Evaluation of embedded audio feedback on writing assignments.
J Nurs Educ. 2015 Jan;54(1):41-4
Authors: Graves JK, Goodman JT, Hercinger M, Minnich M, Murcek CM, Parks JM, Shirley N
The purpose of this pilot study was to compare embedded audio feedback (EAF), which faculty provided using the iPad(®) application iAnnotate(®) PDF to insert audio comments and written feedback (WF), inserted electronically on student papers in a series of writing assignments. Goals included determining whether EAF provides more useful guidance to students than WF and whether EAF promotes connectedness among students and faculty. An additional goal was to ascertain the efficiency and acceptance of EAF as a grading tool by nursing faculty. The pilot study was a quasi-experimental, cross-over, posttest-only design. The project was completed in an Informatics in Health Care course. Faculty alternated the two feedback methods on four papers written by each student. Results of surveys and focus groups revealed that students and faculty had mixed feelings about this technology. Student preferences were equally divided between EAF and WF, with 35% for each, and 28% were undecided.
PMID: 25535759 [PubMed - indexed for MEDLINE]
A national action plan for sharable and comparable nursing data to support practice and translational research for transforming health care.
J Am Med Inform Assoc. 2015 May;22(3):600-7
Authors: Westra BL, Latimer GE, Matney SA, Park JI, Sensmeier J, Simpson RL, Swanson MJ, Warren JJ, Delaney CW
BACKGROUND: There is wide recognition that, with the rapid implementation of electronic health records (EHRs), large data sets are available for research. However, essential standardized nursing data are seldom integrated into EHRs and clinical data repositories. There are many diverse activities that exist to implement standardized nursing languages in EHRs; however, these activities are not coordinated, resulting in duplicate efforts rather than building a shared learning environment and resources.
OBJECTIVE: The purpose of this paper is to describe the historical context of nursing terminologies, challenges to the use of nursing data for purposes other than documentation of care, and a national action plan for implementing and using sharable and comparable nursing data for quality reporting and translational research.
METHODS: In 2013 and 2014, the University of Minnesota School of Nursing hosted a diverse group of nurses to participate in the Nursing Knowledge: Big Data and Science to Transform Health Care consensus conferences. This consensus conference was held to develop a national action plan and harmonize existing and new efforts of multiple individuals and organizations to expedite integration of standardized nursing data within EHRs and ensure their availability in clinical data repositories for secondary use. This harmonization will address the implementation of standardized nursing terminologies and subsequent access to and use of clinical nursing data.
CONCLUSION: Foundational to integrating nursing data into clinical data repositories for big data and science, is the implementation of standardized nursing terminologies, common data models, and information structures within EHRs. The 2014 National Action Plan for Sharable and Comparable Nursing Data for Transforming Health and Healthcare builds on and leverages existing, but separate long standing efforts of many individuals and organizations. The plan is action focused, with accountability for coordinating and tracking progress designated.
PMID: 25670754 [PubMed - indexed for MEDLINE]
Nursing domain of CI governance: recommendations for health IT adoption and optimization.
J Am Med Inform Assoc. 2015 May;22(3):697-706
Authors: Collins SA, Alexander D, Moss J
CONTEXT: There is a lack of recommended models for clinical informatics (CI) governance that can facilitate successful health information technology implementation.
OBJECTIVES: To understand existing CI governance structures and provide a model with recommended roles, partnerships, and councils based on perspectives of nursing informatics leaders.
DESIGN, SETTING, PARTICIPANTS: We conducted a cross-sectional study through administering a survey via telephone to facilitate semistructured interviews from June 2012 through November 2012. We interviewed 12 nursing informatics leaders, across the United States, currently serving in executive- or director-level CI roles at integrated health care systems that have pioneered electronic health records implementation projects.
RESULTS: We found the following 4 themes emerge: (1) Interprofessional partnerships are essential. (2) Critical role-based levels of practice and competencies need to be defined. (3) Integration into existing clinical infrastructure facilitates success. (4) CI governance is an evolving process. We described specific lessons learned and a model of CI governance with recommended roles, partnerships, and councils from the perspective of nursing informatics leaders.
CONCLUSION: Applied CI work is highly interprofessional with patient safety implications that heighten the need for best practice models for governance structures, adequate resource allocation, and role-based competencies. Overall, there is a notable lack of a centralized CI group comprised of formally trained informaticians to provide expertise and promote adherence to informatics principles within EHR implementation governance structures. Our model of the nursing domain of CI governance with recommended roles, partnerships, and councils provides a starting point that should be further explored and validated. Not only can the model be used to understand, shape, and standardize roles, competencies, and structures within CI practice for nursing, it can be used within other clinical domains and by other informaticians.
PMID: 25670752 [PubMed - indexed for MEDLINE]
A nursing information model process for interoperability.
J Am Med Inform Assoc. 2015 May;22(3):608-14
Authors: Chow M, Beene M, O'Brien A, Greim P, Cromwell T, DuLong D, Bedecarré D
The ability to share nursing data across organizations and electronic health records is a key component of improving care coordination and quality outcomes. Currently, substantial organizational and technical barriers limit the ability to share and compare essential patient data that inform nursing care. Nursing leaders at Kaiser Permanente and the U.S. Department of Veterans Affairs collaborated on the development of an evidence-based information model driven by nursing practice to enable data capture, re-use, and sharing between organizations and disparate electronic health records. This article describes a framework with repeatable steps and processes to enable the semantic interoperability of relevant and contextual nursing data. Hospital-acquired pressure ulcer prevention was selected as the prototype nurse-sensitive quality measure to develop and test the model. In a Health 2.0 Developer Challenge program from the Office of the National Coordinator for Health, mobile applications implemented the model to help nurses assess the risk of hospital-acquired pressure ulcers and reduce their severity. The common information model can be applied to other nurse-sensitive measures to enable data standardization supporting patient transitions between care settings, quality reporting, and research.
PMID: 25656515 [PubMed - indexed for MEDLINE]
Childbirth and criteria for traumatic events.
Midwifery. 2014 Feb;30(2):255-61
Authors: Boorman RJ, Devilly GJ, Gamble J, Creedy DK, Fenwick J
OBJECTIVE: for some women childbirth is physically and psychologically traumatic and meets Criterion A1 (threat) and A2 (intense emotional response) for Posttraumatic Stress Disorder of the Diagnostic and Statistical Manual of Mental Disorders Fourth Edition (DSM-IV).This study differentiates Criterion A1 and A2 to explore their individual relationship to prevalence rates for posttraumatic stress, each other, and associated factors for childbirth trauma.
DESIGN AND SETTING: women were recruited at three hospitals from October 2008 to October 2009. Questionnaires were completed at recruitment and at 14 days post partum.
PARTICIPANTS: women in the third trimester of pregnancy (n=890) were recruited by a research midwife while waiting for their antenatal clinic appointment. Participants were over 17 years of age, expected to give birth to a live infant, not undergoing psychological treatment, and able to complete questionnaires in English.
FINDINGS: this study found 14.3% of women met criteria for a traumatic childbirth. When the condition of A2 was removed, the prevalence rate doubled to 29.4%. Approximately half the women who perceived threat in childbirth did not have an intense negative emotional response. Predictors of finding childbirth traumatic were pre-existing psychiatric morbidity, being a first time mother and experiencing an emergency caesarean section.
KEY CONCLUSIONS: the fear response is an important diagnostic criterion for assessing psychologically traumatic childbirth. The identification of risk factors may inform maternity service delivery to prevent traumatic birth and postpartum approaches to care to address long-term negative consequences.
IMPLICATIONS FOR PRACTICE: prevention and treatment of traumatic childbirth are improved through knowledge of potential risk factors and understanding the woman's subjective experience.
PMID: 23623901 [PubMed - indexed for MEDLINE]
Creating systems that work.
Nurs Manag (Harrow). 2015 May;22(2):11
Authors: Sengstack P
PMID: 25921891 [PubMed - indexed for MEDLINE]
Measuring nursing informatics competencies of practicing nurses in Korea: Nursing Informatics Competencies Questionnaire.
Comput Inform Nurs. 2014 Dec;32(12):596-605
Authors: Chung SY, Staggers N
Informatics competencies are a necessity for contemporary nurses. However, few researchers have investigated informatics competencies for practicing nurses. A full set of Informatics competencies, an instrument to measure these competencies, and potential influencing factors have yet to be identified for practicing nurses. The Nursing Informatics Competencies Questionnaire was designed, tested for psychometrics, and used to measure beginning and experienced levels of practice. A pilot study using 54 nurses ensured item comprehension and clarity. Internal consistency and face and content validity were established. A cross-sectional survey was then conducted on 230 nurses in Seoul, Korea, to determine construct validity, describe a complete set of informatics competencies, and explore possible influencing factors on existing informatics competencies. Principal components analysis, descriptive statistics, and multiple regression were used for data analysis. Principal components analysis gives support for the Nursing Informatics Competencies Questionnaire construct validity. Survey results indicate that involvement in a managerial position and self-directed informatics-related education may be more influential for improving informatics competencies, whereas general clinical experience and workplace settings are not. This study provides a foundation for understanding how informatics competencies might be integrated throughout nurses' work lives and how to develop appropriate strategies to support nurses in their informatics practice in clinical settings.
PMID: 25393832 [PubMed - indexed for MEDLINE]
Why nurses need to understand nursing informatics.
AORN J. 2014 Sep;100(3):324-7
Authors: McGonigle D, Hunter K, Sipes C, Hebda T
PMID: 25172566 [PubMed - indexed for MEDLINE]
Surveys show how informatics supports quality nursing care.
Nursing. 2015 Aug;45(8):25-6
Authors: Anderson C, Sensmeier J
PMID: 26166274 [PubMed - indexed for MEDLINE]
School nursing and the digital age.
NASN Sch Nurse. 2015 May;30(3):144-5
Authors: Duff CL
PMID: 25816432 [PubMed - indexed for MEDLINE]
Trends in publication of nursing informatics research.
AMIA Annu Symp Proc. 2014;2014:805-14
Authors: Kim H, Ohno-Machado L, Oh J, Jiang X
We analyzed 741 journal articles on nursing informatics published in 7 biomedical/nursing informatics journals and 6 nursing journals from 2005 to 2013 to begin to understand publication trends in nursing informatics research and identify gaps. We assigned a research theme to each article using AMIA 2014 theme categories and normalized the citation counts using time from publication. Overall, nursing informatics research covered a broad spectrum of research topics in biomedical informatics and publication topics seem to be well aligned with the high priority research agenda identified by the nursing informatics community. The research themes with highest volume of publication were Clinical Workflow and Human Factors, Consumer Informatics and Personal Health Records, and Clinical Informatics, for which an increasing trend in publication was noted. Articles on Informatics Education and Workforce Development; Data Mining, NLP, Information Extraction; and Clinical Informatics showed steady and high volume of citations.
PMID: 25954387 [PubMed - indexed for MEDLINE]
Nursing informatics: a specialty on the rise.
Nurs Manage. 2014 Jun;45(6):16-8
Authors: Anderson C, Sensmeier J
PMID: 24871287 [PubMed - indexed for MEDLINE]
Translation of obesity practice guidelines: measurement and evaluation.
Public Health Nurs. 2015 May-Jun;32(3):222-31
Authors: Erickson KJ, Monsen KA, Attleson IS, Radosevich DM, Oftedahl G, Neely C, Thorson DR
OBJECTIVE(S): A public health nurse (PHN) in the Midwestern United States (U.S.) led a collaborative system-level intervention to translate the Institute of Clinical Systems Improvement (ICSI) Adult Obesity Guideline into interprofessional practice. This study (1) evaluated the extent of guideline translation across organizations and (2) assessed the Omaha System as a method for translating system-level interventions and measuring outcomes.
DESIGN AND SAMPLE: This retrospective, mixed methods study was conducted with a purposeful sample of one administrator (n = 10) and two to three clinicians (n = 29) from each organization (n = 10).
MEASURES: Omaha System Problem Rating Scale for Outcomes Knowledge, Behavior, and Status (KBS). KBS ratings gathered from semi-structured interviews and Omaha System documentation were analyzed using standard descriptive and inferential statistics and triangulated findings with participant quotes.
RESULTS: KBS ratings and participant quotes revealed intervention effectiveness in creating sustained system-level changes. Self-reported and observed KBS ratings demonstrated improvement across organizations. There was moderate to substantial agreement regarding benchmark attainment within organizations. On average, self-reported improvement exceeded observer improvement.
CONCLUSIONS: System-level PHN practice facilitator interventions successfully translated clinical obesity guidelines into interprofessional use in health care organizations. The Omaha System Problem Rating Scale for Outcomes reliably measured system-level outcomes.
PMID: 25424421 [PubMed - indexed for MEDLINE]
Participatory Design and Development of a Patient-centered Toolkit to Engage Hospitalized Patients and Care Partners in their Plan of Care.
AMIA Annu Symp Proc. 2014;2014:486-95
Authors: Dykes PC, Stade D, Chang F, Dalal A, Getty G, Kandala R, Lee J, Lehman L, Leone K, Massaro AF, Milone M, McNally K, Ohashi K, Robbins K, Bates DW, Collins S
Patient engagement has been identified as a key strategy for improving patient outcomes. In this paper, we describe the development and pilot testing of a web-based patient centered toolkit (PCTK) prototype to improve access to health information and to engage hospitalized patients and caregivers in the plan of care. Individual and group interviews were used to identify plan of care functional and workflow requirements and user interface design enhancements. Qualitative methods within a participatory design approach supported the development of a PCTK prototype that will be implemented on intensive care and oncology units to engage patients and professional care team members developing their plan of care during an acute hospitalization.
PMID: 25954353 [PubMed - indexed for MEDLINE]
Searching the literature is not for the faint of heart!
Adv Neonatal Care. 2014 Aug;14(4):229-31
Authors: McGrath JM, Brandon D
PMID: 25075918 [PubMed - indexed for MEDLINE]
Avoid these bar code pitfalls.
Nursing. 2015 Jul;45(7):8
Authors: Landers J
PMID: 26083283 [PubMed - indexed for MEDLINE]
Amazing news for sharable/comparable nursing data to support big data science.
Comput Inform Nurs. 2014 Jun;32(6):255-6
Authors: Westra BL, Choromanski L
PMID: 24933181 [PubMed - indexed for MEDLINE]
ANI Emerging Leaders 2014.
Comput Inform Nurs. 2014 May;32(5):205-6
Authors: Martin K
PMID: 24827609 [PubMed - indexed for MEDLINE]
How to enhance nursing students' intention to use information technology: the first step before integrating it in nursing curriculum.
Comput Inform Nurs. 2014 Jun;32(6):286-93
Authors: Gonen A, Sharon D, Offir A, Lev-Ari L
Today, in the 21st century, information technology has an important and critical role in the healthcare delivery system. Nursing educators already know and understand that they should integrate nursing informatics into the nursing curriculum to prepare future nurses for the new world of information technology. However, as of now, the core program of nursing studies in Israel does not put an emphasis on the skills required to properly use nursing informatics. The present research is the first step toward achieving this target by recognizing the importance of the human factor. The main goal is to examine the correlation between nursing students' attitudes and a number of variables: self-efficacy, threat, challenge, and innovativeness. This quantitative study used a convenience sample of nursing students in a bachelor's degree program at a large academic center in central Israel. Results show significant positive correlations between nursing students' attitudes to computer use and self-efficacy, a sense of challenge in using a computer, a sense of threat in using a computer, and previous experience with computers. The insights of these results will benefit nursing educators by helping them find creative ways to expose the students to the world of information technology and to improve the quality of future nurses.
PMID: 24784490 [PubMed - indexed for MEDLINE]
The informatics nurse specialist role in electronic health record usability evaluation.
Comput Inform Nurs. 2014 May;32(5):214-20
Authors: Rojas CL, Seckman CA
Health information technology is revolutionizing the way we interact with health-related data. One example of this can be seen in the rising adoption rates of electronic health records by healthcare providers. Nursing plays a vital role in electronic health record adoption, not only because of their numbers but also their intimate understanding of workflow. The success of an electronic health record also relies on how usable the software is for clinicians, and a thorough usability evaluation is needed before implementing a system within an organization. Not all nurses have the knowledge and skills to perform extensive usability testing; therefore, the informatics nurse specialist plays a critical role in the process. This article will discuss core usability principles, provide a framework for applying these concepts, and explore the role of the informatics nurse specialist in electronic health record evaluation. Health information technology is fundamentally changing the clinical practice environment, and many nurses are seeking leadership positions in the field of informatics. As technology and software become more sophisticated, usability principles must be used under theguidance of the informatics nurse specialist to provide a relevant, robust, and well-designed electronic health record to address the needs of the busy clinician.
PMID: 24473121 [PubMed - indexed for MEDLINE]