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]
Nursing informatics practice in traditional hospital settings.
Nursing. 2014 Oct;44(10):18-20
Authors: Dieckhaus T
PMID: 25232976 [PubMed - indexed for MEDLINE]
A model for nurses seeking information using a scholarly information map.
Stud Health Technol Inform. 2013;192:1192
Authors: Tomita M, Iwasawa M
Nurses are required to obtain highly sophisticated scholarly information to contribute to the health of medical consumers through evidence-based practice (EBP). However, it is often difficult to constantly find appropriate information resources and conduct searches to obtain desired and useful information. Therefore, a system that can be used to find reliable information to satisfy the needs of clinical nurses is required. This study aimed to support nurses seeking information to aid their practice. We propose a model to support the information seeking of nurses using 2 scholarly information maps: a "Resource Map" and an "Individual Map." The Resource Map contains comprehensive information of special fields for nurses. Meanwhile, the Individual Map contains elements of case reports that help nurses to accurately specify a patient's condition. This model can help nurses develop a habit of using these maps for advancements in nursing.
PMID: 23920966 [PubMed - indexed for MEDLINE]
Long-term changes of information environments and computer anxiety of nurse administrators in Japan.
Stud Health Technol Inform. 2013;192:1047
Authors: Majima Y, Izumi T
In Japan, medical information systems, including electronic medical records, are being introduced increasingly at medical and nursing fields. Nurse administrators, who are involved in the introduction of medical information systems and who must make proper judgment, are particularly required to have at least minimal knowledge of computers and networks and the ability to think about easy-to-use medical information systems. However, few of the current generation of nurse administrators studied information science subjects in their basic education curriculum. It can be said that information education for nurse administrators has become a pressing issue. Consequently, in this study, we conducted a survey of participants taking the first level program of the education course for Japanese certified nurse administrators to ascertain the actual conditions, such as the information environments that nurse administrators are in, their anxiety attitude to computers. Comparisons over the seven years since 2004 revealed that although introduction of electronic medical records in hospitals was progressing, little change in attributes of participants taking the course was observed, such as computer anxiety.
PMID: 23920821 [PubMed - indexed for MEDLINE]
Usability of implementing a tablet-based decision support and integrated record- keeping (DESIRE) tool in the nurse management of hypertension in rural Kenya.
Stud Health Technol Inform. 2013;192:1002
Authors: Blank E, Tuikong N, Misoi L, Kamano J, Hutchinson C, Kimaiyo S, Fustera V, Were M, Vedanthan R
In sub-Saharan Africa (SSA), cardiovascular disease (CVD) is the leading cause of death among individuals over the age of 30. Hypertension, a major risk factor for CVD, contributes significantly to the CVD burden in SSA. In order to address the human resource challenge of managing hypertension in low- and middle-income countries (LMICs), task-shifting hypertension care from physicians to nurses has been proposed. To support this task-shifting strategy, the Academic Partnership Providing Access to Healthcare (AMPATH) has developed an Android tablet-based electronic Decision Support and Integrated Record-Keeping (DESIRE) tool to record patient data and assist with clinical decision-making. We investigated the usability of the DESIRE tool in the setting of nurse management of hypertension in rural western Kenya through the use of "mock patient" encounters and "think aloud" exercises. Fiftyseven critical incidents were identified and twenty-three design changes were suggested. Optimization of the tool has the potential to broadly impact treatment of non-communicable diseases in LMICs by providing a model of electronic decision-support in task shifting.
PMID: 23920776 [PubMed - indexed for MEDLINE]
Bridging nursing's digital generation gap.
Nurs Manage. 2014 Apr;45(4):12-4
Authors: Reinbeck DM, Fitzsimons V
PMID: 24662541 [PubMed - indexed for MEDLINE]
Interview with Linda Burnes Bolton, DrPH, RN, FAAN: American Organization of Nurse Executives, http://www.aone.org.
Comput Inform Nurs. 2014 Mar;32(3):108-9
Authors: Burnes Bolton L, Sensmeier J
PMID: 24783245 [PubMed - indexed for MEDLINE]
Interview with Vicki Vallejos, BSN, RN-BC: American Nursing Informatics Association (ANIA), http://www.ania.org/.
Comput Inform Nurs. 2014 Mar;32(3):105-7
Authors: Vallejos V, Sensmeier J
PMID: 24642857 [PubMed - indexed for MEDLINE]
Mobile nursing information system utilization: the task-technology fit perspective.
Comput Inform Nurs. 2014 Mar;32(3):129-37
Authors: Lin TC
Task-technology fit theory considers how technology may best be deployed to support individuals and facilitate the completion of tasks. This study separates the fit construct into the two realms of task-technology fit and technology-individual fit and integrates organization readiness with the objective of investigating the effectiveness of mobile nursing information systems in terms of helping nursing staff to accomplish daily clinical tasks. Study participants were clinical professionals with system usage experience who work at one medical center. Results indicated that technology-individual fit is the factor that most strongly influences usage, followed respectively by task-technology fit and organization readiness. Therefore, strategies designed to implement mobile nursing information systems should focus greater effort on fitting the system to system users by making these systems easy to learn and use, and training easy to complete. System functions should not only facilitate accomplishment of daily clinical tasks such as quickly obtaining information and accurate data but also be portable and provide a user-friendly, easy-to-operate interface. Organizational readiness, the commitment and support of top management, and nursing staff willingness to learn and use the new system are also important factors that influence system usage.
PMID: 24419090 [PubMed - indexed for MEDLINE]
Investigating the efficacy of an intelligent operation planning and support tool for acute healthcare contexts.
Stud Health Technol Inform. 2013;192:927
Authors: Wickramasinghe N, Kent B, Moghimi FH, Nguyen L, Redley B, Taylor N, Muhammed I, Botti M
Nurses are the largest group of healthcare professionals in hospitals providing 24-hour care to patients. Hence, nurses are pivotal in coordinating and communicating patient care information in the complex network of healthcare professionals, services and other care processes. Yet, despite nurses' central role in health care delivery, intelligent systems have historically rarely been designed around nurses' operational needs. This could explain the poor integration of technologies into nursing work processes and consequent rejection by nursing professionals. The complex nature of acute care delivery in hospitals and the frequently interrupted patterns of nursing work suggest that nurses require flexible intelligent systems that can support and adapt to their variable workflow patterns. This study is designed to explore nurses' initial reactions to a new intelligent operational planning and support tool (IOPST) for acute healthcare. The following reports on the first stage of a longitudinal project to use an innovative approach involving nurses in the development of the IOPST; from conceptualization to implementation.
PMID: 23920701 [PubMed - indexed for MEDLINE]
Nursing informatics and nursing ethics: addressing their disconnect through an enhanced TIGER-vision.
Stud Health Technol Inform. 2013;192:879-83
Authors: Kaltoft MK
All healthcare visions, including that of The TIGER (Technology-Informatics-Guiding-Educational-Reform) Initiative envisage a crucial role for nursing. However, its 7 descriptive pillars do not address the disconnect between Nursing Informatics and Nursing Ethics and their distinct communities in the clinical-disciplinary landscape. Each sees itself as providing decision support by way of information inputs and ethical insights, respectively. Both have reasons - ideological, professional, institutional - for their task construction, but this simultaneously disables each from engaging fully in the point-of-(care)-decision. Increased pressure for translating 'evidence-based' research findings into 'ethically-sound', 'value-based' and 'patient-centered' practice requires rethinking the model implicit in conventional knowledge translation and informatics practice in all disciplines, including nursing. The aim is to aid 'how nurses and other health care scientists more clearly identify clinical and other relevant data that can be captured to inform future comparative effectiveness research. 'A prescriptive, theory-based discipline of '(Nursing) Decisionics' expands the Grid for Volunteer Development of TIGER's newly launched virtual learning environment (VLE). This provides an enhanced TIGER-vision for educational reform to deliver ethically coherent, person-centered care transparently.
PMID: 23920684 [PubMed - indexed for MEDLINE]
International priorities for research in nursing informatics for patient care.
Stud Health Technol Inform. 2013;192:372-6
Authors: Dowding DW, Currie LM, Borycki E, Clamp S, Favela J, Fitzpatrick G, Gardner P, Hamer S, Hardiker N, Johnson O, Lawton R, O'Brien A, Randell R, Westbrook J, Whitewood-Moores Z, Dykes PC
The Nursing Informatics International Research Network (NIIRN) is a group of experts who are collaborating on the development of internationally relevant research programs for nursing informatics. In this paper we outline key findings of a survey exploring international research priorities for nursing informatics. The survey was available online during May-August 2012. Respondents were asked to rate each of 20 listed research topics in terms of respondent's views of its priority for nursing informatics research. 468 completed surveys were received representing respondents from six World Health Organization regions. The two most highly ranked areas of importance for research were development of systems to provide real time feedback to nurses and assessment of the impact of HIT on nursing care and patient outcomes. The lowest ranked research topics were theory development and integrating genomic data into clinical information systems. The identification of these priorities provides a basis for future international collaborative research in the field of nursing informatics.
PMID: 23920579 [PubMed - indexed for MEDLINE]
Integrating an academic electronic health record in a nursing program: creating a sense of urgency and sustaining change.
Nurse Educ. 2014 Sep-Oct;39(5):212-3
Authors: Titzer JL, Swenty CF
PMID: 25137446 [PubMed - indexed for MEDLINE]