Using Diagnostic Decision Support Systems to Reduce Diagnostic Error: A Survey of Critical Care Physicians (open access)

Using Diagnostic Decision Support Systems to Reduce Diagnostic Error: A Survey of Critical Care Physicians

The purpose of this study is to investigate the use of decisions support systems (DSS) by critical care physicians and to address the following questions: Does the use of a decision support system during diagnosis reduce diagnostic error and how are decision support systems used by critical care physicians? There are no studies that address these research questions in a clinical setting. The information assessment method (IAM) was used to guide the development of the survey questions. Critical care physicians from the University of Oklahoma Health Sciences Center were surveyed. Chi squared test for independence was used to determine the relationship between DSS use and diagnostic error rates. There were three main findings of the study: (1) use of a DSS by a critical care physician can decrease diagnostic error by up to 60%; (2) 56% of critical care physicians are using a DSS during diagnosis to learn something new, confirm something they already knew, and/or to reassure themselves; and (3) the increased use of a DSS by critical care physicians can lead to a decrease in the belief of the ability of a DSS to reduce diagnostic error.
Date: May 2020
Creator: Jones, Elizabeth Susann
Object Type: Thesis or Dissertation
System: The UNT Digital Library

Digital Equity in K-12 Education: Conceptualization and Analysis of Students' Digital Opportunity

Although digital equity is a recognized challenge in our K-12 school system, there is little research in using a holistic framework to investigate pre-conditions necessary for K-12 students to participate in digital learning and online processes. A conceptual framework of students' digital opportunity (SDO) is developed to represent the essential components of digital connectivity. The four key components are broadband internet availability, broadband usage, digital device ownership, and speed quality. A composite measure of SDO was created to quantitatively represent and measure the differences across 3,138 counties in the United States. Furthermore, spatial autocorrelation was applied to evaluate if the distribution of the SDO score is associated with geographical characteristics at the county level. The result showed the presence of significant county-level clusters with concentrations of high or low SDO scores. While the spatial analysis provided evidence of where the gaps in digital opportunities are located, there are underlying factors at the micro level that would need further investigation. This study suggests a collective approach between private and public entities to address the K-12 digital equity issue. The necessary conditions presented in the SDO model must be addressed first in order to bring change to K-12 students and schools in …
Date: May 2022
Creator: Jim, Cary Ka Wai
Object Type: Thesis or Dissertation
System: The UNT Digital Library

Social Disruption in Nigerian Public Universities: A Study of the Impact of Strikes on Students' Information Behavior

This study applied social disruption as a concept that highlights factors responsible for the breakdown of social relationships in societies. Social disruption has many forms, however, the focus in this study was on strikes, which create constant social disruption in Nigerian public universities and could have serious impact on students' information behavior. Two universities – Federal University of Technology Owerri (FUTO) and Imo State University Owerri (IMSU) – were chosen for the study, and data was obtained through an online survey across sample of approximately 250 participants from the two selected public universities in Nigeria. The study applied the principle of least effort theory and the model of information search process to investigate the research questions of this dissertation which were: (1) what kinds of information do university students in Nigeria seek, and to what extent do strikes have implications on their information behavior?; (2) how do Nigerian students perceive the impact of strikes on their information source location and information resource usage?; (3) to what extent can information and communication technology (ICT) minimize the impact of strikes on students' information behavior?; and (4) how can universities in Nigeria prevent strikes from impacting students' information behavior? t-Tests were applied to …
Date: August 2020
Creator: Onye, Uriel U
Object Type: Thesis or Dissertation
System: The UNT Digital Library

Examination of Online Health Information Seeking Effectiveness: Case Studies of Online Health Communities in COPD Patients

When people access online health information, unfortunately, they have access to both clinically accurate and inaccurate information that they may then utilize to make informed personal health decisions. This research fills a gap in the literature of online health communities as they relate to chronic obstructive pulmonary disease (COPD). The conduct of this research required a multi-phased and multi-method approach, best presented in three distinct essays. In Essays 1 and 2, data gathering within two online health communities specific to COPD allowed this study to address three research questions: (1) what are the information needs of COPD patients that result in their participation in online health communities; (2) what are the information sources offered to the participants in these online communities; and (3) is the information obtained via those communities credible. Essay 1 harvested data from a moderated website hosted by a non-profit organization for patients with COPD and Essay 2 harvested data from a non-moderated Facebook group also serving this unique group. Data Miner, a Chrome extension designed to extract data, was used to collect data, key words and themes which brought an understanding of the health information needs of participants and identified what health information sources were preferred. …
Date: December 2020
Creator: Boyce, LeAnn Kendetta
Object Type: Thesis or Dissertation
System: The UNT Digital Library

Social Networking Sites Usage Behavior: Trust and Risk Perceptions

This dissertation addresses research questions related to defining user's trust and risk perceptions associated with social networking usage behavior in relation to the repeated privacy and security breaches. The general research question is explored in the dissertation via the conduct of three related studies. The finding from these three investigations are presented in the results section as 3 essays that collectively examine the social networking sites usage behavior. Essay 1 proposes a conceptual model based on the review of multiple breaches. The review provides a conceptual model which is further analyzed using a quantitative survey in the second essay. Essay 2 measures the trust and risk perceptions associated with different sources of information when presented with multiple breaches. This portion of the research used a quantitative method that included surveying of college students from University of North Texas (UNT) to understand the relation between user's trust and risk perceptions. Essay 3 examines the social networking usage behavior on account of repeated privacy and security breaches. This essay uses the insights from the other two essays to identify the usage behavior and how it is affected. The proposed model was tested using a survey questionnaire method. Results show a significant relationship …
Date: May 2022
Creator: Mekala, Nithin Kumar Reddy
Object Type: Thesis or Dissertation
System: The UNT Digital Library

Twitter and the Affordance of Public Agenda-Setting: A Case Study of #MarchForOurLives

In the traditional agenda-setting theory, the agenda-setters were the news media and the public has a minimal role in the process of agenda-setting, which makes the public a passive receiver located at the bottom in the top-down agenda-setting dynamics. This study claims that with the development of Information communication technologies, primarily social media, the networked public may be able to set their own agendas through connective actions, outside the influence of the news media agenda. There is little empirical research focused on development and dynamics of public agenda-setting through social media platforms. Understanding the development and dynamics of public agenda-setting may be key to accounting for and overcoming conflicting findings in previous reverse agenda-setting research. This study examined the public agenda-setting dynamics through a case of gun violence prevention activism Twitter network, the #MarchForOurLives Twitter network. This study determined that the agenda setters of the #MarchForOurLives Twitter network are the key Never Again MSD student leaders and the March For Our Lives. The weekly reflected important events and issues and the identified topics were highly co-related with the themes examined in the tweets created by the agenda setters. The amplifiers comprised the vast majority of the tweets. The advocates and …
Date: August 2020
Creator: Chong, Mi Young
Object Type: Thesis or Dissertation
System: The UNT Digital Library
Bridging the Theory-to-practice Gap: a Multivariate Correlational Study Exploring the Effects of a Graduate Online Learning Environment As a Community of Practice Framework (open access)

Bridging the Theory-to-practice Gap: a Multivariate Correlational Study Exploring the Effects of a Graduate Online Learning Environment As a Community of Practice Framework

In this multivariate correlational study, the researcher examined the course culture of an online graduate course whose environment exhibited characteristics of a Community of practice (CoP). An online survey captured data used to explore the relationships among variables shown to describe a CoP in field environments and among student perceptions of their experience in the course culture. A canonical correlation analysis (CCA) and commonality analysis (CA) were conducted using five predictor variables and three criterion variables to evaluate the degree and direction of the relationships. The CCA revealed that the full model was significant, explaining approximately 74% of the variance among the two synthetic variates. Impact, faculty leadership, and connection were the largest contributors to the predictor variate. The criterion variate was primarily explained by value and perceived CoP, with exposure to the profession providing a smaller contribution. The CA confirmed these findings. Results from this study indicate that a CoP could be fostered in an online graduate course. The overall significance of the model indicates teachers can nurture an environment wherein graduate students will take the initiative to work with others to create and acquire knowledge that creates a sense of professional connection with each other and with the …
Date: December 2013
Creator: Bone, Tonda Jenean
Object Type: Thesis or Dissertation
System: The UNT Digital Library
Relevance Criteria when Searching and Evaluating Online Video for Informational Use (open access)

Relevance Criteria when Searching and Evaluating Online Video for Informational Use

Relevance is a core concept in the field of Information Science and a common term in everyday vernacular that generally refers to the usefulness of information. However, relevance has not been sufficiently or consistently defined or explored in the information science literature. Relevance criteria are the factors that information users employ when determining whether information they encounter is relevant. Identifying relevance criteria is a crucial step to understanding relevance. Relevance criteria employed with newer information formats like online video are especially important to study. Online video is now widespread, and people are increasingly likely to rely on video for information. This study identifies relevance criteria employed during relevance assessments of online video through a explanatory sequential mixed-methods study of frequent online video users including students, faculty, librarians, and video professionals. Methods included an online survey and interviews.
Date: May 2023
Creator: Dewitt-Miller, Erin
Object Type: Thesis or Dissertation
System: The UNT Digital Library
PubMed Commons: What Happened on the Way to the Forum? Retrospective Explanatory Case Study Research and Lessons Learned from the U.S. National Library of Medicine's Online Forum for Open Science (open access)

PubMed Commons: What Happened on the Way to the Forum? Retrospective Explanatory Case Study Research and Lessons Learned from the U.S. National Library of Medicine's Online Forum for Open Science

The U.S. National Library of Medicine brought the intensifying interest in open science to national attention when it joined enthusiastic scientists to introduce and host an Amazon-like rating forum on PubMed—the world's largest database of indexed biomedical and life sciences literature. The result was PubMed Commons. In June 2013, the commenting forum was introduced for open discussion about published scientific literature as part of a three-pronged approach to improve research rigor, reproducibility, and transparency. In Feb. 2018, the forum was unexpectedly discontinued. This retrospective explanatory case study research asked the question, "What happened on the way to the forum?" Answers came from a variety of resources using multiple methodologies for data collection and analysis. Historical data from PubMed Commons' 7,629 comments and 1,551 commenters; key informant interviews with PubMed Commons editors; and a systematized search for published articles, gray literature; and social media content about PubMed Commons were analyzed using computer-mediated discourse analysis and a social network analysis. Results from the quantitative content analysis described a forum with little participation, and the qualitative content analysis demonstrated that active forum members were focused primarily on providing links to other information resources and discussing aspects of post-publication peer review. The social network …
Date: December 2021
Creator: Farabough, Michelle Claire
Object Type: Thesis or Dissertation
System: The UNT Digital Library