NLM - Nursing Informatics

Subscribe to NLM - Nursing Informatics feed NLM - Nursing Informatics
NCBI: db=pubmed; Term="Nursing Informatics"[MeSH]
Updated: 4 hours 27 min ago

What Nurses Need to Know About Cybersecurity.

Tue, 2019-07-02 13:05
Related Articles

What Nurses Need to Know About Cybersecurity.

Am J Nurs. 2018 12;118(12):17-18

Authors: Stockwell S

Abstract
It's all part of protecting patients, and vigilance is key.

PMID: 30461482 [PubMed - indexed for MEDLINE]

Categories: nursing informatics

Computerization of primary health care in Brazil: the network of actors.

Tue, 2019-06-25 13:02
Related Articles

Computerization of primary health care in Brazil: the network of actors.

Rev Bras Enferm. 2019 Mar-Apr;72(2):337-344

Authors: Cavalcante RB, Esteves CJDS, Gontijo TL, Brito MJM, Guimarães EAA, Barbosa SP

Abstract
OBJECTIVE: To analyze the network of human and non-human actors involved in the computerization of primary health care in the Brazilian federal government.
METHOD: A qualitative study that used as a theoretical reference the actor-network theory and as a methodological reference the cartography of controversies. Data analysis was carried out using Gephi software, and through the extraction of reports, informed by the actor-network theory.
RESULTS: We found a network of 288 connections among 33 actors, composed mainly of nonhuman influencers of computerization. These actors are distributed throughout 3 inter-related communities, and manage the network by defining obligations, penalties, conflicts and intentionalities, thus influencing the success of the intended computerization.
FINAL CONSIDERATIONS: The network of actors at the federal level generates situations that, in many cases, hamper the successful implementation of a nationwide computerization strategy.

PMID: 31017194 [PubMed - indexed for MEDLINE]

Categories: nursing informatics

Across the Globe: Connected Care, Big Data, Interoperability.

Fri, 2019-06-14 18:54
Related Articles

Across the Globe: Connected Care, Big Data, Interoperability.

Nurs Educ Perspect. 2016 Sep/Oct;37(5):302-303

Authors: Skiba DJ

PMID: 27740571 [PubMed - indexed for MEDLINE]

Categories: nursing informatics

Informatics Competencies for Nurse Leaders: A Scoping Review.

Mon, 2019-06-03 18:46
Related Articles

Informatics Competencies for Nurse Leaders: A Scoping Review.

J Nurs Adm. 2019 Jun;49(6):323-330

Authors: Strudwick G, Nagle L, Kassam I, Pahwa M, Sequeira L

Abstract
OBJECTIVE: To consolidate informatics competencies for nurse leaders.
BACKGROUND: Nurses in leadership positions with financial and human resource responsibilities have the capacity to shape how technologies are selected, implemented, and used. Many nurse leaders are not equipped with the essential informatics competencies to do so effectively. There have been efforts to identify a set of standard informatics competencies that should be core to every nurse leader's suite of capabilities; nonetheless, these efforts have yet to be disseminated widely.
METHODS: A scoping review was conducted by: 1) identifying the research questions; 2) identifying relevant studies; 3) selecting studies; 4) extracting collected data; and 5) reporting the results.
RESULTS: Fifteen articles were found, and 11 competency themes related to informatics knowledge, informatics skills, and others were identified.
CONCLUSION: Findings of this review can be used to support nursing leaders in their identification of gaps in their informatics knowledge and skill.

PMID: 31135640 [PubMed - indexed for MEDLINE]

Categories: nursing informatics

[Establishing a Nursing Informatics System to Improve the Completion Rate of Computed Tomography Simulation With Contrast Injection].

Thu, 2019-05-23 12:39
Related Articles

[Establishing a Nursing Informatics System to Improve the Completion Rate of Computed Tomography Simulation With Contrast Injection].

Hu Li Za Zhi. 2018 Dec;65(6):78-86

Authors: Tseng PH, Jih YR, Yang CY

Abstract
BACKGROUND & PROBLEMS: Problems that influence the safety and quality of the patient-positioning process during computed tomography (CT) simulation with contrast injection include: 1) inconsistent and incomplete procedures performed by medical staffs, 2) poor prevention of developer leakage and handling of side-effects, and 3) the lack of a standardized protocol. Desire to improve this situation encouraged us to do this project. Adverse events during CT simulation with contrast injection procedures are largely attributable to the lack of a standardized nursing informatics system, with other causes including nurses incorrectly performing allergy history assessments, incorrect communications with the doctor due to verbal orders given by phone, failure to perform proper patient identification and intravenous catheterization procedures, lack of assessment and knowledge about contrasts, lack of guidelines for warming contrast in the incubator, and lack of oxygen and sputum suction equipment.
PURPOSE: To improve the rate of completion of CT simulation with contrast injection procedures from 65% to 95%.
RESOLUTION: This project was conducted between April 2016 and December 2016. Our strategy included establishing a nursing informatics system for the CT simulation with contrast injection process. This system included a standard patient-identification procedure, protocol for the correct placement of intravenous needles, standard specifications for the using an incubator with contrast, installation of oxygen and sputum suction equipment, and implementation of a nursing education and training program.
RESULTS: This project with associated strategies improved CT simulation with contrast injection completion rates in all domains from the original 65% to 95% at the end of the project period.
CONCLUSIONS: This project improved significantly the completion rates of the CT simulation with contrast injection process. We want to share this experience to help other hospitals and to improve patient safety and quality of care.

PMID: 30488415 [PubMed - indexed for MEDLINE]

Categories: nursing informatics

"Keeping You in the Know": The Effect of an Online Nursing Journal Club on Evidence-Based Knowledge Among Rural Registered Nurses.

Tue, 2019-05-07 12:26
Related Articles

"Keeping You in the Know": The Effect of an Online Nursing Journal Club on Evidence-Based Knowledge Among Rural Registered Nurses.

Comput Inform Nurs. 2019 Apr;37(4):190-195

Authors: DuGan JE

Abstract
The purpose of this research study was to promote and evaluate clinical scholarship in rural registered nurses through the dissemination of evidence-based practice findings via the development and implementation of an online nursing journal club. A simple pretest-posttest design was selected to implement this project. Along with descriptive data, survey data were analyzed using a paired t test. A convenience sample from a rural university nursing alumni email database spanning 2010-2011 and 2014-2016 was invited to participate. Three articles, one each month, were presented on the journal club Web site. Along with the 10-question pretest and posttest, the Evidence-Based Practice Questionnaire survey was completed after the third article posttest. By the end of the third month, 37 participants completed all three articles and Evidence-Based Practice Questionnaire survey. The results of the paired t tests all revealed a significant mean difference increase in knowledge from pretest to posttest (P < .05). In addition, the Evidence-Based Practice Questionnaire survey revealed that participants felt "good" about their knowledge of evidence-based practice related to areas such as reviewing practice skills, ability to identify gaps in practice, ability to analyze critical evidence, ability to determine how valid material is, and ability to apply information to individual cases.

PMID: 30688671 [PubMed - indexed for MEDLINE]

Categories: nursing informatics

Nurses "Seeing Forest for the Trees" in the Age of Machine Learning: Using Nursing Knowledge to Improve Relevance and Performance.

Tue, 2019-05-07 12:26
Related Articles

Nurses "Seeing Forest for the Trees" in the Age of Machine Learning: Using Nursing Knowledge to Improve Relevance and Performance.

Comput Inform Nurs. 2019 Apr;37(4):203-212

Authors: Kwon JY, Karim ME, Topaz M, Currie LM

Abstract
Although machine learning is increasingly being applied to support clinical decision making, there is a significant gap in understanding what it is and how nurses should adopt it in practice. The purpose of this case study is to show how one application of machine learning may support nursing work and to discuss how nurses can contribute to improving its relevance and performance. Using data from 130 specialized hospitals with 101 766 patients with diabetes, we applied various advanced statistical methods (known as machine learning algorithms) to predict early readmission. The best-performing machine learning algorithm showed modest predictive ability with opportunities for improvement. Nurses can contribute to machine learning algorithms by (1) filling data gaps with nursing-relevant data that provide personalized context about the patient, (2) improving data preprocessing techniques, and (3) evaluating potential value in practice. These findings suggest that nurses need to further process the information provided by machine learning and apply "Wisdom-in-Action" to make appropriate clinical decisions. Nurses play a pivotal role in ensuring that machine learning algorithms are shaped by their unique knowledge of each patient's personalized context. By combining machine learning with unique nursing knowledge, nurses can provide more visibility to nursing work, advance nursing science, and better individualize patient care. Therefore, to successfully integrate and maximize the benefits of machine learning, nurses must fully participate in its development, implementation, and evaluation.

PMID: 30688670 [PubMed - indexed for MEDLINE]

Categories: nursing informatics

Conditions for the Successful Implementation of Computer-Aided Drug Monitoring From Registered Nurses' Perspective-A Case Site Analysis.

Tue, 2019-05-07 12:26
Related Articles

Conditions for the Successful Implementation of Computer-Aided Drug Monitoring From Registered Nurses' Perspective-A Case Site Analysis.

Comput Inform Nurs. 2019 Apr;37(4):196-202

Authors: Johansson-Pajala RM

Abstract
This research addressed the introduction of a computerized decision support system for drug monitoring to be used by registered nurses in nursing homes. The system was introduced, and its effects were evaluated over the period of 1 year; however, at the end of 1 year, the implementation was not successful in all the participating settings. The aim of this study was to identify the conditions needed for the successful implementation of a computerized decision support system from the registered nurses' perspective. Two case sites were purposively selected based on the implementation's success in one nursing home, but not in the other. Focus group discussions were performed, one in each setting, with eight registered nurses. An inductive thematic analysis was conducted. The findings revealed six themes illustrating the registered nurses' views about the conditions needed: need to see benefits, have the time and take the time, curb administrative hassle, collaboration at all levels, stated responsibility, and requirements set from managerial positions. The most outstanding findings, when compared with the previous implementations of nursing informatics, involved collaboration and the view of drug monitoring responsibility in relation to themselves and the physicians.

PMID: 30589648 [PubMed - indexed for MEDLINE]

Categories: nursing informatics

Factors Affecting Consumer Acceptance of an Online Health Information Portal Among Young Internet Users.

Tue, 2019-05-07 12:26
Related Articles

Factors Affecting Consumer Acceptance of an Online Health Information Portal Among Young Internet Users.

Comput Inform Nurs. 2018 Nov;36(11):567

Authors:

PMID: 30399007 [PubMed - indexed for MEDLINE]

Categories: nursing informatics

Summer Institute in Nursing Informatics 2018 Balancing Digital Demands: Access, Use, Security.

Tue, 2019-05-07 12:26
Related Articles

Summer Institute in Nursing Informatics 2018 Balancing Digital Demands: Access, Use, Security.

Comput Inform Nurs. 2018 Nov;36(11):521-524

Authors: Seckman C

PMID: 30399005 [PubMed - indexed for MEDLINE]

Categories: nursing informatics