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Nursing-Centric Technology and Usability A Call to Action.

NLM - Nursing Informatics - 1 hour 59 min ago
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Nursing-Centric Technology and Usability A Call to Action.

Comput Inform Nurs. 2015 Aug;33(8):325-32

Authors: Staggers N, Elias BL, Hunt JR, Makar E, Alexander GL

PMID: 26295214 [PubMed - indexed for MEDLINE]

Categories: nursing informatics

Emergency Department Visit Forecasting and Dynamic Nursing Staff Allocation Using Machine Learning Techniques With Readily Available Open-Source Software.

NLM - Nursing Informatics - 1 hour 59 min ago
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Emergency Department Visit Forecasting and Dynamic Nursing Staff Allocation Using Machine Learning Techniques With Readily Available Open-Source Software.

Comput Inform Nurs. 2015 Aug;33(8):368-77

Authors: Zlotnik A, Gallardo-Antolín A, Cuchí Alfaro M, Pérez Pérez MC, Montero Martínez JM

Abstract
Although emergency department visit forecasting can be of use for nurse staff planning, previous research has focused on models that lacked sufficient resolution and realistic error metrics for these predictions to be applied in practice. Using data from a 1100-bed specialized care hospital with 553,000 patients assigned to its healthcare area, forecasts with different prediction horizons, from 2 to 24 weeks ahead, with an 8-hour granularity, using support vector regression, M5P, and stratified average time-series models were generated with an open-source software package. As overstaffing and understaffing errors have different implications, error metrics and potential personnel monetary savings were calculated with a custom validation scheme, which simulated subsequent generation of predictions during a 4-year period. Results were then compared with a generalized estimating equation regression. Support vector regression and M5P models were found to be superior to the stratified average model with a 95% confidence interval. Our findings suggest that medium and severe understaffing situations could be reduced in more than an order of magnitude and average yearly savings of up to €683,500 could be achieved if dynamic nursing staff allocation was performed with support vector regression instead of the static staffing levels currently in use.

PMID: 26200901 [PubMed - indexed for MEDLINE]

Categories: nursing informatics

Health Information Exchange Capabilities in Skilled Nursing Facilities.

NLM - Nursing Informatics - 1 hour 59 min ago
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Health Information Exchange Capabilities in Skilled Nursing Facilities.

Comput Inform Nurs. 2015 Aug;33(8):346-58

Authors: Filipova AA

Abstract
The purpose of this study is to determine the levels at which health information exchange is used by skilled nursing facilities for clinical functions, the benefits and barriers associated with health information exchange and telehealth/telemonitoring capabilities, and the facility characteristics associated with health information exchange capabilities. A cross-sectional design was implemented. Data were collected from nursing home administrators, using a mail and online survey approach. A total of 156 usable questionnaires were returned of 397 distributed—a 39.30% response rate. The highest level of electronic exchange for clinical functions was within the facility than within corporation/affiliated organization or with nonaffiliated providers. It was also more prevalent in for-profit skilled nursing facilities than nonprofit skilled nursing facilities. More than half of the facilities reported no electronic exchange for functions, such as public health reporting, diagnostic test orders/results, medical orders/e-prescribing, advance directives, lab orders/results, and radiology orders/ results. Similarly, telehealth/telemonitoring was not in wide use by facilities in the state. The greatest barriers to electronic exchange of clinical functions were financial barriers, technological barriers, and connectivity barriers. Faster and accurate billing, improved care planning, and improved quality of documentation were reported as benefits of electronic information exchange of clinical data with affiliated and nonaffiliated providers.

PMID: 26200900 [PubMed - indexed for MEDLINE]

Categories: nursing informatics

Perspectives of Nurses and Patients on Call Light Technology.

NLM - Nursing Informatics - 1 hour 59 min ago
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Perspectives of Nurses and Patients on Call Light Technology.

Comput Inform Nurs. 2015 Aug;33(8):359-67

Authors: Galinato J, Montie M, Patak L, Titler M

Abstract
Call lights are prevalent in inpatient healthcare facilities across the nation. While call light use directly influences the delivery of nursing care, there remain significant gaps both in research and technology that can affect the quality of care and patient satisfaction. This study examines nurse and patient perceptions of the use of a new call communication solution, Eloquence, in the acute care inpatient setting. Eighteen patients were recruited for the study and participated in individual semistructured interviews during their hospital stay. Eighteen nurses were recruited and participated in focus groups for this study. Qualitative descriptive methods were used to analyze the data. Results revealed themes of usability, improved communication, and suggestions for improvement to the alpha prototype design. After a demonstration of the use and capability of Eloquence, nurse and patient participants found Eloquence as a welcomed advancement in nurse call technology that has the potential to improve workflow and patient outcomes. In addition, the participants also proposed ideas on how to further develop the technology to improve its use.

PMID: 26176639 [PubMed - indexed for MEDLINE]

Categories: nursing informatics

Cognitive Workload of Computerized Nursing Process in Intensive Care Units.

NLM - Nursing Informatics - 1 hour 59 min ago
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Cognitive Workload of Computerized Nursing Process in Intensive Care Units.

Comput Inform Nurs. 2015 Aug;33(8):339-45; quiz E1

Authors: Dal Sasso GM, Barra DC

Abstract
The aim of this work was to measure the cognitive workload to complete printed nursing process versus computerized nursing process from International Classification Practice of Nursing in intensive care units. It is a quantitative, before-and-after quasi-experimental design, with a sample of 30 participants. Workload was assessed using National Aeronautics and Space Administration Task-Load Index. Six cognitive categories were measured. The "temporal demand" was the largest contributor to the cognitive workload, and the role of the nursing process in the "performance" category has excelled that of computerized nursing process. It was concluded that computerized nursing process contributes to lower cognitive workload of nurses for being a support system for decision making based on the International Classification Practice of Nursing. The computerized nursing process as a logical structure of the data, information, diagnoses, interventions and results become a reliable option for health improvement of healthcare, because it can enhance nurse safe decision making, with the intent to reduce damage and adverse events to patients in intensive care.

PMID: 26061562 [PubMed - indexed for MEDLINE]

Categories: nursing informatics

A Novel Approach to Surgical Instructions for Scrub Nurses by Using See-Through-Type Head-Mounted Display.

NLM - Nursing Informatics - 1 hour 59 min ago
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A Novel Approach to Surgical Instructions for Scrub Nurses by Using See-Through-Type Head-Mounted Display.

Comput Inform Nurs. 2015 Aug;33(8):335-8

Authors: Yoshida S, Sasaki A, Sato C, Yamazaki M, Takayasu J, Tanaka N, Okabayashi N, Hirano H, Saito K, Fujii Y, Kihara K

Abstract
In order to facilitate assists in surgical procedure, it is important for scrub nurses to understand the operation procedure and to share the operation status with attending surgeons. The potential utility of head-mounted display as a new imaging monitor has been proposed in the medical field. This study prospectively evaluated the usefulness of see-through-type head-mounted display as a novel intraoperative instructional tool for scrub nurses. From January to March 2014, scrub nurses who attended gasless laparoendoscopic single-port radical nephrectomy and radical prostatectomy wore the monocular see-through-type head-mounted display (AiRScouter; Brother Industries Ltd, Nagoya, Japan) displaying the instruction of the operation procedure through a crystal panel in front of the eye. Following the operation, the participants completed an anonymous questionnaire, which evaluated the image quality of the head-mounted display, the helpfulness of the head-mounted display to understand the operation procedure, and adverse effects caused by the head-mounted display. Fifteen nurses were eligible for the analysis. The intraoperative use of the head-mounted display could help scrub nurses to understand the surgical procedure and to hand out the instruments for the operation with no major head-mounted-display wear-related adverse event. This novel approach to support scrub nurses will help facilitate technical and nontechnical skills during surgery.

PMID: 26018576 [PubMed - indexed for MEDLINE]

Categories: nursing informatics

Scaling Up Digital Literacy: A Q&A with Jan Rune Holmevik and April O’Brien

By Mary Grush, Campus Technology

“There is a difference between being digitally native and digitally literate. My new students find out quickly that their high degree of facility with cell phones and social media is simply not enough.” — April O’Brien The transition from print to digital modes is going on all around us, changing how we work, teach, and learn. Colleges and universities are re-examining their digital literacy strategies, hoping that students who come to college steeped in consumer technology will be transformed into able producers and contributors of digital content by the time they graduate from their technology-supported academic programs. Leaders at Clemson University’s Center of Excellence in Digital Creativity have taken an all-or-nothing approach: Nearly 30,000 students and faculty all have access to all the software tools in the Adobe Creative Cloud, along with an impressive collaboratory filled with high-end hardware, collaboration tools, and expert guidance.

https://campustechnology.com/articles/2016/04/26/scaling-up-digital-literacy.aspx

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Women In Machine Learning: Katie Malone

By Arpan Chakraborty, Udacity Blog

The excitement around our Machine Learning Nanodegree program has been amazing to witness, and the vitality and dynamism in the space right now is pretty incredible. There are so many fascinating storylines in the world of Machine Learning, it’s sometimes hard to even know what to focus on. But unquestionably, the people working in this field—those individuals at the cutting-edge of these new technologies—are a critical part of the Machine Learning narrative. One of the things I find personally really exciting is how many women are shaping the future of Machine Learning. My former colleague Katie Malone is a wonderful example of this, and I’m very grateful she was able to take some time recently to talk Machine Learning with us!

http://blog.udacity.com/2016/04/women-in-machine-learning-katie-malone.html

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Incubating Innovation at Southern New Hampshire University

By Michael Hart, Campus Technology

Many are familiar with the Southern New Hampshire University story — how Paul LeBlanc, in the depths of the recession, transformed a financially troubled but otherwise unremarkable brick-and-mortar New England institution into one of the fastest growing not-for-profit online educators in the world. However, LeBlanc, SNHU’s president, was not willing to stop there. He started an innovation lab called Pathways that eventually morphed into College for America, which provides low-cost, high-quality education for adults and became the first competency-based program to grant associate’s degrees eligible for federal financial aid in 2012. Fast-forward to late 2015, and the ever-restless LeBlanc was ready for the next phase in Southern New Hampshire’s growth and development — which would be what? Good question, and one he has hired Michelle Weise to help answer.

https://campustechnology.com/articles/2016/04/27/incubating-innovation-at-southern-new-hampshire-u.aspx

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A Multidisciplinary Collaborative Web Site for Cardiovascular Surgery.

NLM - Nursing Informatics - Wed, 2016-05-04 16:03
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A Multidisciplinary Collaborative Web Site for Cardiovascular Surgery.

Comput Inform Nurs. 2015 Jul;33(7):273-7

Authors: Fredericks S

PMID: 26181305 [PubMed - indexed for MEDLINE]

Categories: nursing informatics

Nurses' Clinical Decision Making on Adopting a Wound Clinical Decision Support System.

NLM - Nursing Informatics - Wed, 2016-05-04 16:03
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Nurses' Clinical Decision Making on Adopting a Wound Clinical Decision Support System.

Comput Inform Nurs. 2015 Jul;33(7):295-305

Authors: Khong PC, Hoi SY, Holroyd E, Wang W

Abstract
Healthcare information technology systems are considered the ideal tool to inculcate evidence-based nursing practices. The wound clinical decision support system was built locally to support nurses to manage pressure ulcer wounds in their daily practice. However, its adoption rate is not optimal. The study's objective was to discover the concepts that informed the RNs' decisions to adopt the wound clinical decision support system as an evidence-based technology in their nursing practice. This was an exploratory, descriptive, and qualitative design using face-to-face interviews, individual interviews, and active participatory observation. A purposive, theoretical sample of 14 RNs was recruited from one of the largest public tertiary hospitals in Singapore after obtaining ethics approval. After consenting, the nurses were interviewed and observed separately. Recruitment stopped when data saturation was reached. All transcribed interview data underwent a concurrent thematic analysis, whereas observational data were content analyzed independently and subsequently triangulated with the interview data. Eight emerging themes were identified, namely, use of the wound clinical decision support system, beliefs in the wound clinical decision support system, influences of the workplace culture, extent of the benefits, professional control over nursing practices, use of knowledge, gut feelings, and emotions (fear, doubt, and frustration). These themes represented the nurses' mental outlook as they made decisions on adopting the wound clinical decision support system in light of the complexities of their roles and workloads. This research has provided insight on the nurses' thoughts regarding their decision to interact with the computer environment in a Singapore context. It captured the nurses' complex thoughts when deciding whether to adopt or reject information technology as they practice in a clinical setting.

PMID: 26066306 [PubMed - indexed for MEDLINE]

Categories: nursing informatics

Integrating Problem-Based Learning and Simulation: Effects on Student Motivation and Life Skills.

NLM - Nursing Informatics - Wed, 2016-05-04 16:03
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Integrating Problem-Based Learning and Simulation: Effects on Student Motivation and Life Skills.

Comput Inform Nurs. 2015 Jul;33(7):278-84

Authors: Roh YS, Kim SS

Abstract
Previous research has suggested that a teaching strategy integrating problem-based learning and simulation may be superior to traditional lecture. The purpose of this study was to assess learner motivation and life skills before and after taking a course involving problem-based learning and simulation. The design used repeated measures with a convenience sample of 83 second-year nursing students who completed the integrated course. Data from a self-administered questionnaire measuring learner motivation and life skills were collected at pretest, post-problem-based learning, and post-simulation time points. Repeated-measures analysis of variance determined that the mean scores for total learner motivation (F=6.62, P=.003), communication (F=8.27, P<.001), problem solving (F=6.91, P=.001), and self-directed learning (F=4.45, P=.016) differed significantly between time points. Post hoc tests using the Bonferroni correction revealed that total learner motivation and total life skills significantly increased both from pretest to postsimulation and from post-problem-based learning test to postsimulation test. Subscales of learner motivation and life skills, intrinsic goal orientation, self-efficacy for learning and performance, problem-solving skills, and self-directed learning skills significantly increased both from pretest to postsimulation test and from post-problem-based learning test to post-simulation test. The results demonstrate that an integrating problem-based learning and simulation course elicits significant improvement in learner motivation and life skills. Simulation plus problem-based learning is more effective than problem-based learning alone at increasing intrinsic goal orientation, task value, self-efficacy for learning and performance, problem solving, and self-directed learning.

PMID: 26066305 [PubMed - indexed for MEDLINE]

Categories: nursing informatics

Electronic Personal Health Record Use Among Nurses in the Nursing Informatics Community.

NLM - Nursing Informatics - Wed, 2016-05-04 16:03
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Electronic Personal Health Record Use Among Nurses in the Nursing Informatics Community.

Comput Inform Nurs. 2015 Jul;33(7):306-14

Authors: Gartrell K, Trinkoff AM, Storr CL, Wilson ML

Abstract
An electronic personal health record is a patient-centric tool that enables patients to securely access, manage, and share their health information with healthcare providers. It is presumed the nursing informatics community would be early adopters of electronic personal health record, yet no studies have been identified that examine the personal adoption of electronic personal health record's for their own healthcare. For this study, we sampled nurse members of the American Medical Informatics Association and the Healthcare Information and Management Systems Society with 183 responding. Multiple logistic regression analysis was used to identify those factors associated with electronic personal health record use. Overall, 72% were electronic personal health record users. Users tended to be older (aged >50 years), be more highly educated (72% master's or doctoral degrees), and hold positions as clinical informatics specialists or chief nursing informatics officers. Those whose healthcare providers used electronic health records were significantly more likely to use electronic personal health records (odds ratio, 5.99; 95% confidence interval, 1.40-25.61). Electronic personal health record users were significantly less concerned about privacy of health information online than nonusers (odds ratio, 0.32; 95% confidence interval, 0.14-0.70) adjusted for ethnicity, race, and practice region. Informatics nurses, with their patient-centered view of technology, are in prime position to influence development of electronic personal health records. Our findings can inform policy efforts to encourage informatics and other professional nursing groups to become leaders and users of electronic personal health record; such use could help them endorse and engage patients to use electronic personal health records. Having champions with expertise in and enthusiasm for the new technology can promote the adoptionof electronic personal health records among healthcare providers as well as their patients.

PMID: 26061563 [PubMed - indexed for MEDLINE]

Categories: nursing informatics

Adaptation and Evaluation of Online Self-learning Modules to Teach Critical Appraisal and Evidence-Based Practice in Nursing: An International Collaboration.

NLM - Nursing Informatics - Wed, 2016-05-04 16:03
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Adaptation and Evaluation of Online Self-learning Modules to Teach Critical Appraisal and Evidence-Based Practice in Nursing: An International Collaboration.

Comput Inform Nurs. 2015 Jul;33(7):285-94; quiz E1

Authors: Gagnon J, Gagnon MP, Buteau RA, Azizah GM, Jetté S, Lampron A, Simonyan D, Asua J, Reviriego E

Abstract
Healthcare professionals need to update their knowledge and acquire skills to continually inform their practice based on scientific evidence. This study was designed to evaluate online self-learning modules on critical appraisal skills to promote the use of research in clinical practice among nurses from Quebec (Canada) and the Basque Country (Spain). The teaching material was developed in Quebec and adapted to the Basque Country as part of an international collaboration project. A prospective pre-post study was conducted with 36 nurses from Quebec and 47 from the Basque Country. Assessment comprised the administration of questionnaires before and after the course in order to explore the main intervention outcomes: knowledge acquisition and self-learning readiness. Satisfaction was also measured at the end of the course. Two of the three research hypotheses were confirmed: (1) participants significantly improved their overall knowledge score after the educational intervention; and (2) they were, in general, satisfied with the course, giving it a rating of seven out of 10. Participants also reported a greater readiness for self-directed learning after the course, but this result was not significant in Quebec. The study provides unique knowledge on the cultural adaptation of online self-learning modules for teaching nurses about critical appraisal skills and evidence-based practice.

PMID: 25978538 [PubMed - indexed for MEDLINE]

Categories: nursing informatics

Hispanic Outlook Magazine Lists Online Learning Options

Online learning update by Ray Schroeder - Wed, 2016-05-04 02:10

By Tyler Collins, Newswire

Hispanic Outlook in Higher Education Magazine Poses Five Must-Ask Questions to Ask Before Choosing an Online College. Hispanic higher education students looking to simplify their search for the right online degree program need to look no further than the May issue of Hispanic Outlook in Higher Education Magazine, which features a list of five essential questions students should ask before investing in any online program. This issue also spotlights 10 notable online programs for students pursuing an MBA degree. “Online learning is very attractive alternative route for Hispanic students seeking degrees. It can be less expensive than traditional brick and mortar options and afford them the flexibility of fulfilling family obligations and work commitments while pursuing higher education,” says Mary Ann Cooper, editor in chief of Hispanic Outlook Magazine. “That’s why we felt it was important to give Hispanic students the information and tools they need to make the best possible choice among online learning options.”

http://newswire.net/newsroom/pr/00092466-hispanic-outlook-magazine-lists-online-learning-options.html

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University’s best online classrooms to be honored

Online learning update by Ray Schroeder - Wed, 2016-05-04 02:05

By Matthew Reisen, Daily Lobo

According to UNM press release, the University’s best online courses are being recognized in an awards ceremony on Thursday from 2 p.m. to 4 p.m. in the SUB ballroom, sponsored by the UNM Center for Teaching & Learning. In 2012, the University of New Mexico Provost Chaouki Abdallah tasked the Online Course Advisory Council to establish online course standards. Standards that are grounded in research-based practices, according to the release, reflect Higher Learning Commission and federal requirements for online distance teaching and learning. The initiative was intended to address quality course development, effective teaching and learning, outcomes assessment and academic integrity, according to the release.

http://www.dailylobo.com/article/2016/04/27-online-course-recognition-brief

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Switching struggling students to online classes shows mixed results

Online learning update by Ray Schroeder - Wed, 2016-05-04 02:02

By Molly Bloom, The Atlanta Journal-Constitution

This is what Sharell Latimore fears: That she’ll graduate from Atlanta’s Crim High School, enroll in college and find out she’s “the dumbest one there.” Crim is one of two Atlanta high schools that switched over the past two years from classes taught by teachers to “blended learning,” where students sit in classrooms clicking through online lessons as teachers supervise. Advocates say this lets students learn at their own pace and get help from a teacher when they need it. Atlanta’s West End Academy, another alternative school, has successfully used blended learning for more than a decade, school staff say. But the results from Atlanta’s latest and largest move to teach students who have struggled in traditional classrooms through online instruction have been decidedly mixed.

http://www.myajc.com/news/news/local-education/switching-struggling-students-to-online-classes-sh/nrCHR/

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Full-Width Justification

xkcd.com - Wed, 2016-05-04 02:00
Categories: Cartoons, Science News

Learners Voice

OLDaily by Stephen Downes - Tue, 2016-05-03 09:55


Graham Brown-Martin, Medium, May 03, 2016

This is a pretty good statement of the issues surrounding learner voice in the development of their own education programs, though I think it ends with a bit of a thud. Before you get to that disappointing finish, though, there are some good points. For example: "no one considers anything a person who thinks in a way that favours both imagination and practicality says because they are not following what society wants them to follow." P.S. it was Francis Bacon who said "knowledge is power", in 1597.

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Brain Warps the Faces We See to Fit Stereotypes

OLDaily by Stephen Downes - Tue, 2016-05-03 06:54


James Devitt, Futurity, May 03, 2016

I have said in the past that we see what we are looking for. This is confirmation of that. "Our findings provide evidence that the stereotypes we hold can systematically alter the brain’ s visual representation of a face, distorting what we see to be more in line with our biased expectations." Our expectations play a critical role in perception. That's why there is no such thing as 'theory-neutral data'. We need to be aware of the way our subjective perceptions in turn shape our expectations. "Men, and particularly black men, were initially perceived 'angry,' even when their faces were not objectively angry; and women were initially perceived 'happy,' even when their faces were not objectively happy."

[Link] [Comment]

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