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Author: Brian S McGowan, PhD

ABSTRACT: Perceptions of family physician trainees and trainers regarding the usefulness of a virtual community of practice

Abstract
OBJECTIVE:
To map the state of the existing literature evaluating the use of social media in patient and caregiver populations.
DESIGN:
Scoping review.
DATA SOURCES:
Medline, CENTRAL, ERIC, PubMed, CINAHL Plus Full Text, Academic Search Complete, Alt Health Watch, Health Source, Communication and Mass Media Complete, Web of Knowledge and ProQuest (2000-2012).
STUDY SELECTION:
Studies reporting primary research on the use of social media (collaborative projects, blogs/microblogs, content communities, social networking sites, virtual worlds) by patients or caregivers.
DATA EXTRACTION:
Two reviewers screened studies for eligibility; one reviewer extracted data from relevant studies and a second performed verification for accuracy and completeness on a 10% sample. Data were analysed to describe which social media tools are being used, by whom, for what purpose and how they are being evaluated.
RESULTS:
Two hundred eighty-four studies were included. Discussion forums were highly prevalent and constitute 66.6% of the sample. Social networking sites (14.8%) and blogs/microblogs (14.1%) were the next most commonly used tools. The intended purpose of the tool was to facilitate self-care in 77.1% of studies. While there were clusters of studies that focused on similar conditions (eg, lifestyle/weight loss (12.7%), cancer (11.3%)), there were no patterns in the objectives or tools used. A large proportion of the studies were descriptive (42.3%); however, there were also 48 (16.9%) randomised controlled trials (RCTs). Among the RCTs, 35.4% reported statistically significant results favouring the social media intervention being evaluated; however, 72.9% presented positive conclusions regarding the use of social media.
CONCLUSIONS:
There is an extensive body of literature examining the use of social media in patient and caregiver populations. Much of this work is descriptive; however, with such widespread use, evaluations of effectiveness are required. In studies that have examined effectiveness, positive conclusions are often reported, despite non-significant findings.

via Social media use among patients and caregivers: a s… [BMJ Open. 2013] – PubMed – NCBI.

ABSTRACT: Understanding the Group Size Effect in Electronic Brainstorming

A number of studies on electronic brainstorming have found that large electronic groups can facilitate the number of ideas generated relative to control groups of similar numbers of solitary performers (nominal groups). Thus far there is no clear evidence for the basis of this facilitative effect. The most likely explanation is that group members benefit from exposure to the wide range of ideas in large groups. Since most electronic brainstorming studies appear to divide the presented ideas into subfolders to avoid overloading participants with too many ideas, this practice may be important for demonstration of a benefit of exposure to a large number of ideas. The present study was designed to assess the role of number of ideas and number of folders on individual idea generation and to eliminate some alternative interpretations for the group size effect. Participants performed an idea generation task on computers while being exposed to either no ideas, 28 ideas, or 112 ideas. The 28 and 112 ideas were presented in either one, four, or eight folders. The results indicated that only the number of ideas factor was important for facilitating idea generation.

via Understanding the Group Size Effect in Electronic Brainstorming.

ABSTRACT: The Role of Feeling Known for Team Member Outcomes in Project Teams

This research introduces the concept of feeling known—or the belief that others have developed accurate opinions of one’s traits and characteristics—to the team literature. Various theoretical streams posit that acquiring a sense of being known and understood is a central human motivation that leads to positive outcomes for individuals. The present research links team member’s sense of feeling known with team member’s reports of interpersonal trust, personal learning, and project satisfaction in a large sample of project teams. Using a longitudinal study design, this research finds that feeling known is indeed a strong predictor of proximal and distal team member outcomes. Additional analyses reveal that team members’ sense of feeling known plays a role in predicting outcomes for both face-to-face and virtual team members, despite the fact that virtual team members report feeling less known than face-to-face team members. The practical significance of these results is discussed.

via The Role of Feeling Known for Team Member Outcomes in Project Teams.

ABSTRACT: The Effects of Group Factors on Deception Detection Performance

Deception has been an important problem in interactive groups, impeding effective group communication and group work, yet deception detection in such a context remains understudied. Extrapolated from the interpersonal deception theory (IDT) and group composition research in cooperative contexts, this research proposes that group factors, including diversity and familiarity, have influence on the performance of deception detection. The measurement of group performance was not limited to success, as previous deception studies did, but included efficiency as well because it is fundamental to the effectiveness of deception detection. An analysis of data collected from a real-world online community found that behavioral familiarity had a positive effect, and gender diversity had a negative effect, on group success in deception detection. In addition, behavioral familiarity had a negative effect and functional diversity had a positive effect on the group efficiency of deception detection. The findings not only extend IDT in several important ways but also suggest the need to distinguish between noncooperative and cooperative groups, an important theoretical implication for group composition research.

via The Effects of Group Factors on Deception Detection Performance.

ABSTRACT: Social Validation of Shared and Nonvalidation of Unshared Information in Group Discussions

Research on information sharing within groups confirms a favoring of shared compared to unshared information. Social validation is considered to be the primary psychological mechanism explaining this group bias (Wittenbaum, Hubbell, & Zuckerman, 1999). Our focus here is on a process-related measurement of the social validation of shared information, as well as the social nonvalidation of unshared information in the discussion protocols of 31 decision-making groups. Results confirmed that mentioning shared information evoked social validations, whereas mentioning unshared information evoked nonvalidations (H1). Contrary to our expectation that social validation would encourage the repetition of shared information and social nonvalidation would discourage the repetition of nonshared information (H2), we found that nonvalidation of information enhanced the probability of repetition. We conclude that the need for social validation found in face-to-face groups can be overcome in a more task-oriented, goal-focused, and depersonalized media-based communication setting such as the one in this study.

via Social Validation of Shared and Nonvalidation of Unshared Information in Group Discussions.

ABSTRACT: Goal Instructions, Response Format, and Idea Generation in Groups

This study examined the separate and joint impact of two standard, but seemingly conflicting brainstorming rules on idea generation in interacting and nominal groups: the free-wheeeling rule, which calls for the production of dissimilar ideas, and the build-on rule, which encourages idea combination and improvement. We also tested whether the superior performance of interacting groups found in several previous studies using a brainwriting technique may have been due to the different response formats employed by groups and individuals. Interacting groups and individuals generated ideas for improving their university under one of three sets of instructions. In one condition, participants were given the build-on rule, but not the free-wheeling rule, and in another condition, the reverse was true. In the third condition, both rules were provided. When the two rules were presented separately, interacting and nominal groups responded similarly, generating ideas from more semantic categories in response to the free-wheeling rule, and generating more practical ideas in response to the build-on rule. But when those rules were presented simultaneously, interacting groups generated ideas from fewer semantic categories than did nominal groups. In addition, interacting groups produced more ideas overall than nominal groups, but only when the two used different response formats.

via Goal Instructions, Response Format, and Idea Generation in Groups.

ABSTRACT: Teams under pressure in the emergency department: an interview study

Abstract
OBJECTIVE:To identify key stressors for emergency department (ED) staff, investigate positive and negative behaviours associated with working under pressure and consider interventions that may improve how the ED team functions.METHODS:This was a qualitative study involving semistructured interviews. Data were collected from staff working in the ED of a London teaching hospital. A purposive sampling method was employed to recruit staff from a variety of grades and included both doctors and nurses.RESULTS:22 staff members took part in the study. The most frequently mentioned stressors included the ‘4-hour’ target, excess workload, staff shortages and lack of teamwork, both within the ED and with inpatient staff. Leadership and teamwork were found to be mediating factors between objective stress (eg, workload and staffing) and the subjective experience. Participants described the impact of high pressure on communication practices, departmental overview and the management of staff and patients. The study also revealed high levels of misunderstanding between senior and junior staff. Suggested interventions related to leadership and teamwork training, advertising staff breaks, efforts to help staff remain calm under pressure and addressing team motivation.CONCLUSIONS:This study highlights the variety of stressors that ED staff are subject to and considers a number of cost-efficient interventions. Medical education needs to expand to include training in leadership and other ‘non-technical’ skills in addition to traditional clinical skills.

via Teams under pressure in the emergency department… [Emerg Med J. 2012] – PubMed – NCBI.

ABSTRACT: Acute pain in undergraduate medical education: an unfinished chapter!

Abstract
Inadequately treated acute pain is a global healthcare problem that causes significant patient suffering and disability, risk of chronicity, increased resource utilization, and escalating healthcare costs. Compounding the problem is the lack of adequate instruction in acute pain management available in medical schools worldwide. Incorporating acute pain diagnosis and management as an integral part of the medical school curriculum will allow physicians to develop a more comprehensive, compassionate approach to treating patients with acute pain syndromes and should be considered a healthcare imperative. In this article, we review the current status of pain education in educational institutions across the world, focusing on achievements, lacunae, and inadequacies. We appeal to all concerned–pain management specialists, health educators, and policymakers–to consider incorporating education on acute pain and its management at undergraduate medical levels in an integrated manner.

via Acute pain in undergraduate medical education: an… [Pain Pract. 2012] – PubMed – NCBI.

ABSTRACT: Acute pain in undergraduate medical education: an unfinished chapter!

Abstract
Inadequately treated acute pain is a global healthcare problem that causes significant patient suffering and disability, risk of chronicity, increased resource utilization, and escalating healthcare costs. Compounding the problem is the lack of adequate instruction in acute pain management available in medical schools worldwide. Incorporating acute pain diagnosis and management as an integral part of the medical school curriculum will allow physicians to develop a more comprehensive, compassionate approach to treating patients with acute pain syndromes and should be considered a healthcare imperative. In this article, we review the current status of pain education in educational institutions across the world, focusing on achievements, lacunae, and inadequacies. We appeal to all concerned–pain management specialists, health educators, and policymakers–to consider incorporating education on acute pain and its management at undergraduate medical levels in an integrated manner.

via Acute pain in undergraduate medical education: an… [Pain Pract. 2012] – PubMed – NCBI.

MANUSCRIPT: An electronic portfolio for quantitative assessment of surgical skills in undergraduate medical education.

Abstract
BACKGROUND:
We evaluated a newly designed electronic portfolio (e-Portfolio) that provided quantitative evaluation of surgical skills. Medical students at the University of Seville used the e-Portfolio on a voluntary basis for evaluation of their performance in undergraduate surgical subjects.
METHODS:
Our new web-based e-Portfolio was designed to evaluate surgical practical knowledge and skills targets. Students recorded each activity on a form, attached evidence, and added their reflections. Students self-assessed their practical knowledge using qualitative criteria (yes/no), and graded their skills according to complexity (basic/advanced) and participation (observer/assistant/independent). A numerical value was assigned to each activity, and the values of all activities were summated to obtain the total score. The application automatically displayed quantitative feedback. We performed qualitative evaluation of the perceived usefulness of the e-Portfolio and quantitative evaluation of the targets achieved.
RESULTS:
Thirty-seven of 112 students (33%) used the e-Portfolio, of which 87% reported that they understood the methodology of the portfolio. All students reported an improved understanding of their learning objectives resulting from the numerical visualization of progress, all students reported that the quantitative feedback encouraged their learning, and 79% of students felt that their teachers were more available because they were using the e-Portfolio. Only 51.3% of students reported that the reflective aspects of learning were useful. Individual students achieved a maximum of 65% of the total targets and 87% of the skills targets. The mean total score was 345 +/- 38 points. For basic skills, 92% of students achieved the maximum score for participation as an independent operator, and all achieved the maximum scores for participation as an observer and assistant. For complex skills, 62% of students achieved the maximum score for participation as an independent operator, and 98% achieved the maximum scores for participation as an observer or assistant.
CONCLUSIONS:
Medical students reported that use of an electronic portfolio that provided quantitative feedback on their progress was useful when the number and complexity of targets were appropriate, but not when the portfolio offered only formative evaluations based on reflection. Students felt that use of the e-Portfolio guided their learning process by indicating knowledge gaps to themselves and teachers.

via An electronic portfolio for quantitative assess… [BMC Med Educ. 2013] – PubMed – NCBI.