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Related Concept Videos

Models of Health Promotion and Illness Prevention II01:18

Models of Health Promotion and Illness Prevention II

The person's health status fluctuates continually, varying from being in good health to becoming ill and returning to being healthy. To understand the concept of illness prevention, there are two models. First, the health-illness continuum model is a graphic representation of an individual's wellness. It states that a person is considered healthy in the absence of physical disease and the presence of good emotional health.
The agent-host-environment model states that disease results from...
Health Information Technology and Healthcare Information System01:30

Health Information Technology and Healthcare Information System

Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Models of Health Promotion and Illness Prevention I01:25

Models of Health Promotion and Illness Prevention I

A model is a theoretical way to understand a concept or an idea. Models can overcome barriers to health regardless of diverse economic and cultural backgrounds. In addition, models make the task easier by providing different ways to approach complex issues. There are two major health promotion models: the health belief model and the health promotion model.
The health belief model (HBM) attempts to predict health-related behavior in specific belief patterns. According to the HBM, a person's...
Nursing Implementation01:15

Nursing Implementation

Implementation is the execution of the nursing care plan developed during the planning phase.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
Methods Of Healthcare Delivery System01:26

Methods Of Healthcare Delivery System

At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
Methods of Documentation VI: Case Management Model01:15

Methods of Documentation VI: Case Management Model

The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic illness...

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Related Experiment Video

Updated: May 12, 2026

The Participant-Reported Implementation Update and Score (PRIUS): A Novel Method for Capturing Implementation-Related Data Over Time
06:05

The Participant-Reported Implementation Update and Score (PRIUS): A Novel Method for Capturing Implementation-Related Data Over Time

Published on: February 19, 2021

Using a sociotechnical framework to understand adaptations in health IT implementation.

Laurie Lovett Novak1, Richard J Holden, Shilo H Anders

  • 1Department of Biomedical Informatics, Implementation Sciences Laboratory, Center for Research and Innovation in Systems Safety, Vanderbilt University School of Medicine, United States.

International Journal of Medical Informatics
|April 9, 2013
PubMed
Summary

Implementing barcode medication administration (BCMA) involves nurses navigating differing perspectives between their practice and the system. This study reveals how these frame collisions lead to essential adaptations in both work routines and technology.

Keywords:
AdaptationsBarcode medication administrationOrienting framesUnintended consequencesWorkarounds

Related Experiment Videos

Last Updated: May 12, 2026

The Participant-Reported Implementation Update and Score (PRIUS): A Novel Method for Capturing Implementation-Related Data Over Time
06:05

The Participant-Reported Implementation Update and Score (PRIUS): A Novel Method for Capturing Implementation-Related Data Over Time

Published on: February 19, 2021

Area of Science:

  • Healthcare technology implementation
  • Nursing practice and workflow
  • Medication safety protocols

Background:

  • Barcode medication administration (BCMA) integration presents challenges for nurses.
  • Nurses' existing medication safety orientations may conflict with new technological systems.

Purpose of the Study:

  • To describe the collision between nurses' practice frames and the system frames of BCMA implementation.
  • To identify individual and organizational adaptations resulting from these frame collisions.

Main Methods:

  • Qualitative research using two studies.
  • Methods included observation, ethnographic fieldwork, content analysis of emails, and interviews.

Main Results:

  • Identified two frames: the System Frame (technology-oriented) and the Practice Frame (nurse-oriented).
  • Frame collisions prompted adaptations at individual and organizational levels.
  • The System Frame was less adaptable than the Practice Frame to the complexities of patient care.

Conclusions:

  • Frame collisions during technology implementation necessitate adaptations in work and technology.
  • Understanding clinical workers' frames can guide technology design and policy to prevent unsafe adaptations.
  • Adaptations can evolve both work routines and the technology itself.