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1.
Article in English | MEDLINE | ID: mdl-24376309

ABSTRACT

Science in general, and biomedical research in particular, is becoming more collaborative. As a result, collaboration with the right individuals, teams, and institutions is increasingly crucial for scientific progress. We propose Research Networking Systems (RNS) as a new type of system designed to help scientists identify and choose collaborators, and suggest a corresponding research agenda. The research agenda covers four areas: foundations, presentation, architecture, and evaluation. Foundations includes project-, institution- and discipline-specific motivational factors; the role of social networks; and impression formation based on information beyond expertise and interests. Presentation addresses representing expertise in a comprehensive and up-to-date manner; the role of controlled vocabularies and folksonomies; the tension between seekers' need for comprehensive information and potential collaborators' desire to control how they are seen by others; and the need to support serendipitous discovery of collaborative opportunities. Architecture considers aggregation and synthesis of information from multiple sources, social system interoperability, and integration with the user's primary work context. Lastly, evaluation focuses on assessment of collaboration decisions, measurement of user-specific costs and benefits, and how the large-scale impact of RNS could be evaluated with longitudinal and naturalistic methods. We hope that this article stimulates the human-computer interaction, computer-supported cooperative work, and related communities to pursue a broad and comprehensive agenda for developing research networking systems.

2.
J Am Soc Inf Sci Technol ; 62(11): 2106-2120, 2011 Nov.
Article in English | MEDLINE | ID: mdl-23626487

ABSTRACT

Many information portals are adding social features with hopes of enhancing the overall user experience. Invitations to join and welcome pages that highlight these social features are expected to encourage use and participation. While this approach is widespread and seems plausible, the effect of providing and highlighting social features remains to be tested. We studied the effects of emphasizing social features on users' response to invitations, their decisions to join, their willingness to provide profile information, and their engagement with the portal's social features. The results of a quasi-experiment found no significant effect of social emphasis in invitations on receivers' responsiveness. However, users receiving invitations highlighting social benefits were less likely to join the portal and provide profile information. Social emphasis in the initial welcome page for the site also was found to have a significant effect on whether individuals joined the portal, how much profile information they provided and shared, and how much they engaged with social features on the site. Unexpectedly, users who were welcomed in a social manner were less likely to join and provided less profile information; they also were less likely to engage with social features of the portal. This suggests that even in online contexts where social activity is an increasingly common feature, highlighting the presence of social features may not always be the optimal presentation strategy.

3.
J Biomed Inform ; 44(3): 497-504, 2011 Jun.
Article in English | MEDLINE | ID: mdl-20176135

ABSTRACT

Implementation of electronic health records (EHR), particularly computerized physician/provider order entry systems (CPOE), is often met with resistance. Influence presented at the right time, in the right manner, may minimize resistance or at least limit the risk of complete system failure. Combining established theories on power, influence tactics, and resistance, we developed the Ranked Levels of Influence model. Applying it to documented examples of EHR/CPOE failures at Cedars-Sinai and Kaiser Permanente in Hawaii, we evaluated the influence applied, the resistance encountered, and the resulting risk to the system implementation. Using the Ranked Levels of Influence model as a guideline, we demonstrate that these system failures were associated with the use of hard influence tactics that resulted in higher levels of resistance. We suggest that when influence tactics remain at the soft tactics level, the level of resistance stabilizes or de-escalates and the system can be saved.


Subject(s)
Electronic Health Records , Medical Informatics , Hawaii , Humans , Medical Order Entry Systems , Models, Theoretical , Physicians
4.
AMIA Annu Symp Proc ; : 36-40, 2008 Nov 06.
Article in English | MEDLINE | ID: mdl-18998842

ABSTRACT

Power changes have been identified as a frequent and unintended consequence of the implementation of computerized physician order entry (CPOE). However, no previous study has described the degree or direction of power change, or even confirmed that such a relationship exists. Using a validated, standardized instrument for measuring personal power, we collected data from 276 healthcare workers in two different hospitals before and after implementation of CPOE. We identified a significant correlation between power perceptions and attitudes toward CPOE. Examining the direction of change by healthcare position, we found that the power perception values decreased for all positions and that attitudes toward CPOE varied based on use of the system. Understanding the relationship between power and CPOE is the first step in enabling systems developers to change the direction of power changes from negative to positive.


Subject(s)
Attitude of Health Personnel , Medical Order Entry Systems/statistics & numerical data , Physicians/statistics & numerical data , Power, Psychological , Professional Autonomy , Self-Assessment , Workplace/statistics & numerical data , Midwestern United States , Statistics as Topic , Surveys and Questionnaires
5.
J Med Internet Res ; 10(3): e24, 2008 Aug 13.
Article in English | MEDLINE | ID: mdl-18701421

ABSTRACT

BACKGROUND: As biomedical research projects become increasingly interdisciplinary and complex, collaboration with appropriate individuals, teams, and institutions becomes ever more crucial to project success. While social networks are extremely important in determining how scientific collaborations are formed, social networking technologies have not yet been studied as a tool to help form scientific collaborations. Many currently emerging expertise locating systems include social networking technologies, but it is unclear whether they make the process of finding collaborators more efficient and effective. OBJECTIVE: This study was conducted to answer the following questions: (1) Which requirements should systems for finding collaborators in biomedical science fulfill? and (2) Which information technology services can address these requirements? METHODS: The background research phase encompassed a thorough review of the literature, affinity diagramming, contextual inquiry, and semistructured interviews. This phase yielded five themes suggestive of requirements for systems to support the formation of collaborations. In the next phase, the generative phase, we brainstormed and selected design ideas for formal concept validation with end users. Then, three related, well-validated ideas were selected for implementation and evaluation in a prototype. RESULTS: Five main themes of systems requirements emerged: (1) beyond expertise, successful collaborations require compatibility with respect to personality, work style, productivity, and many other factors (compatibility); (2) finding appropriate collaborators requires the ability to effectively search in domains other than your own using information that is comprehensive and descriptive (communication); (3) social networks are important for finding potential collaborators, assessing their suitability and compatibility, and establishing contact with them (intermediation); (4) information profiles must be complete, correct, up-to-date, and comprehensive and allow fine-grained control over access to information by different audiences (information quality and access); (5) keeping online profiles up-to-date should require little or no effort and be integrated into the scientist's existing workflow (motivation). Based on the requirements, 16 design ideas underwent formal validation with end users. Of those, three were chosen to be implemented and evaluated in a system prototype, "Digital|Vita": maintaining, formatting, and semi-automated updating of biographical information; searching for experts; and building and maintaining the social network and managing document flow. CONCLUSIONS: In addition to quantitative and factual information about potential collaborators, social connectedness, personal and professional compatibility, and power differentials also influence whether collaborations are formed. Current systems only partially model these requirements. Services in Digital|Vita combine an existing workflow, maintaining and formatting biographical information, with collaboration-searching functions in a novel way. Several barriers to the adoption of systems such as Digital|Vita exist, such as potential adoption asymmetries between junior and senior researchers and the tension between public and private information. Developers and researchers may consider one or more of the services described in this paper for implementation in their own expertise locating systems.


Subject(s)
Cooperative Behavior , Information Services , Female , Humans , Information Systems , Interprofessional Relations , Knowledge Bases , Male , Personality , Social Support
6.
J Med Internet Res ; 10(2): e19, 2008 Jun 30.
Article in English | MEDLINE | ID: mdl-18653443

ABSTRACT

BACKGROUND: Science has developed from a solitary pursuit into a team-based collaborative activity and, more recently, into a multidisciplinary research enterprise. The increasingly collaborative character of science, mandated by complex research questions and problems that require many competencies, requires that researchers lower the barriers to the creation of collaborative networks of experts, such as communities of practice (CoPs). OBJECTIVES: The aim was to assess the information needs of prospective members of a CoP in an emerging field, dental informatics, and to evaluate their expectations of an e-community in order to design a suitable electronic infrastructure. METHODS: A Web-based survey instrument was designed and administered to 2768 members of the target audience. Benefit expectations were analyzed for their relationship to (1) the respondents' willingness to participate in the CoP and (2) their involvement in funded research. Two raters coded the respondents' answers regarding expected benefits using a 14-category coding scheme (Kappa = 0.834). RESULTS: The 256 respondents (11.1% response rate) preferred electronic resources over traditional print material to satisfy their information needs. The most frequently expected benefits from participation in the CoP were general information (85% of respondents), peer networking (31.1%), and identification of potential collaborators and/or research opportunities (23.2%). CONCLUSIONS: The competitive social-information environment in which CoPs are embedded presents both threats to sustainability and opportunities for greater integration and impact. CoP planners seeking to support the development of emerging biomedical science disciplines should blend information resources, social search and filtering, and visibility mechanisms to provide a portfolio of social and information benefits. Assessing benefit expectations and alternatives provides useful information for CoP planners seeking to prioritize community infrastructure development and encourage participation.


Subject(s)
Dental Informatics/organization & administration , Information Storage and Retrieval/methods , Cooperative Behavior , Dental Research/economics , Dentistry , Education, Dental, Continuing/methods , Education, Dental, Graduate/methods , Humans , Internet , Online Systems , Social Support , Surveys and Questionnaires
7.
J Biomed Inform ; 41(6): 1041-9, 2008 Dec.
Article in English | MEDLINE | ID: mdl-18375189

ABSTRACT

We report on the development of an instrument to measure clinicians' perceptions of their personal power in the workplace in relation to resistance to computerized physician order entry (CPOE). The instrument is based on French and Raven's six bases of social power and uses a semantic differential methodology. A measurement study was conducted to determine the reliability and validity of the survey. The survey was administered online and distributed via a URL by email to 19 physicians, nurses, and health unit coordinators from a university hospital. Acceptable reliability was achieved by removing or moving some semantic differential word pairs used to represent the six power bases (alpha range from 0.76 to 0.89). The Semantic Differential Power Perception (SDPP) survey validity was tested against an already validated instrument and found to be acceptable (correlation range from 0.51 to 0.81). The SDPP survey instrument was determined to be both reliable and valid.


Subject(s)
Physicians/psychology , Power, Psychological , Workplace , Humans , Reproducibility of Results
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