Process Redesign Research Articles

The effect of flipped learning on students’ basic psychological needs and its association with self-esteem

BackgroundModification of the learning environment enhances academic performance, and meta-motivational skills. Yet it is largely unknown which underlying cause potentiates these effects. The study’s goal is to analyse flipped classroom (FC) effect on basic psychological needs and self-esteem.Methods40 undergraduate medical students participated in a one-site two phased study. In Phase I, students attended a traditional lecture-based classroom (TC). In Phase II, the same group attended FC. Upon completion of each Phase students completed two questionnaires: Basic Psychological Need Satisfaction and Frustration Scale, and Rosenberg self-esteem scale.ResultsAutonomy satisfaction was significantly higher in FC (n = 40, z = 5.520, p < .001), the same tendency was seen for Competence satisfaction in FC (n = 40, z = 5.122, p < .001). As for the frustration of all three needs, the statistical difference was observed for all three subscales between TC and FC. In FC, autonomy (n = 40, z = − 5.370, p < .001), relatedness (n = 40, z = 4.187, p < .001), and competence (n = 40, z = − 5.323, p < .001) frustration was significantly lower. Self-esteem was significantly higher in FC (n = 40, z = 5.528, p < .001). In TC self-esteem negatively correlated with autonomy frustration, (r(38) = − 0.430, p < .01), and competence frustration, (r(38) = − 0.379, p < .05). In FC, self-esteem positively correlated with autonomy satisfaction (r(38) = 0.316, p < .05), and competence satisfaction (r(38) = 0.429, p < .01).ConclusionsFC better fulfils students’ basic psychological needs, specifically needs for autonomy and competence, and self-esteem compared to TC. Collaborative work, and academic scaffolding, contributes to behavioural engagement of students in the learning process. FC with the main focus on students’ active involvement may better meet millennials’ needs. Implementing validated questionnaires to measure students’ psychological needs should become a regular practice in medical schools, specifically during the process of curriculum redesign.

Increasing Screening for Sexually Transmitted Infections Among Adolescents and Young Adults Diagnosed With Sickle Cell Disease: A Quality Improvement Project

BackgroundSexually transmitted infections affect 20 million adolescents and young adults in the United States annually. Local ProblemIn a pediatric outpatient sickle cell disease clinic, in southeastern, US, 16% (43/272) of patients aged 16-24 had a documented sexual health history and 12% (4/77) completed STI screenings. The clinic's aim was to increase sexual health assessment, STI screenings, diagnosis, and treatment. Methods/InterventionUsing process redesign, a standardized sexual health and STI screening process at routine visits was implemented to increase completion of sexual health histories and STI screening. ResultsSexual health history collection rates increased from 16% (43/272) pre- to 92% (107/116) post-intervention. The rate of STI testing offered increased from 12% (5/43) pre- to 100% (116/116) post-intervention. The STI testing rates increased 22.5 % from 40% (2/5) pre- to 49% (20/41) post-intervention. ConclusionsEvidence-based standardized interventions can successfully be used to assist in sexual health documentation and STI screening.

Strategic redesign of business processes in the digital age: A framework

Organizations constantly seek ways to improve their business processes by using digital technologies as enablers. However, simply substituting an existing technology with a new one has limited value compared to using the capabilities of digital technologies to redesign business processes. Therefore, process analysts try to understand how the capabilities of digital technologies can enable the redesign of business processes. In this paper, we conduct a systematic literature review and examine 40 case studies where digital technologies were used to redesign business processes. We identified that, within the context of business process improvement, capabilities of digitalization, communication, analytics, digital representation, and connectivity can enable business process redesign. Furthermore, we note that these capabilities enable applying nine redesign heuristics. Based on our review, we map how each capability can facilitate the implementation of specific redesign heuristics. Finally, we illustrate how such a capability-driven approach can be applied to Metaverse as an example of a digital technology. Our mapping and classification framework can aid analysts in identifying candidate redesigns that capitalize on the capabilities of digital technologies.

Modifying the Silt Lamp by Using a White Laser in Place of the Halogen Light

This paper explores the modification of the slit lamp, a vital ophthalmic instrument, by replacing the traditional halogen light source with a white laser. This modification aims to enhance the diagnostic capabilities and efficiency of the slit lamp. White laser technology offers superior brightness, intensity, and color accuracy, which improves the visibility and differentiation of ocular tissues. Additionally, white lasers are more energy-efficient, provide consistent light output, and require less maintenance. The redesign process includes adjustments to the optical system, incorporating specialized filters and lenses, and ensuring proper thermal management. The integration of a high-resolution digital camera system with white laser illumination further improves image quality and diagnostic precision. The study outlines the benefits, potential challenges, and implementation steps, concluding that the use of white lasers in slit lamps can significantly enhance the effectiveness of ocular diagnostics, benefiting both ophthalmologists and patients.

From Traditional Perspectives to Design Innovation

This paper elaborates on the process of digital restoration and redesign of the konghou depicted in the murals of Mogao Grottoes' Cave 465 from a product design perspective. Through an in-depth analysis of the konghou's form, precise application of digital technology, and the clever integration of modern design concepts, this study not only achieves effective protection and inheritance of ancient cultural heritage but also explores innovative applications of traditional cultural elements in contemporary product design. This research is significant for promoting the digital preservation of cultural heritage and fostering the fusion of tradition and modernity.

Investigating the influence of elements in pocket parks on the psychological restoration of young people: a study from Guiyang and Chongqing in Southwest China

ABSTRACT In an era marked by rapid pace and demanding work schedules, young individuals frequently experience mental exhaustion and emotional downturns, exacerbating mental health issues. Recognizing this, prior studies have underscored the significant role of pocket parks in fostering emotional rejuvenation. However, previous research has primarily suggested that green natural elements in pocket parks positively influence restorative effects, without thoroughly examining the restorative power of different natural elements. Furthermore, there has been a lack of systematic analysis to quantify the impact of both natural elements and activities in pocket parks on their restorative effects. This research adopts a quantitative approach to explore the interaction between psychological attributes and the restorative impacts of various natural elements within pocket parks. It also considers the influence of socio-demographic factors, ultimately proposing an evaluation model to assess these spaces’ psychological restoration capabilities. Focusing on Guiyang and Chongqing as study locations, the research utilized 20 photographs to represent typical elements within pocket parks. Analysis of these images led to the identification of nine critical elements. Participants provided insights into how these factors relate to psychological characteristics and their subsequent restorative effects by responding to five carefully designed questions. The analysis revealed that amenities for relaxation and sports play a pivotal role in enhancing restorative outcomes and influencing psychological traits. Additionally, the effect of natural elements on restoration varied; while trees and water bodies positively contributed to restoration, shrubs and lawns were found to have a less significant effect. The study concludes by introducing an evaluation model that identifies the primary built environment factors influencing restoration. The results of this study are intended to guide the redesign of pocket parks and inform policy-making processes.

Designing an integrated care pathway for spondyloarthritis: A Lean Thinking approach.

Integrated care pathways (ICPs) are crucial for delivering individualised care. However, the development of ICPs is challenging and must be well designed to provide the expected benefits. Regarding this, healthcare organisations are increasingly adopting management systems based on Lean Thinking to improve their organisational processes by eliminating non-value-added steps. This study elucidates the process and evaluates the impact of applying Lean Thinking to redesign an ICP for patients with spondyloarthritis, a chronic inflammatory disease affecting young adults. A multidisciplinary team was assembled and trained in Lean Thinking. Patient's perspective was gathered through a focus group. Guided by an expert methodologist, the team constructed a value stream map of the entire care pathway and analysed each step. Five work streams were defined to increase value at each step, leading to targeted process improvements. Key process and outcome metrics were collected and compared in 2-month baseline and post-implementation audits. A total of 118 patients were included in the baseline audit (September-October 2022), and 116 in the post-implementation audit (January-February 2023). Process redesign resulted in statistically significant improvements (p < 0.05), including a reduction in the mean number of hospital visits per patient over a 2-month period from 2.54 (SD = 0.93) to 1.84 (SD = 0.79), an increase in complementary exams scheduled on the same day (81.4% to 94.8%) and an increase in baseline disease and treatment education (from 22.2% to 84.2% and from 18.2% to 84.6%, respectively). Regarding standardisation of clinical practice, there were significant increases in collecting data for medical records on composite activity indices (76.3% to 95.7%), reporting of pharmacological treatment adherence (68.6% to 94%) and providing nonpharmacological recommendations (31.3% to 95.7%). The application of Lean Thinking to redesign the spondyloarthritis ICP led to significant improvements in outpatient appointment scheduling, reduced patient hospital visits, improved interdepartmental coordination and standardised clinical practice.

Redesigning heat exchanger channels: A local entropy generation approach

This paper proposes a redesign technique for heat exchanger channels based on a Local Entropy Generation (LEG) analysis and numerical simulations. The approach first divides the computational domain into zones and then identifies the zones responsible for increasing irreversibilities due to viscous and heat transfer effects. By evaluating different geometric features and flow conditions, the wall shape is modified (zone by zone) with the configurations that offer the lowest local entropy generation rates. The redesigned channels demonstrate that sudden changes in geometry along the streamwise direction reduce the size of regions with high thermal entropy generation and promote the creation of vortices, thereby reducing the magnitude of thermal irreversibilities. Smooth wall shape transitions might not be desirable when the goal is to improve heat transfer. The redesign process enhances the thermal performance of the system without significantly increasing power demand. The proposed methodology is evaluated using three wavy channels with a non-uniform amplitude-to-wavelength ratio (β1,β2,andβ3) since they allow for better management of wall geometry. As demonstrated for case β1, the LEG analysis enables the construction of new channels with a thermal performance 3.9 % superior to those with a uniform amplitude-to-wavelength ratio of α = 0.16 (best-case scenario), but with approximately 20 % less pumping power. While this study employs wavy channels as a case study, the methodology is broadly applicable to various heat exchanger configurations, including trapezoidal, triangular, and zigzag channels, making it a versatile tool for improving thermodynamic performance across different designs.

Customer Complaint Service Business Processes Redesign with Artificial Intelligence Technology Using Business Process Reengineering Approach (Study Case: Ceria BRI Application)

This article analyses the business process redesign of Ceria BRI's customer complaint service using Artificial Intelligence (AI) technology with Business Process Reengineering (BPR) approach. This qualitative research with a post-positivism paradigm reveals that making complaints at Ceria BRI currently uses several channels such as telephone, email, social media, and applications. The problems faced include the high number of complaints that received every month in 2023, and some complaints were resolved over Service Level Agreement (SLA). The proposed solution is to redesign the proposed business process design by applying the four stages of Business Process Reengineering (BPR), namely Visioning-Identifying-Analyzing-Redesigning. These steps aim to improve service quality, grow positive interactions with customers, and enhance the internal performance of the Ceria BRI customer complaint service team.

Designing business analytics (BA) platforms: tracing the visual redesign process of a startup’s BA platform

Designing business analytics (BA) platforms: tracing the visual redesign process of a startup’s BA platform

Idea generation in exploitative and explorative business process redesign techniques

AbstractBusiness process redesign has received considerable attention in research and practice. An important task contributing to redesign is idea generation. It has been argued that the choice of technique influences redesign outcomes, but empirical evidence is largely missing. In this paper, we examine the role of idea generation in business process redesign by comparing two different kinds of techniques: exploitative and explorative redesign techniques. Often, exploitative techniques are expected to yield more appropriate solutions, while explorative techniques are associated with more creative outcomes. To investigate such propositions, we consider the Best Practices of Process Redesign as an example of an exploitative redesign technique and the Business Process Design Space as an explorative redesign technique. We conducted a free-simulation experiment to study the empirical impact of the choice of redesign techniques on outcomes. We find that the Business Process Design Space leads to a higher number of redesign ideas, which are also more diverse. These are more creative and novel than ideas produced by the Best Practices of Process Redesign. Against expectation, the best practices as an exploitative approach do not produce more appropriate nor impactful ideas in our task design. Since both approaches cover different areas of improvement, a key implication of our work is that they should not be seen as isolated approaches to redesign; rather, they should be purposefully combined to not only create novel but also operational business process redesigns.

Greening the production of polymeric submicron particles by membrane-based manufacturing processes: A comparative analysis

The production of polymeric particles is the subject of extensive research in various fields and the interest in this area extends to the development of new sustainable production processes. The use of membrane technology has enabled the redesign of many traditional production processes with enormous impact in terms of product quality, reduction of energy consumption, high efficiency, productivity and reproducibility. In the present work, two alternative methodologies for the production of polycaprolactone (PCL) particles based on the use of membrane processes were investigated: i) membrane emulsification (ME) combined with solvent diffusion and ii) membrane nanoprecipitation (MN). ME/solvent diffusion is a widely applied technique for the production of microparticles, but its use for nanosized particles is still limited. On the other hand, MN is currently being investigated for its potentiality in the production of nanoparticles.In the present work, the performance of the two processes is compared in terms of: i) product quality (highly monodisperse particles in the nanometers range of size, ii) maximum productivity (expressed as mass of particles produced over time) under mild operating conditions (reduced mechanical stress), iii) environmental impact (assessed on the basis of the metrics established by the Green Aspiration Level (GAL)).

Sustainable design: Circular innovation design method under process reengineering

The theory of sustainable business process reengineering has been widely applied in various disciplines and has achieved outstanding results. The theory is used to the research of product innovation design method in this work, and the entire process of product innovation design method is reshaped, bringing new development and new direction for product innovation design. Redesign processes in line with societal trends and in a sustainable direction. Furthermore, it may effectively address the inadequacies of conventional design methodologies during the application process. Then, increase corporate efficiency in order to accomplish significant improvements in enterprise cost, quality, service, and speed. The study applies the systematic induction method, research analysis method, and other comprehensive research methods to analyze and study the existing design process and method, as well as excavate the shortcomings and limitations that exist in the process's application of the existing design method. Based on the BPR theory, the sustainable innovation design method for full chain products is divided into five design processes: scenario implantation, requirement extraction, functional determination, structural optimization, formal innovation, and material selection. In addition, the feasibility and accuracy of this method are verified through lifesaving equipment cases. Secondly, three principles for sustainable product innovation design were proposed. On the one hand, products made by designers and college students can truly meet customer needs, generate disruptive innovative designs, and improve the market competitiveness of industrial products. On the other hand, design is no longer a single stage, but a complete, systematic, and comprehensive set of design processes aimed at improving design efficiency and achieving sustainable product development.

Navigating Alert Fatigue: A Case Study in Electronic Health Record Alert Design Optimization.

Clinical decision support (CDS) systems play a crucial role in enhancing patient outcomes, but inadequate design contributes to alert fatigue, inundating clinicians with disruptive alerts that lack clinical relevance. This case study delves into a quality improvement (QI) project addressing nursing electronic health record (EHR) alert fatigue by strategically redesigning four high-firing/low action alerts. Employing a mixed-methods approach, including quantitative analysis, empathy mapping sessions, and user feedback, the project sought to understand and alleviate the challenges posed by these alerts. Virtual empathy mapping sessions with clinical nurses provided valuable insights into user experiences. Qualitative findings, CDS design principles, and organizational practice expectations informed the redesign process, resulting in the removal of all four identified disruptive alerts and redesign of passive alerts. This initiative released 877 unactionable disruptive nursing hours, emphasizing the significance of proper alert design and the necessity for organizational structures ensuring sustained governance in healthcare system optimization.

Improving processing efficiency through workflow process reengineering, simulation and value stream mapping: a case study of business process reengineering

PurposeBusiness Process Reengineering (BPR) eliminates non-value-added (NVA) and essential non-value-added (ENVA) waste through radical process redesign to improve organizational operations. Comprehensive research integrating BPR tools is needed to understand their benefits for manufacturing firms. This research presents an integrated BPR-simulation framework tailored to the manufacturing sector to maximize process improvements and operational excellence.Design/methodology/approachThe BPR design methodology adopts a systematic, multi-stage approach. The first phase involves identifying a specific improvement process aligned with BPR's core objectives. This phase analyses and redesigns workflows to optimize task sequences, roles, and stakeholder interactions while eliminating redundancies and inefficiencies via Workflow Process Reengineering. Visual process mapping tools, including VSM and simulation, pinpoint areas of waste, delay, and potential enhancement. The second phase follows the workflow analysis and aims to improve efficiency and effectiveness by redefining roles, rearranging tasks, and integrating automation and technology solutions. The redesigned process undergoes evaluation against key performance indicators to ensure measurable improvements are achieved. The final phase validates the proposed changes through simulation models, assesses the impact on key performance metrics, and establishes the necessary infrastructure for successful implementation. The proposed model is empirically validated through a case study of a leading apparel company in Vietnam, confirming its effectiveness.FindingsThe findings reveal that NVA activities are being eliminated, and ENVA activities in key departments are significantly reduced. This yielded a substantial improvement, reducing 25 out of 186 combined ENVA and NVA operations in the sewing facility, involving a decrease of 15 ENVA operations and the removal of 10 NVA operations. Consequently, this led to an 8.5% reduction in the proportion of ENVA operations, accompanied by a complete 100% elimination of NVA activities.Research limitations/implicationsThe single case study limits generalizability; thus, expanded implementation across diverse manufacturing sub-sectors is required to establish validity and broader applicability of the integrated framework.Originality/valueThe experimental results highlight the proposed model's effectiveness in optimizing resource utilization and its practical implementation potential. This structured BPR methodology enables organizations to validate, evaluate, and establish proposed process changes to enhance operational performance and productivity.

Applying a User-Centered Design Framework to Develop a Remote Research Assessment Protocol for a Randomized Clinical Trial for Toddlers with Early Autism Characteristics.

COVID-19 required many research teams to shift from in-person to remote assessments, which posed both procedural and theoretical challenges. While research has explored the utility of remote assessments for autism diagnosis from the perspective of families and clinicians, less is known about their application in clinical trials. This paper describes the development of a remote research assessment protocol for a randomized clinical trial focusing on the implementation of reciprocal imitation teaching (RIT) with toddlers in Part C early intervention. This project spans two phases. For Phase 1, our team developed and documented a series of steps utilizing user-centered design (UCD) strategies (e.g., recruiting potential users, creating a prototype, engaging in iterative development) for the purpose of redesigning an assessment protocol for a remote environment. For Phase 2, we examined preliminary outcomes of the redesign process. Primary end users (assessors) rated post-redesign usability and acceptability, while acceptability was examined using attrition data from secondary end users (family participants). Preliminary fidelity of implementation was also examined. The iterative redesign process allowed the research team to refine aspects of the assessment that ultimately led to promising preliminary ratings of usability, acceptability, and feasibility, as well as high fidelity. Preliminary data suggest that the redesigned assessment appears to be an acceptable, feasible, and usable tool for autism clinical trial research and that assessors can use it with fidelity. Further research is needed to examine the reliability and validity of the assessment, as well as implementation characteristics on a larger scale.

Strategic optimization: redesign of internal processes in international bulk companies

This research aims to redesign the surveillance and scale processes of an international bulk company, with the aim of streamlining and improving them. The DMAIC Methodology was systematically applied at each stage from a structured approach that improved and optimized existing internal processes, clearly establishing the problem and objectives of the redesign to subsequently collect and analyze necessary information, establishing key measurement metrics that evaluated the success of the redesign. Once the causes and areas for improvement were identified, solutions were developed and changes were implemented in the structure of the processes. The results obtained were the redesign of the company's internal surveillance and scale processes with optimized times of 44 and 77 minutes respectively, obtaining a difference of 25 to 33 minutes, allowing the company to carry out a total of 900 loads per month in 28 minutes. per unit load.

Improvement Operational Business Process in Logistic Companies Using Model-Based and Integrated Process Improvement

The logistics business sector is experiencing increasingly competitive and complex developments, requiring enhancements to remain competitive. The method used in this research is the Model-Based and Integrated Process Improvement (MIPI) method, and business process mapping using Business Process Model and Notation. The MIPI method consists of four stages: Understand Business Needs, Understand the Process, Model and Analyze Process, by conducting activity analysis using Value-Added Analysis and Cause and Effect Analysis to identify problem causes, and the final stage is Redesign Process. Value-Added Analysis indicates that in the outbound process, there are 21 activities, comprising 4 Real Value Added, 15 Business Value Added, and 2 Non-Value Added. In the inbound process, there are 21 activities with a composition of 2 Real Value Added, 16 Business Value Added, and 3 Non-Value Added. Based on Cause and Effect Analysis, customer complaints were found to be related to delayed delivery of goods, with root causes identified in planning, methods, equipment, and human factors. Based on these findings, a proposal for a new business process design is made, including the elimination of Non-Value Added activities and parallelism in some activities to simplify Business Value Added activities. Recommendations for these issues include expanding partnerships and collaboration with vendors, increasing fleet size, and providing employee development training.

Translating 'proportionate universal healthcare' into meaningful system design to optimize equity in child and family services.

To conduct a child and family health nursing service redesign to improve pathways of access, response and outcomes for all families with children aged 0-5 years. The study was conducted as an iterative, mixed-method study of the process and impact of the service redesign, informed by a participatory action research paradigm and the NSW Agency for Clinical Innovation process for developing a model of care. Diagnostic, solution design, implementation and sustainability phases were undertaken. Quantitative analyses were undertaken of administrative data, and child and family health nurse and client surveys. Qualitative analyses were undertaken of design workshops. The administrative data demonstrated that prior to the redesign service provision was the same for all clients regardless of levels of risk. The design solution, developed through a series of diagnostic and visioning workshops, included multiple new client response pathways. Implementation included development of tools and training. Sustainability of the redistribution of resources to the new pathways was assessed though an evaluation demonstrating a positive impact for families with adversity, with no deleterious effects for families receiving a universal response, and improvements in the emotional labour undertaken by nurses. Despite this, nurse burnout increased post-redesign. The shift from equal services (everyone receives the same) to equitable proportionate universal provision in response to need can be achieved and has positive impacts for nurses and families. This study shows the value of undertaking a systematic and participatory approach to service redesign. A proportionate universalism approach can ensure that early childhood nursing services are available to all in relation to needs. The Revised Standards for Quality Improvement Reporting Excellence (SQUIRE 2.0) check-list was used to guide reporting. No patient or public contribution.

Perancangan Ulang Tampilan Aplikasi Perpustakaan Digital ISOLOKKAB Berbasis Design Thinking

Redesigning the appearance of the application is the process of redesigning the existing design with the aim of improving the user experience. This is due to the appearance of the application that is still behind compared to other applications. The purpose of this redesign is to produce an improved display that has been redesigned as a recommendation for the development of the iSolokKab digital library application. This redesign was carried out using interview techniques to iSolokKab application users and reviews from users from the Play Store. iSolokKab needs improvement both from the appearance design and features. The method used in this redesign process is the design thinking method. Design thinking is a method that focuses on user complaints and provides suitable solutions to problems experienced by users in the application. Therefore, this method is very suitable for the process of redesigning the appearance of this iSolokKab application, because it can understand user needs. Based on the results of tests that have been carried out on improving the appearance design of the iSolokKab application, it can be said that it is easy to understand by users, judging from the tests conducted on 5 respondents with an average time spent on each task of 9.6 seconds and no click errors. As a result, the process of redesigning this display design is fairly well understood by users because users can complete tasks easily. The redesign of the appearance of the iSolokKab application is expected to be a reference and improve the quality of the performance of the iSolokKab application itself.