The exponential growth in medical pharmaceuticals and related clinical trials have created a need to better understand the decision-making factors in the processes for developing hospital medication formularies. The purpose of the study was to identify, rank, and compare major factors impacting hospital formulary decision-making among three prescriber groups serving on a hospital's pharmacy and therapeutics (P&T) committee. Prescribers were selected from the University of Texas, MD Anderson Cancer Center which is a large, multi-facility, academic oncology hospital. Specifically, the prescriber groups studied were comprised of physicians, midlevel providers, and pharmacists. A self-administered online survey was disseminated to participants. Seven major hospital formulary decision-making factors were identified in the scientific literature. Study participants were asked to respond to questions about each of the hospital formulary decision-making factors and to rank the various formulary decision-making factors from the factor deemed most important to the factor deemed least important. There are five major conclusions drawn from the study including three similarities and two significant differences among the prescriber groups and factors. Similarities include: (1) the factor "pharmacy staff's evaluation of medical evidence including formulary recommendations" was ranked highest for all three prescriber groups; (2) "evaluation of medications by expert physicians" was ranked second for physicians and midlevel providers while pharmacists ranked it third; and (3) the factor, "financial impact of the treatment to the patient" was fifth in terms of hospital formulary decision-making statement and ranking by all three prescriber groups. Two significant differences include: (1) for the hospital-formulary decision making statement, "I consider the number of patients affected by adding, removing, or modifying a drug on the formulary when making hospital medication formulary decisions," midlevel providers considered this factor of significantly greater importance than did physicians; and (2) for the ranked hospital formulary decision-making factor, "financial impact of treatment to the …
Makerspaces are a popular, new concept being implemented in public, academic, and school libraries, and as stand-alone spaces. The literature reflects the newness of the topic with a limited number of articles and studies and even less about the users of makerspaces themselves. This study explored information sharing behaviors in the Dallas Makerspace as an informal learning environment and described their preferred method of information transfer from one member to another. It employed a mixed methods methodology using surveys, interviews and observations. The study identified how the rules and policies in place at the makerspace influence the information seeking process and how the Dallas Makerspace exchanges information effectively. Dallas Makerspace is one of the largest non-profit work groups in its size, and this research study answers how information is exchanged in an informal environment.
This study analyzes the sociocultural factors that affect Saudi students in the U.S. as they seek information and explores to what extent these factors impact their everyday life information seeking (ELIS) behavior and their information technology behavior (ITB). The factors in this study illustrate the unique sociocultural values that distinguish Saudi students from other international student groups: gender segregation, emphasis on religion, social support, and utilization of the consultation concept. After collecting data from an online survey, the data from linear regression analyses revealed that only one culture factor (the language barrier) showed a significant impact on Saudi student ELIS in the U.S., while the other factors were not statistically significant. Also, the findings indicated that perceived usefulness (PU) and perceived ease of use (PEU) were statistically significant to the ELIS of Saudi students. Furthermore, the study showed that after academic information, food and drink, entertainment, and health were the top student needs, the top ranking sources for everyday life seeking information were social media and the Internet. The findings of the study help to shed light on a sizable user group. As the fourth largest group of international students in the U.S., Saudi students have been underrepresented in research. Also, the study's findings and recommendations provide a more profound understanding of Saudi students for both the hosting American university officials and stakeholders who provide scholarships.
Open access institutional repositories (OA IRs) are electronic systems that capture, preserve, and provide access to the scholarly digital work of an institution. As a new channel of scholarly communications IRs offer faculty a new way to disseminate their work to a wider audience, which in turn can increase the visibility to their work and impact factors, and at the same time increase institutions prestige and value. However, despite the increased popularity of IRs in numbers, research shows that IRs remain thinly populated in large part due to faculty reluctance to participate. There have been studies on the topic of open access repositories with the focus on external factors (social or technological context) that affect faculty attitudes towards participation in IRs, and there is a lack of understanding of the internal factors and the psychology of the reluctance. The goal of this mix method study was to identify the overall factors that affect faculty attitudes towards participation in IRs and examine the extent to which these factors influenced faculty willingness to participate in IRs. First, from literature review and the Model of Factors Affecting Faculty Self-Archiving this study identified eleven factors that influenced faculty members' intention to participate in OA repositories. Theory of Planned Behavior (TPB) postulated that faculty intention to participate in IR was determined by three categories of factors: five attitudinal, four external (social) and two individual factors. Within the framework of the TPB this study (1) confirmed the measurement scale for each factor using principal component analysis, (2) it examined the influence that each factor had on the faculty likelihood to participate in IR using logistic regression, and (3) it weighted the relative importance of each factor on faculty intent to participate, utilizing relative weight analysis. Quantitative analysis revealed that four out of 11 factors proved to …
This research explored the information needs of patient families and hospital staff at a pediatric hospital system in Dallas, Texas. Library statistics recorded in four hospital libraries from 2011 - 2013 were used to analyze the information requests from patient families and hospital staff. Crosstabulations revealed the extent to which patient families and hospital staff used the libraries to satisfy their information needs. The data showed that patient families used the libraries very differently than hospital staff. Chi-square tests for independence were performed to identify the relationships between the Classification (Patient Family, Hospital Staff) and two descriptors of information needs (Request Type, Resources Used). There were a total of 1,406 information requests analyzed. The data showed that patient families and hospital staff information requests differed greatly in the number of information requests, the type of information requested, the resources used and the time the library staff spent on the requests. Chi-square analyses revealed relationships statistically significant at the p < .05 level; however, the strength of the relationships varied.
Energy and the natural environment are central concerns among stakeholders across the globe. Decisions on this scale often require interaction among a myriad of institutions and individuals who navigate a complex variety of challenges. In Denton, Texas in 2014, voters were asked to make such a decision when tasked with a referendum to determine whether the city would continue to allow hydraulic fracturing activity within its borders. For social scientists, this situation requires further analysis in an effort to better understand how and why individuals make the decisions they do. One possible approach for exploring this process is a method of poststructuralist critical rhetorical analysis, which is concerned with how individuals’ identities change through interaction with institutions. This study reflects upon the texts themselves through a poststructuralist critical rhetorical analysis of images employed by those in favor of and those against Denton’s ban on hydraulic fracturing in an attempt to identify images that alter the grid of intelligibility for the audience. The paper includes deliberation about the relative merits, subsequent disadvantages, and possible questions for further study as they relate to the theoretical implications of critical rhetorical analysis as information science. Ultimately, the study identifies poststructuralist critical rhetorical analysis as a method for solving information science problems in a way that considers closely the way identity is shaped through engagement with institutions.
Following the decision by the Supreme Court of the United States in Brown v. Entertainment Merchants Association (2011), which struck down the state of California’s appeal to restrict the sale of games deemed to have “deviant violence” to those 18 or older and the court’s recommendation that parents use the ESRB Ratings System instead, this ethnographic study sought to better understand what parents thought of laws on video games and how they used the recommended ratings system. A total of 30 interviews using semi-structured open-ended questions were conducted and analyzed to reveal what parents thought of laws on video games, how they used the ESRB Ratings System to assess video game content, and what other methods they used for video game content assessment in addition to the ratings system. This research utilized Dervin and Nilan’s (1986) sense-making methodology as a way to learn how parents bridged their knowledge gap when it came to learning about video game content and how they made sense of the knowledge gained to determine the content appropriateness for their children. Analyses of the collected data provided the foundation for a model on the effects of the parent-child relationship on parental information behavior.
This dissertation presents a preliminary grounded theory of community networking based on 63 evaluations of community networking projects funded by the National Telecommunications and Information Administration’s Technology Opportunities Program (TOP) between 1994 and 2007. The substantive grounded theory developed is that TOP projects differed in their contribution to positive outcomes for intended disadvantaged community beneficiaries based on the extent and manner in which they involved the disadvantaged community during four grant process phases: partnership building, project execution, evaluation, and close-out. Positive outcomes for the community were facilitated by using existing communication channels, such as schools, to connect with intended beneficiaries; local financial institutions to provide infrastructure to support local trade; and training to connect community members to jobs. Theoretical contributions include situating outcomes for disadvantaged communities within the context of the grant process; introducing the “vulnerable community” concept; and identifying other concepts and properties that may be useful in further theoretical explorations. Methodological contributions include demonstrating grounded theory as a viable method for exploring large text-based datasets; paving the way for machine learning approaches to analyzing qualitative data; and illustrating how project evaluations can be used in a similar fashion as interview data. Practical contributions include providing information to guide community networking-related policies and initiatives from the perspectives of stakeholders at all levels, including establishing funded projects as local employment opportunities and re-conceptualizing sustainability in terms of human networks rather than technological networks.
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