Ulrich Schrader's Website

Related Articles

Case study: developing nursing partnerships to support a successful electronic medical record implementation.

Comput Inform Nurs. 2013 Jan;31(1):1-6

Authors: Griebenow L, Timm J, Senn M, Stancl M

PMID: 23348576 [PubMed - indexed for MEDLINE]

Related Articles

Using *ORA, a network analysis tool, to assess the relationship of handoffs to quality and safety outcomes.

Comput Inform Nurs. 2013 Jan;31(1):36-44

Authors: Effken JA, Gephart SM, Brewer BB, Carley KM

Abstract
Communication during patient handoffs has been widely implicated in patient safety issues. However, few studies have actually been able to quantify the relationship between handoffs and patient outcomes. We used *ORA, a dynamic network analysis tool, to examine handoffs between day and night shifts on seven units in three hospitals in the Southwest. Using *ORA's visualization and analysis capabilities, we examined the relationships between the handoff communication network metrics and a variety of patient safety quality and satisfaction outcomes. Unique network patterns were observed for different types of outcome variable (eg, safety, symptom management, self-care, and patient satisfaction). This exploratory project demonstrates the power of *ORA to identify communication patterns for large groups, such as patient care units. *ORA's network metrics can then be related to specific patient outcomes.

PMID: 23114394 [PubMed - indexed for MEDLINE]

Related Articles

Development and evaluation of theory-based diabetes support services.

Comput Inform Nurs. 2013 Jan;31(1):17-26; quiz 27-8

Authors: Guo SH, Lin YH, Chen RR, Kao SF, Chang HK

Abstract
Technology-enabled support services for diabetes can fulfill patient demand to care for diabetes independently. Patients benefit from such services after greater adoption of the services in healthcare systems. Unfortunately, conventional service development fails to thoroughly understand patient care support, making it difficult to achieve the desired design, and posing substantial challenges in adopting these services. Thus, previously developed services in many cases are not as patients expected, as evidenced by their low acceptance among patients. To solve this problem, adequate strategies must be developed by incorporating theoretical knowledge as a solid foundation in order to improve service design. This study develops technology-enabled diabetes support services based on the self-care theory. A set of self-care service scenarios is also established and combined with theoretical concepts. The developed services consist of a nurse-led consultation service and a mobile application service. Additionally, user acceptance is confirmed by assessing patient perceptions of the diabetes support services in a group of patients with diabetes (N=27). Results of analysis reveal that patients respond favorably toward the services. Patient preference and perceived ease of use attest to their intention to use the services. Greater adoption of the services can be anticipated, owing to a higher levels of preference and higher perceived ease of use. This study demonstrated that the self-care theory can be linked to nursing informatics research and chronic care clinical practices.

PMID: 22968249 [PubMed - indexed for MEDLINE]

Related Articles

Telecare for the elderly--community nurses' experiences in Taiwan.

Comput Inform Nurs. 2013 Jan;31(1):29-35

Authors: Chang CP, Lee TT, Mills ME

Abstract
Advances in science, technology, and healthcare have contributed to the global growth of an aging population. With a concomitant decline in birth rate, the increasing need for elder care cannot be met effectively by traditional care models as fewer caregivers are available. This study adopted a qualitative research method, and 13 nurses who have experiences in telecare were interviewed in a regional hospital in northern Taiwan. Data were content analyzed to explore nurses' perceptions of telecare services. Five major themes were identified: (1) provision of individualized care, (2) increasing job requirements and stress, (3) working with a collaborative care model, (4) understanding concerns of the elderly, and (5) foreseeing future challenges. The participants identified the advantages of telecare services for the elderly and recognized a new opportunity for health management in the future population and social changes. The use of technology to provide telecare may offer an effective supplement for elder care services.

PMID: 22948405 [PubMed - indexed for MEDLINE]

Related Articles

Information utilization in tactical decision making of middle management health managers.

Comput Inform Nurs. 2013 Jan;31(1):9-16

Authors: Kontio E, Lundgren-Laine H, Kontio J, Korvenranta H, Salanterä S

Abstract
Healthcare is an information-intensive field, as information is needed to make strategic, tactical, and operational decisions. The purpose of this study was to identify the tactical decisions that middle management healthcare managers make, the information that is available, and the necessary information that is missing using the cardiac care process as an example. Data were collected through focused interviews of nurses and physicians who work in middle management in a secondary healthcare field. The interviews were coded and analyzed using the thematic content analysis method. We identified two main categories of tactical decisions: those concerning the process of care and those concerning the resources for the care. We termed the categories "process decisions" and "resource decisions." The availability of information varied. Much of the necessary information was created and processed manually. Our results show that the collection, mining, and systematic use of information are difficult because of the existence of many types of information systems and their varying abilities to produce and report information. Finally, much of the important information is missing. In conclusion, the information management process in healthcare settings needs to be improved, and a new generation of information system is needed to support tactical decision making in middle management.

PMID: 22872042 [PubMed - indexed for MEDLINE]

Related Articles

The plight of personality disorders in the DSM-5.

Issues Ment Health Nurs. 2012 Sep;33(9):598-604

Authors: Limandri BJ

Abstract
This article provides a brief history of the development of the Diagnostic and Statistical Manual of Mental Disorders published by the American Psychiatric Association, and how it relates to the proposed fifth edition to be published in 2013. Of particular emphasis is Axis II and how this axis is likely to be restructured. The reconceptualization of the nosology for personality disorders has been controversial since the publication of the DSM-III-R (Wilson, 1993). In both the clinical and academic communities, ongoing debate about diagnostic classification of personality disorders has been common. One recurrent theme among the deliberations on diagnosis and personality disorder focuses on the question of whether distinct (categorical) diagnoses exist or whether diagnoses are dimensionally related to each other in some empirically determined way. The proposed changes for Axis II in the DSM-5 are likely to bridge the gap between these two arguments by revamping the overall criteria and discarding the three currently used diagnostic clusters. The resulting nosology proposes six personality disorders with common factors in Criteria A and Criteria B. However, a major concern and a continuing problem not likely to be resolved in this edition is the symptom resemblance of borderline personality disorder and bipolar disorder. This article suggests some ways the revised DSM might affect mental health nursing practice.

PMID: 22957953 [PubMed - indexed for MEDLINE]

Related Articles

Religious and spiritual issues in DSM-5: matters of the mind and searching of the soul.

Issues Ment Health Nurs. 2012 Sep;33(9):577-82

Authors: Chandler E

Abstract
Religion, spirituality, and psychiatric illnesses share a complex relationship in the realm of diagnosis. Historically, however, these three constructs have existed in a very peripheral place in the diagnostic taxonomy for psychiatry in the United States. Given the important role that spirituality and religion play for many people in the experiences of coping with health and illness, it seems odd that such important elements are in the margins of the powerful and commanding nosology of the DSM. Explanations for understanding the glaring absence are complex and impacted by some very powerful political and sociological forces, including contributory elements from within the mental health disciplines. This article invites the reader to explore salient issues in the emergence of a broader recognition of religion, spirituality and psychiatric diagnosis in the DSM-5.

PMID: 22957950 [PubMed - indexed for MEDLINE]

Related Articles

DSM-5: implications for mental health nursing education.

Issues Ment Health Nurs. 2012 Sep;33(9):568-76

Authors: Flaskerud JH

Abstract
Three broad areas related to changes in DSM-5 are addressed in this article, and their implications for mental health nursing (MHN) education are discussed. The first area is the changes in structure and in the classification and description of mental disorders; knowledge of these is necessary so that nurse educators can teach students about the new faces of pathology in DSM-5 and what these changes mean for their future practice. Second, nurse educators must prepare advanced practice nurses to deal with the realities of the issues, criticisms, and concerns surrounding use of the DSM, including the influence of market forces on diagnosis, the validity and reliability of diagnosis, and cultural bias in diagnosis. Finally, there are additional concerns in preparing primary care nurses (nurse practitioners [NPs]) for the changes to DSM-5. It is not only psychiatric mental health (PMH) advanced practice nurses who must be aware of DSM changes and issues. The majority of mental health care in the United States is given in primary care settings and NPs must be prepared to assess and diagnose psychiatric disorders. The challenge to PMH nursing education is twofold: upholding the clinical role of advanced practice nurses in delivering mental health care, and maintaining the humanism and emphasis on quality care that has long characterized PMH nursing practice.

PMID: 22957949 [PubMed - indexed for MEDLINE]

Related Articles

Reflections on the DSM-5 and its relevance to psychiatric nursing.

Issues Ment Health Nurs. 2012 Sep;33(9):565-7

Authors: McEnany GP

PMID: 22957948 [PubMed - indexed for MEDLINE]

Though the public says they are personally worse off than they were a year ago, the affluent are spending more [infographic]

Though the public says they are personally worse off than they were a year ago, the affluent are spending more [infographic]

Though the public says they are personally worse off than they were a year ago, the affluent are spending more [infographic]

Nacktmulle scheinen keinen Krebs zu kennen. Auf welche Weise die kleinen Nager verhängnisvollen Wucherungen vorbeugen, glauben amerikanische Forscher nun entdeckt zu haben. Im Gewebe der Tiere reichert sich demnach ein extrem großes Zuckermolekül an, das spontanes Zellwachstum sehr effektiv unterdrückt.

Caesars has acquired the rights and ownership of the World Series of Poker (WSOP) mobile app.

Caesars has acquired the rights and ownership of the World Series of Poker (WSOP) mobile app.

Steam is rolling out some interesting initiatives that you will definitely want to check out.

Steam is rolling out some interesting initiatives that you will definitely want to check out.

Nobody likes to get pulled over; wouldn't it be cool if your paperwork was on your smartphone?

Nobody likes to get pulled over; wouldn't it be cool if your paperwork was on your smartphone?

GE launch a new platform to tap into the Industrial Internet