Understanding healthcare providers' electronic health record (EHR) interface preferences via conjoint analysis.

OBJECTIVE: The emergence of Electronic Health Records (EHRs) has been beneficial in processing administrative and clinical data for quality healthcare information. Despite being patient-centered, a number of these technologies have a fractional consideration of the human-computer interaction, which affects the healthcare professionals as end-users. This attempted to surface the healthcare providers' preferences of an ideal EHR system interface in the community setting. MATERIALS AND METHOD: Using an orthogonal main effect design of conjoint analysis, a select group of healthcare providers (n = 300) were asked to sort choice cards, which contains five (5) attributes of EHR interface with specific level. Data were analyzed using Sawtooth v.18 and SPSS v.21. RESULTS: High importance was given to color scheme and device platform. Further, the part-worth analysis revealed the preference for an EHR with the following attributes: (a) smartphone device, (b) triadic color, (c) minimalist design, (d) chunked layout and (e) icon-centered menu. DISCUSSION: Visual interest and technology needs of the community healthcare providers shaped their preferences. These provide substantial perspectives on how to improve usability of EHR interface systems. CONCLUSION: Findings underscored the expanded roles of the healthcare professionals in the successful development of EHR systems.

'Should I stay or should I go?': A mixed methods study on nurse retention during challenging times.

Background: The World Health Organization estimates that between 80,000 and 180,000 medical personnel perished as a result of COVID-19. Although studies about nurses' organizational commitment during the COVID-19 pandemic have been conducted, the sources of motivations and resilience strategies of nurses in providing a quality healthcare service amidst the COVID-19 pandemic have yet to be explored. Objective: This study aimed to investigate how motivation and resilience influence nurses to serve and cater to patients during the COVID-19 pandemic. Methods: A sequential exploratory mixed approach was used in this study between July and August 2022. The Connor-Davidson Resilience Scale (CD-RISC-10), Work Extrinsic and Intrinsic Motivations scale (WEIMS), and Garbee and Killacky's Intent to Stay Scale (GKISS) were used to measure resilience, motivation, and intention to stay, among 50 nurses within Metro Manila. Quantitative data were analyzed using quantile regression, while qualitative data from eight participants were analyzed using thematic analysis. Results: The majority of the nurses were working 12 hours and above (52%) and earning a bi-weekly income of PHP 15,001 to 20,000 (96%). The GKISS scores of most respondents indicated their likelihood of remaining in their current profession was moderately low (Mdn = 12.5; IQR = 12-14). It was also found that there was no sufficient statistical evidence to conclude that intention to stay was associated with resilience (p = 0.914) and work motivation (p = 0.560). The qualitative strand of this study explored the significant influences of motivation, resilience strategies, and sources of intention to stay among Filipino nurses while facing the COVID-19 pandemic. The primary motivations of nurses lie in family, passion for work, and career development, while the resilience strategies include adaptiveness, time management skills, and self-fulfillments. On the other hand, the intent to stay greatly lies in serving the people and the country. Conclusion: This study concludes that positive and negative resilience and motivations from different facets of the social life of Filipino nurses, including passion, familial ties, patient care, and faith are the antecedents influencing the intention to serve in the healthcare service. In terms of staying for an extended period in a nursing career, the study found that institutionalized interventions, adequate compensation and benefits, and a good workplace are determinants of staying longer in the Philippines as Filipino nurses.

Mothering and acculturation: experiences during pregnancy and childrearing of Filipina mothers married to Japanese.

This study aims to describe the lived experiences of Filipina mothers married to Japanese during pregnancy and childrearing. Eight focus group interviews (FGI) were conducted among 39 Filipino mothers who are currently residing in Japan to obtain significant information with regard to their pregnancy and childrearing experiences. Content analysis was used to extract relevant themes that will describe the experiences of this group of migrant mothers. The findings revealed three major themes: 1) cultural barriers during pregnancy and childrearing; 2) mothering at the different stages of childrearing; and 3) positive adjustments to a new role in a new environment. The establishment of means of communication with migrant mothers effectively enabling them to understand important information for promoting healthy pregnancy and childrearing is strongly recommended. Provision of school information in the English language and enhancing the resilient character of the Filipina are important strategies in promoting positive pregnancy and childrearing experiences among Filipina migrant mothers.