Soudabeh Khodambashi | Norwegian University of Science and Technology (original) (raw)
Papers by Soudabeh Khodambashi
Medical students are some of the main users of guidelines as they use them during education in me... more Medical students are some of the main users of guidelines as they use them during education in medical school, internships and later when they start working as practitioners. Understanding clinical guidelines users' needs and their habits in searching for answers to their clinical questions is necessary to improve guideline websites' usability and students' curriculum regarding learning skills using digital sources. This paper addresses future physicians' information-seeking behaviour related to their use of Web-based clinical guidelines. In this study, two different methods were applied, questionnaire and semi-structured interview in order to understand Norwegian medical students frequency of using guidelines, the sources they use more often, whether they have ever doubted the guideline content and if so how they have been ensured about the right recommendations, whether they are familiar with evidence-based medicine, GRADE methodology, standard medical terminologies, whether they are aware about searching guidelines using standard terminologies in guideline websites. Six themes of importance were identified for designing and improving online guideline information. It was found that the new generation of medical students used electronic resources as their first choice for information seeking, with over 70% of medical students using guidelines on a daily or weekly basis; in contrast to previous studies on information-seeking behaviour of doctors. The results of this paper are useful for improving medical students' curriculum regarding use of standard terminologies, the GRADE method and use of technology. In addition, results are useful for user-centred design of guideline websites and are a stepping stone to improve guideline publication and presentation on the web.
Medical students are some of the main users of guidelines as they use them during education in me... more Medical students are some of the main users of guidelines as they use them during education in medical school, internships and later when they start working as practitioners. Understanding clinical guidelines users’ needs and their habits in searching for answers to their clinical questions is necessary to improve guideline websites’ usability and students’ curriculum regarding learning skills using digital sources. This paper addresses future physicians’ information-seeking behaviour related to their use of Web-based clinical guidelines. In this study, two different methods were applied, questionnaire and semi-structured interview in order to understand Norwegian medical students frequency of using guidelines, the sources they use more often, whether they have ever doubted the guideline content and if so how they have been ensured about the right recommendations, whether they are familiar with evidence-based medicine, GRADE methodology, standard medical terminologies, whether they ...
Lecture notes in information systems and organisation, 2022
To facilitate the clinical guideline (GL) development process, different groups of researchers ha... more To facilitate the clinical guideline (GL) development process, different groups of researchers have proposed tools that enable computer-supported tools for authoring and publishing GLs. In a previous study we interviewed GL authors in different Norwegian institutions and identified tool shortcomings. In this follow-up study our goal is to explore to what extent GL authoring tools have been evaluated by researchers, guideline organisations, or GL authors. This article presents results from a systematic literature review of evaluation (including usability) of GL authoring tools. A controlled database search and backward snow-balling were used to identify relevant articles. From the 12692 abstracts found, 188 papers were fully reviewed and 26 papers were identified as relevant. The GRADEPro tool has attracted some evaluation, however popular tools and platforms such as DECIDE, Doctor Evidence, JBI-SUMARI, G-I-N library have not been subject to specific evaluation from an authoring pers...
Hearing impairment is becoming increasingly prevalent. Even though hearing aids can contribute to... more Hearing impairment is becoming increasingly prevalent. Even though hearing aids can contribute to increased quality of life, actual usage has proven to be problematic and limited. This preliminary explorative study has been carried out in order to get an initial understanding about sharing of hearing-lossrelated information, both in terms of how information is shared as well as what kind of information is shared. We conducted four sub-studies with peer members of an interest group and people visiting relevant online resources, and combined the use of questionnaire, semi-structured interview, online observation and short survey. While our results are preliminary, they suggest that current information sharing practices are fragmented regarding both the content that is shared as well as which actors and media are involved, and the Internet as a multifunctional arena is underutilized. Finally, some possible directions for further research are outlined.
Publishing clinical guidelines (GLs) on the web increases their accessibility. However, evaluatin... more Publishing clinical guidelines (GLs) on the web increases their accessibility. However, evaluating their usability and understanding how users interact with the websites has been neglected. In this study we used Tobii eye-tracker to analyse users' interaction with five commercial and public GL sites popular in Norway (four in Norwegian and one English of US origin (UpToDate)). We measured number of clicks and usage rate for search functions, task completion time, users' objective and perception of task success rate. We also measured learning effect for inexperienced users. We found a direct correlation between participant's satisfaction regarding website usability and the time spent, number of mouse clicks and use of search function to obtain the desired results. Our study showed that users' perceived success rate was not reliable and GL publishers should evaluate their website regarding presentation format, layout, navigation bar and search function.
Women have been shown to be effective leaders in many team-based situations. However, it is also ... more Women have been shown to be effective leaders in many team-based situations. However, it is also well-recognized that women are underrepresented in engineering and technology areas, which leads to wasted efforts and also lack of diversity in professional organizations. Although studies about gender and leadership are rich, research on gender and engineering-specific activities, are scarce. To react on this gap, we investigated the experience of female leaders of software development projects and possible context factors that influence leadership effectiveness. The study was conducted as a longitudinal multiple case study. Data was collected from survey, interviews, observation and project reports. In this work, we reported some preliminary findings related to leadership style, team perception on leadership and team-task context factors. We found a strong correlation between perceived team leadership and task management. We also observed a potential association between human-oriented...
BMC Medical Informatics and Decision Making, 2017
Personal and Ubiquitous Computing, 2015
Health information systems (HISs) are widely used in the healthcare domain for different purposes... more Health information systems (HISs) are widely used in the healthcare domain for different purposes. To assess the integration between the newly applied HIS and the clinical process, an evaluation of both is necessary. This study focuses on the evaluation of a HIS adoption in the field of intra-operating management in the anesthesia process in heart operation. The HIS which is known as ''IntelliVue Clinical Information Portfolio'' (ICIP) was designed to assist anesthetists in the pre-operating and intra-operating management process. According to the anesthetist's feedback, some incidents were identified: The patient's vital signs recorded in the system, during the intra-operating process, have not been recorded from the beginning of the operation. To investigate the root of the problems and delays, we conducted a case study and applied the Lean method to the intra-operating management process. This paper represents the case study and the application of the Lean method in intra-operating management process after ICIP implementation. We applied the value stream map and the A3 method as the common tools of the Lean method to evaluate how the ICIP and clinical process fit are integrated. Application of Lean concept increased process integration which resulted in higher ''value-added'' activities to the patients. In addition, analysis of the process by Lean method identified the areas for improvement which reduced the ''non-value-added'' activities. Based on the findings, in order to increase integration and alignment of implemented HISs to clinical workflow, we recommend evaluating the implemented HISs and clinical process in unison.
BMC Medical Informatics and Decision Making, 2012
Background: There are numerous applications for Health Information Systems (HIS) that support spe... more Background: There are numerous applications for Health Information Systems (HIS) that support specific tasks in the clinical workflow. The Lean method has been used increasingly to optimize clinical workflows, by removing waste and shortening the delivery cycle time. There are a limited number of studies on Lean applications related to HIS. Therefore, we applied the Lean method to evaluate the clinical processes related to HIS, in order to evaluate its efficiency in removing waste and optimizing the process flow. This paper presents the evaluation findings of these clinical processes, with regards to a critical care information system (CCIS), known as IntelliVue Clinical Information Portfolio (ICIP), and recommends solutions to the problems that were identified during the study. Methods: We conducted a case study under actual clinical settings, to investigate how the Lean method can be used to improve the clinical process. We used observations, interviews, and document analysis, to achieve our stated goal. We also applied two tools from the Lean methodology, namely the Value Stream Mapping and the A3 problem-solving tools. We used eVSM software to plot the Value Stream Map and A3 reports. Results: We identified a number of problems related to inefficiency and waste in the clinical process, and proposed an improved process model. Conclusions: The case study findings show that the Value Stream Mapping and the A3 reports can be used as tools to identify waste and integrate the process steps more efficiently. We also proposed a standardized and improved clinical process model and suggested an integrated information system that combines database and software applications to reduce waste and data redundancy.
Towards a Synergistic Combination of Research and Practice in Software Engineering, 2017
Women have been shown to be effective leaders in many team-based situations. However, it is also ... more Women have been shown to be effective leaders in many team-based situations. However, it is also well-recognized that women are underrepresented in engineering and technology areas, which leads to wasted efforts and a lack of diversity in professional organizations. Although studies about gender and leadership are rich, research focusing on engineering-specific activities, are scarce. To react on this gap, we explored the experience of female leaders of software development projects and possible context factors that influence leadership effectiveness. The study was conducted as a longitudinal multiple case study. Data was collected from survey, interviews, observation and project reports. In this work, we reported some preliminary findings related to leadership style, team perception on leadership and team-task context factors. We found a strong correlation between perceived team leadership and task management. We also observed a potential association between human-oriented leading approach in low customer involvement scenarios and taskoriented leading approach in high customer involvement situations.
Details of the tools analysis. The additional file elaborated in details, when necessary, on the ... more Details of the tools analysis. The additional file elaborated in details, when necessary, on the analysis of the reviewed tools (MAGICapp, GRADEpro, BRIDGE-Wiz, Håndboka, and Internet Portal) according to the presented results in Table 3. Each bold title represents the theme according to the uncovered themes in Table 2. (PDF 187 kb)
Algorithms. Core algorithms used in the system. The formulas used to calculate expected values an... more Algorithms. Core algorithms used in the system. The formulas used to calculate expected values and confidence indices are provided and explained. (DOCX 126Â kb)
System usability scale.doc. pdf,.xls,.txt,.pptx (including name and a URL of an appropriate viewe... more System usability scale.doc. pdf,.xls,.txt,.pptx (including name and a URL of an appropriate viewer if format is unusual). The System Usability Scale. The System Usability Scale applied in this study. (DOCX 86Â kb)
Questionnaire and answers. SUS scores. The questionnaire used in the summative test and the answe... more Questionnaire and answers. SUS scores. The questionnaire used in the summative test and the answers. The answers relate to a 5-points Likert scale where the categories "strongly agree" and "agree", and the categories "strongly disagree" and disagree", are aggregated. (DOCX 89 kb)
Description of the system. Description of the system. Textual description of the features in the ... more Description of the system. Description of the system. Textual description of the features in the system. (DOCX 79Â kb)
Requirements. Updated. List of requirements for the system. (DOCX 125Â kb)
Technical stack. The technical stack used in the development of the system. Overview of technical... more Technical stack. The technical stack used in the development of the system. Overview of technical stack used in the development of the system. (DOCX 15Â kb)
Medical students are some of the main users of guidelines as they use them during education in me... more Medical students are some of the main users of guidelines as they use them during education in medical school, internships and later when they start working as practitioners. Understanding clinical guidelines users' needs and their habits in searching for answers to their clinical questions is necessary to improve guideline websites' usability and students' curriculum regarding learning skills using digital sources. This paper addresses future physicians' information-seeking behaviour related to their use of Web-based clinical guidelines. In this study, two different methods were applied, questionnaire and semi-structured interview in order to understand Norwegian medical students frequency of using guidelines, the sources they use more often, whether they have ever doubted the guideline content and if so how they have been ensured about the right recommendations, whether they are familiar with evidence-based medicine, GRADE methodology, standard medical terminologies, whether they are aware about searching guidelines using standard terminologies in guideline websites. Six themes of importance were identified for designing and improving online guideline information. It was found that the new generation of medical students used electronic resources as their first choice for information seeking, with over 70% of medical students using guidelines on a daily or weekly basis; in contrast to previous studies on information-seeking behaviour of doctors. The results of this paper are useful for improving medical students' curriculum regarding use of standard terminologies, the GRADE method and use of technology. In addition, results are useful for user-centred design of guideline websites and are a stepping stone to improve guideline publication and presentation on the web.
Medical students are some of the main users of guidelines as they use them during education in me... more Medical students are some of the main users of guidelines as they use them during education in medical school, internships and later when they start working as practitioners. Understanding clinical guidelines users’ needs and their habits in searching for answers to their clinical questions is necessary to improve guideline websites’ usability and students’ curriculum regarding learning skills using digital sources. This paper addresses future physicians’ information-seeking behaviour related to their use of Web-based clinical guidelines. In this study, two different methods were applied, questionnaire and semi-structured interview in order to understand Norwegian medical students frequency of using guidelines, the sources they use more often, whether they have ever doubted the guideline content and if so how they have been ensured about the right recommendations, whether they are familiar with evidence-based medicine, GRADE methodology, standard medical terminologies, whether they ...
Lecture notes in information systems and organisation, 2022
To facilitate the clinical guideline (GL) development process, different groups of researchers ha... more To facilitate the clinical guideline (GL) development process, different groups of researchers have proposed tools that enable computer-supported tools for authoring and publishing GLs. In a previous study we interviewed GL authors in different Norwegian institutions and identified tool shortcomings. In this follow-up study our goal is to explore to what extent GL authoring tools have been evaluated by researchers, guideline organisations, or GL authors. This article presents results from a systematic literature review of evaluation (including usability) of GL authoring tools. A controlled database search and backward snow-balling were used to identify relevant articles. From the 12692 abstracts found, 188 papers were fully reviewed and 26 papers were identified as relevant. The GRADEPro tool has attracted some evaluation, however popular tools and platforms such as DECIDE, Doctor Evidence, JBI-SUMARI, G-I-N library have not been subject to specific evaluation from an authoring pers...
Hearing impairment is becoming increasingly prevalent. Even though hearing aids can contribute to... more Hearing impairment is becoming increasingly prevalent. Even though hearing aids can contribute to increased quality of life, actual usage has proven to be problematic and limited. This preliminary explorative study has been carried out in order to get an initial understanding about sharing of hearing-lossrelated information, both in terms of how information is shared as well as what kind of information is shared. We conducted four sub-studies with peer members of an interest group and people visiting relevant online resources, and combined the use of questionnaire, semi-structured interview, online observation and short survey. While our results are preliminary, they suggest that current information sharing practices are fragmented regarding both the content that is shared as well as which actors and media are involved, and the Internet as a multifunctional arena is underutilized. Finally, some possible directions for further research are outlined.
Publishing clinical guidelines (GLs) on the web increases their accessibility. However, evaluatin... more Publishing clinical guidelines (GLs) on the web increases their accessibility. However, evaluating their usability and understanding how users interact with the websites has been neglected. In this study we used Tobii eye-tracker to analyse users' interaction with five commercial and public GL sites popular in Norway (four in Norwegian and one English of US origin (UpToDate)). We measured number of clicks and usage rate for search functions, task completion time, users' objective and perception of task success rate. We also measured learning effect for inexperienced users. We found a direct correlation between participant's satisfaction regarding website usability and the time spent, number of mouse clicks and use of search function to obtain the desired results. Our study showed that users' perceived success rate was not reliable and GL publishers should evaluate their website regarding presentation format, layout, navigation bar and search function.
Women have been shown to be effective leaders in many team-based situations. However, it is also ... more Women have been shown to be effective leaders in many team-based situations. However, it is also well-recognized that women are underrepresented in engineering and technology areas, which leads to wasted efforts and also lack of diversity in professional organizations. Although studies about gender and leadership are rich, research on gender and engineering-specific activities, are scarce. To react on this gap, we investigated the experience of female leaders of software development projects and possible context factors that influence leadership effectiveness. The study was conducted as a longitudinal multiple case study. Data was collected from survey, interviews, observation and project reports. In this work, we reported some preliminary findings related to leadership style, team perception on leadership and team-task context factors. We found a strong correlation between perceived team leadership and task management. We also observed a potential association between human-oriented...
BMC Medical Informatics and Decision Making, 2017
Personal and Ubiquitous Computing, 2015
Health information systems (HISs) are widely used in the healthcare domain for different purposes... more Health information systems (HISs) are widely used in the healthcare domain for different purposes. To assess the integration between the newly applied HIS and the clinical process, an evaluation of both is necessary. This study focuses on the evaluation of a HIS adoption in the field of intra-operating management in the anesthesia process in heart operation. The HIS which is known as ''IntelliVue Clinical Information Portfolio'' (ICIP) was designed to assist anesthetists in the pre-operating and intra-operating management process. According to the anesthetist's feedback, some incidents were identified: The patient's vital signs recorded in the system, during the intra-operating process, have not been recorded from the beginning of the operation. To investigate the root of the problems and delays, we conducted a case study and applied the Lean method to the intra-operating management process. This paper represents the case study and the application of the Lean method in intra-operating management process after ICIP implementation. We applied the value stream map and the A3 method as the common tools of the Lean method to evaluate how the ICIP and clinical process fit are integrated. Application of Lean concept increased process integration which resulted in higher ''value-added'' activities to the patients. In addition, analysis of the process by Lean method identified the areas for improvement which reduced the ''non-value-added'' activities. Based on the findings, in order to increase integration and alignment of implemented HISs to clinical workflow, we recommend evaluating the implemented HISs and clinical process in unison.
BMC Medical Informatics and Decision Making, 2012
Background: There are numerous applications for Health Information Systems (HIS) that support spe... more Background: There are numerous applications for Health Information Systems (HIS) that support specific tasks in the clinical workflow. The Lean method has been used increasingly to optimize clinical workflows, by removing waste and shortening the delivery cycle time. There are a limited number of studies on Lean applications related to HIS. Therefore, we applied the Lean method to evaluate the clinical processes related to HIS, in order to evaluate its efficiency in removing waste and optimizing the process flow. This paper presents the evaluation findings of these clinical processes, with regards to a critical care information system (CCIS), known as IntelliVue Clinical Information Portfolio (ICIP), and recommends solutions to the problems that were identified during the study. Methods: We conducted a case study under actual clinical settings, to investigate how the Lean method can be used to improve the clinical process. We used observations, interviews, and document analysis, to achieve our stated goal. We also applied two tools from the Lean methodology, namely the Value Stream Mapping and the A3 problem-solving tools. We used eVSM software to plot the Value Stream Map and A3 reports. Results: We identified a number of problems related to inefficiency and waste in the clinical process, and proposed an improved process model. Conclusions: The case study findings show that the Value Stream Mapping and the A3 reports can be used as tools to identify waste and integrate the process steps more efficiently. We also proposed a standardized and improved clinical process model and suggested an integrated information system that combines database and software applications to reduce waste and data redundancy.
Towards a Synergistic Combination of Research and Practice in Software Engineering, 2017
Women have been shown to be effective leaders in many team-based situations. However, it is also ... more Women have been shown to be effective leaders in many team-based situations. However, it is also well-recognized that women are underrepresented in engineering and technology areas, which leads to wasted efforts and a lack of diversity in professional organizations. Although studies about gender and leadership are rich, research focusing on engineering-specific activities, are scarce. To react on this gap, we explored the experience of female leaders of software development projects and possible context factors that influence leadership effectiveness. The study was conducted as a longitudinal multiple case study. Data was collected from survey, interviews, observation and project reports. In this work, we reported some preliminary findings related to leadership style, team perception on leadership and team-task context factors. We found a strong correlation between perceived team leadership and task management. We also observed a potential association between human-oriented leading approach in low customer involvement scenarios and taskoriented leading approach in high customer involvement situations.
Details of the tools analysis. The additional file elaborated in details, when necessary, on the ... more Details of the tools analysis. The additional file elaborated in details, when necessary, on the analysis of the reviewed tools (MAGICapp, GRADEpro, BRIDGE-Wiz, Håndboka, and Internet Portal) according to the presented results in Table 3. Each bold title represents the theme according to the uncovered themes in Table 2. (PDF 187 kb)
Algorithms. Core algorithms used in the system. The formulas used to calculate expected values an... more Algorithms. Core algorithms used in the system. The formulas used to calculate expected values and confidence indices are provided and explained. (DOCX 126Â kb)
System usability scale.doc. pdf,.xls,.txt,.pptx (including name and a URL of an appropriate viewe... more System usability scale.doc. pdf,.xls,.txt,.pptx (including name and a URL of an appropriate viewer if format is unusual). The System Usability Scale. The System Usability Scale applied in this study. (DOCX 86Â kb)
Questionnaire and answers. SUS scores. The questionnaire used in the summative test and the answe... more Questionnaire and answers. SUS scores. The questionnaire used in the summative test and the answers. The answers relate to a 5-points Likert scale where the categories "strongly agree" and "agree", and the categories "strongly disagree" and disagree", are aggregated. (DOCX 89 kb)
Description of the system. Description of the system. Textual description of the features in the ... more Description of the system. Description of the system. Textual description of the features in the system. (DOCX 79Â kb)
Requirements. Updated. List of requirements for the system. (DOCX 125Â kb)
Technical stack. The technical stack used in the development of the system. Overview of technical... more Technical stack. The technical stack used in the development of the system. Overview of technical stack used in the development of the system. (DOCX 15Â kb)