Nursing information and the use of electronic health records.
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Biomedical subjects
Publications and source records attributed to E J Hovenga.
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Health informatics education has evolved since the 1960s with a strong research foundation primarily in medical schools across the USA and Europe. By 1989 health informatics education was provided in some form by at least 20 countries representing five continents. This continues to progress, in Europe with the help of a number of special projects, via the integration of informatics into pre registration health professional courses, undergraduate and post graduate course work and research degree programs. Each program is unique in terms or content and structure reflecting the many foundation disciplines which contribute or are incorporated in the health informatics discipline. Nursing informatics education is not as widespread. Indeed the evidence suggests a poor uptake of informatics by this profession. Advances in computer based educational technologies are making innovative modes of educational delivery possible and are facilitating a shift towards learner centred, flexible and life long learning. Greater cooperation between Universities is recommended.
Central Queensland University is a well-established distance education provider with an internationally recognized reputation in flexible learning. It has a well-developed infrastructure for the preparation of quality print and multimedia learning materials. A symposium and working conference linking twelve sites, including Auckland NZ via video conferencing, and supported by print based materials and web based conferencing was held during November 1998 with the assistance of Telstra's Conferlink. This paper provides the background, organisation, and evaluation results. Our conclusions are that appropriate use of a combination of print based materials, videoconferencing and a web based classroom works well for the provision of continuing education to health professionals. In addition this symposium was able to reach clinicians and demonstrate the value of informatics to support evidence based practice.
Health and Medical informatics is a discipline encompassing and combining aspects of all health, medical and informatics disciplines. Consequently, the topics to be covered in any educational program can vary considerably both in depth and breadth. Given that such programs need to meet the needs of a very diverse health professional workforce, educators need to develop curricula to suit specific target groups although common topic areas need to be included. This paper presents the state of play regarding nursing informatics education. It discusses informatics education for health service managers primarily in Australia through the use of a case study and compares these with some other similar programs. It then explores some of the issues encountered which are seen as impediments to the progression of health and medical informatics education, the most significant of which is traditional University organisational structures which do not readily facilitate multidisciplinary educational programs.
In a global information society all students regardless of discipline need to have or acquire basic computing and information literacy skills. The Faculty of Health Science at the Central Queensland University now includes a compulsory and introductory course in Health Informatics at the undergraduate level for all its first year students to meet these educational needs for the future health industry workforce. This paper describes the teacher and student lived experiences encountered throughout the concurrent use of a variety of delivery modes to teach an introductory unit of health informatics to this varied student population. It will include a discussion about the unit itself, educational philosophy adopted, strengths and weaknesses of the technologies and delivery methods adopted and the results of the student evaluation.
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This paper provides an overview of casemix development and usage in Australia and reviews the process undertaken to design a graduate subject to educate clinicians and managers on the potential use of casemix data to support decision making. The aim of the subject is to enable hospital staff to identify critical casemix information needs, evaluate and select suitable software, analyze and interpret hospital input and output relationships using casemix based information systems, and use the results to establish decision support information requirements. The paper also describes the content and method of delivery of the new subject, available in several graduate programs and also through CQU's continuing education program. This work was undertaken to meet the objectives of a Commonwealth funded Casemix Study Grant.
Both consumers and health service providers need access to up-to-date information, including patient and practice guidelines, that allows them to make decisions in partnership about individual and public health in line with the primary health care model of health service delivery. Only then is it possible for patient preferences to be considered while the health of the general population is improved. The Commonwealth Government of Australia has allocated $250 million over five years, starting July 1, 1997, to support activities and projects designed to meet a range of telecommunication needs in regional, rural, and remote Australia. This paper defines rural and remote communities, then reviews rural and remote health services, information, and telecommunication technology infrastructures and their use in Australia to establish the current state of access to information tools by rural and remote communities and rural health workers in Australia today. It is argued that a suitable telecommunication infrastructure is needed to reach disadvantaged persons in extremely remote areas and that intersectoral support is essential to build this infrastructure. In addition, education will make its utilization possible.
The development of nursing informatics in Australia began around 1984 and has had a tortuous history. Nevertheless, it has helped create awareness of the discipline of informatics and the technology available. Nurses have been important in stimulating interest in health informatics throughout the country. This paper discusses nursing informatics in Australia in terms of historical roots, professional organizations, education, work experience, research, and government programs.