & access)
  7. Axiom 6 – healthcare is modeled both in knowledge and in workflow (outcome measures tend to reflect workflow and not necessarily knowledge)
  8. Axiom 7 – if communication fails, informatics, fails, regardless of the technology (tech is NEVER the use; it is an enabling issue)

Need to create a knowledge landscape where knowledge can interact; deal with problem of shifting purpose and shifting perspective. Reviewing theory indicates problems of purpose & perspecitve (OF), structure of knowledge moedl & landscape (IN) and computer science structures (FOR). Challenges in clude refining biomed inf theory (IN, OF, FOR) and scope of domains.

Second is S. Narita titled “Training program for counsellors in contraception and the prevention of STI and a website-based support system (in Japan). Interesting presentation about a topic and concern within this country; nice use of technology.

Third is S. Stewart and D. Pope titled “Using Second Life to enhance ACCEL an online accelerated nursing BSN Program (in the US). Demonstration includes a number of video clips of SecondLife (SL).  Purchased four islands in ’08 and built various buildings (alumni, facult offices, library, and so forth, similar to real life) as well as patient avatars and self avatars. Theory supporting this modality include constructionist (Piaget & Papert, 2005), social learning theory (Bandura) and so forth. Nicely done and interesting use of this technology. This is kind of a nuts & bolts of SL and education presentation. Nicely done. Of note – use patient avatar for initial patient assessment by student; avatar is ‘run’ by faculty. I’m off on a short break now. ‘Til later…scott



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