Response to a mobile health decision-support system for screening and management of tobacco use.
Oncol Nurs Forum. 2014 Mar 1;41(2):145-52
Authors: Cato K, Hyun S, Bakken S
PURPOSE/OBJECTIVES: To describe the predictors of nurse actions in response to a mobile health decision-support system (mHealth DSS) for guideline-based screening and management of tobacco use.
DESIGN: Observational design focused on an experimental arm of a randomized, controlled trial.
SETTING: Acute and ambulatory care settings in the New York City metropolitan area.
SAMPLE: 14,115 patient encounters in which 185 RNs enrolled in advanced practice nurse (APN) training were prompted by an mHealth DSS to screen for tobacco use and select guideline-based treatment recommendations.
METHODS: Data were entered and stored during nurse documentation in the mHealth DSS and subsequently stored in the study database where they were retrieved for analysis using descriptive statistics and logistic regressions.
MAIN RESEARCH VARIABLES: Predictor variables included patient gender, patient race or ethnicity, patient payer source, APN specialty, and predominant payer source in clinical site. Dependent variables included the number of patient encounters in which the nurse screened for tobacco use, provided smoking cessation teaching and counseling, or referred patients for smoking cessation for patients who indicated a willingness to quit.
FINDINGS: Screening was more likely to occur in encounters where patients were female, African American, and received care from a nurse in the adult nurse practitioner specialty or in a clinical site in which the predominant payer source was Medicare, Medicaid, or State Children's Health Insurance Program. In encounters where the patient payer source was other, nurses were less likely to provide tobacco cessation teaching and counseling.
CONCLUSIONS: mHealth DSS has the potential to affect nurse provision of guideline-based care. However, patient, nurse, and setting factors influence nurse actions in response to an mHealth DSS for tobacco cessation.
IMPLICATIONS FOR NURSING: The combination of a reminder to screen and integration of guideline-based recommendations into the mHealth DSS may reduce racial or ethnic disparities to screening, as well as clinician barriers related to time, training, and familiarity with resources.
PMID: 24578074 [PubMed - indexed for MEDLINE]
[International classification of functioning, disability and health: use in nursing care for the elderly].
Rev Bras Enferm. 2013 Sep-Oct;66(5):789-93
Authors: Santos SS, Lopes MJ, Vidal DA, Gautério DP
The objective was to reflect on the International Classification of Functioning, Disability and Health and its use in nursing care for the elderly. It was conducted a brief history of the Classification; it was addressed the functional assessment of the elderly and importance to the proper planning to care actions; and it was showed the applicability of the International Classification of Functioning, Disability and Health by nurses. The classification is able to direct the functional assessment of the elderly, by the nurses, making the integral, realizing this human being as having a body, with needs to perform activities and participation, and belonging to a context /environment.
PMID: 24217765 [PubMed - indexed for MEDLINE]
[A new vision of nursing: the evolution and development of nursing informatics].
Hu Li Za Zhi. 2014 Aug;61(4 Suppl):78-84
Authors: Feng RC, Yeh YT
Technology development trends in the 21st century are increasingly focused on the development of interdisciplinary applications. Advanced information technology may be applied to integrate nursing care information, simplify nursing processes, and reduce the time spent on work tasks, thereby increasing the amount of time that clinical personnel are available to care for patients and ensuring that patients are provided with high-quality and personalized care services. The development of nursing information began in Taiwan in 2003 and has since expanded and thrived. The ability of nursing information to connect formerly insular national nursing communities promotes the international visibility of Taiwan. The rapid development of nursing information in Taiwan, resulting in the production of informative and outstanding results, has received worldwide attention. The Taiwan Nursing Informatics Association was established in 2006 to nurture nursing information professionals, develop and apply information technology in the health care domain, and facilitate international nursing information exchanges. The association actively promotes nursing information in the areas of administration, education, research, and clinical practice, thereby integrating nursing with empirical applications to enhance the service quality and management of nursing and increase the benefits of nursing teaching and research. To convert information into knowledge, the association develops individualized strategies for managing mobile care and employs an interagency network to exchange and reintegrate resources, establishing active, intelligent nursing based on network characteristics and an empirical foundation. The mid- and long-term objectives of the association involve introducing cloud computing and facilitating the meaningful use of nursing information in both public and government settings, thereby creating a milestone of developing and expanding nursing information unique to Taiwan.
PMID: 25125162 [PubMed - indexed for MEDLINE]
State boards of nursing and the bridge to quality.
J Nurs Educ. 2014 Jul 1;53(7):379-86
Authors: Meyer G, Moran V, Cuvar K, Carlson JH
The 2003 Institute of Medicine report, Health Professions Education: A Bridge to Quality, delineated a set of core competencies for health care professionals-providing patient-centered care, working in interdisciplinary teams, using evidence-based practice, applying quality improvement processes, and using informatics. The purpose of this study is to examine the extent to which these core competencies have been incorporated in the rules and regulations of state boards of nursing in the United States as required curricular content for professional nursing programs. A research team compiled state boards of nursing regulations related to prelicensure nursing curricula from all 50 states, and content analysis was performed. Eight states incorporated all five competencies in their regulations. Other states incorporated some of the five competencies; evidence-based practice and informatics were the competencies most frequently excluded from state regulations. The lack of emphasis on these competencies has implications for the ongoing development of the profession of nursing.
PMID: 24971732 [PubMed - indexed for MEDLINE]
The connected age: big data & data visualization.
Nurs Educ Perspect. 2014 Jul-Aug;35(4):267-8
Authors: Skiba DJ
PMID: 25158424 [PubMed - indexed for MEDLINE]
Survey: digital health tools making a difference.
Can Nurse. 2014 Jun;110(5):8-9
PMID: 25076563 [PubMed - indexed for MEDLINE]
[Spitex: potential savings with informatics].
Krankenpfl Soins Infirm. 2014;107(6):30-1
Authors: von Dewitz M
PMID: 24964595 [PubMed - indexed for MEDLINE]
Nurs Womens Health. 2014 Feb-Mar;18(1):87-8
Authors: Chichester M
PMID: 24548504 [PubMed - indexed for MEDLINE]
Transmission of hepatitis C from a midwife to a patient through non-exposure prone procedures.
J Med Virol. 2014 Feb;86(2):235-40
Authors: Muir D, Chow Y, Tedder R, Smith D, Harrison J, Holmes A
A woman developed acute hepatitis C (HCV) infection 2 months after delivering her baby at a London Hospital. The other patients who had been on the unit at the same time all had negative HCV serology antenatally. Testing of the healthcare workers who had been involved in this patient's care revealed that one of the midwives who only worked on the postnatal unit was chronically infected with the same viral genotype. Sequencing and phylogenetic analysis revealed close identity between the viruses from the two individuals. Although, the midwife had only performed non-exposure prone procedures including venepuncture and cannulation, our findings indicate that transmission of the virus had occurred from the healthcare worker to the patient. The potential implications of this case within the setting of national policy on blood borne viruses and healthcare workers are discussed.
PMID: 24166559 [PubMed - indexed for MEDLINE]