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Biomedical subjects

R Snyder-Halpern

Publications and source records attributed to R Snyder-Halpern.

At least 19 recordsLinked to original sources
PubMed2001

Indicators of organizational readiness for clinical information technology/systems innovation: a Delphi study.

The study presented in this article represents the second phase in a multi-phased research program focused on health care organization readiness for clinical information technology/system (IT/S) innovation. The overall purposes of this exploratory study were to: (1) validate the seven IT/S innovation readiness sub-dimensions of a heuristic organizational information technology/systems innovation model (OITIM) developed in phase one of the research program, and (2) identify indicators to assess the validated sub-dimensions. The study was conducted with an expert panel using a two-round modified Delphi technique. In Round #1, panelists supported retention of the OITIMs' seven theoretical IT/S innovation readiness sub-dimensions with an interrater agreement level range of 82-100%. Their sub-dimension importance ratings ranged from 3.27 to 3.72 (1=not important to 4=critically important) with the resources sub-dimension receiving the highest rating of 3.72. Panelists recommended that two sub-dimensions, 'Staffing and Skills' and 'Operations', be renamed to 'End-Users' and 'Management Structures', respectively, and that one sub-dimension, 'Administrative Support' be added. In Round #2, panelists identified a total of 316 indicators to assess the eight sub-dimensions. A two-step thematic analysis process was done with these indicators to reduce duplication and overlap. In Step 1, the investigator created ten preliminary theme categories per sub-dimension. In Step 2, a coding team categorized 279 (88%) of the 316 indicators into preliminary sub-dimension themes to create an organizational IT/S innovation readiness assessment taxonomy. This preliminary taxonomy was used to develop an organizational information technology/systems innovation readiness scale that is currently being pilot tested in phase three of the research program.

Delphi Technique↗
PubMed2001

History and trends in clinical information systems in the United States.

PURPOSE: To provide a synopsis of issues about clinical information systems for nurses not schooled in nursing informatics. ORGANIZING CONSTRUCT: The past, present, and future of clinical computing, including major factors resulting in the early hospital information systems (HIS) and decision support systems (DSS) in the United States, current advances and issues in managing clinical information, and future trends and issues. METHODS: Literature review and analysis. FINDINGS AND CONCLUSIONS: The first HIS and DSS were used in the late 1960s and were focused on applications for acute care. The change from fee-for-service to managed care required a change in the design of clinical information systems toward more patient-centered systems that span the care continuum, such as the computer-based patient record (CPR). Current difficulties with CPR systems include lack of systems integration, data standardization, and implementation. Increased advances in information and technology integration and increased use of the Internet for health information will shape the future of clinical information systems.

Decision Making, Computer-Assisted↗
PubMed2000

A clinical information system strategic planning model for integrated healthcare delivery networks.

As healthcare organizations are transformed into consolidated healthcare delivery networks, their success is increasingly dependent on the integration and effectiveness of their clinical information systems (CIS). Greater financial investments are being made in CIS products and services to support processes related to clinical care oversight, direct care delivery, and ancillary clinical services. To make good investment decisions, these enterprises must engage in a comprehensive strategic planning process that tightly links their healthcare delivery network clinical strategy, CIS strategic vision, and specific CIS investments. The authors illustrate the linkages among these three strategic planning stages through the application of a clinical information system strategic planning model to a case example.

Cardiovascular Diseases↗
PubMed2000

Comparison of mailed vs. Internet applications of the Delphi technique in clinical informatics research.

The Delphi technique provides a means of assessing the judgments of groups of experts without the necessity of having these experts meet together. The technique has been used in health care since the mid-1970s, and has just recently become more common in clinical informatics research. As informatics develops as a specialty, it is logical to consider information technology solutions to research as well as clinical practice problems. The overall purpose of this methodology presentation is to compare a mailed vs. Internet application of the Delphi technique for clinical informatics research. Specifically, this presentation will provide: 1) an overview of the Delphi technique, and 2) a methodological comparison of two research applications of the Delphi technique. Results of the studies will be presented elsewhere.

Computer Communication Networks↗
PubMed1998

Measuring organizational readiness for nursing research programs.

Nursing research programs are important innovations for health services organizations (HSOs). Evidence supports the positive impact that successful programs have on both clinical practice and patient outcomes. In the current era of scarce health care resources, decision makers must be able to accurately judge HSO readiness for nursing research programs to facilitate their success. Judging innovation readiness is an important and complex process for decision makers. An Innovation Readiness Scale (IRS) was developed from research-based HSO contextual cues identified by nurse researchers as supportive of successful hospital-based nursing research programs. The IRS provides decision makers with a measure by which to judge HSO readiness for nursing research programs. Psychometric results are reported from a pilot and actual test of the IRS in two urban acute care settings involved in nursing research program innovation.

Adult↗
PubMed1996

Health care system innovation: a model for practice.

Health care systems are undergoing dramatic and rapid change. Innovations occurring within these systems have an impact on all facets of a system's performance and reshape its services as well as provider and patient roles. In this era of innovation, an essential survival skill for advanced practice nurses is an ability to use a macrosystem perspective to effectively strategize for role development and provision of services within practice settings experiencing rapid innovation. The Health Care System Innovation Model described in this article provides a framework for such a macrosystem perspective.

Delivery of Health Care↗
PubMed1994

An assessment taxonomy for designing nursing research programs.

Clinical nursing research programs are a common structural component within nursing service organizations. Descriptive literature identifies many design features that are important in the development and success of organizational innovations, among which is the need to design programs that are congruent with the overall organization. Two exploratory Delphi studies were conducted to identify and classify organizational attributes that clinical nurse researchers considered critically important to the success of nursing research programs. Nadler and Tushman's Congruence Model for Organization Analysis was used as a framework to develop an assessment taxonomy for classification of the 64 critically important attributes identified by clinical nurse researchers.

Clinical Nursing Research↗
PubMed1990

Managers' ability to perform: individual and collective assessment findings.

Changes in role responsibilities, organizational relationships and mix of professional and non-licensed personnel have increased the need for well prepared managers who can be effective in new work environments. Because such individuals are not readily available, identification of potential managers and development of incumbents are crucial. This article describes how four hospitals used the same unique assessment system to identify the strengths and limitations of 116 managers, the implications of their findings, and subsequent interventions. Suggested also are activities with potential for meeting hospitals' future needs for effective managers.

Employee Performance Appraisal↗
PubMed1987

Instrumentation to describe subjective sleep characteristics in healthy subjects.

The purpose of this study was to develop and test the Verran and Snyder-Halpern (VSH) Sleep Scale, an instrument to subjectively measure sleep characteristics. Four major sleep factors and their associated characteristics were proposed for the Sleep Scale. Subjects completed three randomly ordered sleep questionnaires on three consecutive weekday mornings within the first two hours after arising. Scales included the VSH Sleep Scale, a sleep questionnaire and a sleep log. The VSH Sleep Scale had a reliability coefficient of .82 (theta). Construct validity was examined by factor analysis and correlations between Sleep Scale items and corresponding items on the two other study instruments. Scale validity also was assessed by the known groups method. Beginning support for the validity of the VSH Sleep Scale is provided.

Adult↗
PubMed1986

Doctoral programs in nursing: an examination of curriculum similarities and differences.

In this exploratory study, eight doctoral programs in nursing (four PhD and four DNS/DSN/DNSc) were surveyed to examine curricular similarities and differences between research-oriented and professional-oriented programs. Content analysis was utilized to examine manifest content of 101 units of analysis derived from questionnaire items. These items reflected environmental input, curricular design, and outcome variables. Findings suggested that more curricular similarities than differences existed between the two program types. Curricular design variables reflected the most differences in the areas of program purposes and objectives. Several areas were identified for additional research in each variable category.

Curriculum↗
PubMedDate not supplied

Analysis, processes, and techniques. Case study.

The case studies will represent a wide variety of scenarios encountered in the field of healthcare information system technology implementation. We hope that the series will be of value to readers of Computers in Nursing. We encourage feedback so that subsequent cases within the series can be tailored to meet the needs of readers.

Case Management↗
PubMedDate not supplied

A model-based context assessment approach for the informatics nurse specialist consultant.

As the number of informatics nurse specialists (INS) has grown, they have become increasingly involved in information system (IS) consultation practice. Their combined clinical and informatics expertise makes these specialists highly marketable and successful IS consultants. As healthcare settings have shifted their IS development toward interdisciplinary-integrated clinical information systems (CIS) that support a patient-focused care continuum, INS have been required to broaden their consultation approaches beyond a domain-specific focus. This article illustrates a model-based context assessment approach that can be used by INS to expand their consultation repertoire.

Computer Systems↗
PubMedDate not supplied

Assessing health care setting readiness for point of care computerized clinical decision support system innovations.

Increasing interest in linking high-quality and cost-effective clinical practice processes to patient outcomes has enhanced interest in computerizing clinical practice guidelines to support clinician decision making. This article describes a Clinical Information Technology Innovation Model (CITIM) that was used to assess health care setting readiness for a clinical decision support system (CDSS) to decrease innovation risk and enhance the potential for innovation success. A case illustration shows CITIM application in the assessment of a hospital's readiness for a computerized knowledge-based system to support RN acute pain management decision making with patients who had coronary artery bypass graft surgery.

Coronary Artery Bypass↗