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]
Computerized provider order entry: advancing technology today, saving lives tomorrow.
AORN J. 2014 Dec;100(6):683-5
Authors: Ghaemmaghami V
PMID: 25453686 [PubMed - indexed for MEDLINE]
Medication order entry and clinical decision support: current nursing informatics issues.
Nurs Clin North Am. 2015 Jun;50(2):315-25
Authors: Gideon AC, DiPersio DM
The Health Information Technology for Economic and Clinical Health (HITECH) Act has greatly increased the acceptance of electronic health record technology by providing incentives and punishment standards. A key criterion of the HITECH Act, meaningful use, has vendors clamoring to design clinical decision support (CDS) systems that fulfill this objective. Users should be aware that more emphasis may be placed on achieving the goals for compliance than on working out details that are clinically meaningful. Nurses can play a crucial rule in collaboratively supporting CDS initiative changes that make patient care more effective and efficient.
PMID: 25999073 [PubMed - indexed for MEDLINE]
"Core Communication Competencies in Patient-Centered Care" by Anita D. Boykins.
ABNF J. 2015;26(2):29
Authors: Deese R
PMID: 26197632 [PubMed - indexed for MEDLINE]
Technology is no substitute for nursing judgment.
Nursing. 2015 Jun;45(6):8
Authors: Macchietto A
PMID: 25969872 [PubMed - indexed for MEDLINE]
How informatics nurses use bar code technology to reduce medication errors.
Nursing. 2015 Mar;45(3):60-6
Authors: Gann M
PMID: 25689712 [PubMed - indexed for MEDLINE]
[The Role Development of Informatics Nurse Specialists in Taiwan].
Hu Li Za Zhi. 2015 Jun;62(3):23-9
Authors: Feng RC, Lee YL, Lee TY
The development of information technology has changed the world and allowed the innovation of nursing-care services. In recent years, the development of nursing informatics in Taiwan has been catching up with international trends and has been regarded positively by the international medical informatics community. The integration of information technology into medical care system has created the new nursing role of "informatics nurse." Although the certification system and job descriptions for these nurses have become increasingly comprehensive in many nations, Taiwan remains in the early development stage in these regards. Taiwan informatics nurses continue to face unclear and inadequately stated role responsibilities and job titles, undefined training requirements, and a lack of a clear qualification / certification system. This paper introduces the role functions and professional growth of informatics nurses and introduces the framework for a certification system in order to give to various medical and paramedical staffs a better understanding of informatics nursing and to recognize the important role played by informatics nurses in the process of healthcare informatics development.
PMID: 26073953 [PubMed - indexed for MEDLINE]
The EHR in the room.
Nursing. 2015 May;45(5):8
Authors: Pendersen C
PMID: 26052597 [PubMed - indexed for MEDLINE]
Nursing informatics leadership: Helping craft the profession's future.
Nursing. 2014 Dec;44(12):23-4
Authors: Parker CD
PMID: 25406778 [PubMed - indexed for MEDLINE]
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]