Comparison of Open-Source Electronic Health Record Systems Based on Functional and User Performance Criteria / 대한의료정보학회지

OBJECTIVES: Open-source Electronic Health Record (EHR) systems have gained importance. The main aim of our research is to guide organizational choice by comparing the features, functionality, and user-facing system performance of the five most popular open-source EHR systems. METHODS: We performed qualitative content analysis with a directed approach on recently published literature (2012–2017) to develop an integrated set of criteria to compare the EHR systems. The functional criteria are an integration of the literature, meaningful use criteria, and the Institute of Medicine's functional requirements of EHR, whereas the user-facing system performance is based on the time required to perform basic tasks within the EHR system. RESULTS: Based on the Alexa web ranking and Google Trends, the five most popular EHR systems at the time of our study were OSHERA VistA, GNU Health, the Open Medical Record System (OpenMRS), Open Electronic Medical Record (OpenEMR), and OpenEHR. We also found the trends in popularity of the EHR systems and the locations where they were more popular than others. OpenEMR met all the 32 functional criteria, OSHERA VistA met 28, OpenMRS met 12 fully and 11 partially, OpenEHR-based EHR met 10 fully and 3 partially, and GNU Health met the least with only 10 criteria fully and 2 partially. CONCLUSIONS: Based on our functional criteria, OpenEMR is the most promising EHR system, closely followed by VistA. With regards to user-facing system performance, OpenMRS has superior performance in comparison to OpenEMR.

Combine parentally and university studies, a highly significant challenge / Combinar parentalidad y estudios universitarios, un reto altamente significativo

With the aim of interpreting the meaning of parenthood among nursing students who are also parents, a study was carried out with the qualitative paradigm, phenomenological approach, using the Spiegelberg method for the analysis of the information and the deep interview as a technique for gathering information. Five students were interviewed with whom the field got saturated. The participating external agents were three teachers of the nursing program and a mother of family, the information was validated through the triangulation of the data obtained from the subjects. Questions were registered and transcribed, and from the information emerged two categories: being parents and feelings. Subcategories were responsibility, beautiful experience, experience of experiences, inspiration, motivation, love, frustration, jealousy, transcendence and guilt. The meaning of being parents in nursing students is associated with the responsibility, the feelings and what they consider a life experience.

Con el objetivo de interpretar el significado de la paternidad entre los estudiantes de enfermería que también son padres, se realizó un estudio con el paradigma cualitativo, enfoque fenomenológico, utilizando el método de Spiegelberg para el análisis de la información y la entrevista profunda como una técnica para recopilar información. Se entrevistaron cinco estudiantes con quienes se saturó el campo. Los agentes externos participantes fueron tres profesores del programa de enfermería y una madre de familia, la información se validó a través de la triangulación de los datos obtenidos de los sujetos. Las preguntas fueron registradas y transcritas, y de la información surgieron dos categorías: ser padres y sentimientos. Las subcategorías fueron responsabilidad, hermosa experiencia, experiencia de experiencias, inspiración, motivación, amor, frustración, celos, trascendencia y culpa. El significado de ser padres en estudiantes de enfermería está asociado con la responsabilidad, los sentimientos y lo que consideran una experiencia de vida.

Improving a newly adapted teaching and learning approach: Collaborative Learning Cases using an action research / 한국의학교육

PURPOSE: Although medical curricula are now better structured for integration of biomedical sciences and clinical training, most teaching and learning activities still follow the older teacher-centric discipline-specific formats. A newer pedagogical approach, known as Collaborative Learning Cases (CLCs), was adopted in the medical school to facilitate integration and collaborative learning. Before incorporating CLCs into the curriculum of year 1 students, two pilot runs using the action research method was carried out to improve the design of CLCs. METHODS: We employed the four-phase Kemmis and McTaggart's action research spiral in two cycles to improve the design of CLCs. A class of 300 first-year medical students (for both cycles), 11 tutors (first cycle), and 16 tutors (second cycle) were involved in this research. Data was collected using the 5-points Likert scale survey, open-ended questionnaire, and observation. RESULTS: From the data collected, we learned that more effort was required to train the tutors to understand the principles of CLCs and their role in the CLCs sessions. Although action research enables the faculty to improve the design of CLCs, finding the right technology tools to support collaboration and enhance learning during the CLCs remains a challenge. CONCLUSION: The two cycles of action research was effective in helping us design a better learning environment during the CLCs by clarifying tutors' roles, improving group and time management, and meaningful use of technology.

A sucata como avesso complementar da contemporaneidade / Scrap as the complementary reverse of contemporaneity / El material de desperdício como el reverso complementario de la contemporaneidad

Este artigo objetiva discutir os significados da sucata na contemporaneidade, apresentando o relato de uma experiência com sucata em oficina de criação espontânea, realizada em uma universidade, como parte de uma investigação sobre os sentidos atribuídos à sucata. Propõe-se, então, a sucata - cujo significado etimológico é objeto sem valor - e as relações que ela mantém, tanto no plano econômico quanto no plano das relações sociais, como objeto e, também, como método de investigação científica. Observamos que a sucata deixa de ser apenas um objeto sem valor para se tornar um meio, um caminho que abre possibilidades de leituras de mundo, de interferências no mundo, de desdobramentos, de vias de escape. Conclui-se, assim, que em toda sua complexidade, a sucata da história (história pessoal e social), pode proporcionar, por meio de sua característica maior - a falta de significado -, a possibilidade de ressignificação, tornando-se um modo, um método, às avessas, em negativo, do contemporâneo.

The main objective of this article is to discuss the meanings associated to refuse/scrap nowadays, presenting a report about an experience conducted in a university campus, exploring scrap workshop spontaneous creation, as part of an investigation into the meanings assigned to it. We focus on the concept of refuse/scrap - whose meaning is associated with worthless material- and the relationships it maintains, both on the economic level and in terms of social relations, and also as object and scientific research method. We can observe that scrap metal ceases to be just worthless object, to become a means and a path, which enables world readings, interference and escape routes in world developments. We conclude, therefore, that in all its complexity, scrap history (personal and social history), despite being considered worthless as its greatest feature, can provide - considering its lack of meaning - the possibility of reframing, becoming a method in reverse, as a negative, of the contemporary.

Este artículo objetiva discutir los significados de la chatarra en la contemporaneidad, presentando el relato de una experiencia con la chatarra en un taller de creación espontánea, realizada en una Universidad, como parte de una investigación sobre los sentidos atribuidos a la chatarra. De ahí, se propone la chatarra - cuyo significado etimológico es objeto sin valor - y las relaciones que ella mantiene, tanto en el plano económico como en los planos de relaciones sociales, como objeto y también como un método de investigación científica. Observamos que la chatarra deja de ser apenas un objeto sin valor para convertirse en un medio, un camino que abre posibilidades de lecturas de mundo, de interferencias en el mundo, de desdoblamientos, de despliegue. Se concluye, por lo tanto, que en toda su complejidad, la chatarra, chatarra de la historia (historia personal y social), puede proporcionar por medio de su mayor característica - la falta de significado - la posibilidad de resignificación, convirtiéndose en un método, al revés, en negativa, de lo contemporáneo.