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]
Mobile applications in nursing education and practice.
Nurse Educ. 2014 Jul-Aug;39(4):166-9
Authors: Airth-Kindree N, Vandenbark RT
Students in an RN-BSN completion program capstone course investigated and critically evaluated mobile medical applications using an information literacy conceptual framework. Students also analyzed their potential usefulness as a resource in nursing practice. Student evaluations focused on usability and applicability when recommending the use of mobile applications as a point-of-care reference tools. This pilot assignment offers an innovative teaching strategy for integrating 1 aspect of informatics instruction into the nursing curriculum.
PMID: 24937293 [PubMed - indexed for MEDLINE]
Evaluating the use of a simulated electronic health record and online drug reference in a case study to enhance nursing students' understanding of pharmacologic concepts and resources.
Nurse Educ. 2014 Jul-Aug;39(4):160-5
Authors: Vana KD, Silva GE
Nursing students should learn to navigate the complexities of the healthcare arena, such as integrating use of electronic health records (EHRs) and online drug references into patient care. Using a simulated EHR in a nursing pharmacology course allowed students to interact with these technologies while learning and applying pharmacologic concepts to a case study. The authors discuss how they created and facilitated such a case study, as well as students' outcomes.
PMID: 24937292 [PubMed - indexed for MEDLINE]
Nurse scientists' information literacy is supported by librarians.
Clin Nurs Res. 2014 Feb;23(1):3-6
Authors: Cacchione PZ, Zurkowski PG
PMID: 24459119 [PubMed - indexed for MEDLINE]
Challenges and facilitators to nurse use of a guideline-based nursing information system: recommendations for nurse executives.
Appl Nurs Res. 2014 Feb;27(1):25-32
Authors: Sockolow PS, Rogers M, Bowles KH, Hand KE, George J
AIMS: The aims of this study were to develop empirical data on how nurses used an evidenced-based nursing information system (NIS) and to identify challenges and facilitators to NIS adoption for nurse leaders.
BACKGROUND: The NIS was part of the electronic health record with 200 evidence-based, interdisciplinary clinical practice guidelines from which clinicians selected to guide the patient's care.
METHODS: A purposeful sample of 12 randomly selected nurses in three units across two hospitals participated in scenario-testing. Sessions were audio-recorded, transcribed, content analyzed, and coded for themes.
RESULTS: Major themes emerged: computer placement in patient rooms; difficulty using NIS; documentation completeness; efficiency; time spent at the bedside; team communication; training; unintended consequences of workflow changes; perceived NIS value as challenge to adoption.
CONCLUSIONS: Nurse executives' opportunities to improve adoption include enhancing communication to/from front-line clinicians about the hospitals' goals, perceived NIS value at the bedside, and constructive feedback especially for patient care/safety and software functionality.
PMID: 24360777 [PubMed - indexed for MEDLINE]
The influences of computer system success and informatics competencies on organizational impact in nursing environments.
Comput Inform Nurs. 2014 Feb;32(2):90-9
Authors: Lin HC, Hsu MH, Yang CW
The previous literature provides evidence that the characteristics of a successful computer system and the informatics competencies of individuals play a critical role in the adoption of information technology. However, while the combined effects of the two may provide a comprehensive view in understanding nursing informatics research, they have rarely been studied simultaneously. Therefore, this study aimed to examine the influences of computer system success and informatics competencies on nursing organizational impact. We surveyed 454 nurses who worked at international patient centers in Taiwan. The results show that both nurses' informatics competencies and nursing computer system success do have influence on nursing organizational impact. Moreover, nurses' informatics competencies have a greater effect than the superior characteristics of a nursing computer system on nursing organizational performance. Finally, implications for practitioners complete this study.
PMID: 24132084 [PubMed - indexed for MEDLINE]
An investigation into the attitudes of nursing students toward technology.
J Nurs Res. 2014 Jun;22(2):119-25
Authors: Tubaishat A
BACKGROUND: Attitudes toward technology may impact the levels of technology acceptance and training willingness among nursing students. Nurse acceptance and effective utilization of technology are critical to improving patient care and safety.
PURPOSE: The aims of this cross-sectional study were to measurethe attitude of nursing students toward technology and to determine if demographic characteristics affect their attitudinal measures. Furthermore, the amount of formal education provided on the use of technology applications is explored.
METHODS: A convenience sample of nursing students attending a public university in Jordan was recruited, and a technology attitude scale designed to measure the attitude of nursing students toward technology was used. Scales designed to gather data on participant demographics, self-reported technology skills, and level of formal technology education were also used.
RESULTS: The results showed that participants held a positive attitude toward technology. Students who reported a high level of technology skill had the most positive attitude toward technology. The impact years of formal education on the use of technology applications were low, whereas academic level had a significant impact on technology attitudes. Senior student participants had the highest level of technology education, likely because of their exposure to relatively more educational opportunities, and the most positive attitude toward technology.
CONCLUSIONS: Despite the positive attitude of nursing students toward technology, the problem of minimal technology education should be addressed in future nursing programs to further enhance positive attitudes toward technology.
PMID: 24821419 [PubMed - indexed for MEDLINE]
[Methodological approach for the development of terminology subsets ICNP®: an integrative review].
Rev Esc Enferm USP. 2014 Dec;48(6):1119-26
Authors: Clares JW, Freitas MC, Guedes MV
OBJECTIVE: To analyze the methodological aspects used for the preparation of terminology subsets of the International Classification for Nursing Practice (ICNP®), in dissertations and theses in the Brazilian nursing.
METHOD: This is an integrative review of the Brazilian dissertations and theses defended in the period from 2007 to 2013, which were included seven dissertations.
RESULTS: The increasing production of studies on the theme by Brazilian nurses shows a concern for a unified language for the profession. However, the results demonstrate the lack of uniformity in the conduct of studies, especially in relation to the stages of content validation. The initiatives of some authors to systematize alternative methods for creating these subsets also stood out.
CONCLUSION: We suggest the development of new terminology subsets, following standards of methodological rigor, as well as its application and validation by the selected clientele, to ensure greater reliability of results and desired changes for the profession.
PMID: 25626513 [PubMed - indexed for MEDLINE]