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While there is a considerable body of research on resistance to technology, there are few works that consider the phenomenon from the user's point of view, and few that consider task-related as well as social factors in concert. This work places the IT Identity Threat at the center of a mediation model to explain how task-related and social, as well as personal, factors work in concert to cause Resistance to IT. Prior literature and qualitative data were used to explore and describe the IT Identity Threat's antecedents, which were refined and then tested in two separate cases. Data from two separate studies expand the nomological network surrounding the IT Identity Threat and demonstrate that Resistance to IT may best be understood as the result of how individuals feel about themselves as users of a technology. [ABSTRACT FROM AUTHOR]

Introduction: Patients undergoing oncology-related gynecologic surgical procedures experience substantial symptom burden and distress. Support from specialist palliative care teams may benefit these patients and their families; however, an evidence-informed approach to the integration of palliative care and gynecologic surgical oncology is needed. To inform such an approach, a scoping review synthesizing current evidence on the palliative care needs of patients and families in gynecologic surgical oncology was conducted. Methods: Reviewers performed a structured search of online databases CINAHL, Scopus, PsycINFO, MEDLINE, and PubMed in addition to the grey literature to identify relevant studies published between 2011 and June 11th, 2021. The original search identified 993 articles, which were dually screened for study inclusion, resulting in a final sample of articles from which data were systematically extracted and synthesized. Results: This review of 59 publications predominantly consisted of European studies (n = 26, 44.1%), described quantitative study methods (n = 47, 79.6%), followed an observational study design (n = 49, 83.1%), and focused on psychological impact of treatment as a major topic of study (n = 21, 35.6%). The dataset also described sexual function of women post treatment (n = 15, 25.4%), quality of life (n = 10, 16.9%), therapeutic decision making (n = 9, 15.2%), pain assessment (n = 2, n = 3.6%), and medication for symptom management (n = 2, 3.6%). Explicit discussion of specialist palliative care involvement was rare. Conclusion: The needs of patients and families in gynecologic surgical oncology are well-suited to palliative care collaboration; however, the body of literature on palliative care services provided to this unique population is underdeveloped. [ABSTRACT FROM AUTHOR]

Nominal research illustrates the lived experience of intensive care unit registered nurses during the COVID pandemic. Palliative care team leaders and nurse researchers designed this cross-sectional study to discover opportunities for palliative care team members to enhance the experience of nurses who cared for critically ill patients during this challenging time. The study aimed to compare the effect of caring for patients in COVID versus non-COVID units. Surveys were distributed after the area's initial COVID patient influx. Questions included general demographics, the Professional Quality of Life survey instrument (measuring compassion satisfaction, burnout, and secondary traumatic stress), and open-ended questions to identify protective factors and unique challenges. Across 5 care settings with 311 nurses eligible for the study in total, 90 completed the survey. The population consisted of COVID-designated unit nurses (n = 48, 53.33%) and non-COVID unit nurses (n = 42, 46.67%). Analysis between COVID-designated and non-COVID units revealed significantly lower mean compassion scores and significantly higher burnout and stress scores among those working within COVID-designated units. Despite higher levels of burnout and stress and lower levels of compassion, nurses identified protective factors that improved coping and described challenges they encountered. Palliative care clinicians used insights to design interventions to mitigate identified challenges and stressors. [ABSTRACT FROM AUTHOR]

Background : Evidence suggests the usefulness of complementary and alternative medicine approaches, like neurofeedback and virtual reality, for the management of cancer-related pain and mood. It is not well-understood whether neurofeedback delivered through virtual reality is feasible and acceptable to patients actively undergoing cancer treatment. Objective : The purpose of this study was to explore the feasibility and acceptability of a nature-based virtual reality combined with neurofeedback as a non-pharmacologic strategy for managing cancer-related pain and anxiety. Methods : This study utilized a mixed-methods approach. Participants included 15 cancer patients undergoing treatment. Patients engaged in a 22-minute nature-based virtual reality experience, wearing a virtual reality headset with a Brainlink headband measuring EEG activity. Participants were asked to complete the Edmonton Symptom Assessment System revised version (ESAS-r) before (T1) and after (T3) the experience to measure pain and anxiety. They were asked their level of pain midway through the experience (T2) and completed a follow-up interview afterward. Results : This study revealed feasible delivery of a virtual reality intervention combined with neurofeedback for patients seeking cancer treatment. All participants (100%) completed the intervention experience. Patients report this is an acceptable approach to managing cancer-related pain and anxiety. Comparisons between patients' pain scores at T1, T2, and T3 reveal statistically significant reductions in pain (p.001). Patients also report decreased depression and anxiety. Conclusion : This is the first study examining virtual reality combined with neurofeedback as a non-pharmacologic intervention for managing cancer symptoms during treatment. The study reveals it is a promising for managing cancer-symptoms. [ABSTRACT FROM AUTHOR]

As individuals' relationships with information technology (IT) grow more complex and personal, our understanding of the problem of resistance to IT continues to evolve. Current approaches to resistance are based on perceived threats to work tasks and social structure. This work enhances our understanding of resistance by developing a definition and measure of the IT Identity Threat, a new construct that integrates social, task-related, and personal factors of resistance. Grounded in identity theory, the IT Identity Threat offers a parsimonious means to explain and predict IT resistance behaviors. Using data from two independent studies conducted among students and faculty at a large university in the Southeastern United States, we validate an operational measure of IT Identity Threat as a second-order construct and demonstrate that it successfully predicts resistance to IT. Our findings provide support for the IT Identity Threat construct as a simple mechanism to study resistance to IT. [ABSTRACT FROM AUTHOR]

1. Through this case study, participants will find that patient care advocacy, even at the very end of life, can yield collaborative and creative approaches in providing patient-centered care. 2. This case study demonstrates that concurrent hospice care may be the most appropriate model of end-of-life care for patients with terminal anorexia. A case study from a Midwestern academic medical center shows that advocating for concurrent hospice care for a patient with terminal anorexia may help mitigate the challenges and controversy in defining and diagnosing the condition while still acknowledging a patient's poor prognosis and patient and family need for supportive services. Severe Enduring Anorexia Nervosa (SE-AN), also known as "terminal anorexia," is a rare, but life-threatening progression of restrictive and other eating-disordered behaviors. Recently clinical characteristics of SE-AN have been proposed with ongoing debate about the appropriateness and utilization of such guidelines. Those who work in palliative care and end of life are tasked with attenuating the suffering of patients with life-limiting or terminal illnesses. That challenge is heightened when the patient's condition is uncommon or when the care team has little experience with a particular clinical context. Given the relative youth of those with SE-AN coupled with the supposition of a terminal psychiatric disorder can bring discomfort to those charged with caring for patients with SE-AN. A case report from a Midwestern academic medical center about a 20-year-old woman with SE-AN provides an example of end-of-life care for this vulnerable population that is not guideline-focused, but patient-centered. When she enrolled in hospice, the hospice organization offered to cover ongoing treatment while simultaneously providing supportive care services to her and her family. She ultimately died on hospice, but the concurrent care model offers a pathway that acknowledges the care team's concern about poor prognosis while supporting any pivot toward life-prolonging treatment and simultaneously supporting the patient and family through this difficult scenario. Models of Palliative Care Delivery / Advocacy / Policy/ Regulations [ABSTRACT FROM AUTHOR]

This article introduces a special section on blockchain and nonfungible tokens (NFTs) in electronic commerce. It highlights the potential value that blockchain and NFTs can bring to organizations and customers, including improving privacy and addressing concerns about online content. The article acknowledges the rise and fall of NFTs in the public eye, but emphasizes that research can uncover ways in which NFTs offer more to society than just financial gains and losses. The special section features two articles that explore the value of NFTs beyond art, and how blockchain technology can redefine customer service relationships. The section was the result of feedback from a conference and is published in the International Journal of Electronic Commerce. [Extracted from the article]

This paper presents an enhanced tachometer model that takes into account the effect of electromagnetic coupling that can exist between the actuator and sensor in an integrated dc motor-tachometer assembly, where the conventional model is found to be inadequate. The tachometer dynamics identified in this paper is experimentally verified, and incorporated in the modeling and parameter identification of a motion system that has multiple flexible elements. It is shown that the tachometer dynamics contributes additional nonminimum phase zeros that degrade the servo system performance in terms of closed-loop bandwidth, disturbance rejection and sensitivity to modeling uncertainty. The zeros of the open loop system are found to vary with the geometric parameters of the motor-tachometer assembly. Based on the insight gained by modeling the electromagnetic coupling, methods for eliminating it and its resulting detrimental effects are also suggested. Keywords: Servomotor Control, Tachometer Model, Sensor Actuator Crosstalk, Electromagnetic Coupling, Zero-Locus