nursing informatics

Development and evaluation of flipped learning using film clips within a nursing informatics course.

NLM - Nursing Informatics - Sat, 2020-02-15 15:25
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Development and evaluation of flipped learning using film clips within a nursing informatics course.

Jpn J Nurs Sci. 2019 Oct;16(4):385-395

Authors: Oh J, Kim SJ, Kim S, Kang KA, Kan J, Bartlett R

Abstract
AIM: To develop flipped learning classes by using film clips for undergraduate nursing students in an online nursing informatics course, based on the Analysis, Design, Development, Implementation, and Evaluation model, and to evaluate the effectiveness and students' responses to this method of teaching.
METHODS: Sixty-four second-year nursing students participated in the course. The nursing students' knowledge was assessed at the beginning and end of each of the five classes. Moreover, their intention to recommend the classes to other students and additional comments were elicited by using semistructured questionnaires.
RESULTS: Knowledge about each core concept of nursing informatics reflected significant improvement. Regarding the intention to recommend the class to others, 62 (96.8%) students answered "strongly recommend" or "recommend."
CONCLUSION: Integrating flipped learning classes by using film clips in an online nursing informatics course improved the nursing students' knowledge and is a format that is desired by students.

PMID: 30569630 [PubMed - indexed for MEDLINE]

Categories: nursing informatics

Evaluation of digital vaccine card in nursing practice in vaccination room.

NLM - Nursing Informatics - Thu, 2020-02-13 15:23
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Evaluation of digital vaccine card in nursing practice in vaccination room.

Rev Lat Am Enfermagem. 2019;27:e3225

Authors: Lopes JP, Dias TMR, Carvalho DBF, Oliveira JF, Cavalcante RB, Oliveira VC

Abstract
OBJECTIVE: develop and evaluate a vaccine application for mobile devices, with update integrated with the National Immunization Program Information System, for care in vaccination rooms.
METHOD: methodological research based on the Pressman System Development Life Cycle theory developed in three stages: integrative literature review, computational development, and application evaluation. The product was evaluated as to satisfaction, using a validated questionnaire, and as to usability by the System Usability Scale.
RESULTS: the application functionalities were based on the survey of technological Innovations on immunization, published in the scientific literature. It displays user vaccines directly from the National Immunization Program Information System, notifies about upcoming vaccines, and enables the inclusion of vaccine cards of dependents. The evaluation resulted in users' mean score of 90.5 ± 11.1 and health professionals' mean score of 84.2 ± 19.4.
CONCLUSION: the application is a technological tool with potential to improve the work process in vaccination rooms and to reach the goals of vaccine coverage. It synchronizes data with the National Immunization Program Information System, thus enabling the maintenance of people's vaccination history.

PMID: 31826166 [PubMed - indexed for MEDLINE]

Categories: nursing informatics

Clinical indicators of nursing outcomes classification for patient with risk for perioperative positioning injury: A cohort study.

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Clinical indicators of nursing outcomes classification for patient with risk for perioperative positioning injury: A cohort study.

J Clin Nurs. 2019 Dec;28(23-24):4367-4378

Authors: Bjorklund-Lima L, Müller-Staub M, Cardozo MCE, de Souza Bernardes D, Rabelo-Silva ER

Abstract
AIMS AND OBJECTIVES: To test the validity and reliability of Nursing Outcomes Classification outcomes and their clinical indicators for patients with the nursing diagnosis 'Risk for perioperative positioning injury'.
BACKGROUND: Surgical positioning is an essential part of perioperative nursing practice. The use of a standardised language values the clinical evaluation of the perioperative nurse, reinforcing its contribution to surgical patient care.
DESIGN: Longitudinal concept validation cohort study.
METHODS: Patients were selected based on the operating room surgical schedule. The sample included adult patients who underwent elective surgical procedures requiring anaesthesia, classified as surgical class 2, 3 or 4. Outcomes were measured with an instrument, which included 33 clinical indicators for eight outcomes. The patients were assessed at five distinct time points in the perioperative phases. This study followed the STROBE guidelines.
RESULTS: A total of 50 patients were included. Each underwent five clinical assessments, for a total of 250 documented assessments. Differences in evaluations were mostly related to reduced scores of clinical indicators in the immediate postsurgical time points, which recovered to the highest score at the end of the fifth (and last) evaluation. The results of factor analysis and Cronbach's alpha calculations suggested a new configuration for this nursing outcomes, consisting of five outcomes-Circulation Status, Tissue Perfusion: peripheral, Neurological Status: peripheral, Tissue Integrity: skin and mucous membranes and Thermoregulation-and 13 clinical indicators.
CONCLUSIONS: Nursing Outcomes Classification outcomes and clinical indicators for the nursing diagnosis at 'Risk for perioperative positioning injury' are sensitive to patient states during the perioperative period.
RELEVANCE TO CLINICAL PRACTICE: Use of nursing taxonomies during the perioperative period may contribute to the discussion on the role of perioperative nurses and their relevance in patient care.

PMID: 31410897 [PubMed - indexed for MEDLINE]

Categories: nursing informatics

Perceptions of nursing professionals about the use of patient safety computerization.

NLM - Nursing Informatics - Fri, 2020-01-17 15:02
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Perceptions of nursing professionals about the use of patient safety computerization.

Rev Gaucha Enferm. 2019;40(spe):e20180140

Authors: Ferreira AMD, Oliveira JLC, Camillo NRS, Reis GAXD, Évora YDM, Matsuda LM

Abstract
OBJECTIVE: Getting to know the perceptions of nursing professionals about the use of computerization in promoting patient safety.
METHODS: Qualitative research performed at a hospital in the southern region of Brazil. Data collection was performed in November 2016, through a sociodemographic questionnaire and recorded interviews, guided by the question: "Tell me about the relationship between computerization and patient safety in this hospital". The transcribed statements were submitted to the thematic content analysis proposed by Bardin.
RESULTS: Among the participants, 21 were nurses and 31 were nursing technicians. From the discourses, the following categories were created, Information Technology Contributions for the promotion of safe care, and Information Technology Fragilities: indirect implications for safe care.
CONCLUSIONS: The participants perceived the computerized system as a resource that promoted greater patient safety. However, there is a need to improve the infrastructure and the technical capacity of the team for an efficient use of the system.

PMID: 30970101 [PubMed - in process]

Categories: nursing informatics

A Review of Clinical Informatics Competencies in Nursing to Inform Best Practices in Education and Nurse Faculty Development.

NLM - Nursing Informatics - Sat, 2020-01-04 14:52
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A Review of Clinical Informatics Competencies in Nursing to Inform Best Practices in Education and Nurse Faculty Development.

Nurs Educ Perspect. 2020 Jan/Feb;41(1):E3-E7

Authors: Forman TM, Armor DA, Miller AS

Abstract
AIM: The aim of this literature review was to determine the state of the science related to clinical informatics competencies of registered nurses and to determine best practices in educational strategies for both nursing students and faculty.
BACKGROUND: Continued emphasis on the provision of evidence-based patient care has implications for requisite informatics-focused competencies to be threaded throughout all levels of nursing educational programs.
METHOD: Whittemore and Knalf's five-step integrative review process guided this research. An extensive search yielded 69 publications for critical appraisal.
RESULTS: Results suggest nursing educational programs do not adhere to standardized criteria for teaching nursing informatics competencies. Another identified literature gap was the scarcity of research related to informatics training requirements for nurse educators.
CONCLUSION: Findings support the need for continued research to provide clear direction about the expected clinical informatics competencies of graduate nurses and what training faculty need to facilitate student learning.

PMID: 31860501 [PubMed - indexed for MEDLINE]

Categories: nursing informatics

The 7th Nursing Knowledge: Big Data Conference Brings Remarkable Accomplishments and Shows Staying Power on Key Fronts.

NLM - Nursing Informatics - Fri, 2019-12-27 14:44
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The 7th Nursing Knowledge: Big Data Conference Brings Remarkable Accomplishments and Shows Staying Power on Key Fronts.

Comput Inform Nurs. 2019 Sep;37(9):444-445

Authors: Delaney CW, Weaver C

PMID: 31517691 [PubMed - indexed for MEDLINE]

Categories: nursing informatics

From Cooperative to Collaborative Learning: Use of a Wiki for a Community Cultural Assessment.

NLM - Nursing Informatics - Fri, 2019-12-27 14:44
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From Cooperative to Collaborative Learning: Use of a Wiki for a Community Cultural Assessment.

Comput Inform Nurs. 2019 Sep;37(9):439-443

Authors: Buckley KM, Trocky NM

PMID: 31517690 [PubMed - indexed for MEDLINE]

Categories: nursing informatics

The Intersection of Mobile Health and Nursing Knowledge: Big Data Science.

NLM - Nursing Informatics - Thu, 2019-12-19 14:37
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The Intersection of Mobile Health and Nursing Knowledge: Big Data Science.

Comput Inform Nurs. 2019 Aug;37(8):394-395

Authors: Martin C, Janeway L

PMID: 31393329 [PubMed - indexed for MEDLINE]

Categories: nursing informatics

Cybersecurity Essentials for Nursing Informaticists.

NLM - Nursing Informatics - Thu, 2019-12-19 14:37
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Cybersecurity Essentials for Nursing Informaticists.

Comput Inform Nurs. 2019 Aug;37(8):389-393

Authors: Nahm ES, Poe S, Lacey D, Lardner M, Van De Castle B, Powell K

PMID: 31393328 [PubMed - indexed for MEDLINE]

Categories: nursing informatics

Quality Improvement in Online Course Development: Igniting the Online Teaching Team.

NLM - Nursing Informatics - Thu, 2019-12-19 14:37
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Quality Improvement in Online Course Development: Igniting the Online Teaching Team.

Comput Inform Nurs. 2019 Jul;37(7):386-387

Authors:

PMID: 31295183 [PubMed - indexed for MEDLINE]

Categories: nursing informatics

Development of a User Story for Housing Instability Using the Omaha System.

NLM - Nursing Informatics - Thu, 2019-12-19 14:37
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Development of a User Story for Housing Instability Using the Omaha System.

Comput Inform Nurs. 2019 Jul;37(7):337-339

Authors: Choromanski L

PMID: 31295182 [PubMed - indexed for MEDLINE]

Categories: nursing informatics

Alignment of American Association of Colleges of Nursing Graduate-Level Nursing Informatics Competencies With American Medical Informatics Association Health Informatics Core Competencies.

NLM - Nursing Informatics - Thu, 2019-12-19 14:37
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Alignment of American Association of Colleges of Nursing Graduate-Level Nursing Informatics Competencies With American Medical Informatics Association Health Informatics Core Competencies.

Comput Inform Nurs. 2019 Aug;37(8):396-404

Authors: Monsen KA, Bush RA, Jones J, Manos EL, Skiba DJ, Johnson SB

Abstract
This study yielded a map of the alignment of American Association of Colleges of Nursing Graduate-Level Nursing Informatics Competencies with American Medical Informatics Association Health Informatics Core Competencies in an effort to understand graduate-level accreditation and certification opportunities in nursing informatics. Nursing Informatics Program Directors from the American Medical Informatics Association and a health informatics expert independently mapped the American Association of Colleges of Nursing competencies to the American Medical Informatics Association Health Informatics knowledge, skills, and attitudes. The Nursing Informatics Program Directors' map connected an average of 4.0 American Medical Informatics Association Core Competencies per American Association of Colleges of Nursing competency, whereas the health informatics expert's map connected an average of 5.0 American Medical Informatics Association Core Competencies per American Association of Colleges of Nursing competency. Agreement across the two maps ranged from 14% to 60% per American Association of Colleges of Nursing competency, revealing alignment between the two groups' competencies according to knowledge, skills, and attitudes. These findings suggest that graduates of master's degree programs in nursing, especially those specializing in nursing informatics, will likely be prepared to sit for the proposed Advanced Health Informatics Certification in addition to the American Nurses Credentialing Center bachelor's-level Informatics Nursing Certification. This preliminary map sets the stage for further in-depth mapping of nursing informatics curricula with American Medical Informatics Association Core Competencies and will enable interprofessional conversations around nursing informatics specialty program accreditation, nursing workforce preparation, and nursing informatics advanced certification. Nursing informaticists should examine their need for credentials as key contributors who will address critical health informatics needs.

PMID: 31149911 [PubMed - indexed for MEDLINE]

Categories: nursing informatics

An Electronic Medical Record Training Conversion for Onboarding Inpatient Nurses.

NLM - Nursing Informatics - Thu, 2019-12-19 14:37
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An Electronic Medical Record Training Conversion for Onboarding Inpatient Nurses.

Comput Inform Nurs. 2019 Aug;37(8):405-412

Authors: Smailes PS, Zurmehly J, Schubert C, Loversidge JM, Sinnott LT

Abstract
In recent times, policies stemming from the American Recovery and Reinvestment Act of 2009 have served as a stimulus for healthcare organizations to adopt an electronic medical record. As a result, nurses are now more knowledgeable of and experienced with an electronic medical record. In August 2016, our facility converted from instructor-led training to electronic learning for inpatient nurse electronic medical record training, hoping to capitalize on previous experience with the clinical information system. However, a complete program evaluation of this transition had yet to be conducted. The purpose of this study was to evaluate electronic learning usability and the return on investment of an electronic medical record training conversion. Evaluations of electronic medical record electronic learning training were collected from 75 newly hired, inpatient nurses from November and December 2017, and compared to our instructor-led program. Results showed that users found it effective and were satisfied with this training method. The electronic learning had superior efficiency, reducing training time by ~50% compared to instructor-led training, while proving to yield effectiveness and satisfaction. The return on investment was $18 540, with a gain of 593.25 hours in nursing time during the study period of two months. These results support the organizational decision to convert to electronic learning, further supporting the conversion for other clinical roles.

PMID: 30870189 [PubMed - indexed for MEDLINE]

Categories: nursing informatics

Blockchain and Health Care.

NLM - Nursing Informatics - Thu, 2019-12-19 14:37
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Blockchain and Health Care.

Policy Polit Nurs Pract. 2019 Feb;20(1):4-7

Authors: Hughes F, Morrow MJ

PMID: 30849932 [PubMed - indexed for MEDLINE]

Categories: nursing informatics

Philosophical and Contextual Issues in Nursing Theory Development Concerning Technological Competency as Caring in Nursing.

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Philosophical and Contextual Issues in Nursing Theory Development Concerning Technological Competency as Caring in Nursing.

J Med Invest. 2019;66(1.2):8-11

Authors: Lim-Saco F

Abstract
Theory development in nursing has been contentious so that issues about theory as knowledge base and counterpart of practice, and theory as the foundation of nursing as a discipline of knowledge and practice profession have facilitated the seeming ambiguity hindering theoretical contributions integral to human health and well-being. Nursing science continues to generate discussions about its development particularly grounding its practice as a legitimate component of human health care. The aims of this paper are (a) to describe three contemporary issues regarding theory construction and development in nursing, and (b) to advance a theory of nursing that can reconcile these issues. Content analysis following a review of literature revealed ontological,epistemological, and contextual issues on nursing theory development and theory-based practice perspective. The middle-range theory of Technological Competency as Caring in Nursing is advanced as integral to pursuing the reconciliation of theory development and practice engagements within the Universal Technological Domain in nursing and the health sciences. J. Med. Invest. 66 : 8-11, February, 2019.

PMID: 31064960 [PubMed - indexed for MEDLINE]

Categories: nursing informatics

Doing what matters most.

NLM - Nursing Informatics - Wed, 2019-12-04 14:23
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Doing what matters most.

J Am Med Inform Assoc. 2019 01 01;26(1):1-2

Authors: Bakken S

PMID: 30590540 [PubMed - indexed for MEDLINE]

Categories: nursing informatics

Adapting and validating informatics competencies for senior nurse leaders in the Canadian context: Results of a Delphi study.

NLM - Nursing Informatics - Thu, 2019-11-28 14:18
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Adapting and validating informatics competencies for senior nurse leaders in the Canadian context: Results of a Delphi study.

Int J Med Inform. 2019 09;129:211-218

Authors: Strudwick G, Nagle LM, Morgan A, Kennedy MA, Currie LM, Lo B, White P

Abstract
BACKGROUND: Nurse leaders in senior leadership positions in various parts of the world can play an important role in the acquisition, implementation and use of health information technologies. To date, international research related to nurse leader informatics competencies has been carried out in specific healthcare delivery contexts with very specific health information technology environments. In this body of literature, the definition of a 'nurse leader' has not been clearly defined. As a result, it is challenging for senior nurse leaders in leadership and management positions in other countries to apply this research to their unique contexts.
PURPOSE: The objective of this study was to obtain consensus on the informatics competencies of priority to senior Canadian nurse leaders. The goal of completing this work was to adapt and validate a set of nurse leader informatics competencies to be endorsed and supported nationally.
METHODS: This study used a modified Delphi technique with a panel of nurse leaders with significant informatics knowledge from across Canada. Three rounds of information gathering were completed electronically. In Round 1, participants were provided a series of 26 potential competency statements obtained from a review of the literature; they were asked to comment on the clarity and wording of each statement. Two statements were eliminated after Round 1 due to redundancy. In Rounds 2 and 3, participants rated the remaining competency statements on a 7-point Likert scale for relative priority to nurse leaders.
RESULTS: A total of 25, 24 and 23 participants completed the survey in Rounds 1, 2 and 3 respectively. Consensus was achieved at the end of Round 3 with the inclusion of 24 competency statements. All of the statements had a mean of 5 or greater on a 7-point Likert scale (1=low priority and 7=high priority).
CONCLUSIONS: The study participants agreed upon 24 informatics competency statements of priority to Canadian nurse leaders. These competencies will be presented to senior national nursing leaders and nursing informatics organizations for endorsement. Inspired by work completed in the United States, the authors plan to develop a self-assessment instrument for use by Canadian nurse leaders using the identified competency statements. Future anticipated work includes identifying and creating resources for nurse leaders to develop these important informatics competencies.

PMID: 31445258 [PubMed - indexed for MEDLINE]

Categories: nursing informatics

Health Information Technology for the Perinatal Setting.

NLM - Nursing Informatics - Thu, 2019-11-28 14:18
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Health Information Technology for the Perinatal Setting.

J Obstet Gynecol Neonatal Nurs. 2018 05;47(3):418-420

Authors: Association of Women’s Health, Obstetric and Neonatal Nurses

PMID: 29731181 [PubMed - indexed for MEDLINE]

Categories: nursing informatics

A Virtual Nursing Journal Club: Bridging the Gap Between Research Evidence and Clinical Practice.

NLM - Nursing Informatics - Fri, 2019-11-22 14:13
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A Virtual Nursing Journal Club: Bridging the Gap Between Research Evidence and Clinical Practice.

J Nurs Adm. 2019 Dec;49(12):610-616

Authors: Rosen J, Ryan M

Abstract
Creating a nursing journal club is an initiative to promote nurses' use of best evidence in practice. A virtual nursing journal club (VNJC) was implemented in a Magnet-designated, midsize community hospital. The VNJC fostered nurses' reading nursing research studies and subsequent interaction with other nurses. The VNJC's formation, implementation, and evaluation are described. Quantitative and qualitative research critique items and an evaluation form are included that are essential to the site's ongoing processes.

PMID: 31725059 [PubMed - indexed for MEDLINE]

Categories: nursing informatics

An Interview With Mollie Rebecca Cummins.

NLM - Nursing Informatics - Thu, 2019-11-21 14:13
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An Interview With Mollie Rebecca Cummins.

J Nurs Adm. 2019 09;49(9):402-403

Authors: Ponte PR

PMID: 31436738 [PubMed - indexed for MEDLINE]

Categories: nursing informatics

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