Automating lexical cross-mapping of ICNP to SNOMED CT.
Inform Health Soc Care. 2016;41(1):64-77
Authors: Kim TY
OBJECTIVES: The purpose of this study was to examine the feasibility of automating lexical cross-mapping of a logic-based nursing terminology (ICNP) to SNOMED CT using the Unified Medical Language System (UMLS) maintained by the U.S. National Library of Medicine.
METHODS: A two-stage approach included patterns identification, and application and evaluation of an automated term matching procedure. The performance of the automated procedure was evaluated using a test set against a gold standard (i.e. concept equivalency table) created independently by terminology experts.
RESULTS: There were lexical similarities between ICNP diagnostic concepts and SNOMED CT. The automated term matching procedure was reliable as presented in recall of 65%, precision of 79%, accuracy of 82%, F-measure of 0.71 and the area under the receiver operating characteristics (ROC) curve of 0.78 (95% CI 0.73-0.83). When the automated procedure was not able to retrieve lexically matched concepts, it was also unlikely for terminology experts to identify a matched SNOMED CT concept.
CONCLUSIONS: Although further research is warranted to enhance the automated matching procedure, the combination of cross-maps from UMLS and the automated procedure is useful to generate candidate mappings and thus, assist ongoing maintenance of mappings which is a significant burden to terminology developers.
PMID: 25115967 [PubMed - indexed for MEDLINE]
[Technological competencies in cardiovascular nursing education].
Rev Esc Enferm USP. 2015 Dec;49(6):974-80
Authors: Kobayashi RM, Leite MM
OBJECTIVE: To identify the perception of the coordinators of the Specialization Courses in Cardiovascular Nursing about inserting content from Information and Communication Technology (ICT) and analyze them in relation to the technological competencies and regarding its applicability, relevance and importance in assisting, teaching and management.
METHOD: Descriptive study with 10 coordinators of the Specialization course in Cardiologic Nursing, who replied to the questionnaire for the development of technological competency adapted from the Technology Initiative Guidelines Education Reforms (TIGER), and analyzed using the Delphi technique for obtaining consensus and scored according to the relevance, pertinence and applicability using Likert scale according to degree of agreement.
RESULTS: Six courses developed ICT content. The contents of the TIGER were considered relevant, pertinent and applicable.
CONCLUSION: The coordinators recognize the need for technological competencies of the Cardiovascular Nurse for healthcare applicability.
PMID: 27419682 [PubMed - indexed for MEDLINE]
The promise of big data: Improving patient safety and nursing practice.
Nursing. 2016 May;46(5):28-34; quiz 34-5
Authors: Linnen D
PMID: 27028568 [PubMed - indexed for MEDLINE]
[Informatics competencies essential to decision making in nursing management].
Rev Esc Enferm USP. 2016 Feb;50(1):112-20
Authors: Jensen R, Guedes Ede S, Leite MM
OBJECTIVE: To identify informatics abilities essential to decision making in nursing management.
METHOD: Survey study with specialist nurses in health informatics and management. An electronic questionnaire was built based on the competencies Information Literacy (five categories; 40 abilities) and Information Management (nine categories; 69 abilities) of the TIGER - Technology Informatics Guiding Education Reform - initiative, with the guiding question: Which informatics abilities are essential to decision making in management? Answers were sorted in a Likert scale, ranging from 1 to 5. Rasch analysis was conducted with the software WINSTEPS(®). Results were presented in logits, with cutoff value zero.
RESULTS: Thirty-two specialists participated, coming from all regions of Brazil. In the information literacy competency, 18 abilities were considered essential and in Information Management, 38; these were sorted according to their degree of essentiality.
CONCLUSION: It is believed that the incorporation of these abilities in teaching can support the education of nurse managers and contribute to evidence-based practice, incorporation of information and communication technologies in health and information management.
PMID: 27007428 [PubMed - indexed for MEDLINE]
The Usage Behavior and Intention Stability of Nurses: An Empirical Study of a Nursing Information System.
J Nurs Res. 2016 Mar;24(1):48-57
Authors: Lin IC, Lin C, Hsu CL, Roan J, Yeh JS, Cheng YH
BACKGROUND: Many prior studies of technology adoption treat user intention as the single predictor of actual usage behavior. However, as many researchers of behavioral science have pointed out, multiple factors mediate the relationship between user intention and usage behavior.
PURPOSE: The present article explores the factors that mediate the relationship between intention and actual behavior. We develop a conceptual framework that is based on the Technology Acceptance Model III and behavior theory to further elicit system usage behavior and to confirm "intention stability" and "past experience" as two significant mediating factors in this relationship.
METHODS: The target system was a nursing information system that had been recently adopted by a medical center in central Taiwan. Data were collected using a questionnaire survey conducted in two rounds. Two hundred forty-five valid questionnaires were returned (response rate: 49%). Mediated moderation was analyzed to explore the presence of mediators or moderators between intention and behavior.
RESULTS: The results support that intention stability is a mediated moderator and that prior experience is a moderator of the relationship between intention and behavior. These two factors increased by over 13.6% the explanatory power of intention on actual behavior. Furthermore, this study expanded the scope of prior research by confirming intention stability as a moderating variable between intention and behavior. Finally, this study identified the moderating effect of past experience on the intention-behavior relationship, indicating that past experience enhances the predictive power of intention on behavior.
CONCLUSIONS/IMPLICATIONS FOR PRACTICE: The findings of this study may assist hospital managers to better understand the nursing information system usage behaviors of nursing staff and to develop ways to enhance the intention stability of these staff. Managers may improve the familiarity of nursing staff with the system by increasing their system-related practice time. More experience should enhance staff system skills and resolve problems such as the need for extra work hours or overtime because of initial system unfamiliarity. Improved work efficiency should then allow nurses to divert more time from administrative work to patient care and training. This positive circle of support is expected to increase the willingness of nurses to accept and take advantage of the system.
PMID: 26551211 [PubMed - indexed for MEDLINE]
[Usability of computerized nursing process from the ICNP® in intensive care units].
Rev Esc Enferm USP. 2015 Apr;49(2):326-34
Authors: Barra DC, Sasso GT, Almeida SR
OBJECTIVE: To analyze the usability of Computerized Nursing Process (CNP) from the ICNP(®) 1.0 in Intensive Care Units in accordance with the criteria established by the standards of the International Organization for Standardization and the Brazilian Association of Technical Standards of systems.
METHOD: This is a before-and-after semi-experimental quantitative study, with a sample of 34 participants (nurses, professors and systems programmers), carried out in three Intensive Care Units.
RESULTS: The evaluated criteria (use, content and interface) showed that CNP has usability criteria, as it integrates a logical data structure, clinical assessment, diagnostics and nursing interventions.
CONCLUSION: The CNP is a source of information and knowledge that provide nurses with new ways of learning in intensive care, for it is a place that provides complete, comprehensive, and detailed content, supported by current and relevant data and scientific research information for Nursing practices.
PMID: 25992833 [PubMed - indexed for MEDLINE]
[Clarifying the goals of the research and selecting information sources].
Pflege Z. 2016 May;69(5):300-1; quiz 302
Authors: Messer M
PMID: 27501671 [PubMed - indexed for MEDLINE]
'The data is being collected--now it needs to move'.
Mod Healthc. 2016 Mar 7;46(10):30-1
Authors: DeSalvo K, Conn J
PMID: 27333672 [PubMed - indexed for MEDLINE]
Bibliometric Patterns of Research Literature Production on Nursing Informatics Competence.
J Nurs Educ. 2015 Oct;54(10):565-71
Authors: Kokol P, Vošner HB, Železnik D, Vošner J, Saranto K
BACKGROUND: Nursing informatics competence is a prerequisite for successful information management, evidence-based practices optimizing patient care health promotion, and communication with information communication technology-literate patients.
METHOD: The aim of this study was to assess the trends in the production of nursing informatics competence research literature and to identify the most productive bibliometric entities. In addition to the correspondence analysis, bibliometric analysis and mapping were used to achieve the aim.
RESULTS: A total of 366 information sources were extracted, 14.5% of which were sponsored studies. The production of research literature on nursing informatics competence is growing, but this research is only occasionally published in the most recognized nursing journals.
CONCLUSION: Identifying where the intensive research on nursing informatics competence is beneficial to care for the patient of the future and building user-friendly online lifelong learning platforms, where a required level of nursing informatics competence could be acquired, are two gaps in the current research that should be covered in future.
PMID: 26431516 [PubMed - indexed for MEDLINE]
Research in nursing informatics 2014.
Nurs Adm Q. 2015 Apr-Jun;39(2):E9-E16
Authors: Carrington JM, Tiase VL, Estrada N, Shea KD
This article reflects the work done in the third year of the Nursing Informatics Year in Review project. This project seeks to search and analyze articles written by nurses as first author on the subject of nursing informatics, published August 2013-August 2014. Each year we also seek recommended articles from our American Medical Informatics Association-Nursing Informatics Work Group (AMIA-NIWG) members that meet the same criteria as the search and most influenced their thinking and scholarship. Twenty-seven articles emerged from the literature review, and our AMIA-NIWG members recommended 32 articles. We analyzed the articles by journal of publication, country of first author, source of funding, research method, research setting, and area of focus. The purpose of this article was to present the results of this project for 2014.
PMID: 25714959 [PubMed - indexed for MEDLINE]
Summary of the nursing informatics year in review 2014.
Nurs Adm Q. 2015 Apr-Jun;39(2):183-4
Authors: Carrington JM
PMID: 25714957 [PubMed - indexed for MEDLINE]
[Evaluation of the computerized system of continuing education in nursing].
Rev Bras Enferm. 2014 May-Jun;67(3):457-61
Authors: Casteli CP, Casteli C, Leite MM
This study aimed to evaluate the data in the Computer System of Continuing Education in Nursing (SIEC), from the perspective of nurse specialists. In this exploratory study, seven experts attributed relevance / priority to the data set, through a questionnaire. The SIEC data set was evaluated with 70% of opinions, which confirms the user's satisfaction with respect to the content of the system, according to the Brazilian standard ISO / IEC 14598-1. Professional categories, institution and scientific production, data of technical visiting and professional skills of the teaching activity category, and the assessment report of the student category assessment were scored with borderline percentage of 71% (n=5). It was concluded that the SIEC data set is relevant / priority for Continuing Education Service, constituting a minimum data set required for this service.
PMID: 25054710 [PubMed - indexed for MEDLINE]
[Planning With Nanda, Noc, Nic Taxonomies In Neurologic Rehabilitation. A clinical study].
Prof Inferm. 2015 Jul-Sep;68(3):163-8
Authors: Iori A, Foracchia M, Gradellini C
INTRODUCTION: Nursing classifications identify a specific professional responsibility, increase nursing visibility, according with nursing evolution of these last years.
OBJECTIVE: To evaluate care planning with NANDA taxonomy in neurologic rehabilitation context.
METHOD: Care plan managing with NANDA taxonomy, regarding diagnosis of constipation and impaired skin integrity, using a computerized tool for systematically observation, organized in check list.
RESULTS: Registered data with taxonomy planning are higher in quantitative and qualitative terms. For most of patients (87%) one diagnosis has been opened, both diagnosis for 60% of them.
CONCLUSION: Nursing care plan with NANDA taxonomy can be considered a valid methodology of care for neurologic patient, this since it requests a deep and complete registration of first assessment a systematically registration of each monitoring, it increases visibility of nursing job, and it underlines specific autonomy and responsibility in prevention and management of problems.
PMID: 26749548 [PubMed - indexed for MEDLINE]
Nurses told to engage more with technology.
Nurs Times. 2016 May 25-Jun 14;112(21-23):4
PMID: 27396083 [PubMed - indexed for MEDLINE]
[Pragmatically finding trustworthy literature on the internet].
Pflege Z. 2016 Apr;69(4):226-30
Authors: Burckhardt M, Langer G
PMID: 27214952 [PubMed - indexed for MEDLINE]
Faculty and organizational characteristics associated with informatics/health information technology adoption in DNP programs.
J Prof Nurs. 2014 Jul-Aug;30(4):292-9
Authors: Fulton CR, Meek JA, Walker PH
Nursing informatics/health information technology are key components of graduate nursing education and an accreditation requirement, yet little is known about the extent to which doctor of nursing practice (DNP) curricula include these content domains. The purpose of this descriptive study was to elicit perceptions of DNP program directors relative to (a) whether and how the American Association of Colleges of Nursing's (AACN's) Essential IV standard has been met in their DNP programs; (b) whether the Technology Informatics Guiding Educational Reform Initiative Foundation's Phase II competencies have been integrated in their programs; and (c) the faculty and organizational characteristics associated with the adoption of the AACN's Essential IV. In 2011, an electronic survey was sent to all 138 DNP program directors identified on the AACN Web site with an 81.2% response rate. Findings include variation in whether and how programs have integrated informatics/health information technology content, a lack of informatics-certified and/or master's-prepared faculty, and a perceived lack of faculty awareness of informatics curricular guidelines. DNP program director and dean awareness and support of faculty informatics education, use of informatics competency guidelines, and national policy and stimulus funding support are recommended to promote curricular inclusion and the engagement of nurses in strong informatics practices.
PMID: 25150414 [PubMed - indexed for MEDLINE]
Big data, data science, and big contributions.
Nurs Outlook. 2016 Mar-Apr;64(2):113-4
Authors: Broome ME
PMID: 26968085 [PubMed - indexed for MEDLINE]
Advanced nursing practice and research contributions to precision medicine.
Nurs Outlook. 2016 Mar-Apr;64(2):117-23
Authors: Williams JK, Katapodi MC, Starkweather A, Badzek L, Cashion AK, Coleman B, Fu MR, Lyon D, Weaver MT, Hickey KT
BACKGROUND: Genomic discoveries in the era of precision medicine hold the promise for tailoring healthcare, symptom management, and research efforts including targeting rare and common diseases through the identification and implementation of genomic-based risk assessment, treatment, and management. However, the translation of these discoveries into tangible benefits for the health of individuals, families, and the public is evolving.
PURPOSE: In this article, members of the Genetics Expert Panel identify opportunities for action to increase advanced practice nursing and research contributions toward improving genomic health for all individuals and populations.
DISCUSSION: Identified opportunities are within the areas of: bolstering genomic focused advanced practice registered nurse practice, research and education efforts; deriving new knowledge about disease biology, risk assessment, treatment efficacy, drug safety and self-management; improving resources and systems that combine genomic information with other healthcare data; and advocating for patient and family benefits and equitable access to genomic healthcare resources.
PMID: 26712384 [PubMed - indexed for MEDLINE]
Toward Interoperability: A New Resource to Support Nursing Terminology Standards.
Comput Inform Nurs. 2015 Dec;33(12):515-9
Authors: Warren JJ, Matney SA, Foster ED, Auld VA, Roy SL
PMID: 26678815 [PubMed - indexed for MEDLINE]