Using Dooyeweerd's aspects to understand down to earth issues in use of medical records

This research is about experience of using electronic medical records (EMR). Chapter 1introduces and justifies the main research question “How can Down To Earth issues that areimportant in uses of EMR be studied by using Dooyeweerd's aspects?” Down To Earth (DTE) issues are those meaningful in daily uses of patient medical recordsrather than those meaningful for management, ICT suppliers and academics. A survey of the literature (Chapter 2) reveals that high level issues rather than DTE issues aremostly discussed. Even where the literature mentions DTE issues, there is a need for threeresearch activities1-reveal DTE issues to bring to light those which are significant and important2-uncover the hidden issues and the reasons for these hidden issues.3-classify the issues to identify which of these are the most significant After considering a range Information Systems (IS) Theories, Dooyeweerd’s aspects emergedas a suitable theoretical framework to reveal, uncover and classify DTE issues (Chapter 3).Interpretivism was the philosophical lens of choice given that it primarily seeks meaning andinsights, much in keeping with this research which looks for the meaningful issues ofMedical Record (MR) users and aims to gain insights into DTE issues of MR uses. So aninterpretive approach is used (Chapter 4). Users of MR are interviewed and Dooyeweerd’saspects are employed to analyse the transcripts and a selection of excerpts from papers(Chapter 5). Using the results of aspectual analysis of these texts, five quantitative and qualitativecomparisons are made of the following (Chapter.6) The comparison of hospitalsThe comparison of paper and electronic records.The comparison of nursesThe comparison of nationalitiesThe research has three main findings (Chapter 7). 1-The meaningful DTE issues for medical record users are different from the meaningfulissues discussed in the literature. 2-Aspectual analysis enables us to reveal, uncover and classify DTE issues that aremeaningful for medical record users. 3- Each type of user tends to have a unique aspectual profile.Chapter.8 discusses limitations of the research and how this research might contribute topractice methodology and theory. The research contributes to practice of designing andevaluating EMR systems. Furthermore the research could help to generate a theory ofmedical records. Also the research offers a method for analysing DTE issues for otherresearchers in other sectors.

Level dc:type.qualificationlevel

Doctoral (Level 8)

Year dc:date.issued

2026

Author dc:creator

• Khojah, GMA

Language dc:language

en

Identifier

oai:salford-repository.worktribe.com:1377899

OAI identifier oai:identifier

oai:salford-repository.worktribe.com:1377899