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Attraction and achievement as two attributes of gamification in healthcare: an evolutionary concept analysis
Hyun Kyoung Kim
J Educ Eval Health Prof. 2024;21:10.   Published online April 11, 2024
DOI: https://doi.org/10.3352/jeehp.2024.21.10    [Epub ahead of print]
  • 138 View
  • 31 Download
AbstractAbstract PDF
Purpose
This study conducted a conceptual analysis of gamification in healthcare utilizing Rogers' evolutionary concept analysis methodology to identify its attributes and provide a method for its applications in the healthcare field. Gamification has recently been used as a health intervention and education method, but the concept is used inconsistently and confusingly.
Methods
A literature review was conducted to derive definitions, surrogate terms, antecedents, influencing factors, attributes (characteristics with dimensions and features), surrogate concepts, consequences, implications, and hypotheses from various academic fields. A total of 56 journal articles in English and Korean, published between August 2 and August 7, 2023, were extracted from databases such as PubMed Central, the Institute of Electrical and Electronics Engineers, the Association for Computing Machinery Digital Library, the Research Information Sharing Service , and the Korean Studies Information Service System, using the keywords “gamification” and “healthcare.” These articles were then analyzed.
Results
Gamification in healthcare is defined as the application of game elements in health-related contexts to improve health outcomes. The attributes of this concept were categorized into two main areas: attraction and achievement. These categories encompass various strategies for synchronization, enjoyable engagement, visual rewards, and goal-reinforcing frames.
Conclusion
Through a multidisciplinary analysis of the concept's attributes and influencing factors, this paper provides practical strategies for implementing gamification in health interventions. When developing a gamification strategy, healthcare providers can reference this analysis to ensure the game elements are used both appropriately and effectively.
Research articles
Adequacy of the examination-based licensing system and a training-based licensing system for midwifery license according to changes in childbirth medical infrastructure in Korea: a survey-based descriptive study  
Yun Mi Kim, Sun Hee Lee, Sun Ok Lee, Mi Young An, Bu Youn Kim, Jum Mi Park
J Educ Eval Health Prof. 2023;20:15.   Published online May 22, 2023
DOI: https://doi.org/10.3352/jeehp.2023.20.15
  • 897 View
  • 57 Download
AbstractAbstract PDFSupplementary Material
Purpose
The number of Korean midwifery licensing examination applicants has steadily decreased due to the low birth rate and lack of training institutions for midwives. This study aimed to evaluate the adequacy of the examination-based licensing system and the possibility of a training-based licensing system.
Methods
A survey questionnaire was developed and dispatched to 230 professionals from December 28, 2022 to January 13, 2023, through an online form using Google Surveys. Descriptive statistics were used to analyze the results.
Results
Responses from 217 persons (94.3%) were analyzed after excluding incomplete responses. Out of the 217 participants, 198 (91.2%) agreed with maintaining the current examination-based licensing system; 94 (43.3%) agreed with implementing a training-based licensing system to cover the examination costs due to the decreasing number of applicants; 132 (60.8%) agreed with establishing a midwifery education evaluation center for a training-based licensing system; 163 (75.1%) said that the quality of midwifery might be lowered if midwives were produced only by a training-based licensing system, and 197 (90.8%) said that the training of midwives as birth support personnel should be promoted in Korea.
Conclusion
Favorable results were reported for the examination-based licensing system; however, if a training-based licensing system is implemented, it will be necessary to establish a midwifery education evaluation center to manage the quality of midwives. As the annual number of candidates for the Korean midwifery licensing examination has been approximately 10 in recent years, it is necessary to consider more actively granting midwifery licenses through a training-based licensing system.
Evaluation of student perceptions with 2 interprofessional assessment tools—the Collaborative Healthcare Interdisciplinary Relationship Planning instrument and the Interprofessional Attitudes Scale—following didactic and clinical learning experiences in the United States  
Vincent Dennis, Melissa Craft, Dale Bratzler, Melody Yozzo, Denise Bender, Christi Barbee, Stephen Neely, Margaret Robinson
J Educ Eval Health Prof. 2019;16:35.   Published online November 5, 2019
DOI: https://doi.org/10.3352/jeehp.2019.16.35
  • 9,900 View
  • 219 Download
  • 10 Web of Science
  • 9 Crossref
AbstractAbstract PDFSupplementary Material
Purpose
This study investigated changes in students’ attitudes using 2 validated interprofessional survey instruments—the Collaborative Healthcare Interdisciplinary Relationship Planning (CHIRP) instrument and the Interprofessional Attitudes Scale (IPAS)—before and after didactic and clinical cohorts.
Methods
Students from 7 colleges/schools participated in didactic and clinical cohorts during the 2017–2018 year. Didactic cohorts experienced 2 interactive sessions 6 months apart, while clinical cohorts experienced 4 outpatient clinical sessions once monthly. For the baseline and post-cohort assessments, 865 students were randomly assigned to complete either the 14-item CHIRP or the 27-item IPAS. The Pittman test using permutations of linear ranks was used to determine differences in the score distribution between the baseline and post-cohort assessments. Pooled results were compared for the CHIRP total score and the IPAS total and subdomain scores. For each score, 3 comparisons were made simultaneously: overall baseline versus post-didactic cohort, overall baseline versus post-clinical cohort, and post-didactic cohort versus post-clinical cohort. Alpha was adjusted to 0.0167 to account for simultaneous comparisons.
Results
The baseline and post-cohort survey response rates were 62.4% and 65.9% for CHIRP and 58.7% and 58.1% for IPAS, respectively. The post-clinical cohort scores for the IPAS subdomain of teamwork, roles, and responsibilities were significantly higher than the baseline and post-didactic cohort scores. No differences were seen for the remaining IPAS subdomain scores or the CHIRP instrument total score.
Conclusion
The IPAS instrument may discern changes in student attitudes in the subdomain of teamwork, roles, and responsibilities following short-term clinical experiences involving diverse interprofessional team members.

Citations

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    Journal of Interprofessional Care.2023; 37(4): 588.     CrossRef
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    Kim G. Adcock, Sally Earl
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    Segun J. Showande, Tolulope P. Ibirongbe
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  • To IPAS or not to IPAS? Examining the construct validity of the Interprofessional Attitudes Scale in Hong Kong
    Fraide A. Ganotice, Amy Yin Man Chow, Kelvin Kai Hin Fan, Ui Soon Khoo, May Pui San Lam, Rebecca Po Wah Poon, Francis Hang Sang Tsoi, Michael Ning Wang, George L. Tipoe
    Journal of Interprofessional Care.2022; 36(1): 127.     CrossRef
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    Mukadder Inci Baser Kolcu, Ozlem Surel Karabilgin Ozturkcu, Giray Kolcu
    Journal of Interprofessional Care.2022; 36(5): 684.     CrossRef
  • Patient participation in interprofessional learning and collaboration with undergraduate health professional students in clinical placements: A scoping review
    Catrine Buck Jensen, Bente Norbye, Madeleine Abrandt Dahlgren, Anita Iversen
    Journal of Interprofessional Education & Practice.2022; 27: 100494.     CrossRef
  • Can interprofessional education change students’ attitudes? A case study from Lebanon
    Carine J. Sakr, Lina Fakih, Jocelyn Dejong, Nuhad Yazbick-Dumit, Hussein Soueidan, Wiam Haidar, Elias Boufarhat, Imad Bou Akl
    BMC Medical Education.2022;[Epub]     CrossRef
Impact of interprofessional education on students of the health professions: a systematic review  
Amy Leigh Dyess, Jordyn Shelby Brown, Natasha Dianne Brown, Katherine Merrill Flautt, Lisa Jayroe Barnes
J Educ Eval Health Prof. 2019;16:33.   Published online October 23, 2019
DOI: https://doi.org/10.3352/jeehp.2019.16.33
  • 13,560 View
  • 483 Download
  • 31 Web of Science
  • 32 Crossref
AbstractAbstract PDFSupplementary Material
Purpose
Interprofessional education (IPE) is a concept that allows students from different health professions to learn with and from each other as they gain knowledge about their chosen professions and the professions of their colleagues. The purpose of this systematic review was to determine the effectiveness of IPE in the academic preparation of students of the health professions.
Methods
A search was conducted of the PubMed and CINAHL databases using the following eligibility criteria: IPE including students from 3 or more healthcare professions, IPE exposure within academic coursework, measurement of attitudes and/or perceptions as outcomes, and quantitative reporting of results. Articles were screened by title, abstract, and full text, and data were extracted.
Results
The search yielded 870 total articles. After screening, 7 articles remained for review. All studies reported a positive impact of IPE on the education of students of the health professions.
Conclusion
Evidence showed that IPE activities were an effective tool for improving attitudes toward interdisciplinary teamwork, communication, shared problem-solving, and knowledge and skills in preparation for collaboration within interdisciplinary teams.

Citations

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    Tam Tran, Sherrie Xie
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    Anna Le, Mikyoung A. Lee, Jennifer Wilson
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Attitudes toward rehabilitating inmates among occupational therapy students in the United States  
Sarah Catherine Tucker, Hon Keung Yuen
J Educ Eval Health Prof. 2019;16:6.   Published online March 25, 2019
DOI: https://doi.org/10.3352/jeehp.2019.16.6
  • 18,918 View
  • 312 Download
  • 1 Web of Science
  • 1 Crossref
AbstractAbstract PDFSupplementary Material
Purpose
This study was to examine occupational therapy (OT) students’ attitudes toward rehabilitating inmates and validate an instrument used to measure their attitudes.
Methods
OT students (n=128) from one university in Alabama, United States, completed an online survey exploring their attitudes toward rehabilitating inmates, which was assessed using the Rehabilitation Orientation Scale (ROS), a 7-point scale. Dimensional structure, internal consistency reliability, construct validity, and relations to other variables of the ROS was evaluated using factor analyses, Cronbach’s alpha, known-groups method, and univariable correlations, respectively.
Results
Unidimensionality of the ROS was confirmed with an alpha coefficient of 0.90. The mean ROS score of the respondents was 5.1; a score toward 7 indicated a more supportive attitude. About 60% of the respondents reported supportive attitudes (i.e., an ROS score ≥5). Respondents’ ROS scores were significantly higher than those of the public and criminal justice professionals. Female students reported a more supportive attitude than males. Multiple regression analysis indicated that respondents’ consideration of working in prison settings after graduation and their perception that OT has a role in prison settings were significantly associated with support for rehabilitating inmates, after controlling for gender and an acquaintance with someone who has been incarcerated.
Conclusion
Results indicated that the ROS demonstrated adequate psychometric properties as it applied to this population. The majority of respondents reported supportive attitudes toward rehabilitating inmates. Consideration of working in prison settings after graduation and the perception that OT has a role in prison settings were 2 independent factors associated with respondents’ attitudes toward rehabilitating inmates.

Citations

Citations to this article as recorded by  
  • Justice-Based Occupational Therapy: A Scoping Review
    Jaime P. Muñoz, Abigail Catalano, Yinao Wang, Gesina A. Phillips
    Annals of International Occupational Therapy.2020; 3(4): 162.     CrossRef
Developing a framework for evaluating the impact of Healthcare Improvement Science Education across Europe: a qualitative study  
Manuel Lillo-Crespo, M. Cristina Sierras-Davó, Rhoda MacRae, Kevin Rooney
J Educ Eval Health Prof. 2017;14:28.   Published online November 29, 2017
DOI: https://doi.org/10.3352/jeehp.2017.14.28
  • 33,890 View
  • 418 Download
  • 11 Web of Science
  • 10 Crossref
AbstractAbstract PDFSupplementary Material
Purpose
Frontline healthcare professionals are well positioned to improve the systems in which they work. Educational curricula, however, have not always equipped healthcare professionals with the skills or knowledge to implement and evaluate improvements. It is important to have a robust and standardized framework in order to evaluate the impact of such education in terms of improvement, both within and across European countries. The results of such evaluations will enhance the further development and delivery of healthcare improvement science (HIS) education. We aimed to describe the development and piloting of a framework for prospectively evaluating the impact of HIS education and learning.
Methods
The evaluation framework was designed collaboratively and piloted in 7 European countries following a qualitative methodology. The present study used mixed methods to gather data from students and educators. The framework took the Kirkpatrick model of evaluation as a theoretical reference.
Results
The framework was found to be feasible and acceptable for use across differing European higher education contexts according to the pilot study and the participants’ consensus. It can be used effectively to evaluate and develop HIS education across European higher education institutions.
Conclusion
We offer a new evaluation framework to capture the impact of HIS education. The implementation of this tool has the potential to facilitate the continuous development of HIS education.

Citations

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    Michael CAHAPAY
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    Maria Cristina Sierras-Davo, Manuel Lillo-Crespo, Patricia Verdu, Aimilia Karapostoli
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Educational/Faculty Development Material
Improving student-perceived benefit of academic advising within education of occupational and physical therapy in the United States: a quality improvement initiative  
Lisa J. Barnes, Robin Parish
J Educ Eval Health Prof. 2017;14:4.   Published online March 25, 2017
DOI: https://doi.org/10.3352/jeehp.2017.14.4
  • 33,419 View
  • 349 Download
  • 8 Web of Science
  • 9 Crossref
AbstractAbstract PDF
Academic advising is a key role for faculty in the educational process of health professionals; however, the best practice of effective academic advising for occupational and physical therapy students has not been identified in the current literature. The purpose of this quality improvement initiative was to assess and improve the faculty/student advisor/advisee process within occupational and physical therapy programs within a school of allied health professions in the United States in 2015. A quality improvement initiative utilizing quantitative and qualitative information was gathered via survey focused on the assessment and improvement of an advisor/advisee process. The overall initiative utilized an adaptive iterative design incorporating the plan-do-study-act model which included a threestep process over a one year time frame utilizing 2 cohorts, the first with 80 students and the second with 88 students. Baseline data were gathered prior to initiating the new process. A pilot was conducted and assessed during the first semester of the occupational and physical therapy programs. Final information was gathered after one full academic year with final comparisons made to baseline. Defining an effective advisory program with an established framework led to improved awareness and participation by students and faculty. Early initiation of the process combined with increased frequency of interaction led to improved student satisfaction. Based on student perceptions, programmatic policies were initiated to promote advisory meetings early and often to establish a positive relationship. The policies focus on academic advising as one of proactivity in which the advisor serves as a portal which the student may access leading to a more successful academic experience.

Citations

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    Omiros Iatrellis, Nicholas Samaras, Konstantinos Kokkinos, Apostolis Xenakis
    Applied System Innovation.2024; 7(1): 12.     CrossRef
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    Jeni Dulek, Michelle Gorenberg, Kaylinn Hill, Kelsey Walsh, Molly Perkins
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    Joyce Addo-Atuah, Heidi Fuchs, Jaclyn Tetenbaum-Novatt, Abraham M. Jeger
    American Journal of Pharmaceutical Education.2023; 87(12): 100138.     CrossRef
  • The Use of Quality Improvement in the Physical Therapy Literature: A Scoping Review
    James P. Crick, Timothy J. Rethorn, Tyler A. Beauregard, Riley Summers, Zachary D. Rethorn, Catherine C. Quatman-Yates
    Journal for Healthcare Quality.2023; 45(5): 280.     CrossRef
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    Caroline M Sierra, Jessa Koch, Jody Gonzalez, Khaled Bahjri
    International Journal of Pharmacy Practice.2022; 30(2): 184.     CrossRef
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    Özlem Şensoy, Dijle Ayar
    Cyprus Journal of Medical Sciences.2022; 7(3): 354.     CrossRef
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    Nurse Education Today.2019; 75: 58.     CrossRef
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Research Articles
Is a decentralized continuing medical education program feasible for Chinese rural health professionals?  
Guijie Hu, Yanhua Yi
J Educ Eval Health Prof. 2016;13:18.   Published online April 28, 2016
DOI: https://doi.org/10.3352/jeehp.2016.13.18
  • 29,521 View
  • 156 Download
  • 5 Web of Science
  • 5 Crossref
AbstractAbstract PDF
Purpose
Rural health professionals in township health centers (THCs) tend to have less advanced educational degrees. This study aimed to ascertain the perceived feasibility of a decentralized continuing medical education (CME) program to upgrade their educational levels. Methods: A cross-sectional survey of THC health professionals was conducted using a self-administered, structured questionnaire in Guangxi Zhuang Autonomous Region, China. Results: The health professionals in the THCs were overwhelmingly young with low education levels. They had a strong desire to upgrade their educational degrees. The decentralized CME program was perceived as feasible by health workers with positive attitudes about the benefit for license examination, and by those who intended to improve their clinical diagnosis and treatment skills. The target groups of such a program were those who expected to undertake a bachelor’s degree and who rated themselves as “partially capable” in clinical competency. They reported that 160-400 USD annually would be an affordable fee for the program. Conclusion: A decentralized CME program was perceived feasible to upgrade rural health workers’ education level to a bachelor’s degree and improve their clinical competency.

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    BMC Medical Education.2023;[Epub]     CrossRef
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    Frontiers in Medicine.2020;[Epub]     CrossRef
  • Unmet needs in health training among nurses in rural Chinese township health centers: a cross-sectional hospital-based study
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A job analysis of care helpers
Su Jin Shin, Kyung-Sook Choi, Seungeun Jeong, Seulgee Kim, Hyeung-Keun Park, Jae Eun Seok
J Educ Eval Health Prof. 2012;9:2.   Published online January 10, 2012
DOI: https://doi.org/10.3352/jeehp.2012.9.2
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AbstractAbstract PDF
The aim of this study was to examine the roles of care helpers through job analysis. To do this, this study used the Developing A Curriculum Method (DACUM) to classify job content and a multi-dimensional study design was applied to identify roles and create a job description by looking into the appropriateness, significance, frequency, and difficulty of job content as identified through workshops and cross-sectional surveys conducted for appropriateness verification. A total of 418 care helpers working in nursing facilities and community senior service facilities across the country were surveyed. The collected data were analyzed using PASW 18.0 software. Six duties and 18 tasks were identified based on the job model. Most tasks were found to be ?占퐄mportant task?? scoring 4.0 points or above. Physical care duties, elimination care, position changing and movement assistance, feeding assistance, and safety care were identified as high frequency tasks. The most difficult tasks were emergency prevention, early detection, and speedy reporting. A summary of the job of care helpers is providing physical, emotional, housekeeping, and daily activity assistance to elderly patients with problems in independently undertaking daily activities due to physical or mental causes in long-term care facilities or at the client?占퐏 home. The results of this study suggest a task-focused examination, optimizing the content of the current standard teaching materials authorized by the Ministry of Health and Welfare while supplementing some content which was identified as task elements but not included in the current teaching materials and fully reflecting the actual frequency and difficulty of tasks.

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    Sun Huh, Myung-Hyun Chung
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    Eun-Hee Hwang, Duk-Yoo Jung, Mi-Jung Kim, Kon-Hee Kim, Su-Jin Shin
    Journal of Korean Public Health Nursing.2012; 26(1): 101.     CrossRef
  • Job Analysis of Clinical Research Coordinators Using the DACUM Process
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    Journal of Korean Academy of Nursing.2012; 42(7): 1027.     CrossRef

JEEHP : Journal of Educational Evaluation for Health Professions