Search PubMed⌕ Search

Biomedical subjects

N Staggers

Publications and source records attributed to N Staggers.

29 records · Page 2Linked to original sources
PubMedDate not supplied

An operational model for patient-centered informatics.

There are no multidisciplinary operational models to guide nursing informaticists and clinical system users in the design and implementation of computer-supported multidisciplinary care. The Patient-Centered Informatics Model is offered as just such a pragmatic guide. It fuses earlier work with new concepts and allows a visual depiction of crucial elements-influencing factors such as regulations and healthcare delivery models, system attributes such as healthcare delivery methods, knowledge base and supporting technology and categories of results of application processing. The model can help users and executives organize their thinking about the design, implementation, and evaluation of clinical systems in complex settings.

Computer Simulation↗
PubMedDate not supplied

Human factors. The missing element in computer technology.

Technology is currently more difficult to learn and use than it should be. However, with more attention to human factors, technology will be easier to use in the future. For more information about human factors in computer systems, the reader is referred to two very comprehendible texts: Ben Shneiderman's (1987) Designing the User Interface: Strategies for Effective Human-Computer Interaction or Baecker and Buxton's (1987) Readings in Human-Computer Interaction: A Multidisciplinary Approach. In addition, there is an extensive body of literature on the general subject of human factors.

Computers↗
PubMedDate not supplied

Communicating in the 1990s: a technology update.

With the variety of available technologies, choosing among them will be difficult at best. Waiting for integration and standardization among technologies may effectively eliminate a competitive edge and productivity improvements for health care organizations. Also, selecting which one communication technology is needed may not be the issue since several technologies likely are needed to solve different communication needs in organizations. One might begin to sort out options by performing an assessment of current communication patterns and deficiencies. Ideally, the assessment should be completed by someone who is able to assess needs over an entire organization, not just one service or one organizational level. The assessment should focus at least on some of the following questions. Are three major problems with staff or client communications? If staff-related, are primary needs interactive with routine communication needs? If they are interactive, time-sensitive, and inter-organizational then a form of video-conferencing may help. Short-term interactive needs might be met by leasing video-conferencing rooms. Long-term, time sensitive interactive needs might require PC-based video-conferencing, Non-time-sensitive, interactive, inter-organizational needs might be met with voice mail or e-mail, which allow some time-delayed but single-mode interactions. If communication needs are routine, one might examine how e-mail, or fax could help. If text-based paper traffic through the mail room is enormous or slow, e-mail may help. If communication among persons at any level of geographically separate organizations is needed, modem-based or public e-mail may be the answer.(ABSTRACT TRUNCATED AT 250 WORDS)

Computer Communication Networks↗
PubMedDate not supplied

A critical analysis of hardiness.

Hardiness is a construct with widespread appeal to nurse researchers. Of 97 papers reviewed, 35 were written by nurses. Because of its popularity, there is a pressing need to analyze hardiness carefully. This critical analysis of hardiness describes Kobasa's work as the foundation of hardiness research, provides a review of hardiness in the nursing literature, and recommends future hardiness research.

Adaptation, Psychological↗
PubMedDate not supplied

Nurse-computer interaction: staff performance outcomes.

The purpose of this study was to examine the relationship of nurses' cognitive and demographic characteristics to their information retrieval speed, accuracy, and subjective screen satisfaction during on-line interactions with three different computer screens. One hundred ten randomly selected female clinical nurses interacted with computer screens of varying information densities. Age, spatial memory, and spatial visualization were significant predictors for nurses' practiced and overall performance speeds. Age was an important variable across screens; the cognitive variables, however, differed according to screen types. Age was a predictor of nurses' practiced accuracy, while both age and spatial visualization predicted overall accuracy scores. Perceptual speed was not a significant predictor in any equations, and none of the nurse characteristics predicted subjective screen satisfaction.

Adult↗
PubMedDate not supplied

Description and initial applications of the Staggers & Parks Nurse-Computer Interaction Framework.

The authors developed a nurse-computer interaction framework by integrating concepts from human-computer interaction, nursing informatics, and developmental psychology. In this framework, nurses and computers interact in a system of mutual influences, with information being the medium of exchange between them. Nurse behaviors and computer interface actions occur according to their respective characteristics. In turn, the nurse-computer dyad is embedded within a nursing context and moves along a nursing informatics developmental trajectory. A sample of findings from empirical studies is placed in the framework, and framework uses are described.

Computer Simulation↗
PubMedDate not supplied

Strategies for successful clinical information system selection.

The CIS market is volatile. With consumer pressure to develop and the current interest in CISs, clinicians recommended reassessing the market again in 18 months. Even without fully mature systems, there are foundational CISs available on the market. Strategies for successful CIS selections are many: Decide to be a developer or buyer early in the process. Entering into a long-term relationship with a vendor to develop customized capabilities will mandate different requirements than purchasing a ready-to-use system. Use a systematic method for evaluating systems, preferably multimethod. Force structure into the evaluation process with vendors, especially for the system demonstration. Structure will ensure that each system function, or lack of function, is exposed and assessed and will allow for consistent and fair evaluations across vendors. Make the vendor commit to distinguishing between existing and proposed functions during system demonstrations. Often, vendors promise the very functions you want to be in the next release. Most vendors will cooperate with structured schedules. However, some vendors may resist structure because it interferes with marketing strategies. If, despite requests for specific materials and schedules, vendors fill the time with unsolicited material, ask yourself why and beware: they may not have the functions you requested. Use a brief clinical scenario as a preview into system functions, integration, and system usability. Ask vendors for conceptual models of system functional and technical architecture. Use an interdisciplinary team. Focus subgroups in specialty areas for efficiency and effectiveness in evaluation. Consider tape-recording the joint group sessions for later confirmation or analysis. Consider application integration as one of the major requirements for future CISs, especially between ambulatory and inpatient arenas.

Decision Making, Organizational↗
PubMedDate not supplied

Notes from a clinical information system program manager. A solid vision makes all the difference.

Today's CIS manager will create a vision that connects computerization in ambulatory, home and community-based care with increased responsibility for patients to assume self-care. Patients will be faced with a glut of information and they will need nursing help in determining the validity of information. The new vision in this environment will focus on integration, interoperability, and a new definition for patient-centered information. Creating a well-articulated vision is the first skill in the repertoire of a CIS manager's tool set. A vision provides the firm structure upon which the entire project can be built, and provides for links to life-cycle planning. This first step in project planning begins to bring order to the chaos of dynamic demands in clinical computing.

Administrative Personnel↗