nursing informatics

CE: Original Research: Creating an Evidence-Based Progression for Clinical Advancement Programs.

NLM - Nursing Informatics - Wed, 2017-05-17 12:03
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CE: Original Research: Creating an Evidence-Based Progression for Clinical Advancement Programs.

Am J Nurs. 2017 May;117(5):22-35

Authors: Burke KG, Johnson T, Sites C, Barnsteiner J

Abstract
: Background: The Institute of Medicine (IOM) and the Quality and Safety Education for Nurses (QSEN) project have identified six nursing competencies and supported their integration into undergraduate and graduate nursing curricula nationwide. But integration of those competencies into clinical practice has been limited, and evidence for the progression of competency proficiency within clinical advancement programs is scant. Using an evidence-based approach and building on the competencies identified by the IOM and QSEN, a team of experts at an academic health system developed eight competency domains and 186 related knowledge, skills, and attitudes (KSAs) for professional nursing practice.
PURPOSE: The aim of our study was to validate the eight identified competencies and 186 related KSAs and determine their developmental progression within a clinical advancement program.
METHODS: Using the Delphi technique, nursing leadership validated the newly identified competency domains and KSAs as essential to practice. Clinical experts from 13 Magnet-designated hospitals with clinical advancement programs then participated in Delphi rounds aimed at reaching consensus on the developmental progression of the 186 KSAs through four levels of clinical advancement.
RESULTS: Two Delphi rounds resulted in consensus by the expert participants. All eight competency domains were determined to be essential at all four levels of clinical practice. At the novice level of practice, the experts identified a greater number of KSAs in the domains of safety and patient- and family-centered care. At more advanced practice levels, the experts identified a greater number of KSAs in the domains of professionalism, teamwork, technology and informatics, and continuous quality improvement.
CONCLUSION: Incorporating the eight competency domains and the 186 KSAs into a framework for clinical advancement programs will likely result in more clearly defined role expectations; enhance accountability; and elevate and promote nursing practice, thereby improving clinical outcomes and quality of care. With their emphasis on quality and safety, the eight competency domains also offer a framework for enhancing position descriptions, performance evaluations, clinical recognition, initial and ongoing competency assessment programs, and orientation and residency programs.

PMID: 28410247 [PubMed - indexed for MEDLINE]

Categories: nursing informatics

Evaluation of the functional performance and technical quality of an Electronic Documentation System of the Nursing Process.

NLM - Nursing Informatics - Thu, 2017-05-04 17:57
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Evaluation of the functional performance and technical quality of an Electronic Documentation System of the Nursing Process.

Rev Lat Am Enfermagem. 2015 Feb-Apr;23(2):242-9

Authors: de Oliveira NB, Peres HH

Abstract
OBJECTIVE: To evaluate the functional performance and the technical quality of the Electronic Documentation System of the Nursing Process of the Teaching Hospital of the University of São Paulo.
METHOD: exploratory-descriptive study. The Quality Model of regulatory standard 25010 and the Evaluation Process defined under regulatory standard 25040, both of the International Organization for Standardization/International Electrotechnical Commission. The quality characteristics evaluated were: functional suitability, reliability, usability, performance efficiency, compatibility, security, maintainability and portability. The sample was made up of 37 evaluators.
RESULTS: in the evaluation of the specialists in information technology, only the characteristic of usability obtained a rate of positive responses of less than 70%. For the nurse lecturers, all the quality characteristics obtained a rate of positive responses of over 70%. The staff nurses of the medical and surgical clinics with experience in using the system) and staff nurses from other units of the hospital and from other health institutions (without experience in using the system) obtained rates of positive responses of more than 70% referent to the functional suitability, usability, and security. However, performance efficiency, reliability and compatibility all obtained rates below the parameter established.
CONCLUSION: the software achieved rates of positive responses of over 70% for the majority of the quality characteristics evaluated.

PMID: 26039294 [PubMed - indexed for MEDLINE]

Categories: nursing informatics

Towards an International Framework for Recommendations of Core Competencies in Nursing and Inter-Professional Informatics: The TIGER Competency Synthesis Project.

NLM - Nursing Informatics - Tue, 2017-04-25 17:54
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Towards an International Framework for Recommendations of Core Competencies in Nursing and Inter-Professional Informatics: The TIGER Competency Synthesis Project.

Stud Health Technol Inform. 2016;228:655-9

Authors: Hübner U, Shaw T, Thye J, Egbert N, Marin H, Ball M

Abstract
Informatics competencies of the health care workforce must meet the requirements of inter-professional process and outcome oriented provision of care. In order to help nursing education transform accordingly, the TIGER Initiative deployed an international survey, with participation from 21 countries, to evaluate and prioritise a broad list of core competencies for nurses in five domains: 1) nursing management, 2) information technology (IT) management in nursing, 3) interprofessional coordination of care, 4) quality management, and 5) clinical nursing. Informatics core competencies were found highly important for all domains. In addition, this project compiled eight national cases studies from Austria, Finland, Germany, Ireland, New Zealand, the Philippines, Portugal, and Switzerland that reflected the country specific perspective. These findings will lead us to an international framework of informatics recommendations.

PMID: 27577466 [PubMed - indexed for MEDLINE]

Categories: nursing informatics

A Web-Based Database for Nurse Led Outreach Teams (NLOT) in Toronto.

NLM - Nursing Informatics - Tue, 2017-04-25 17:54
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A Web-Based Database for Nurse Led Outreach Teams (NLOT) in Toronto.

Stud Health Technol Inform. 2016;228:237-41

Authors: Li S, Kuo MH, Ryan D

Abstract
A web-based system can provide access to real-time data and information. Healthcare is moving towards digitizing patients' medical information and securely exchanging it through web-based systems. In one of Ontario's health regions, Nurse Led Outreach Teams (NLOT) provide emergency mobile nursing services to help reduce unnecessary transfers from long-term care homes to emergency departments. Currently the NLOT team uses a Microsoft Access database to keep track of the health information on the residents that they serve. The Access database lacks scalability, portability, and interoperability. The objective of this study is the development of a web-based database using Oracle Application Express that is easily accessible from mobile devices. The web-based database will allow NLOT nurses to enter and access resident information anytime and from anywhere.

PMID: 27577379 [PubMed - indexed for MEDLINE]

Categories: nursing informatics

Social Media Training for Professional Identity Development in Undergraduate Nurses.

NLM - Nursing Informatics - Tue, 2017-04-25 17:54
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Social Media Training for Professional Identity Development in Undergraduate Nurses.

Stud Health Technol Inform. 2016;225:344-8

Authors: Mather C, Cummings E, Nichols L

Abstract
The growth of social media use has led to tension affecting the perception of professionalism of nurses in healthcare environments. The aim of this cross-sectional study was to explore first and final year undergraduate student use of social media to understand how it was utilised by them during their course. Descriptive statistical analysis was undertaken to compare differences between first and final year student use. No difference indicated there was a lack of development in the use of social media, particularly concerning in relation to expanding their professional networks. There is a need for the curriculum to include opportunities to teach student nurses methods to ensure the appropriate and safe use of social media. Overt teaching and modelling of desired behaviour to guide and support the use of social media to positively promote professional identity formation, which is essential for work-readiness at graduation, is necessary.

PMID: 27332219 [PubMed - indexed for MEDLINE]

Categories: nursing informatics

Educational Requirements for Mobile Applications in Nursing: Applying the User-Task-Context Matrix to Identify User Classes and Contexts of Use.

NLM - Nursing Informatics - Tue, 2017-04-25 17:54
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Educational Requirements for Mobile Applications in Nursing: Applying the User-Task-Context Matrix to Identify User Classes and Contexts of Use.

Stud Health Technol Inform. 2016;225:339-43

Authors: Borycki EM, Kushniruk AW, Turner P, Kaipio J, Cummings E

Abstract
Mobile applications are increasingly being deployed in healthcare and nurses are expected to use them during their education, practice and during training of patients. In this paper we describe how an approach to modelling user needs known as the user-task-context matrix has been applied to help guide in developing requirements for new mobile applications as well as for selecting applications to be used in different aspects of nursing and patient education. The approach involves first brainstorming the different classes of users of an application and then specifying possible tasks the application can be used for. In addition, different contexts of use of the application are then specified. Application of the method is described for improving understanding of user needs in both design and procurement of healthcare apps related to nursing education.

PMID: 27332218 [PubMed - indexed for MEDLINE]

Categories: nursing informatics

Using Co-Design with Nursing Students to Create Educational Apps for Clinical Training.

NLM - Nursing Informatics - Tue, 2017-04-25 17:54
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Using Co-Design with Nursing Students to Create Educational Apps for Clinical Training.

Stud Health Technol Inform. 2016;225:334-8

Authors: O'Connor S, Andrews T

Abstract
Mobile technology is being trialed in nursing education to support students in clinical practice, as it can provide instant access to high quality educational material at the point of care. However, most educational mobile apps are generic, off-the-shelf applications that do not take into consideration the unique needs of nursing students, who can require personalised software solutions. This study adapted a socio-cognitive engineering approach and through a series of focus groups with final year nursing students explored the co-design process and gained their input on the design and functionality of a clinical skills based educational app. Results showed students required an uncluttered interface that was fast to navigate and easy to use in busy clinical environments. They also requested simple visual descriptions of key clinical skills and equipment to enable them to quickly refresh their memory so they could perform the skill in practice.

PMID: 27332217 [PubMed - indexed for MEDLINE]

Categories: nursing informatics

Embedding Nursing Informatics Education into an Australian Undergraduate Nursing Degree.

NLM - Nursing Informatics - Tue, 2017-04-25 17:54
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Embedding Nursing Informatics Education into an Australian Undergraduate Nursing Degree.

Stud Health Technol Inform. 2016;225:329-33

Authors: Cummings E, Shin EH, Mather C, Hovenga E

Abstract
Alongside the rapid rise in the adoption of electronic health records and the use of technology to support nursing processes, there is a requirement for nursing students, new graduate nurses, and nursing educators to embrace nursing informatics. Whilst nursing informatics has been taught at post graduate levels for many years, the integration of it into undergraduate studies for entry level nurses has been slow. This is made more complex by the lack of explicit nursing informatics competencies in many countries. Australia has now mandated the inclusion of nursing informatics into all undergraduate nursing curricula but there continues to be an absence of a relevant set of agreed nursing competencies. There is a resulting lack of consistency in nursing curricula content nationally. This paper describes the process used by one Australian university to integrate nursing informatics throughout the undergraduate nursing degree curriculum to ensure entry level nurses have a basic level of skills in the use of informatics.

PMID: 27332216 [PubMed - indexed for MEDLINE]

Categories: nursing informatics

Changing Educational Paths in an Informatics Course According to the Needs and Expectations of Nursing Degree Students.

NLM - Nursing Informatics - Tue, 2017-04-25 17:54
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Changing Educational Paths in an Informatics Course According to the Needs and Expectations of Nursing Degree Students.

Stud Health Technol Inform. 2016;225:324-8

Authors: González ZA, Schachner MB, Tattone MA, Benítez SE

Abstract
Informatics education in the nursing career varies in each curriculum, and directly impact in training and future development of nurses in the professional field. While the proposed curriculum is based on essential minimum content for professional training, it was necessary to update it according to current technological development, considering the different profiles of students and practice settings, labor and academia. The pedagogical proposals were redesigned in two informatics courses of a Bachelor of Science in Nursing (BSN) at Hospital Italiano de Buenos Aires. We adapted the curricula tailored on prior knowledge, educational path and needs of the students identified and made explicit by them at the beginning of the courses. At the end of the courses, the students surveyed said that the changes were appropriate.

PMID: 27332215 [PubMed - indexed for MEDLINE]

Categories: nursing informatics

Development and Evaluation for Active Learning Instructional Design of Epidemiology in Nursing Informatics Field.

NLM - Nursing Informatics - Tue, 2017-04-25 17:54
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Development and Evaluation for Active Learning Instructional Design of Epidemiology in Nursing Informatics Field.

Stud Health Technol Inform. 2016;225:319-23

Authors: Majima Y

Abstract
Nursing education classes are classifiable into three types: lectures, classroom practice, and clinical practice. In this study, we implemented a class that incorporated elements of active learning, including clickers, minutes papers, quizzes, and group work and presentation, in the subject of "epidemiology", which is often positioned in the field of nursing informatics and which is usually taught in conventional knowledge-transmission style lectures, to help students understand knowledge and achieve seven class goals. Results revealed that the average scores of the class achievement (five levels of evaluation) were 3.6-3.9, which was good overall. The highest average score of the evaluation of teaching materials by students (five levels of evaluation) was 4.6 for quizzes, followed by 4.2 for announcement of test statistics, 4.1 for clickers, and 4.0 for news presentation related to epidemiology. We regard these as useful tools for students to increase their motivation. One problem with the class was that it took time to organize the class: creation of tests, class preparation and marking, such as things to be returned and distribution of clickers, and writing comments on small papers.

PMID: 27332214 [PubMed - indexed for MEDLINE]

Categories: nursing informatics

Technology Readiness of Early Career Nurse Trainees: Utilization of the Technology Readiness Index (TRI).

NLM - Nursing Informatics - Tue, 2017-04-25 17:54
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Technology Readiness of Early Career Nurse Trainees: Utilization of the Technology Readiness Index (TRI).

Stud Health Technol Inform. 2016;225:314-8

Authors: Odlum M

Abstract
Health Information Technology (HIT) adoption by clinicians, including nurses, will lead to reduction in healthcare costs and clinical errors and improve health outcomes. Understanding the importance of technology adoption, the current study utilized the Technology Readiness Index to explore technology perceptions of nursing students. Our analysis identifies factors that may influence perceptions of technology, including decreased optimism for students with clinical experience and increased discomfort of US born students. Our study provides insight to inform training programs to further meet the increasing demands of skilled nursing staff.

PMID: 27332213 [PubMed - indexed for MEDLINE]

Categories: nursing informatics

Preparing the Next Generation of Advanced Practice Nurses for Connected Care.

NLM - Nursing Informatics - Tue, 2017-04-25 17:54
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Preparing the Next Generation of Advanced Practice Nurses for Connected Care.

Stud Health Technol Inform. 2016;225:307-13

Authors: Skiba DJ, Barton AJ, Estes K, Gilliam E, Knapfel S, Lee C, Moore G, Trinkley K

Abstract
The health care delivery system in the United States is transforming at a rapid pace. Several trends, including the emergence of a Connected Health care system, will require advanced nurse practitioners to have new knowledge, skills and competencies to practice in the future. This paper describes the redesign of coursework and the development of a Connected Care Framework to guide the learning needs of nurse practitioners. A Connected Care Quotient consisting of ten relevant questions and learning activities will serve as a guide for the future development of competencies for advanced practice nurses.

PMID: 27332212 [PubMed - indexed for MEDLINE]

Categories: nursing informatics

Integrating Informatics Content into the Nursing Curriculum.

NLM - Nursing Informatics - Tue, 2017-04-25 17:54
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Integrating Informatics Content into the Nursing Curriculum.

Stud Health Technol Inform. 2016;225:302-6

Authors: Weiner E, Trangenstein P, Gordon J, McNew R

Abstract
Contemporary nursing curricula require that nursing informatics content be integrated across the various levels of the programs that are offered. Many such programs face national accreditation requirements that typically relate more to technology than to informatics. International standards vary in these requirements. How can nursing programs meet these vastly different criteria yet continue to level informatics content that follows quality curriculum standards? This presentation describes one approach across programs that considers already developed competencies in nursing informatics while also taking into consideration the various roles that the graduates will have to assume in advanced practice nursing roles. Levels discussed include the baccalaureate, master's, doctorate in nursing practice, and the traditional Doctor of Philosophy degrees.

PMID: 27332211 [PubMed - indexed for MEDLINE]

Categories: nursing informatics

Information Literacy in a Digital Era: Understanding the Impact of Mobile Information for Undergraduate Nursing Students.

NLM - Nursing Informatics - Tue, 2017-04-25 17:54
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Information Literacy in a Digital Era: Understanding the Impact of Mobile Information for Undergraduate Nursing Students.

Stud Health Technol Inform. 2016;225:297-301

Authors: Doyle GJ, Furlong KE, Secco L

Abstract
Recent entry-to-practice nursing informatics competencies for Registered Nurses in Canada mean nurse educators need educational strategies to promote student competency within the rapidly evolving informatics field. A collaborative research team from three Canadian nursing programs completed a mixed method survey to describe how nursing students used mobile nursing information support and the extent of this support for learning. The Mobile Information Support Evaluation Tool (MISET) assessed Usefulness/Helpfulness, Information Literacy Support, and Use of Evidence-Based Sources. The quantitative and qualitative data were analyzed to describe students' perspectives and the ways they used mobile resources in learning situations. Findings suggest nursing students mainly accessed mobile resources to support clinical learning, and specifically for task-oriented information such as drug medication or patient conditions/diagnoses. Researchers recommend a paradigm shift whereby educators emphasize information literacy in a way that supports evidence-based quality care.

PMID: 27332210 [PubMed - indexed for MEDLINE]

Categories: nursing informatics

Operationalizing the TANIC and NICA-L3/L4 Tools to Improve Informatics Competencies.

NLM - Nursing Informatics - Tue, 2017-04-25 17:54
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Operationalizing the TANIC and NICA-L3/L4 Tools to Improve Informatics Competencies.

Stud Health Technol Inform. 2016;225:292-6

Authors: Sipes C, McGonigle D, Hunter K, Hebda T, Hill T, Lamblin J

Abstract
Two tools were developed for nurses to self-assess different levels of informatics competencies. The TANIC is used for all nurses to self-assess; the NICA-L3/L4 is a tool for the informatics nurse specialist (INS) to self-assess skill levels. There are 167 informatics items in the TANIC and 178 advanced informatics items in the NICA-L3/L4. These tools were piloted; the results presented here. Based on the evaluation, the tools have been integrated into informatics courses at the BSN and MSN programs at Chamberlain College of Nursing, and presented in two AACN webinars and other national conferences. Numerous requests have been honored to provide the tools for other schools of nursing to use in their courses, including DNP programs. Other requests include those from CNIOs and managers to include in their job descriptions for informatics nurses.

PMID: 27332209 [PubMed - indexed for MEDLINE]

Categories: nursing informatics

Exploring Community Planning Thinking as a Model for Use Case Development.

NLM - Nursing Informatics - Thu, 2017-04-20 23:52
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Exploring Community Planning Thinking as a Model for Use Case Development.

Stud Health Technol Inform. 2016;225:1020-1

Authors: Wilson ML, Procter PM

Abstract
There are many vetted technical and semantic standards promulgated within the United States and the United Kingdom to operationalize eHealth interoperability in order to improve care outcomes, manage population health, and provide efficient information exchange between providers, services, patients and consumers. However, consideration must be given to the complex real world use cases in which the data and information will be exchanged between a wide variety of interested parties, including the consumer or patient. In many instances, community based use cases need development in order to serve as the model. These use cases can only be accurately described and created by using a wide lens viewpoint such as community-planning engages, which requires that all interested parties be actively involved. This poster will introduce models of community planning that can be developed and led by the Nurse Informatician.

PMID: 27332462 [PubMed - indexed for MEDLINE]

Categories: nursing informatics

Establishing Long-Term Nursing Informatics Capacity in Malawi, Africa.

NLM - Nursing Informatics - Thu, 2017-04-20 23:52
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Establishing Long-Term Nursing Informatics Capacity in Malawi, Africa.

Stud Health Technol Inform. 2016;225:1013-4

Authors: O'Connor S, Gallagher J, Wamba N, Moyo C, Chirambo GB, O'Donoghue J

Abstract
The capacity of developing countries to implement nursing informatics education, research and practice is limited. Therefore, an international partnership was established to provide teaching and research opportunities in the field of eHealth for nursing faculty at Mzuzu University, Malawi. This resulted in staff development and capacity building with nursing faculty undertaking mHealth research and beginning doctoral studies as well as the creation of an online repository of educational resources to teach nursing informatics to undergraduate students. Collaborative international partnerships can assist in building nursing informatics capacity in low resource settings.

PMID: 27332458 [PubMed - indexed for MEDLINE]

Categories: nursing informatics

Geo-spatial Informatics in International Public Health Nursing Education.

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Geo-spatial Informatics in International Public Health Nursing Education.

Stud Health Technol Inform. 2016;225:983-4

Authors: Kerr MJ, Honey ML, Krzyzanowski B

Abstract
This poster describes results of an undergraduate nursing informatics experience. Students applied geo-spatial methods to community assessments in two urban regions of New Zealand and the United States. Students used the Omaha System standardized language to code their observations during a brief community assessment activity and entered their data into a mapping program developed in Esri ArcGIS Online, a geographic information system. Results will be displayed in tables and maps to allow comparison among the communities. The next generation of nurses can employ geo-spatial informatics methods to contribute to innovative community assessment, planning and policy development.

PMID: 27332443 [PubMed - indexed for MEDLINE]

Categories: nursing informatics

Education Methods for Improving the Ability to Use Nursing Information, with a Focus on Issues Related to the Role of the Head Nurse: A Post-Workshop Evaluation.

NLM - Nursing Informatics - Wed, 2017-04-19 14:52
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Education Methods for Improving the Ability to Use Nursing Information, with a Focus on Issues Related to the Role of the Head Nurse: A Post-Workshop Evaluation.

Stud Health Technol Inform. 2016;225:993-4

Authors: Izumi T, Majima Y

Abstract
The use of information technology in medical setting is becoming increasingly prevalent; therefore, it is necessary to examine education methods that promote improvements among nursing professionals in the ability to use nursing information. With a focus on the role of the head nurse, the aim of this study, which consisted of two separately organized workshops, was to examine the effectiveness of behavior modification to resolve workplace issues identified by nursing professionals. After participating in these workshops, all nursing professionals demonstrated an increased ability to use nursing information and effectively resolve issues through behavior modification.

PMID: 27332448 [PubMed - indexed for MEDLINE]

Categories: nursing informatics

Using ADDIE Model to Develop a Nursing Information System Training Program for New Graduate Nurse.

NLM - Nursing Informatics - Wed, 2017-04-19 14:52
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Using ADDIE Model to Develop a Nursing Information System Training Program for New Graduate Nurse.

Stud Health Technol Inform. 2016;225:969-70

Authors: Lu SC, Cheng YC, Chan PT

Abstract
This study is to develop a nursing information system (NIS) training program, and takes a local community teaching hospital in Taiwan for example. We adopt the ADDIE model to develop our NIS training program. We preliminaries followed the framework of the model to design a NIS training program, and implement it for the newcomers' training of nursing information system. After training course, the self-efficacy report has a significant (p<.000) improved compare to pre-test, and 88% of participants passed the pragmatic exam.

PMID: 27332436 [PubMed - indexed for MEDLINE]

Categories: nursing informatics

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