Patient education in the Internet era.
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Attitude to Computers↗
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Graduate students' experiences in web site development: a project assignment for nursing informatics class.
As healthcare delivery systems' requirements change, nurses will not only have to process and communicate more information, but the nature and types of this information as well as the communication methods will also dramatically change. Nurses must comprehend that information technology is the key to these changes. Korean nurses and nursing students need to enhance their computer technology knowledge and skills as the Korean health delivery system rapidly embraces technological innovations. Yonsei University College of Nursing in Seoul, Korea has the longest history in nursing education and the first graduate nursing programs in Korea. It offered its first nursing informatics (NI) class in 1998, making it one of the first informatics programs in Korean nursing education. The purposes of this project were to develop nursing informatics coursework that enabled students to build skills in developing Web sites, and to measure the effect of the coursework in terms of the students' satisfaction and their confidence level. The author believes that this experience could be a helpful model for an international audience, although this is not an innovative project for some more advanced countries.
Attitude of Health Personnel↗
A toolbox of technical supports for nurses new to Web learning.
This article describes a number of strategies that have been used by an online Nurse Practitioner program to help learners and faculty become comfortable and proficient in the technical skills necessary for an Internet-based program. Various components of the "toolbox" of help strategies and how they have evolved over time are described. Results of a project to systematically develop and evaluate the toolbox are discussed.
Attitude of Health Personnel↗
Factors for consideration in the development and implementation of an online RN-BSN course. Faculty and student perceptions.
An online "issues in nursing" course was developed over the summer 2000 and subsequently implemented over a 4-semester time period in an RN-BSN program. Student and faculty anecdotal evaluation records were compiled and reviewed to determine universal needs and concerns associated with online learning for this particular population. Seven themes emerged from student course evaluation data and 5 "factors for faculty consideration" were identified by the course facilitator.
Anecdotes as Topic↗
Computerized versus paper-and-pencil testing methods for a nursing certification examination: a review of the literature.
In conjunction with the decision of the Oncology Nursing Certification Corporation (ONCC) to computerize its examinations, the literature was reviewed to identify comparative studies of computerized versus paper-and-pencil testing methods and to determine the relative advantages of each. Data sources included journal articles and newsletter features identified via the ERIC, CINAHL, and PubMed databases or through frequent citation in the literature. The majority of studies found test scores to be independent of delivery mode. Several advantages of computerized testing were identified, including scheduling convenience, instant scoring capability, and enhanced security. One disadvantage may be an increase in testing anxiety for those without previous experience, although results in this area were mixed. Finally, studies and surveys often indicate an acceptance and preference for linear computer-based testing (CBT) by examinees.
Attitude to Computers↗
Installing computers in older adults' homes and teaching them to access a patient education web site: a systematic approach.
This article describes the experiences of nurses who, as part of a large clinical trial, brought the Internet into older adults' homes by installing a computer, if needed, and connecting to a patient education Web site. Most of these patients had not previously used the Internet and were taught even basic computer skills when necessary. Because of increasing use of the Internet in patient education, assessment, and home monitoring, nurses in various roles currently connect with patients to monitor their progress, teach about medications, and answer questions about appointments and treatments. Thus, nurses find themselves playing the role of technology managers for patients with home-based Internet connections. This article provides step-by-step procedures for computer installation and training in the form of protocols, checklists, and patient user guides. By following these procedures, nurses can install computers, arrange Internet access, teach and connect to their patients, and prepare themselves to install future generations of technological devices.
Activities of Daily Living↗
An evaluation of an online intervention to provide social support and health education.
Managing chronic illness in the isolation of rural environments is challenging for women who lack access to personal sources of social support and health information. The Women to Women project was designed to provide chronically ill rural women access to support and health information via electronic means. This article reports on the acquisition of computer skills, the perceptions of importance of various aspects of the intervention, and an assessment of women's overall satisfaction with participation in the research project. Findings indicate that the women's self-ratings of computer skills improved significantly over the 22-week intervention and that highly interactive features of the project were rated as most important by the participants. Overall, women found the program beneficial in assisting them to better manage their chronic illness.
Attitude to Computers↗
Designing an EMR planning process based on staff attitudes toward and opinions about computers in healthcare.
Electronic medical record (EMR) systems have been in use for more than 2 decades. Studies documenting nursing satisfaction with an EMR system, the benefits of an EMR, implementation barriers, user acceptance, the importance of staff buy-in, and the importance of attitudes toward and expectations from user buy-in are in the literature. Central to many studies is the importance of nursing staff buy-in to the successful implementation and ongoing use of an EMR, as well as the dependency of buy-in on staff attitudes and expectations. Buy-in is a precursor to effective use. Consequently, staff buy-in is a prerequisite to collecting and making optimum use of the data contained in an EMR. Data collected from an EMR containing rich, accurate documentation of nursing interventions and patient responses support evidence-based practice changes and documentation of the import of the care provided by nurses.
Attitude of Health Personnel↗
The importance of informatics competencies in nursing: an Australian perspective.
Over the past two decades, dramatic changes have occurred in the nature and extent of communication and information technology use in nursing worldwide. The need for student nurses to be well prepared for the use and application of information technology in nursing is arguably now paramount. This article details areas where information and communication technology is used in nursing in Australia and discusses why nurses must be diligent in maintaining skills in this area to facilitate the delivery of safe, quality care in any healthcare setting. It will then discuss the importance of information and communication technology (ICT) skills, knowledge and understanding as an integral aspect of nursing programs in tertiary institutions. The challenge for training providers to prepare nurses for ever-changing ICT technology and technological applications in their workplace is highlighted.
Attitude of Health Personnel↗
Nursing attitudes and images of electronic patient record systems.
In an effort to predict nursing intention to adopt and properly use a new electronic patient record system (EPRS), a survey gathered demographic and computer experience information of, and attitude and image profile toward, the EPRS prior to installation. The results showed a somewhat positive overall attitude and age was found to be a significant factor in determining nurses' attitudes toward the EPRS. The image profile for the EPRS revealed a more negative perception of the EPRS by the nursing staff. A regression model, designed to identify variables that would predict attitude and in turn system adoption and use of the EPRS, found that age and image profile predictions were significant. The outcome of this research reinforces the notion that nurses are accepting of new EPRS systems and are somewhat supportive of technology in general, but the image profile draws attention to their concerns for quality healthcare delivery.
Adult↗
Public health nurses' perceptions of mobile computing in a school program.
The use of mobile computing (MC) in healthcare practice has grown substantially in recent years, yet little is known about its impact. This descriptive, exploratory, qualitative study explored the perceptions of public health nurses (PHNs) in a school health program about their use of MC. Public health nurses participated in focus group interviews and completed weekly reflections. They perceived that MC (a) increased PHNs' flexibility although they were constrained by work rules, (b) increased peer and employer connectedness yet increased isolation, (c) and increased PHNs' status while creating a wider gap between PHNs and their clients. Public health nurses described their practice as being more efficient and client-focused with MC. Over time, PHNs grew more comfortable with the tool, developed a dependence on it, and learned to deal with technological problems. Although this new technology shows promise, there is a need for further research to examine its impact as a tool to promote public health nursing practice.
Adaptation, Psychological↗
Student computer competence and the NCLEX-RN examination: strategies for success.
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Attitude of Health Personnel↗
An exploratory study of predictors of participation in a computer support group for women with breast cancer.
This study examined what characteristics predict participation in online support groups for women with breast cancer when users are provided free training, computer hardware, and Internet service removing lack of access as a barrier to use. The only significant difference between active and inactive participants was that active users were more likely at pretest to consider themselves active participants in their healthcare. Among active participants, being white and having a higher energy level predicted higher volumes of writing. There were also trends toward the following characteristics predictive of a higher volume of words written, including having a more positive relationship with their doctors, fewer breast cancer concerns, higher perceived health competence, and greater social/family well-being. Implications for improving psychosocial interventions for women with breast cancer are discussed, and future research objectives are suggested.
Adaptation, Psychological↗
Lessons learned from the implementation of a Web-based nursing intervention.
The emergence of the World Wide Web in the last decade has introduced the belief that the Internet has the potential to revolutionize healthcare delivery and empower consumers. Given the power of technology to change the way we live, the healthcare community has begun to explore the feasibility of delivering interventions via the Web, including personalized care with chronic disease management. The purpose of this article is to describe this researcher's experience with the development and implementation of a Web-based intervention to enhance diabetes self-management for older adults. Challenges faced by the project involved inadequate funding to cover technology issues (programming, graphics design, etc),decisions regarding the appropriate environment/framework, and questions on how to merge the practice and theory of a given discipline with the limitations of Internet technology. This article will examine and discuss these issues and make recommendations on possible methods of improving the process.
Adaptation, Psychological↗
The use of personal digital assistants at the point of care in an undergraduate nursing program.
This study examined the relationships between the use of personal digital assistants and self-efficacy and the preparation for medication administration among second-year Bachelor of Science in Nursing students in a medical-surgical clinical environment. By using a controlled experimental method, the study attempted to support claims about the educational benefits of personal digital assistants which have generally been reported in more descriptive and anecdotal formats. The sample consisted of 36 students, of which two groups had personal digital assistants and two groups served as a control. The control groups were provided with paper resources equivalent to the software provided by the personal digital assistants. Findings showed a significant increase in self-efficacy in the groups with personal digital assistants.
Attitude of Health Personnel↗
Computer courses in the undergraduate nursing curriculum in Turkey.
This study surveys computer courses in undergraduate nursing schools in Turkey. To accomplish this, the investigator gave an assignment to first-year students at the Ege University School of Nursing as part of a computer course in 2003-2004. The assignment consisted of having students use their computer skills and do research on the Internet to obtain information about computer classes at other Turkish nursing schools. The objective of this assignment was to correspond by e-mail with first-year students at these institutions. Because of this assignment, at least 70 contacts were established, and information has been exchanged between nursing students at 45 different universities in Turkey. This study shows that one method used by undergraduate nursing schools in Turkey to educate their students in modern nursing practices is to integrate computer courses in their curricula, thereby providing students important practical technology skills.
Adaptation, Psychological↗
Healthcare information systems: education lessons learned.
The educator is a key person during the implementation of a new healthcare computer system or a new software program. Computers require teamwork across departmental lines and flexibility in instructional approach. The authors share their experiences as educators at the San Francisco VA during the initiation of several new computer software packages. They examine the issues involved in this type of training and share the lessons learned.
Clinical Competence↗
Workflow technology: the new frontier. How to overcome the barriers and join the future.
Hospitals are catching up to the business world in the introduction of technology systems that support professional practice and workflow. The field of case management is highly complex and interrelates with diverse groups in diverse locations. The last few years have seen the introduction of Workflow Technology Tools, which can improve the quality and efficiency of discharge planning by the case manager. Despite the availability of these wonderful new programs, many case managers are hesitant to adopt the new technology and workflow. For a myriad of reasons, a computer-based workflow system can seem like a brick wall. This article discusses, from a practitioner's point of view, how professionals can gain confidence and skill to get around the brick wall and join the future.
Adult↗