Coaching agile methods in research and development projects

Agile coaching of a project team is one way to aid learning of the agile methods. The objective of this thesis is to present the agile coaching plan and to follow how complying the plan affects to the project teams. Furthermore, the agile methods are followed how they work in the projects. Two projects are used to help the research. From the thesis point of view, the task for the first project is to coach the project team and two new coaches. The task for the second project is also to coach the project team, but this time so that one of the new coaches acts as the coach. The agile methods Scrum process and Extreme programming are utilized by the projects. In the latter, the test driven development, continuous integration and pair programming are concentrated more precisely. The results of the work are based on the observations from the projects and the analysis derived from the observations. The results are divided to the effects of the coaching and to functionality of the agile methods in the projects. Because of the small sample set, the results are directional. The presented plan, to coach the agile methods, needs developing, but the results of the functionality of the agile methods are encouraging.

Management of interdependency in project portfolio

Project management has evolved in recent decades. Project portfolio management, together with multi project management, is an emerging area in the project management field in practice, and correspondingly in academic research and forums. In multi project management, projects cannot be handled isolated from each other, as they often have interdependencies that have to be taken into account. If the interdependencies between projects are evaluated during the selection process, the success rate of the project portfolio is increased. Interdependencies can be human resources, technological, and/or market based. Despite of the fact that interdependency as a phenomenon has roots in the 1960s and is related to famous management theories, it has not been much studied, although in practice most companies use it to great extent. There exists some research on interdependency, but prior publications have not emphasized the phenomenon per se, because a practical orientation practitioner techniques prevails in the literature. This research applies the method triangulation, electronic surveys and multiple case study. The research concentrates on small to large companies in Estonia and Finland, mainly in construction, engineering, ICT, and machinery industries. The literature review reveals that interdependencies are deeply involved in R&D and innovation. Survey analysis shows that companies are aware of interdependency issues in general, but they i have lack of detailed knowledge to use it thoroughly. Empirical evidence also indicates that interdependency techniques influence the success rate and other efficiency aspects to different extents. There are a lot of similarities in interdependency related managerial issues in companies of varying sizes and countries in Northern Europe. Differences found in the study are for instance the fact that smaller companies face more difficulties in implementing and evaluating interdependency procedures. Country differences between Estonia and Finland stem from working solutions to manage interdependencies on a daily basis.historical and cultural reasons, such as the special features of a transition country compared to a mature country. An overview of the dominant problems, best practices, and commonly used techniques associated with interdependency is provided in the study. Empirical findings show that many interdependency techniques are not used in practice. A multiple case study was performed in the study to find out how interdependencies are managed in real life on a daily basis. The results show that interdependencies are mostly managed in an informal manner. A description of managing the interdependencies and implementation procedures is given. Interdependency procedures are hard to implement, especially in smaller companies. Companies have difficulties in implementing interdependency procedures and evaluating them. The study contains detailed results on how companies have implemented working solutions to manage interdependencies on a daily basis

Introduktionen av kärnkraften i Finland

Finlands industri har av tradition varit starkt energikrävande. Träförädlingsindustrin, som fick sin egentliga start i medlet på 1800-talet, använde stora mängder energi liksom metallförädlingsföretagen i ett senare skede. Krigstiden med sin energiransonering visade handgripligen för allmänheten liksom för specialisterna att en tillräcklig tillgång till energi är ett livsvillkor för vår industri och därmed för vårt land. Efterkrigstiden kännetecknades av en allt snabbare utbyggnad av den på vatten- och ångkraft baserade elkraftskapaciteten, en utbyggnad som den inhemska verkstadsindustrin i stor utsträckning deltog i. Men redan på 1950-talet var vattenkraften till stor del utbyggd, varför den privata såväl som den statliga sektorns intresse allt mera inriktade sig på den speciellt i USA favoriserade atomenergin. Efter fördjupade studier i kärnfysik och kärnteknik vid the International School of Nuclear Science and Engineering i USA deltog författaren av dessa rader intensivt (först som Ahlströmanställd och senare som VD för Finnatom) i den utvecklingsverksamhet inom det kärntekniska området som inte bara elproducenterna utan även verkstadsindustrin i vårt land genomförde. Det var därför naturligt för mig att som objekt för min doktorsavhandling välja introduktionen av kärnkraften i Finland med speciell fokus på den inhemska verkstadsindustrins roll. Jag ställde följande forskningsfrågor: a. När och hur skedde introduktionen av kärnkraften i Finland? b. Vilka var orsakerna till och resultatet av denna introduktion? c. Vilken var den inhemska verkstadsindustrins roll? Ett grundligt studium av litteraturen inklusive mötesprotokoll och tidningsreferat samt personligen genomförda intervjuer med ett trettiotal av de verkliga aktörerna i den långa och komplicerade introduktionsprocessen ledde till en teori, vars riktighet jag anser mig ha kunnat bevisa. Den inhemska verkstadsindustrins roll var synnerligen central. Dess representanter lyckades, bl.a. refererande till erfarenheterna från utbyggnaden av vatten- och ångkraften liksom till byggandet av den underkritiska milan YXP samt forskningsreaktorn TRIGA, övertyga beslutsfattarna om att den besatt nödig kompetens för att kompensera den kompetensbrist som kunde iakttas inom vissa områden hos den sovjetiska kärnkraftverksleverantören. De inhemska leveranserna påverkade även driftsresultatet, speciellt i fallet Lovisa, i positiv riktning. Introduktionsprocessen, som omfattade tiden från slutet av 1950-talet till början på 1980-talet, beskrevs, noterande bl.a. J. W. Creswells anvisningar, i detalj i avhandlingen. Introduktionen fick som resultat konkurrenskraftig elkraft, impuls till start av nya företag, exempelvis Nokia Elektronik, liksom en klar höjning av den tekniska nivån hos vår industri, inkluderande kärnteknisk tillverkning i stor skala. Katastrofen i Tjernobyl i slutet av april 1986 innebar emellertid att utvecklingen tog en paus på ett par decennier. Erfarenheterna från introduktionsfasen kan förhoppningsvis utnyttjas till fullo nu, när utbyggnaden av kärnkraften återupptagits i vårt land.

Lujien hitsattavien terästen käyttäytyminen -60 °C:ssa

Opinnäytetyö on osa Arctic Materials Technologies Development -projektia, jonka tavoitteena on kehittää perusteita arktisten alueiden sovelluksiin suunnittelun ja valmistuksen kannalta. Arktisella alueella sijaitsee useita potentiaalisia öljy- ja maakaasuesiintymiä, joiden hyödyn-täminen tulee vuosi vuodelta kannattavammaksi ilmaston lämpenemisestä johtuvan merijään heikkenemisen vuoksi. Alin suunnittelulämpötila arktisilla alueilla on -60 °C, mikä aiheuttaa haasteita sekä materiaalinvalinnalle että hitsaukselle. Ferriittisillä teräksillä esiintyy lämpötilasta riippuvaa sitkeyden vaihtelua, jota kutsutaan transi-tiokäyttäytymiseksi. Lämpötilan laskiessa teräksen iskusitkeys sekä murtumissitkeys laske-vat. Arktisissa sovelluskohteissa käytetään yleisesti niukkaseosteisia, mikroseostettuja hie-noraeteräksiä, joille on ominaista erinomaiset sitkeys-, lujuus- sekä hitsattavuusominaisuudet vaativissakin olosuhteissa. Lujat termomekaanisesti valssatut ja nuorrutetut hienoraeteräkset kattavat myötölujuusluokat 355…700 MPa. Tutkimuksissa on saatu vaihtelevia tuloksia ma-teriaalien isku- ja murtumissitkeydestä -60 °C:ssa. Erityisesti sitkeysominaisuudet hitsiaineen ja muutosvyöhykkeen alueiden välillä ovat vaihtelevia. Pienemmällä lämmöntuonnilla ja seostetuilla lisäaineilla saavutetaan kuitenkin pääsääntöisesti parempia sitkeysarvoja. Asiku-laarinen ferriitti sekä alabainiitti ovat toivottavia mikrorakenteita liitoksessa, niiden pienen raekoon johdosta.

From network pictures to network insight in solution business – the role of internal communication

Operating in business-to-business markets requires an in-depth understanding on business networks. Actions and reactions made to compete in markets are fundamentally based on managers‘ subjective perceptions of the network. However, an amalgamation of these individual perceptions, termed a network picture, to a common company level shared understanding on that network, known as network insight, is found to be a substantial challenge for companies. A company‘s capability to enhance common network insight is even argued to lead competitive advantage. Especially companies with value creating logics that require wide comprehension of and collaborating in networks, such as solution business, are necessitated to develop advanced network insight. According to the extant literature, dispersed pieces of atomized network pictures can be unified to a common network insight through a process of amalgamation that comprises barriers/drivers of multilateral exchange, manifold rationality, and recursive time. However, the extant body of literature appears to lack an understanding on the role of internal communication in the development of network insight. Nonetheless, the extant understanding on the amalgamation process indicates that internal communication plays a substantial role in the development of company level network insight. The purpose of the present thesis is to enhance understanding on internal communication in the amalgamation of network pictures to develop network insight in the solution business setting, which was chosen to represent business-to-business value creating logic that emphasizes the capability to understand and utilize networks. Thus, in solution business the role of succeeding in the amalgamation process is expected to emphasize. The study combines qualitative and quantitative research by means of various analytical methods including multiple case analysis, simulation, and social network analysis. Approaching the nascent research topic with differing perspectives and means provides a broader insight on the phenomenon. The study provides empirical evidence from Finnish business-to-business companies which operate globally. The empirical data comprise interviews (n=28) with managers of three case companies. In addition the data includes a questionnaire (n=23) collected mainly for the purpose of social network analysis. In addition, the thesis includes a simulation study more specifically achieved by means of agent based modeling. The findings of the thesis shed light on the role of internal communication in the amalgamation process, contributing to the emergent discussion of network insights and thus to the industrial marketing research. In addition, the thesis increases understanding on internal communication in the change process to solution business, a supplier‘s internal communication in its matrix organization structure during a project sales process, key barriers and drivers that influence internal communication in project sales networks, perceived power within industrial project sales, and the revisioning of network pictures. According to the findings, internal communication is found to play a substantial role in the amalgamation process. First, it is suggested that internal communication is a base of multilateral exchange. Second, it is suggested that internal communication intensifies and maintains manifold rationality. Third, internal communication is needed to explicate the usually differing time perspectives of others and thus it is suggested that internal communication has role as the explicator of recursive time. Furthermore, the role of an efficient amalgamation process is found to be emphasized in solutions business as it requires a more advanced network insight for cross-functional collaboration. Finally, the thesis offers several managerial implications for industrial suppliers to enhance the amalgamation process when operating in solution business.

Supply network risks and costs in Finnish project business

This report summarizes the results of the survey HAVERI – Supply network risks in business. The survey was conducted in Finland during the spring and summer of year 2013. The survey is part of a large two-year research project started in June 2012 in Finland (on-going 06/2012–07/2014). The project is launched and financed by TEKES, the Finnish Funding Agency for Technology and Innovation, and executed together with the researchers from Lappeenranta University of Technology and Tampere University of Technology. The overall goal of this on-going research project is to find out the decision-making practices in the project-oriented companies in their purchasing decisions especially in the mechanical engineering and construction industries in Finland. The objective of the survey was to gain cross-sectional data concerning the challenges, risks and cost factors in Finnish project business companies. The results show that Finnish companies rely on their experience and supplier references in their risk management. In general, the understanding of the total cost structure varies among the industries and companies. The main cost factor in risk management was costs before the actual purchase decision. Overall, it seems that the monetary value of the whole project and capability of purchasing personnel are the main influencing factors on risk management activity in project purchasing.

Fragmenta Membranea Project 2009 – 2012

Reports and Studies 1 / 2014

Rapid eye movement sleep deprivation induces an increase in acetylcholinesterase activity in discrete rat brain regions

Some upper brainstem cholinergic neurons (pedunculopontine and laterodorsal tegmental nuclei) are involved in the generation of rapid eye movement (REM) sleep and project rostrally to the thalamus and caudally to the medulla oblongata. A previous report showed that 96 h of REM sleep deprivation in rats induced an increase in the activity of brainstem acetylcholinesterase (Achase), the enzyme which inactivates acetylcholine (Ach) in the synaptic cleft. There was no change in the enzyme's activity in the whole brain and cerebrum. The components of the cholinergic synaptic endings (for example, Achase) are not uniformly distributed throughout the discrete regions of the brain. In order to detect possible regional changes we measured Achase activity in several discrete rat brain regions (medulla oblongata, pons, thalamus, striatum, hippocampus and cerebral cortex) after 96 h of REM sleep deprivation. Naive adult male Wistar rats were deprived of REM sleep using the flower-pot technique, while control rats were left in their home cages. Total, membrane-bound and soluble Achase activities (nmol of thiocholine formed min-1 mg protein-1) were assayed photometrically. The results (mean ± SD) obtained showed a statistically significant (Student t-test) increase in total Achase activity in the pons (control: 147.8 ± 12.8, REM sleep-deprived: 169.3 ± 17.4, N = 6 for both groups, P<0.025) and thalamus (control: 167.4 ± 29.0, REM sleep-deprived: 191.9 ± 15.4, N = 6 for both groups, P<0.05). Increases in membrane-bound Achase activity in the pons (control: 171.0 ± 14.7, REM sleep-deprived: 189.5 ± 19.5, N = 6 for both groups, P<0.05) and soluble enzyme activity in the medulla oblongata (control: 147.6 ± 16.3, REM sleep-deprived: 163.8 ± 8.3, N = 6 for both groups, P<0.05) were also observed. There were no statistically significant differences in the enzyme's activity in the other brain regions assayed. The present findings show that the increase in Achase activity induced by REM sleep deprivation was specific to the pons, a brain region where cholinergic neurons involved in REM generation are located, and also to brain regions which receive cholinergic input from the pons (the thalamus and medulla oblongata). During REM sleep extracellular levels of Ach are higher in the pons, medulla oblongata and thalamus. The increase in Achase activity in these brain areas after REM sleep deprivation suggests a higher rate of Ach turnover.

ERP-projekti muutosprosessina - Case-yrityksen henkilöstön näkemys muutosjohtamisesta ERP-projektin aikana

Uuden tietojärjestelmän hankinta on paitsi tekninen myös sosiaalinen muutos. Tieteelliset teoriat sekä tutkimukset osoittavat, että uuden tietojärjestelmän onnistunut käyttöönotto edellyttää sosioteknistä systeemiajattelua muutoksen läpivientiin. Tämän tutkimuksen tavoitteena oli osallistua yhteiskunnalliseen keskusteluun muutosjohtamisen tärkeydestä otettaessa käyttöön uutta teknologiaa sekä tutkia Case-yrityksen ERP-projektin muutosjohtamisen onnistumista. Tutkimuksen konteksti koostuu sosioteknisestä muutoksesta, jossa muutosjohtaminen nousee keskiöön. Tutkimuksessa kartoitettiin uuden ERP-järjestelmän käyttöönoton onnistumisen kannalta keskeiset muutosjohtamisen elementit: muutostarve, projektitiimi, visio ja tavoitteet, viestintä, koulutus, osallistaminen, sitouttaminen, johdon ja projektiryhmän tuki sekä muutoksen arviointi ja vakiinnuttaminen. Tutkimuksen empiirisessä osassa arvioitiin Case-yrityksen ERP-projektin muutosjohtamista henkilöstön näkökulmasta. Tutkimus toteutettiin laadullisena tapaustutkimuksena, jossa pääasiallisena aineistonkeruumenetelmänä käytettiin sähköistä puolistrukturoitua kyselylomaketta. Tulosten analysoinnin perusteella Case-yrityksen ERP-järjestelmän käyttöönotto sujui tyydyttävästi.

Organization of the marketing communication activities after fusion - the integration and the decision making processes

This master’s thesis was made in order to gain answers to the question of how the integration of the marketing communications and the decision making related to it in a geographically dispersed service organization could be improved in a situation where an organization has gone through a merger. The effects of the organizational design dimensions towards the integration of the marketing communications and the decision making related to it was the main focus. A case study as a research strategy offered a perfect frames for an exploratory study and the data collection was conducted by semi-structured interviews and observing. The main finding proved that from the chosen design dimensions, decentralization, coordination and power, could be found specific factors that in a geographically dispersed organization are affecting the integration of the marketing communications negatively. The effects can be seen mostly in the decision making processes, roles and in the division of responsibility, which are affecting the other dimensions and by this, the integration. In a post-merger situation, the coordination dimension and especially the information asymmetry and the information flow seem to have a largest affect towards the integration of the marketing communications. An asymmetric information distribution with the lack of business and marketing education resulted in low self-assurance and at the end in fragmented management and to the inability to set targets and make independent decisions. As conclusions it can be stated, that with the organizational design dimensions can the effects of a merger towards the integration process of the marketing communications to be evaluated.

A Project Portfolio Tool for Forecasting Small Projects Profitability

The case company in this study is a large industrial engineering company whose business is largely based on delivering a wide-range of engineering projects. The aim of this study is to create and develop a fairly simple Excel-based tool for the sales department. The tool’s main function is to estimate and visualize the profitability of various small projects. The study also aims to find out other possible and more long-term solutions for tackling the problem in the future. The study is highly constructive and descriptive as it focuses on the development task and in the creation of a new operating model. The developed tool focuses on estimating the profitability of the small orders of the selected project portfolio currently on the bidding-phase (prospects) and will help the case company in the monthly reporting of sales figures. The tool will analyse the profitability of a certain project by calculating its fixed and variable costs, then further the gross margin and operating profit. The bidding phase of small project is a phase that has not been covered fully by the existing tools within the case company. The project portfolio tool can be taken into use immediately within the case company and it will provide fairly accurate estimate of the profitability figures of the recently sold small projects.

Introducing e-learning in a large multisite academic health sciences centre: a case study of e-curriculum planning and educator support /

This qualitative study investigated how a team of 7 hospital educators collaborated to develop e-curriculum units to pilot for a newly acquired learning -r management system at a large, multisite academic health sciences centre. A case study approach was used to examine how the e-Curriculum Team was structured, how the educators worked together to develop strategies to better utilize e-leaming in their ovwi practice, what e-curriculum they chose to develop, and how they determined their priorities for e-curriculum development. It also inquired into how they planned to involve other educators in using e-leaming. One set of semistructured interviews with the 6 hospital educators involved in the project, as well as minutes of team meetings and the researcher's journal, were analyzed (the researcher was also a hospital educator on the team). Project management structure, educator support, and organizational pressures on the implementation project feature prominently in the case study. This study suggests that implementation of e-leaming will be more successful if (a) educators involved in the development of e-leaming curriculum are supported in their role as change agents, (b) the pain of vmleaming current educational practice is considered, (c) the limitations of the software being implemented are recognized, (d) time is spent leaming about best practice, and (e) the project is protected as much as possible from organizational pressures and distractions.

Temps, culture et communication : pour une critique de la statistique culturelle

Comment fonder théoriquement des indicateurs culturels? Issue de problèmes méthodologiques reliés à l’étude des rapports entre le temps de travail et le temps libre, cette question émerge à la suite du constat du déficit théorique de la statistique culturelle. En effet, l’étude du temps libre, comme du temps de travail, nécessite de questionner les fondements de cette répartition, en même temps qu’elle exige d’analyser concrètement les pratiques sociales reliées à ces catégories. Or, les ana-lyses sur l’emploi du temps libre sont souvent fondées sur des statistiques à propos des activités culturelles, statistiques dont la portée explicative est singulièrement limitée. Bien que des statistiques sur certaines de ces activités existent au moins depuis le début du XXe siècle, c’est à partir des années 1970 que les besoins de connaissance reliés à la mise en œuvre des politiques culturelles stimulent la production de statistiques plus nombreuses et plus détaillées. Afin de donner des significations à cette masse de statistiques, il est nécessaire de délimiter les frontières de ce qui est culture et communication parmi toutes les autres activités sociales. L’élaboration de cadres conceptuels de la culture par l’UNESCO et d’autres agences statistiques tente de répondre à cette exigence, tandis que les projets d’indicateurs avancés cherchent à donner un sens à l’information statistique. Ces tentatives se caractérisent toutefois par la faiblesse de leur assise théorique, problème qui se manifeste de manière aiguë dans la définition d’indicateurs qui ont nécessairement une portée normative. La résolution de cette impasse de la statistique culturelle passe au moins par une clarification des concepts reliés à la notion de culture. À cette fin, la méthodologie de la recherche repose sur une analyse critique de certains documents fondamentaux qui ont conduit à la création du cadre conceptuel pour la statistique culturelle de l’UNESCO, ainsi que sur des textes phares de Fernand Dumont, Pierre Bourdieu et Jürgen Habermas, choisis pour leur capacité à penser les activités culturelles dans l’ensemble social selon leur temporalité. La notion de temporalité est elle-même examinée sous l’angle de plusieurs approches théoriques. Il ressort de cet examen que la différenciation du temps en temps abstrait et temps concret permet d’entrevoir que les pratiques culturelles pourraient être mesurées non seulement selon la quantité de temps social qui leur est dévolue, mais aussi comme un temps qui a une valeur marchande. Les acquis de l’analyse critique des cadres conceptuels de la statistique culturelle et des textes de Dumont, Bourdieu et Habermas servent de points d’appui pour l’élaboration d’un projet d’indicateurs culturels pour le compte de l’Observatoire de la culture et des communications du Québec (OCCQ). Ce système d’indicateurs a été élaboré selon une grille qui définit ce qu’est un indicateur culturel, son objectif et sa signification. Les indicateurs ont été choisis au cours d’un processus de consultation mené par l’OCCQ auprès des agents gouvernementaux concernés et des représentants des associations professionnelles des secteurs de la culture et des communications du Québec.

Travail en mode projet distribué géographiquement : mesure des compétences, de la collaboration et des performances individuelles selon le degré de virtualité

Dans un contexte où le monde du travail s’internationalise et où l’innovation est fondamentale, les organisations d’aujourd’hui doivent structurer le travail en tenant compte des distances géographiques et du besoin de bien performer dans les tâches reliées aux différents projets. Toutefois, le recours à des projets innovants et l’accès à des moyens de communication ne sont pas des conditions suffisantes pour assurer une performance adéquate. Différents facteurs, comme les compétences adaptées au travail virtuel et le degré de virtualité qui sépare les gens, doivent être pris en compte pour favoriser l’atteinte d’une bonne performance. De plus, afin de sélectionner les candidats qui seront en mesure de bien performer dans ce contexte, le recours à des outils d’évaluation appropriés et disponibles dans plusieurs langues est essentiel. Cette thèse présente en premier lieu un processus de traduction, d’adaptation et de validation en français et en anglais d’un outil en allemand visant l’évaluation des compétences requises lorsque le travail est organisé en mode distribué. Un premier article présente les limites fréquemment observées dans les études qui effectuent de telles adaptations. Un deuxième article met ensuite en lumière l’importance relative d’un ensemble de compétences liées à deux types de performances individuelles appropriées au travail en projet virtuel. Les résultats montrent que la créativité, l’autonomie, l’intégrité, la loyauté et la minutie sont directement liées à la performance proactive. Il est cependant nécessaire de prendre en compte l’effet positif de la perception de collaboration et l’effet négatif du degré de virtualité pour comprendre comment les compétences que constituent la motivation à apprendre, l’autonomie, l’intégrité, la loyauté et la minutie agissent sur la performance adaptative. En somme, cette thèse propose d’abord un processus rigoureux permettant l’adaptation, la traduction et la validation d’outils dans plusieurs langues. Ce processus permet d’éviter les limites auxquelles se buteraient des méthodes plus simples dans un contexte international où il est primordial d’avoir une très grande confiance en l’équivalence des instruments. Cette thèse représente également un avancement intéressant en ce qui a trait à la compréhension des différents déterminants de la performance individuelle lorsque le travail est organisé en projets virtuels. Des recommandations sont présentées afin de favoriser la performance individuelle, et des pistes de recherches futures sont également amenées pour continuer à approfondir les connaissances sur le sujet.

Élaboration de critères de design pour un outil de communication médecin-patient

Le système de santé d'aujourd'hui fait appel à de nombreuses technologies de l'information nommées TIS (Technologies de l’Information en Santé). Celles-ci ont donné naissance à de nouvelles formes d’interaction médecin-patient et ont complexifié l'approche thérapeutique dite
« centrée sur le patient ». Les TIS promettent une plus grande efficacité et l’augmentation de la satisfaction des patients par le biais d’une meilleure compréhension de la maladie pour le patient. Or, elles peuvent également devenir des sources de conflit pour le professionnel de la santé, étant donné leur utilisation en dehors des rencontres cliniques ainsi que leur tendance à agir comme des barrières communicationnelles lors des consultations. Cette recherche vise a étudier les critères de design nécessaires à la conception d’un TIS pouvant améliorer la relation médecin-patient et donc, faciliter la communication et améliorer l’alliance thérapeutique. L’étude utilise une approche centrée sur l’utilisateur et vise donc à comprendre les besoins et les attentes des médecins et des patients. En étudiant les nouvelles approches en santé et les TIS, il a été possible de comprendre le contexte et les besoins des utilisateurs en terme de communication. Ces derniers sont primordiaux au processus dit centré sur l’utilisateur. Le faible taux de rétention du discours du médecin devient une barrière communicationnelle importante, tout comme le temps pressurisé. La recherche nous montre que l’ajout d’un outil virtuel de vulgarisation peut, à l’aide de média visuels (tel que des modélisations, des animations 3D et des dessins), grandement aider la relation médecin-patient.