Construction of a Full-Process Nursing Service Platform for Day Surgery Patients Based on Kano Model.

This study was based on the Kano model and rely on the Internet hospital to build a day surgery patient full-process nursing service platform. Based on the Internet hospital's HIS system, nursing Yuanzhuo system, patient mobile terminal (WeChat) and other information systems. The platform was designed by following the WHO's conceptual framework for developing a scaling-up strategy. It was tested and refined by a pilot in a hospital in China. The full-process care platform for day surgery patients realizes information interconnection and interoperability of patient surgical consultation, surgical inquiries, and postoperative follow-up. It consists of a WeChat applet (client) and an online website (server). Pre-experiment results show that patients are more likely to recommend the hospital's day surgery to others. The mHealth-based perioperative full-process nursing service platform for day surgery patients can initially meet the health education needs, surgical consultation needs and follow-up needs of day surgery patients.

Demand analysis of health care services for community-dwelling breast cancer survivors based on the Kano model: A cross-sectional study.

Objectives: Providing satisfactory healthcare services for breast cancer survivors can effectively reduce their burden and the pressure on medical resources. The aim of this study was to explore health care service demands for community-dwelling breast cancer survivors using the Kano model. Methods: A cross-sectional survey was conducted from January to March 2023 among breast cancer survivors discharged from a tertiary cancer hospital. Participants were asked to fill out a self-designed questionnaire involving the Kano model, which helped to categorize and prioritize the attributes of healthcare services. The questionnaire included 30 health care services. Additionally, their social demographic characteristics were collected during the survey. Results: A total of 296 valid questionnaires were collected, and demand attributes of the 30 health care services were evaluated. The findings revealed that one of 30 services was classified as "must-be attributes" (body image management), 13 as "one-dimensional attributes" (focused on medical security support, health management, and health counseling), 3 as "attractive attributes" (focused on communication needs and telehealth services), and 11 as "indifferent attributes" (mainly in the area of psycho-social services). Conclusions: Breast cancer survivors in the community have different levels of need for various health care services. It's crucial for healthcare providers to identify these needs and devise effective strategies to deliver the appropriate services. Services with must-be and one-dimensional attributes should be given priority, and efforts should be made to provide services with attractive attributes, hence improving the quality of life of breast cancer survivors.

Design of breastfeeding chairs for maternity rooms based on Kano-AHP-QFD: User requirement-driven design approach.

In maternity rooms, breastfeeding chairs are crucial pieces of equipment that greatly influence the breastfeeding experience. However, an abundance of data indicates that there are still issues with breastfeeding chairs, including inadequate support for breastfeeding, poor body type adaptability, and failure to adequately analyse the requirements of mothers and baby users. This study used an innovative research approach to breastfeeding chair design from the standpoint of user requirements to improve breastfeeding willingness and user experience. We propose a user requirement assessment design approach that integrates the Kano model, analytic hierarchy process (AHP), and quality function development (QFD) based on the requirements of mother and baby groups. This approach was intended to build a user experience evaluation model for mother- and baby-friendly products. Following this approach to breastfeeding chair design, a fuzzy comprehensive evaluation (FCE) was used to assess the chair. Compared to the original breastfeeding chairs, the designs of breastfeeding chairs that met important requirements for mothers and infants, such as safety, hygiene, and breastfeeding support, resulted in an approximately 23 % increase in user satisfaction. This effectively improved the user experience of both mothers and infants. This approach is centred on the basic requirements of mothers and babies. It evaluates the essential requirements that impact the breastfeeding experiences of mothers and babies and provides multifaceted data regarding the attributes of the different requirements of mothers and babies. This results in theoretical research references for ensuing user-driven design products that cater to the requirements of mothers and their infants and play a pivotal role in formulating design guidelines for mother- and baby-friendly products.

An integrated design concept evaluation model based on interval valued picture fuzzy set and improved GRP method.

The objective of this research is to enhance the precision and efficiency of design concept assessments during the initial stages of new product creation. Design concept evaluation, which occurs at the end of the conceptual design phase, is a critical step in product development. The outcome of this evaluation significantly impacts the product's eventual success, as flawed design concepts are difficult to remedy in later stages. However, the evaluation of new product concepts is a procedure that encompasses elements of subjectivity and ambiguity. In order to deal with the problem, a novel decision-making method for choosing more logical new product concepts is introduced. Basically, the evaluation process is outlined in three main phases: the construction of evaluation index system for design concept alternatives, the calculation of weights for evaluation criteria and decision-makers, the selection of the best design concept alternatives. These stages are composed of a hybrid method based on kano model, multiplicative analytic hierarchy process (AHP) method, the entropy of IVPFS and improved grey relational projection (GRP) under interval-valued picture fuzzy set (IVPFS). The novel approach integrates the strength of interval-valued picture fuzzy number in handling vagueness, the advantage of multiplicative AHP and the merit of improved GRP method in modelling multi-criteria decision-making. In final, the effectiveness of the proposed model is validated through comparisons with other models. The potential applications of this study include but are not limited to product development, industrial design, and innovation management, providing decision-makers with a more accurate and comprehensive design concept evaluation tool.

An assessment of the perceptual elements of urban streets based on the context of urban tourism - The case of Sheffield.

Background: After COVID-19, more and more travelers are more inclined to walk in cities, and the sensory elements of streets can have a significant impact on urban tourism. Local residents and travelers have different perceptions of the street and preferences for its use. The purpose of this study is to evaluate and analyse the streets from the perspective of locals and travelers. Method: In this study, a questionnaire was designed to obtain local residents' and travelers' evaluations of the sensory elements of the street and a quadrant analysis of the street's sensory elements was carried out using the IPA-Kano model. Results: The results of the study show that travelers are particularly concerned about maps and signage guidance, while local residents are more concerned about the green environment of the surroundings and how well it is maintained. Conclusion: There is a difference in the indicators chosen by the two groups in the results of the comparison between locals and travelers, and this study is hoped to provide some data support for future urban managers and designers to learn from and refer to for street improvements and renewal.

Demand analysis of general practice patients for teaching clinic based on Kano model.

Background: General practice teaching clinics play a crucial role in the training of general practitioners, as they are more likely to enhance reception skills compared to traditional training methods. The quality of teaching clinics is largely determined by the level of patient acceptance. In recent years, the Kano model has become increasingly popular in the healthcare industry and has been used to enhance patient satisfaction. The objective of this study is to apply the Kano model to investigate the needs of patients in general practice teaching clinics and to rank the significance of each demand. This study will serve as a reference for enhancing the service quality of teaching clinics and advancing the field of general practice. Methods: A total of 101 patients of general practice at the Affiliated Hospital of Yangzhou University in Jiangsu province were selected using a random convenience sampling method to participate in a questionnaire survey. The questionnaire was designed by members of our team and was based on the Kano model. The study defined the service demand, assessed the impact of both satisfaction and dissatisfaction and created a matrix bubble diagram. Results: The study findings revealed that out of the 14 items of the general practice teaching clinic service demands, 1 item was categorized as a must-be requirement, 4 items were categorized as one-dimensional requirements, 2 items were categorized as an attractive requirement, 2 items were categorized as an indifferent requirement, and 5 items were categorized as mixed attributes. The findings of the matrix analysis showed that 4 items were situated in the area of one-dimensional attributes quadrant, 3 items were situated in the area of attractive attributes quadrant, 5 items were situated in the area of indifferent attributes quadrant, and 2 items were situated in the area of must-be attributes quadrant. Conclusion: The patients of general practice have positive attitudes toward teaching clinics. The findings can offer valuable insights for enhancing the quality of service and patient experience in general practice teaching clinics as well as for advancing the field of general practice.

Histopathological patterns of endometrial carcinoma in a tertiary hospital in North-West Nigeria.

Background: There are relatively few studies in Nigeria, and indeed, sub-Saharan Africa that have documented the relative frequencies and histomorphological patterns of endometrial carcinoma. This study aimed to determine the relative frequencies and clinic-epidemiological characteristics of endometrial carcinoma and its histological variants in Kano, North-Western, Nigeria. Method: A 10-year retrospective study of all endometrial carcinoma cases in the Department of Pathology, Aminu Kano Teaching Hospital, Kano. All relevant information was retrieved and data was analysed using Statistical Package for Social Sciences version 22. Results: Endometrial carcinoma showed an increment in prevalence from 0.5% of all gynaecologic admission in 2008 to 1.0% in 2017. Type I endometrial carcinoma, specifically endometrioid adenocarcinoma accounted for 80% of cases, while endometrial serous carcinoma was the most common type II endometrial carcinoma representing 20% of cases. Over 75% of endometrial carcinomas occurred in postmenopausal women with a mean age of 59 years. Conclusion: There is a rise in the prevalence of endometrial carcinoma and endometrioid adenocarcinoma is the most common histologic type.

The role of medical-grade maggots in facilitating healing of diabetic foot ulcers in Kano, northern Nigeria: a case series.

OBJECTIVE: Approximately 13% of people living with diabetes develop one or more ulcers during the course of the disease, and diabetic foot ulcer (DFU) is responsible for >60% of lower limb amputations worldwide. This case series aimed to demonstrate the effectiveness of medical-grade maggots on DFUs in promoting wound healing and reducing related hospital stays in northern Nigeria. METHOD: Maggot debridement therapy (MDT) was applied to the DFUs of patients who consented to this treatment between January-August 2021 at the Orthopaedic Unit of the Aminu Kano Teaching Hospital (AKTH), Kano, Nigeria. Sterile first instar larvae of Lucilia sericata were obtained indigenously and applied using the confinement (free-range) method under aseptic procedure. RESULTS: A total of 15 patients with DFUs of Wagner classification grades III (33.3%) and IV (66.7%), were seen and documented. The patients included 10 (66.7%) females and five (33.3%) males, giving a female:male ratio of 2:1. The mean age (±standard deviation) of the respondents was 51.6±10.8 years. The surface area of the wounds ranged from 24-140cm2, with a median value of 75cm2. Among the patients, 60% had two cycles of MDT, with a median duration of five days. Most of the wounds (53.3%) were debrided within five days; 13.3% (two wounds) took seven days to be fully debrided. A paired sample t-test showed a statistically significant association between wound surface area and therapy duration (t=8.0; p=0.000) and between wound surface area and cycles of therapy (t=8.3; p=0.000). Before maggot application, 14 (93.3%) DFUs were completely (100%) covered with slough and only one (6.7%) was 95% covered with slough. After maggot application, 10 (66.7%) wounds were completely debrided while five (33.3%) wounds required bedside surgical debridement to achieve complete debridement. A paired sample t-test showed statistically significant difference between the pre- and post-MDT slough covering the wounds (t=45.1; p=0.000). CONCLUSION: In this case series, MDT was successfully used in the debridement of DFUs, which facilitated the healing process with an encouraging clinical outcome.

A framework for prioritizing urban ecological infrastructure (UEI) implementation tasks based on residents' ecological demands and government policies.

With rapid urbanization, balancing urban ecological infrastructure (UEI) construction and residents' ecological demands (RED) has become an imperative but challenging issue for sustainable development. This study develops an integrated framework to systematically prioritize UEI implementation based on localized RED and government policies. We incorporate the Kano model and quality function deployment (QFD) approach to quantify the complex associations between various resident needs and existing policies. Taking Chengdu City as a case study, resident surveys and policy reviews are conducted to construct the demand-policy linkage matrix and determine the importance of UEI tasks. Results reveal that, (1) flood control capacity is most prioritized by RED, followed by wetland area and less PM2.5, while cultural service demands rank lower; (2) Forest coverage, green space development, wetland construction and park construction emerge as priority UEI implementation tasks that can maximize fulfilling RED. This novel framework enables adaptive customization of UEI planning for different cities through configurable modeling. It provides a valuable decision support tool that enables optimizing or improving the prioritization of UEI implementation tasks based on residents' preferences. The research results have important reference value for the prioritization of UEI implementation tasks.

Spiritual care needs and their attributes among Chinese inpatients with advanced breast cancer based on the Kano model: a descriptive cross-sectional study.

BACKGROUND: Numerous previous research have established the need for spiritual care among patients with cancer globally. Nevertheless, there was limited research, primarily qualitative, on the spiritual care needs of Chinese inpatients with advanced breast cancer. Furthermore, the need for spiritual care was rarely explored using the Kano model. To better understand the spiritual care needs and attributes characteristics of inpatients with advanced breast cancer, this study examined the Kano model. METHODS: A descriptive cross-sectional design study was conducted in the oncology departments of three tertiary grade-A hospitals in China from October 2022 to May 2023. To guarantee high-quality reporting of the study, the Strengthening the Reporting of Observational Studies in Epidemiology Checklist was used. Data on the demographic characteristics questionnaire, the Nurse Spiritual Therapeutics Scale (NSTS), and the Kano model-based Nurse Spiritual Therapeutics Attributes Scale (K-NSTAs) were collected through convenience sampling. The Kano model, descriptive statistics, two independent samples t-tests, and one-way analysis of variance were used to analyze the data. RESULTS: The overall score for spiritual care needs was 31.16 ± 7.85. The two dimensions with the highest average scores, "create a good atmosphere" (3.16 ± 0.95), and the lowest average scores, "help religious practice" (1.72 ± 0.73). The 12 items were distributed as follows: three attractive attributes were located in Reserving Area IV; five one-dimensional attributes were distributed as follows: three one-dimensional attributes were located in Predominance Area I, and two were found in Improving Area II; two must-be attributes were located in Improving Area II; and two indifference attributes were located in Secondary Improving Area III. CONCLUSION: The Chinese inpatients with advanced breast cancer had a middle level of spiritual care needs, which need to be further improved. Spiritual care needs attributes were defined, sorted, categorized, and optimized accurately and perfectly by the Kano model. And "create a good atmosphere" and "share self-perception" were primarily one-dimensional and must-be attributes. In contrast, the items in the dimensions of "share self-perception" and "help thinking" were principally attractive attributes. Nursing administrators are advised to optimize attractive attributes and transform indifference attributes by consolidating must-be and one-dimensional attributes, which will enable them to take targeted spiritual care measures based on each patient's characteristics and unique personality traits.

What landscape elements are needed for hospital healing spaces? Evidence from an empirical study of 10 compact hospitals.

Background: Modern medical research shows that a rationally planned landscape environment helps patients recover. With the growing number of hospital patients and the tightening of per capita medical landscape land, the use of limited landscape resources to serve patients has become challenging. Methods: This study focused on the landscape environment of 10 hospitals in Guangdong Province, China. Based on the KANO theoretical model, a survey questionnaire was designed and administered to 410 participants. The data were analyzed based on demand attributes, importance, sensitivity, and group differences. Results: The maintenance requirements were the most important item in the sensitivity ranking. Furthermore, the analysis revealed that the users need a safe, quiet, and private environment, owing to their higher requirements, including visual healing, rehabilitation activities, shading and heat preservation, and medical escort. Moreover, adolescents and older adult patients have common and contradictory environmental needs. For example, the landscape environment should provide both an active space and a quiet rehabilitation environment. Conclusion: This study evaluates how landscape resources can be better utilized from the perspective of the user and expands the theory of healing landscapes, which has practical implications for hospital renovation and landscape environment strategies.

Improving health information system for malaria program management: Malaria Frontline Project lessons learned from Kano and Zamfara States, Nigeria, 2016-2019.

The U.S. Centers for Disease Control and Prevention in collaboration with the National Malaria Elimination Program and the African Field Epidemiology Network established the Malaria Frontline Project to provide innovative approaches to improve the malaria program implementation in Kano and Zamfara States, Nigeria. Innovative approaches such as malaria bulletin, malaria monitoring wall chart, conduct of ward level data validation meetings and malaria dashboard have helped improve the use of data for decision making at all levels. Innovative approaches deployed during the project implementation facilitated data analysis and a better understanding of malaria program performance and data utilization for decision making at all levels. These innovative approaches may improve malaria control program performance in Nigeria and other resource limited countries.

Application of Kano model for optimizing the training system among nursing internship students: a mixed-method Egyptian study.

BACKGROUND: Clinical experience is an important component of nursing education because it translates students' knowledge into practice, which serves as the cornerstone of nursing practice in health care delivery. PURPOSE: The study aims to explore the quality attributes required for optimizing the training system of nursing internship students using Kano model. METHODS: A concurrent exploratory sequential triangulation design was used for mixed-methods research. A total of 295 nursing internship students (Target Population) were recruited (whole-population sampling) from the study settings in Egypt. Of them, 280 (97.2%) agreed to participate in the study and completed the interview and the self-administered questionnaire. Data collection was done over 6 months from February to August, 2022. Inferential statistics and thematic data analysis were used to analyze the results. RESULTS: Findings revealed that there were 35 fundamental attributes required for high-quality nursing students' internship training. Kano model was used to categorize and prioritize the 35 quality attributes. Kano analysis revealed that 22 attributes were categorized as "attractive" and 11 attributes were as categorized as "must be" and two were indifferent attributes. CONCLUSION: Incorporating the voice of nurse interns during their training is the key to providing efficient and high-quality internship training experience. It could give realistic impressions about the drawbacks of training and proposed solutions. IMPLICATIONS OF THE STUDY: Nurse managers and educators in clinical settings and educational institutions should put much emphasis on the training attributes and pillars to ensure that nursing internship students are mastering the skills of competent alumni. Provision of conducive training environment that fulfill the basic needs of internship students to maintain passion for learning as well as commitment of internship students to nursing profession will improve the satisfaction level and quality of education, training, and practice. Also, incorporating internship students support system with motivation strategies are helpful tools to maintain exemplary performance of internship students during the training period.

Audit of emergency obstetric referrals at a tertiary center in Kano.

Introduction: Maternal and perinatal deaths could be prevented if functional referral systems are in place to allow pregnant women to get appropriate services when complications occur. Methodology: The study was a 1-year retrospective study of obstetric referrals in Aminu Kano Teaching hospital, from 1st January to 31st December 2019. Records of all emergency obstetrics patients referred to the hospital for 1 year were reviewed. A structured proforma was used to extract information such as sociodemographic characteristics of the patients, indications for referral, and pre-referral treatment. The care given at the receiving hospital was extracted from the patients' folders. An Audit standard was developed and the findings were compared with the standards in order to determine how the referral system in the study area perform in relation to the standard. Results: There were total of 180 referrals, the mean age of the women was 28.5 ± 6.3 years. Majority (52%) of the patients were referred from Secondary Centres and only 10% were transported with an ambulance. The most common diagnosis at the time of referral was severe preeclampsia. More than half of the patients (63%) had to wait for 30 to 60 minutes before they see a doctor. All the patients were offered high quality care and majority (70%) were delivered via caesarean section. Conclusion: There were lapses in the management of patients before referral; failure to identify high risk conditions, delay in referral, and lack of treatment during transit to the referral centre.

Résumé Introduction: Les décès maternels et périnatals pourraient être évités si des systèmes de référence fonctionnels étaient en place pour permettre aux femmes enceintes d'obtenir des services appropriés en cas de complications. Méthodologie: L'étude était une étude rétrospective d'un an sur les références obstétricales à l'hôpital universitaire Aminu Kano, du 1er janvier au 31 décembre 2019. Les dossiers de toutes les patientes en obstétrique d'urgence référées à l'hôpital pendant 1 an ont été examinés. Un formulaire structuré a été utilisé pour extraire des informations telles que les caractéristiques sociodémographiques des patients, les indications de référence et le traitement pré-référence. Les soins prodigués à l'hôpital d'accueil ont été extraits des dossiers des patients. Une norme d'audit a été élaborée et les résultats ont été comparés aux normes afin de déterminer comment le système d'aiguillage dans la zone d'étude fonctionne par rapport à la norme. Résultats: Il y avait un total de 180 références, l'âge moyen des femmes était de 28,5 ± 6,3 ans. La majorité (52%) des patients ont été référés depuis des centres secondaires et seulement 10% ont été transportés en ambulance. Le diagnostic le plus courant au moment de la référence était la prééclampsie sévère. Plus de la moitié des patients (63%) ont dû attendre 30 à 60 minutes avant de voir un médecin. Tous les patients ont reçu des soins de haute qualité et la majorité (70%) ont accouché par césarienne. Conclusion: Il y avait des lacunes dans la prise en charge des patients avant la référence ; incapacité à identifier les conditions à haut risque, retard dans la référence et absence de traitement pendant le transit vers le centre de référence. Mots-clés: Audit, Obstétrique, référence, Kano.

Adherence to recommended hospital waste management practices by healthcare workers at Murtala Muhammad Specialist Hospital Kano, Nigeria.

Introduction: the aim of this study was to determine what proportion of patients with confirmed esophageal cancer at the largest hospital in the country were recorded in the Zambia National Cancer Registry (ZNCR). Methods: we reviewed esophageal cancer records at the University Teaching Hospital (UTH) and ZNCR, between 2015 and 2017. Using Stata version 15, data were summarised and the Kruskal-Wallis was used to compute comparisons, Kaplan-Meier curves for survival estimates and Cox regression for associated factors. Results: included in the final analysis were records for 222 patients with confirmed esophageal cancer and of these 51/222 (41%) were appearing in the ZNCR. The mean age of the patients was 56.2 years (SD, 13.0) and only 2/222 (1%) were confirmed alive at the time of data analysis. The median time from endoscopic diagnosis to histological confirmation was 12.5 days (IQR 7.5 - 21.5) and arrival at the Cancer Diseases Hospital (CDH) for treatment was 20 days (IQR 10 - 34). The overall median survival time in the study was 259 days (CI 95%; 151 - 501). Age, sex, time to diagnosis, histological classification and grade of tumour did not show any evidence of predicting survival in both the univariate and multivariable cox regression model (p>0.05). Conclusion: a significant proportion of esophageal cancer cases seen at UTH were not included in the national registry suggesting that official figures for the prevalence of esophageal cancer in Zambia are underestimated. There is an urgent need to improve the collection of data on esophageal cancer in Zambia.

Research on innovative design of community mutual aid elderly care service platform based on Kano model.

The mutual aid elderly care model is important to solve the world population's current aging problem. However, although mutual aid elderly care has been developing in China for more than 20 years, there is still a lack of a systematic way to participate in mutual aid elderly care services, which has led to a slow development of mutual aid elderly care. Therefore, in order to promote the development of mutual aid elderly care and the transition of social elderly care towards sustainability, this study analyzes the actual elderly care service needs and proposes new design strategies for mutual aid elderly care service platforms. In this study, first, the actual elderly care needs were obtained through interview methods and offline questionnaire surveys. The results showed that the elderly have a high demand for health, daily life, entertainment, and spiritual needs, which can be used to establish a comprehensive Kano model. Based on the priority of the needs hierarchy, mutual aid elderly care resources can be allocated rationally. For example, when applying the research results to the design of mutual aid elderly care service platforms, the "Must-be quality" is first satisfied, followed by the "One-dimensional quality" and the "Attractive quality" according to the actual situation. Furthermore, the mutual aid elderly care service platform is divided into a basic version and a professional version to promote the actual needs of different groups of elderly people. In conclusion, the study aims to promote the development of mutual aid elderly care and the transition of social elderly care towards sustainability. The research value of this study lies in its potential to alleviate the slow development of the current mutual aid elderly care model in China and provide a reference for solving the problem of global aging population.

The satisfaction of the undergraduate nursing classroom teaching quality based on the Kano model in China.

Objectives: To investigate the satisfaction of the undergraduate nursing classroom teaching quality based on the Kano model and provide a reference for improving the overall quality of educational services. Methods: A total of 621 sophomores and juniors of nursing at Hubei University of Medicine were selected to conduct questionnaires based on the Kano model using convenient sampling. Results: The 16 items are all a one-dimensional factor. The satisfaction and importance are 0.77 to 0.86 and -0.58 to -0.80, respectively. In the quadrant analysis chart, there are four items in the dominant area, three items for improvement, three in the observation area, and six in the retention area. Conclusion: Analyzing the satisfaction of nursing undergraduates' classroom teaching quality can help us effectively understand the intrinsic needs of students and improve the overall quality of nursing undergraduates' curriculum teaching services.

Kano-QFD-based analysis of the influence of user experience on the design of handicraft intangible cultural heritage apps.

Mobile internet and digital technology provide new media platforms for the dissemination of handicraft intangible cultural heritage (ICH). Despite extensive research into the effect of user experience (UX) on handicraft ICH applications (apps), there is little quantitative research on the relationship between user needs and app design requirements. This study employed semi-structured interviews, online questionnaire surveys, and expert evaluation to understand and rank user needs and design requirement influencing factors. A quantitative analysis using the Kano-QFD approach revealed the different effects of twelve user needs and twenty-three design requirements on handicraft ICH app design. Following the establishment of a relationship matrix between user needs and design requirements, the app design requirements were ranked according to importance. Furthermore, a concept-category-application UX app design framework was constructed based on an analysis of the importance of design requirements. The concept layer formed the theoretical basis for the UX app design, the category layer represented the different facets of the UX design, and the application layer provided specific suggestions on the importance of app design. The eye-movement experiment and System Usability Scale were used to test the UX effects of a sample handicraft ICH app, verifying that the UX design framework was reliable. The framework provides methodological reference for the UX design of other ICH digital products. Supplementary Information: The online version contains supplementary material available at 10.1186/s40494-023-00903-w.

Orthopaedic and trauma surgeons' prioritisation of app quality principles based on their demographic background.

BACKGROUND: Although apps are becoming increasingly relevant in healthcare, there is limited knowledge about how healthcare professionals perceive "quality" in this context and how quality principles that can aid them in assessing health-related apps may be prioritised. The objective was to investigate physicians' views of predefined (general) quality principles for health apps and to determine whether a ranking algorithm applied to the acquired data can provide stable results against various demographic influences and may thus be appropriate for prioritisation. METHODS: Participants of an online survey of members of two German professional orthopaedics associations conducted between 02/12/2019 and 02/01/2020 were asked about their perception of a set of quality principles for health apps (i.e., "practicality," "risk adequacy," "ethical soundness," "legal conformity," "content validity," "technical adequacy," "usability," "resource efficiency," and "transparency"). Structured as a Kano survey, for each principle, there were questions about its perceived relevance and opinions regarding the presence or absence of corresponding characteristics. The available data were evaluated descriptively, and a newly developed method for prioritisation of the principles was applied overall and to different demographic strata (for validation). RESULTS: Three hundred eighty-two datasets from 9503 participants were evaluated. Legal conformity, content validity, and risk adequacy filled ranks one to three, followed by practicability, ethical soundness, and usability (ranks 4 to 6). Technical adequacy, transparency, and resource efficiency ranked last (ranks 7 to 9). The ranking based on the proposed method was relatively stable, irrespective of demographic factors. The principles were seen as essential, with one exception ("resource efficiency"). Only those with little to no interest in digitisation (22/382, 5.8%) rated the nine principles indifferently. CONCLUSIONS: The specified quality principles and their prioritisation can lay a foundation for future assessments of apps in the medical field. Professional societies build upon this to highlight opportunities for digital transformations in medicine and encourage their members to participate.

Improving the elicitation of critical customer requirements through an understanding of their sensitivity.

Customer requirements (CRs) are the essential driven forces of product development. Constrained by the rigid budget and time allocated to product development, much attentions and resources should be paid on critical customer requirements (CCRs). Product design occurs with an increasingly frenetic pace of change in today's competitive market, and the changes of external environment will lead to the changes of CRs. Thus, involving the sensitivity of CRs toward influence factors to identify CCRs is of great significance to grasp the directions of product evolution and enhance market competitiveness. To fill this gap, this study proposes a CCRs identification method integrated Kano model and structural equation model (SEM). First, the Kano model is adopted to determine the category of each CR. Second, based on CRs' categorization, an SEM model is established to measure the sensitivity of CRs toward the turbulence of influence factors. Then the importance of each CR is calculated, and by integrating the sensitivity and importance, a four-quadrant diagram is constructed to identify the CCRs. Finally, the identification of CCRs for smartphone is implemented as an example to demonstrate the feasibility and additional value of the proposed method.