skip to main content
US FlagAn official website of the United States government
dot gov icon
Official websites use .gov
A .gov website belongs to an official government organization in the United States.
https lock icon
Secure .gov websites use HTTPS
A lock ( lock ) or https:// means you've safely connected to the .gov website. Share sensitive information only on official, secure websites.


This content will become publicly available on November 2, 2025

Title: Enhancing Nursing Assistant Attitudes Towards Geriatric Caregiving through Transmodal Ordered Network Analysis
In this work, we investigate the application of Transmodal Ordered Network Analysis (TONA) to analyze and visualize geriatric caregiving attitudes, aiming to enhance caregiver perceptions through an immersive VR simulation. Specifically, my research focuses on three main objectives: (1) identifying disparities between real-life caregiving experiences and previous training, (2) improving our VR training by integrating findings from the initial phase and (3) conducting a detailed TONA within the VR simulation. The first two objectives have been almost addressed, setting a strong foundation for the most crucial part of my research. The third objective involves a detailed analysis using TONA, utilizing gaze data, facial expressions, conversational dialogues, and embodiment data to monitor changes in caregiver attitudes within the immersive simulation featuring a virtual geriatric patient. Merging these diverse data types into a unified analysis presents challenges due to the complexities of multimodal data integration. Therefore, a key aspect of my thesis is enhancing methodologies to incorporate multichannel data analysis in TONA. The findings of this thesis are expected to make a significant contribution to the fields of nursing education, quantitative ethnography, and human-computer interaction.  more » « less
Award ID(s):
2321274
PAR ID:
10555543
Author(s) / Creator(s):
Editor(s):
Kim, YJ; Swiecki, Z
Publisher / Repository:
Sixth International Conference on Quantitative Ethnography: Conference Proceedings Supplement
Date Published:
Subject(s) / Keyword(s):
Epistemic Network Analysis Nursing Education Multimodal Data Virtual Reality Transmodal Ordered Network Analysis
Format(s):
Medium: X
Location:
Philadelphia, PA, USA
Sponsoring Org:
National Science Foundation
More Like this
  1. Kim, YJ; Swiecki, Z (Ed.)
    An emergent challenge in geriatric care is improving the quality of care, which requires insight from stakeholders. Qualitative methods offer detailed insights, but they can be biased and have limited generalizability, while quantitative methods may miss nuances. To address these limitations, network-based approaches such as Epistemic Network Analysis (ENA) can bridge the methodological gap. By leveraging the strengths of both methods, ENA provides profound insights into healthcare expert interviews. In this paper, to better understand geriatric care attitudes, we interviewed ten nursing assistants, used ENA to analyze the data, and compared their real-life daily activities with training experiences. A two-sample t-test with a large effect size (Cohen’s d = 1.63) indicated a significant difference between real-life and training activities. The findings suggested incorporating more empathetic training scenarios into the future design of our geriatric care simulation. The results have implications for human-computer interaction and effective nursing training. This is illustrated by presenting an example of using quantitative ethnography to analyze expert interviews with nursing assistants as caregivers and inform subsequent simulation and design processes. 
    more » « less
  2. Kim, YJ; Swiecki, Z (Ed.)
    An emergent challenge in geriatric care is improving the quality of care, which requires insight from stakeholders. Qualitative methods offer detailed insights, but they can be biased and have limited generalizability, while quantitative methods may miss nuances. To address these limitations, network-based approaches such as Epistemic Network Analysis (ENA) can bridge the methodological gap. By leveraging the strengths of both methods, ENA provides profound insights into healthcare expert interviews. In this paper, to better understand geriatric care attitudes, we interviewed ten nursing assistants, used ENA to analyze the data, and compared their real-life daily activities with training experiences. A two-sample t-test with a large effect size (Cohen’s d = 1.63) indicated a significant difference between real-life and training activities. The findings suggested incorporating more empathetic training scenarios into the future design of our geriatric care simulation. The results have implications for human-computer interaction and effective nursing training. This is illustrated by presenting an example of using quantitative ethnography to analyze expert interviews with nursing assistants as caregivers and inform subsequent simulation and design processes. 
    more » « less
  3. An emergent challenge in geriatric care is improving the quality of care, which requires insight from stakeholders. Qualitative methods offer detailed insights, but they can be biased and have limited generalizability, while quantitative methods may miss nuances. Network-based approaches, such as quantitative ethnography (QE), can bridge this methodological gap. By leveraging the strengths of both methods, QE provides profound insights into need-finding interviews. In this paper, to better understand geriatric care attitudes, we interviewed ten nursing assistants, used QE to analyze the data, and compared their daily activities in real life with training experiences. A two-sample t-test with a large effect size (Cohen's d=1.63) indicated a significant difference between real-life and training activities. The findings suggested incorporating more empathetic training scenarios into the future design of our geriatric care simulation. The results have implications for human-computer interaction and human factors. This is illustrated by presenting an example of using QE to analyze expert interviews with nursing assistants as caregivers to inform subsequent design processes. 
    more » « less
  4. Abstract Purpose/ObjectivesWe aim to explore Current Procedural Terminology (CPT) codes for caregiving training services and their potential impacts on caregivers of people living with dementia. Description of the Project/ProgramIn response to the growing need for support for caregivers of people living with physical and mental health issues, CPT codes for caregiving training services will be activated for the calendar year 2024. These codes cover (1) family group behavior management and modification training services and (2) caregiver training for techniques to help patients maintain their quality of life. Caregivers will access such training support through the CPT codes provided by treating practitioners. The duration of training will vary by code. OutcomeImplementing CPT codes for caregiver training services highlights the vital role of caregivers in patient care. This support may improve their skills and communication with healthcare providers. However, timing and accessibility in care delivery need clarification, especially for caregivers of people living with dementia. Regular skill assessment and culturally competent care are essential. Before providing the service, provider training may also promote person-centered care, benefiting patients and their caregivers. ConclusionActivating CPT codes for caregiving training services may enhance caregivers' support and skills, including dementia care. 
    more » « less
  5. When their child is hospitalized, parents take on new caregiving roles, in addition to their existing home and work-related responsibilities. Previous CSCW research has shown how technologies can support caregiving, but more research is needed to systematically understand how technology could support parents and other family caregivers as they adopt new coordination roles in their collaborations with each other. This paper reports findings from an interview study with parents of children hospitalized for cancer treatment. We used the Role Theory framework from the social sciences to show how parents adopt and enact caregiving roles during hospitalization and the challenges they experience as they adapt to this stressful situation. We show how parents experience 'role strain' as they attempt to divide caregiving work and introduce the concept of 'inter-caregiver information disparity.' We propose design opportunities for caregiving coordination technologies to better support caregiving roles in multi-caregiver teams. 
    more » « less