Extending and validating the is-impact model in Saudi Arabia : accounting for computer network quality

Organizations from every industry sector seek to enhance their business performance and competitiveness through the deployment of contemporary information systems (IS), such as Enterprise Systems (ERP). Investments in ERP are complex and costly, attracting scrutiny and pressure to justify their cost. Thus, IS researchers highlight the need for systematic evaluation of information system success, or impact, which has resulted in the introduction of varied models for evaluating information systems. One of these systematic measurement approaches is the IS-Impact Model introduced by a team of researchers at Queensland University of technology (QUT) (Gable, Sedera, & Chan, 2008). The IS-Impact Model is conceptualized as a formative, multidimensional index that consists of four dimensions. Gable et al. (2008) define IS-Impact as "a measure at a point in time, of the stream of net benefits from the IS, to date and anticipated, as perceived by all key-user-groups" (p.381). The IT Evaluation Research Program (ITE-Program) at QUT has grown the IS-Impact Research Track with the central goal of conducting further studies to enhance and extend the IS-Impact Model. The overall goal of the IS-Impact research track at QUT is "to develop the most widely employed model for benchmarking information systems in organizations for the joint benefit of both research and practice" (Gable, 2009). In order to achieve that, the IS-Impact research track advocates programmatic research having the principles of tenacity, holism, and generalizability through extension research strategies. This study was conducted within the IS-Impact Research Track, to further generalize the IS-Impact Model by extending it to the Saudi Arabian context. According to Hofsted (2012), the national culture of Saudi Arabia is significantly different from the Australian national culture making the Saudi Arabian culture an interesting context for testing the external validity of the IS-Impact Model. The study re-visits the IS-Impact Model from the ground up. Rather than assume the existing instrument is valid in the new context, or simply assess its validity through quantitative data collection, the study takes a qualitative, inductive approach to re-assessing the necessity and completeness of existing dimensions and measures. This is done in two phases: Exploratory Phase and Confirmatory Phase. The exploratory phase addresses the first research question of the study "Is the IS-Impact Model complete and able to capture the impact of information systems in Saudi Arabian Organization?". The content analysis, used to analyze the Identification Survey data, indicated that 2 of the 37 measures of the IS-Impact Model are not applicable for the Saudi Arabian Context. Moreover, no new measures or dimensions were identified, evidencing the completeness and content validity of the IS-Impact Model. In addition, the Identification Survey data suggested several concepts related to IS-Impact, the most prominent of which was "Computer Network Quality" (CNQ). The literature supported the existence of a theoretical link between IS-Impact and CNQ (CNQ is viewed as an antecedent of IS-Impact). With the primary goal of validating the IS-Impact model within its extended nomological network, CNQ was introduced to the research model. The Confirmatory Phase addresses the second research question of the study "Is the Extended IS-Impact Model Valid as a Hierarchical Multidimensional Formative Measurement Model?". The objective of the Confirmatory Phase was to test the validity of IS-Impact Model and CNQ Model. To achieve that, IS-Impact, CNQ, and IS-Satisfaction were operationalized in a survey instrument, and then the research model was assessed by employing the Partial Least Squares (PLS) approach. The CNQ model was validated as a formative model. Similarly, the IS-Impact Model was validated as a hierarchical multidimensional formative construct. However, the analysis indicated that one of the IS-Impact Model indicators was insignificant and can be removed from the model. Thus, the resulting Extended IS-Impact Model consists of 4 dimensions and 34 measures. Finally, the structural model was also assessed against two aspects: explanatory and predictive power. The analysis revealed that the path coefficient between CNQ and IS-Impact is significant with t-value= (4.826) and relatively strong with â = (0.426) with CNQ explaining 18% of the variance in IS-Impact. These results supported the hypothesis that CNQ is antecedent of IS-Impact. The study demonstrates that the quality of Computer Network affects the quality of the Enterprise System (ERP) and consequently the impacts of the system. Therefore, practitioners should pay attention to the Computer Network quality. Similarly, the path coefficient between IS-Impact and IS-Satisfaction was significant t-value = (17.79) and strong â = (0.744), with IS-Impact alone explaining 55% of the variance in Satisfaction, consistent with results of the original IS-Impact study (Gable et al., 2008). The research contributions include: (a) supporting the completeness and validity of IS-Impact Model as a Hierarchical Multi-dimensional Formative Measurement Model in the Saudi Arabian context, (b) operationalizing Computer Network Quality as conceptualized in the ITU-T Recommendation E.800 (ITU-T, 1993), (c) validating CNQ as a formative measurement model and as an antecedent of IS Impact, and (d) conceptualizing and validating IS-Satisfaction as a reflective measurement model and as an immediate consequence of IS Impact. The CNQ model provides a framework to perceptually measure Computer Network Quality from multiple perspectives. The CNQ model features an easy-to-understand, easy-to-use, and economical survey instrument.

Using images to communicate the hidden struggles of life on dialysis

Background: Nurse-patient communication in the hemodialysis context is unique given the amount of time spent together in a confined clinical room. Poor communication may lead to low quality nursing care and undesirable patient outcomes. Aim: To explore the use of images as a visual communication technique for nurses and patients in the hemodialysis context. Methods: Descriptive qualitative design. Fifty two cards containing specific photos, illustrations and words were used in conversations between patients (n = 9) and one of two nurse interviewers about being on hemodialysis. Interview transcripts were thematically analysed. Findings: An overall theme titled ‘revealing the hidden struggles of living on dialysis’ conceptually captured three sub-themes: (1) the increased importance of relationships; (2) the struggle with money; and (3) quality over quantity of life. The cards assisted in uncovering these often covert (to nurses) aspects of dialysis patients’ lives. Conclusion: Nurses may need to be aware of the dialysis patients’ hidden struggles which include the importance of relationships, financial issues and the importance of quality aspects such as travel. The use of images may assist in revealing the important issues for each patient struggling with the restrictive life that is imposed by dialysis.

Avaliação da qualidade de serviços de saúde mental um estudo de caso do CAPS Profeta Gentileza

Este estudo visa potencializar a discussão sobre metodologias avaliativas delineadas para os serviços de saúde mental. A questão que orienta a pesquisa é como avaliar um serviço de saúde do tipo Centro de Atenção Psicossocial (CAPS). Realizamos pesquisa avaliativa, em formato de estudo de caso, de um CAPS localizado na Zona Oeste do município do Rio de Janeiro. Apresentamos dados quantitativos e qualitativos sobre a assistência prestada no serviço, referentes a pacientes matriculados e encaminhados em um período de seis meses. O estudo contou com a observação participante do pesquisador, coleta de dados em prontuários e registros oficiais da unidade e discussão de casos clínicos em reunião com a equipe multiprofissional. Procedemos a considerações avaliativas sobre o serviço estudado, privilegiando os eixos de análise: acesso, acolhimento e acompanhamento.

高安全等级数据库系统及测评关键技术研究

作为信息存储和处理的核心环节，数据库管理系统的安全性在整个信息安全体系结构中起着至关重要的作用。高安全等级数据库管理系统的设计与测评既是当前发展的客观需求，同时也是一个极大的挑战。针对这一挑战，本文以高安全等级数据库系统及其测评关键技术为中心展开了一系列工作，并取得了以下重要成果： （1）针对高安全等级数据库系统安全功能开发过程中的问题，本文提出基于通用标准的数据库安全功能开发方法，采用自顶而下的安全需求定义方法，依次对系统运行环境分析、安全目标定义直到可用性表示等开发中的问题进行了分析。依此方法开发的安全产品可以完备地应对安全环境中的所有威胁。 （2）提出了入侵容忍的数据库恶意事务处理方法。该方法利用在事务管理器层次扩展的事务恢复日志分析和查找恶意事务的后继，通过数据回滚使受损数据在线的恢复至攻击前的状态。本文证明了该方法的完备性和正确性，与现有技术相比，该方法可以获得更高的运行效率。 （3）针对信息安全产品测评无法量化的问题，本文提出了一种基于三角模糊数的安全保证量化评估方法。量化评估方法包括：如何构造保证评估框架；如何使用模糊数标识评估员对组件的评价和对权重的分配；如何使用底线折中法形成量化的安全评价值。应用该方法进行测评，可使产品安全性以指标值的形式呈现，方便采购方和决策者规避安全风险。 （4）提出了高等级数据库系统测评平台的实现方法。给出兼容GB17859和GB18336等不同标准体系、高度集成、扩展性良好，并具有保护轮廓评估、安全目标评估、测试用例生成、测试案例管理、安全保证评估和模型形式化验证等功能的测评平台实现方法。为测评人员进行高安全等级数据库产品的测试和评估提供了一个全面的操作平台，提高了测评工作的自动化程度。 总的来说，本文的研究成果推动了高安全等级数据库管理系统及其测评关键技术研究的发展，并为实现我国高等级数据库管理系统及其测评打下了坚实的基础。

储层注聚合物后测井评价研究

Since physical properties and resistivity of mixed formation fluid change after polymer and water flood reservoir, transformational electric properties of water and polymer flooded zones challenges log interpretation. Conventional log interpretation methods to water flooded reservoirs cannot be employed to water and polymer flooded zones. According to difficulties in water and polymer flooded zones interpretation, we analyzed the variation of electric properties of mixed formation fluid, reservoir parameters and log correspondences, then got further understanding of the applicability of Archie Equations. As the results, we provided reservoir parameter evaluation model in water and polymer flooded zones in this paper. This research shows that micro pore structure, physical parameters and electric correspondence of reservoirs change after being flooded by water and polymer. The resistivity variation of mixed formation fluid depends mainly on affixation conductivity of polymer and salinity of formation water, which is the key to log interpretation and evaluation. Therefore, we summerized the laws of log correspondence in different polymer injection ways, developed electric discrimination model for water and polymer flooded zones, as well as charts to identify flooding conditions with resistivity and sonic logs. Further rock-electric tests and conductive mechanism analysis indicate that the resistivity increasing coefficient(I) and water saturation(Sw) are still in concordance with classical Archie Equations, which can be utilized in quantitative evaluation on water and polymer flooded reservoirs. This sets of methods greatly improved accuracy in water and polymer flooded zone evaluation.

INFORMES da avaliação de genótipos de girassol, 1997/98 e 1998.

Características gerais da rede oficial de avaliação de genótipos de girassol; Resultados dos ensaios finais e intermediários; Indicação de genótipos.

Positive aspects and challenges associated with caring for a dying relative at home

Research has consistently shown that family caregivers have a variety of unmet needs, despite comprehensive professional support for caregivers being a central aim of palliative care. This sub-study of a larger randomized controlled trial sought feedback from 47 primary family caregivers of advanced cancer patients who had recently commenced home palliative care. During semi-structured interviews in their homes, family caregivers were asked to comment on the key challenges associated with their role and whether they could identify challenges. These were associated with their own ill health, family circumstances, insufficient skills to manage patient symptoms, limited time for themselves and inadequate support from health professionals. Despite these challenges, 60% of family caregivers were readily able to identify positive aspects of the role. Previous research has tended to focus on the negative impact of caregiving. The extent to which the positive aspects buffer the negative aspects of the role warrants further exploration, as does the long-term impact of the caregiver role on those who are unable to recognize positive elements.

Using mixed-methods to examine teachers’ attitudes to educational change:The case of the Skills for Life strategy for improving adult literacy and numeracy skills in England.

This paper reports on a longitudinal study that examines how a national reform introduced in England in the field of adult literacy, language, and numeracy is affecting teachers. The paper focuses on the use of a mixed methodology to explore teachers' attitudes to the reform and how these change over time. The quantitative strand includes the construction and use of a Likert-type instrument for measuring the attitudes of a panel of 1,500 teachers. The qualitative strand builds on the quantitative results and includes focus groups and in-depth interviews with a subsample of teachers in the panel. As the study is still in its initial phase, the purpose is not to present findings, but to discuss how quantitative and qualitative evidence can be combined in evaluation research.

O primeiro ensino clínico no percurso formativo do estudante de enfermagem

A formação do estudante de enfermagem em ensino clínico reveste-se de uma importância singular pelo contacto e vivência de situações em contexto, por lhe proporcionar a aquisição, o desenvolvimento e a consolidação de conhecimentos e competências em vários domínios, assim como de socialização com a profissão. O primeiro ensino clínico pelas actividades em contexto com os profissionais de saúde e os utentes é um período de transição particularmente marcante em termos formativos. Nele frequentemente acontece a ruptura nas suas concepções de formação e de aprendizagem, tornando-se num momento de confronto com uma formação que prepara para a incerteza e imprevisibilidade. Nesta investigação pretendemos compreender o que acontece neste período de aprendizagem, partindo da seguinte questão central de investigação: Que significado tem o primeiro ensino clínico no percurso formativo do estudante de enfermagem? O estudo desta questão exigiu o recurso a uma metodologia de natureza qualitativa baseada na estratégia estudo de caso na sua vertente multicasos. Seleccionámos três casos de estudo respectivamente do 1º, do 2º e 3º anos do Curso de Licenciatura em Enfermagem de três planos de estudos de Escolas Superiores de Enfermagem. O caso é constituído por um grupo de estudantes no primeiro ensino clínico hospitalar, enfermeiros e docentes que os orientam. Desenvolvemos uma etnometodologia em que privilegiámos a observação no terreno com participação directa do investigador, recolha documental, entrevistas etnográficas e semi-estruturadas aos vários intervenientes. A análise da informação reunida processou-se pela análise de conteúdo dos dados obtidos num percurso recursivo entre as várias fontes com apoio do programa informático Nvivo 7. Concluímos que o primeiro ensino clínico: é um período de formação estruturante, com forte impacto pela transição que se opera na postura do estudante perante a aprendizagem, pelas propriedades (trans)formativas que as vivências em contexto encerram, independentemente do ano do Curso em que este acontece; a preparação prévia dos estudantes modeliza os domínios da aprendizagem e a profundidade em que ocorre; aprendem de um modo fragmentado sem conseguirem integrar os vários domínios do conhecimento na acção; os estudantes do 1º ano dão mais significado à destreza e rapidez na realização de intervenções prescritas e à aplicação dos princípios teóricos aprendidos; a orientação dos enfermeiros, tutores e docentes é fundamental na mobilização, para a acção, dos conhecimentos teóricos ou na sua aquisição; a vivência das situações em contexto e o ambiente relacional estão entre os factores mais influentes; a prática orientada com atenção individualizada, questionamento, análise e reflexão em díade supervisor-aluno, são fundamentais no desenvolvimento do pensamento crítico; ser supervisor deve ser assumido pelo docente e pelo enfermeiro ou tutor como um trabalho de articulação e proximidade com e no contexto onde o ensino clínico decorre; a resposta adequada às funções específicas de supervisão exige participação activa de equipas de enfermagem mais preparadas e hierarquicamente apoiadas; o docente pelo conhecimento dos estudantes, dos fins e objectivos da formação, pelos desafios e exigência que coloca tem um papel insubstituível. No percurso da investigação novas questões emergiram nomeadamente no que se prende com: os modelos de articulação entre instituições de saúde e escolares; com a formação dos supervisores e; o papel dos pares no início da aprendizagem dos estudantes em contexto clínico.

Blearning no ensino superior politécnico: estudo de avaliação do Mestrado em Turismo, Inovação e Desenvolvimento na ESTG de Viana do Castelo

As transformações tecnológicas e a crescente heterogeneidade dos alunos que frequentam o Ensino Superior, bem como a premente necessidade de financiamento num universo cada vez mais competitivo têm tornado necessária a implementação de mudanças ao nível das instituições que, cada vez mais têm de diversificar e flexibilizar a sua oferta pedagógica sem comprometer a qualidade de ensino aprendizagem. Encarado por muitos como uma solução viável e prática, o blearning tem vindo a assumir uma importância crescente neste contexto. No entanto, subsistem algumas dúvidas relativamente à forma como os cursos nesta modalidade estão a ser implementados e o seu impacto real nas aprendizagens dos alunos. Neste sentido torna-se necessário proceder à sua avaliação, aferindo a sua qualidade, validade e identificando vantagens e áreas problemáticas. Com uma vertente interventiva, uma vez que se desenvolveu um plano de atuação e se apresentou uma lista de recomendações, e assumindo a forma de um estudo de avaliação, esta investigação pretendeu cumprir esse desígnio. Envolvendo alunos, docentes e responsáveis institucionais procurou caracterizar-se e analisar-se a componente online do Mestrado em Turismo, Inovação e Desenvolvimento a funcionar na Escola Superior de Tecnologia e Gestão de Viana do Castelo, partindo dessa análise para a reflexão conjunta e trabalho de campo. Globalmente, concluiu-se que, muito embora os intervenientes assumam um posicionamento favorável à adoção do blearning, subsistem algumas reservas e desconhecimento por parte dos docentes e responsáveis relativamente à sua implementação na prática, verificando-se ainda uma grande discrepância entre as expectativas iniciais dos alunos e as suas perceções após um ano de frequência do mestrado. A lista final de recomendações a apresentar à instituição refletiu todo este processo, sendo o corolário de todo um trabalho que se pretende ver continuado e alargado a outros cursos e instituições.

Comparison of two osteoporotic fracture management pathways: experience at 1 year

Introduction: Osteoporosis presenting as low-impact fractures to traumatology units is often undiagnosed and under-treated. Results from the Osteocare study in Lausanne (a nurse based intervention, passive pathway) showed that only 19% of patients received management for osteoporosis, and in the literature [1], the rate is between 10-25%. We have evaluated a different management concept, based on the systematic assessment of patients with osteoporotic fractures during and after hospitalization (active pathway). Methods: Inpatients admitted to the Department of Musculoskeletal Medicine for a fragility fracture were identified by a nurse according to a predefined questionnaire and were then clinically evaluated by a doctor. Based on the results, a management plan was proposed to the patients. Patients could choose between follow up either by their GP or by the Centre of Bone Disease of the CHUV. For patients who chose follow-up in our Centre, we assessed their adherence to medical follow-up 1 year inclusion. The results of patients who had been evaluated in our cohort between the 1 November 2008 and the 1 December 2009 were analysed. Results: 573 inpatients received specific management of their osteoporotic fracture over 18 months. The mean age was 77 y (31-99), 81% were women (203 hip fractures, 40 pelvis fractures, 101 arm fractures, 57 vertebral fractures, 63 ankle fractures, and 25 others sites). During the study period, 303 patients received a proposition of a specific treatment. 39 (13%) chose a follow up with the GP, 19 (6%) dead and 245 (81%) preferred a follow up in our Centre. After 1 year, 166 (67%) patients are under follow up in our outpatient clinic. Conclusion: With an active clinical pathway that starts during the hospitalization, consisting on a nursing evaluation followed by a medical consultation by an expert in osteoporosis, the adherence increased from 19% to 67% in terms of follow up. These results lead us to propose a consultation with a doctor experienced in osteoporosis after all osteoporotic fractures.