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

Khojah, GMA 2018, Using Dooyeweerd's aspects to understand down to earth issues in use of medical records , PhD thesis, University of Salford.

Download (2MB) | Preview
PDF (Outline of revisions) - Supplemental Material
Download (140kB) | Preview


This research is about experience of using electronic medical records (EMR). Chapter 1 introduces and justifies the main research question “How can Down To Earth issues that are important 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 records rather 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 are mostly discussed. Even where the literature mentions DTE issues, there is a need for three research activities 1-reveal DTE issues to bring to light those which are significant and important 2-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 emerged as 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 and insights, much in keeping with this research which looks for the meaningful issues of Medical Record (MR) users and aims to gain insights into DTE issues of MR uses. So an interpretive approach is used (Chapter 4). Users of MR are interviewed and Dooyeweerd’s aspects 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 qualitative comparisons are made of the following (Chapter.6)

  • The comparison of hospitals
  • The comparison of paper and electronic records.
  • The comparison of nurses
  • The comparison of nationalities
The research has three main findings (Chapter 7).
1-The meaningful DTE issues for medical record users are different from the meaningful issues discussed in the literature.
2-Aspectual analysis enables us to reveal, uncover and classify DTE issues that are meaningful 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 to practice methodology and theory. The research contributes to practice of designing and evaluating EMR systems. Furthermore the research could help to generate a theory of medical records. Also the research offers a method for analysing DTE issues for other researchers in other sectors.

Item Type: Thesis (PhD)
Contributors: Basden, A (Supervisor) and Hardiker, NR (Supervisor)
Schools: Schools > Salford Business School
Depositing User: GMA Khojah
Date Deposited: 28 Nov 2018 12:34
Last Modified: 22 Dec 2021 10:34

Actions (login required)

Edit record (repository staff only) Edit record (repository staff only)


Downloads per month over past year