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Biomedical subjects

B Herbig

Publications and source records attributed to B Herbig.

7 recordsLinked to original sources
PubMed2002

The care information system PIK--the fit between user and system.

OBJECTIVES: The presented laboratory study explores the relationship between the care information system PIK and its users, focusing on intuitive program usage, occurring errors, the usefulness of the evaluation method, and the role of person related variables. METHODS: Three studies were conducted. While thinking aloud, a sample of 26 participants performed certain tasks, which were recorded in protocols. In addition, the occurring errors were rated in an error taxonomy. RESULTS: While the actual use of the program proved quite easy, conceptual structuring caused the participants difficulties. These difficulties stemmed mainly from problems encountered in generating a clear mental picture of the system, and the consequences of the actions. Over time, the program showed a positive development. CONCLUSIONS: Discussion of the results focuses on implementation processes in the context of usability research. The need to train users in the conceptual structure of the program and to build realistic expectations are the focus of our outline.

Adult↗
PubMed2001

The role of tacit knowledge in the work context of nursing.

AIMS OF THE STUDY: Previous research on the role of tacit knowledge is ambiguous. Some studies show the superiority of expertise, while other studies found experts would not be better than laymen. This paper aims at clarifying the contribution of tacit knowledge to expertise in the domain of nursing. BACKGROUND: Two important concepts for dealing with critical situations are outlined - tacit knowledge and experience-guided working. The framework of tacit knowledge and experience-guided working can contribute to an explanation of the ambiguous results. Tacit knowledge is acquired implicitly in the course of working and is therefore not subject to reflection. For this reason it can contain erroneous or problematic contents. METHODS: A method for the explication of tacit knowledge was developed and a laboratory study with 16 experienced nurses conducted. In the laboratory study the nurses had to deal with a critical nursing situation that was developed in co-operation with nursing experts. The explicit knowledge of the nurses was tested before the laboratory study. RESULTS: No systematic differences in explicit knowledge could be observed, i.e. differences in performance could not be attributed to this knowledge mode. Results from multidimensional scaling procedures illustrate differences in the tacit knowledge of nurses who successfully accomplished the critical situation and those who did not. CONCLUSIONS: The findings are in line with the assumption that experience-guided working is of the utmost importance for dealing with critical situations. Consequences of these results for nursing and person-related services in general are discussed and the aim of future research is outlined.

Adaptation, Psychological↗
PubMed2000

[Intuition as implicite knowledge].

The article relates the terms intuition, tacit knowledge and experience and describes their meaning for nursing. An empirical study with 16 experienced nurses is presented whereby the nurses had to deal with a simulated critical nursing situation. Basing on their actions a method for explication of action-guiding tacit knowledge was developed so that a closer scrutinizing of this type of knowledge became possible. Results underline the assumption of many practitioners that intuition as a resource in nursing activities is not to underestimate. At the same time a warning is given: Intuition and tacit knowledge is not always and at all times to evaluate positively. Finally, this differentiated point of view is discussed regarding consequences for nursing practice.

Humans↗
PubMed1997

[Surgical therapy of diffuse peritonitis--staged lavage].

Better understanding of pathophysiology and improved techniques of intensive medical care resulted in new concepts of aggressive treatment for diffuse peritonitis. All consider the importance of surgical removal of the infectious focus but also the necessity of further treatment following first surgical intervention in cases of severe peritonitis. No randomised clinical study yet exists. Indication and application of selected therapeutic technique result from clinical criteria and experience. Presently used concepts are described and evaluated from a clinical viewpoint.

Adult↗
PubMedDate not supplied

Recent developments of care information systems in Germany.

The authors describe recent developments in the German health care system. A taking stock of the current state of hospital information system implementations in Germany leads to the conclusion that up to now no integrated hospital information system can be found, but that the awareness for the necessity of such a system is growing. Anticipated challenges and risks of care information systems are examined on grounds of an exemplification by the German care information system PIK (Pflegedienst im Krankenhaus--Nursing service in hospital). With regard to the shift from functional to holistic nursing in Germany it is argued that the consequences of the implementation of a care information system are intertwined closely with the nursing model.

Computer Communication Networks↗
PubMedDate not supplied

The challenges of a care information system reflecting holistic nursing care.

In this article two recent developments in the German health care system are outlined. On one side, an increasing economic pressure and legal changes on the German health care system lead to growing computerization in German hospitals. On the other side, a shift from functional to holistic nursing is observed. The question is raised if within the paradigm of holistic nursing computer support is an adequate way to organize and design work. The newly developed German care information system, PIK (Pflegedienst im Krankenhaus--Nursing service in hospital), serves as an example for a program that is structured according to the nursing process. On the grounds of this exemplification it is argued that within the concept of "technology as an option" not only is the design of a program important but also its basic work organization and design. The authors come to the conclusion that computer support of holistic nursing is possible. However, it is shown that some aspects of nursing (for example, intuitive knowledge, which has been identified as an integral part of expert nursing) cannot be formalized and thus cannot be supported by computer systems.

Germany↗