Leadership strategies for improved nursing synergy between informatics and telehealth.
Stud Health Technol Inform. 2014;201:227-32
Authors: Bartz CC
The goal of best practice, best possible health care worldwide is shared by nurses and all involved with eHealth today. The purpose of this paper is to characterize the similarities and differences between informatics and telehealth from a nursing perspective, and to advocate for leadership strategies that would bring the strengths of each group to a more synergistic, collaborative professional model for the benefit of both groups. After comparing telehealth and informatics nursing and looking for commonalities, suggestions are made for bridging the gap between the two groups. Potential strategies include identifying leaders, using conflict avoidance techniques, and pursuing coaching and mentoring opportunities across the gap to enhance the professional standing and contributions of both groups. An added consideration would be to have joint conferences wherein the strengths, challenges and knowledge repositories of informatics and telehealth could be mutually appreciated.
PMID: 24943548 [PubMed - indexed for MEDLINE]
From capturing nursing knowledge to retrieval of data from a data warehouse.
Stud Health Technol Inform. 2014;201:79-86
Authors: Thoroddsen A, Guðjónsdóttir HK, Guðjónsdóttir E
The purpose of the project was to capture nursing data and knowledge, represent it for use and re-use by retrieval from a data warehouse, which contains both clinical and financial hospital data. Today nurses at LUH use standardized nursing terminologies to document information related to patients and the nursing care in the EHR at all times. Pre-defined order sets for nursing care have been developed using best practice where available and tacit nursing knowledge has been captured and coded with standardized nursing terminologies and made explicit for dissemination in the EHR. All patient-nursing data is permanently stored in a data repository. Core nursing data elements have been selected for transfer and storage in the data warehouse and patient-nursing data are now captured, stored, can be related to other data elements from the warehouse and be retrieved for use and re-use.
PMID: 24943528 [PubMed - indexed for MEDLINE]
A virtual platform for electronic health record (EHR) education for nursing students: moving from in-house solutions to the cloud.
Stud Health Technol Inform. 2014;201:48-54
Authors: Kushniruk AW, Kuo MH, Parapini E, Borycki EM
There is a need to develop cost effective ways to bring hands-on education about essential information technologies, such as electronic health record (EHR) systems to nursing students, nursing faculty and practitioners. This is especially the case as worldwide there is an increased deployment of these systems and they are transforming the practice of healthcare. However, due to technical, financial and knowledge limitations, many nursing schools and programs do not have an adequate way to bring such technology into their classes and curricula. In this paper we describe an approach to developing Web-based EHR education that allows students from any Web-accessible location to access and work with real EHR systems remotely over the Internet for learning purposes. In this paper we describe our work in moving this approach to a cloud-based solution to allow access to EHRs for educational purposes from any location with Web access and to do so in a way that is both educationally sound and cost effective.
PMID: 24943524 [PubMed - indexed for MEDLINE]
Applied nursing informatics research - state-of-the-art methodologies using electronic health record data.
Stud Health Technol Inform. 2014;201:395-400
Authors: Park JI, Pruinelli L, Westra BL, Delaney CW
With the pervasive implementation of electronic health records (EHR), new opportunities arise for nursing research through use of EHR data. Increasingly, comparative effectiveness research within and across health systems is conducted to identify the impact of nursing for improving health, health care, and lowering costs of care. Use of EHR data for this type of research requires use of national and internationally recognized nursing terminologies to normalize data. Research methods are evolving as large data sets become available through EHRs. Little is known about the types of research and analytic methods for applied to nursing research using EHR data normalized with nursing terminologies. The purpose of this paper is to report on a subset of a systematic review of peer reviewed studies related to applied nursing informatics research involving EHR data using standardized nursing terminologies.
PMID: 24943572 [PubMed - indexed for MEDLINE]
The relationship of learning motivation, achievement and satisfaction for nurses learning simple excel VBA information systems programming.
Stud Health Technol Inform. 2014;201:364-70
Authors: Lee YL, Chien TF, Kuo MC, Chang P
This study aims to understand the relationship between participating nurses' motivation, achievement and satisfaction before and after they learned to program in Excel Visual Basic for Applications (Excel VBA). We held a workshop to train nurses in developing simple Excel VBA information systems to support their clinical or administrative practices. Before and after the workshop, the participants were evaluated on their knowledge of Excel VBA, and a questionnaire was given to survey their learning motivation and satisfaction. Statistics softwares Winsteps and SPSS were used for data analysis. Results show that the participants are more knowledgeable about VBA as well as more motivated in learning VBA after the workshop. Participants were highly satisfied with the overall arrangement of the workshop and instructors, but didn't have enough confidence in promoting the application of Excel VBA themselves. In addition, we were unable to predict the participants' achievement by their demographic characteristics or pre-test motivation level.
PMID: 24943568 [PubMed - indexed for MEDLINE]
Developing entry-to-practice nursing informatics competencies for registered nurses.
Stud Health Technol Inform. 2014;201:356-63
Authors: Nagle LM, Crosby K, Frisch N, Borycki E, Donelle L, Hannah K, Harris A, Jetté S, Shaben T
Information and communication technologies (ICT) have brought about significant changes to the processes of health care delivery and changed how nurses perform in clinical, administrative, academic, and research settings. Because the potential benefits of ICT are significant, it is critical that new nurses have the knowledge and skills in informatics to provide safe and effective care. Despite the prevalence of technology in our day to day lives, and the potential significant benefits to patients, new nurses may not be prepared to work in this evolving reality. An important step in addressing this need for ICT preparation is to ensure that new graduates are entering the work force ready for technology-enabled care environments. In this paper, we describe the process and outcomes of developing informatics entry-to-practice competencies for adoption by Canadian Schools of Nursing.
PMID: 24943567 [PubMed - indexed for MEDLINE]
A comparison of Australian and Canadian informatics competencies for undergraduate nurses.
Stud Health Technol Inform. 2014;201:349-55
Authors: Borycki EM, Foster J
Health information technologies (HIT) have changed healthcare delivery. Yet, there are few opportunities for student nurses in their undergraduate studies to develop nursing informatics competencies. More importantly, many countries around the world have not fully specified nursing informatics competencies that will be expected of student nurses prior to their graduation from undergraduate nursing programs. In this paper the authors compare and contrast the undergraduate nursing informatics competencies that were developed by two countries: Australia and Canada. They also identify some of the challenges and future research directions in the area.
PMID: 24943566 [PubMed - indexed for MEDLINE]
Nursing informatics competencies: bibliometric analysis.
Stud Health Technol Inform. 2014;201:342-8
Authors: Kokol P, Blažun H, Vošner J, Saranto K
Information and communication technology is developing rapidly and it is incorporated in many health care processes, but in spite of that fact we can still notice that nursing informatics competencies had received limited attention in basic nursing education curricula in Europe and especially in Eastern European countries. The purpose of the present paper is to present the results of a bibliometric analysis of the nursing informatics competencies scientific literature production. We applied the bibliometrics analysis to the corpus of 332 papers found in SCOPUS, related to nursing informatics competencies. The results showed that there is a positive trend in the number of published papers per year, indicating the increased research interest in nursing informatics competencies. Despite the fact that the first paper was published in Denmark, the most prolific country regarding the research in nursing informatics competencies is United States as are their institutions and authors.
PMID: 24943565 [PubMed - indexed for MEDLINE]
From unmet clinical need to entrepreneurship: taking your informatics solution to market.
Stud Health Technol Inform. 2014;201:315-20
Authors: Bowles KH, Heil E
This paper will describe the process for taking a decision support solution to market as a start-up business. The nurse inventor and Co-Founder of RightCare Solutions, Inc. will share the steps from answering a clinical question, to registering an invention, creating a business plan and company, obtaining venture funding, and launching a commercial product. We will share positives about the experience such as how to get start-up funds, gaining national exposure and access to an excellent team, disseminating your work broadly, further enhancing the product, and obtaining equity, and financial rewards. We will discuss cons such as losing control, dilution of ownership, and conflict of interest. This paper will encourage nurse informaticians to think differently and learn about the steps in the process from an experienced team.
PMID: 24943561 [PubMed - indexed for MEDLINE]
The computerized OMAHA system in microsoft office excel.
Stud Health Technol Inform. 2014;201:310-4
Authors: Lai X, Wong FK, Zhang P, Leung CW, Lee LH, Wong JS, Lo YF, Ching SS
The OMAHA System was adopted as the documentation system in an interventional study. To systematically record client care and facilitate data analysis, two Office Excel files were developed. The first Excel file (File A) was designed to record problems, care procedure, and outcomes for individual clients according to the OMAHA System. It was used by the intervention nurses in the study. The second Excel file (File B) was the summary of all clients that had been automatically extracted from File A. Data in File B can be analyzed directly in Excel or imported in PASW for further analysis. Both files have four parts to record basic information and the three parts of the OMAHA System. The computerized OMAHA System simplified the documentation procedure and facilitated the management and analysis of data.
PMID: 24943560 [PubMed - indexed for MEDLINE]
Nursing informatics: the future now.
Nurs J India. 2014 Sep-Oct;105(5):198-9
Technological advancements in the health care field have always impacted the health care practices. Nursing practice has also been greatly influenced by the technology. In the recent years, use of information technology including computers, handheld digital devices, internet has advanced the nursing by bridging the gap from nursing as an art to nursing as science. In every sphere of nursing practice, nursing research, nursing education and nursing informatics play a very important role. If used properly it is a way to save time, helping to provide quality nursing care and increases the proficiency of nursing personnel.
PMID: 25924417 [PubMed - indexed for MEDLINE]
An emerging leader in her field. Manal Kleib helps students and nurses embrace informatics.
Can Nurse. 2014 Oct;110(7):36-7
Authors: Kleib M, Geller L
PMID: 25920167 [PubMed - indexed for MEDLINE]
We save lives: an informatics perspective on innovation.
Nursing. 2015 Feb;45(2):20-1
Authors: Mitchell MB
PMID: 25585217 [PubMed - indexed for MEDLINE]
Nursing informatics reaches well beyond acute care.
Nursing. 2014 Nov;44(11):21-2
Authors: Arellano M
PMID: 25321431 [PubMed - indexed for MEDLINE]
Identifying gaps between current and expected ICT competencies of nurses in Serbia.
Stud Health Technol Inform. 2014;205:186-90
Authors: Paunic S, Stojkovic I
Introducing of ICT in the health care system in Serbia started 19 years ago and systematic training of nurses and technicians has not been realized yet. The primary objective of this paper is to determine the gap between the sets of ICT competencies of nurses and technicians acquiring education and experience and the necessary skill set required for their daily work. The qualitative research included questioning of the focus group of experts and 400 nurses and technicians employed in secondary and tertiary health institutions in Serbia. Based on the analysis of existing literature we choose the Informatics competencies for nurses at four levels of practice (Staggers, Gassert, Curran, 2001), and for the purposes of this study, we used a list of competencies of the first, and partially of the second and third level. At the start, the group of 12 experts had the task to eliminate some of listed competencies to express the subjective expectations of the ICT competencies of nurses. After that nurses and medical technicians were expected to grade, by Likert scale, their level of knowledge and skills for each of the 39 competencies, respectively. The answers were analyzed using measure of central tendency and distribution of results was done by median. Comparison of perceived competence of the nurses and the desired/expected level by managers shows that there is difference in 25 of the 39 offered statements. Managers expect that nurses are great users of administrative applications for staff scheduling and for maintaining employee records, while nurses declared that these programs they use relatively poorly or not at all. The larger gap is also observed when it comes to computer skill for documenting patient care--experts expect that nurses do it well, and nurses, again, estimate that their documentation skills are relatively poor. The same situation is with use of ICT for patient education. It can be concluded that further training is required in the field of ICT, either through additional training in the workplace, either through formal education. Due to the fact that ICT competencies are becoming part of the basic, functional sets, it should be considered the correction of curricula of secondary schools for nurses.
PMID: 25160171 [PubMed - indexed for MEDLINE]
Information model for learning nursing terminology.
Stud Health Technol Inform. 2014;205:181-5
Authors: Nytun JP, Fossum M
Standardized terminologies are introduced in healthcare with the intention of improving information quality, which is important for enhancing the quality of healthcare itself. The International Classification for Nursing Practice (ICNP®) is a unified language system that presents an ontology for nursing terminology; it is meant for documentation of nursing diagnoses, nursing interventions and patient outcomes. This paper presents an information model and an application for teaching nursing students how to use ICNP to assist in the planning of nursing care. The model is an integration of ICNP and our catalog ontology, patient journal ontology, and ontology defining task sets. The application for learning nursing terminology offers descriptions of patient situations and then prompts the student to supply nursing statements for diagnoses, goals and interventions. The nursing statements may be selected from catalogues containing premade solutions based on ICNP, or they may be constructed directly by selecting terms from ICNP.
PMID: 25160170 [PubMed - indexed for MEDLINE]
Introducing nursing informatics.
Nursing. 2014 Sep;44(9):22-3
Authors: Kirchner RB
PMID: 25140937 [PubMed - indexed for MEDLINE]
Informatics leadership: the role of the CNIO.
Nursing. 2015 Apr;45(4):21-2
Authors: Kirby SB
PMID: 25785405 [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]
[A life marked by turmoil].
Krankenpfl Soins Infirm. 2015;108(2):70-1
Authors: Lüthi U
PMID: 25720234 [PubMed - indexed for MEDLINE]