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PubMed1994

Information revolution in nursing and health care: educating for tomorrow's challenge.

Current emphasis on the national electronic highway and a national health database for comparative health care reporting demonstrates society's increasing reliance on information technology. The efficient electronic processing and managing of data, information, and knowledge are critical for survival in tomorrow's health care organization. To take a leadership role in this information revolution, informatics nurse specialists must possess competencies that incorporate information science, computer science, and nursing science for successful information system development. In selecting an appropriate informatics educational program or to hire an individual capable of meeting this challenge, nurse administrators must look for the following technical knowledge and skill set: information management principles, system development life cycle, programming languages, file design and access, hardware and network architecture, project management skills, and leadership abilities.

Computer User Training↗
PubMed2004

Requirements of tools and techniques to support the entry of structured nursing data.

The benefits of structured data are widely accepted within the nursing informatics community. However, despite the existence of structured data in the form of well-established nursing terminologies, computer-based nursing record systems are yet to achieve widespread adoption and few of the potential benefits have yet to be realized. In this paper we argue the need for tools and techniques to support the entry of structured nursing data into computer-based systems. In the absence of a generally accepted solution, we build on preliminary work carried out at the 2002 Nursing Terminology Summit and analyze the results of other studies in order to identify a preliminary set of requirements or desiderata for such tools and techniques. These requirements are centered on: how structured data is presented to users for selection; how to mediate between a variety of conceptual structures--terminologies, information models, user interface models and models of the clinical process; and how to reduce the considerable modeling burden through reuse of modeling constructs. Further applied research is needed with the ultimate goal of developing a general solution that will benefit nurses, other professionals and ultimately their patients.

Data Collection↗
PubMed1997

Computer literacy in nursing: developing the information technology syllabus in nursing education.

This study has two main purposes: first, to identify and describe the computer skills required in nursing; and second, to find out what should be taught about information technology in nursing education. A three-round Delphi survey was carried out with a panel of experts representing nursing practice, nursing education, nurse students and consumers. The panel showed a consensus of opinion on 71% of the items included in the questionnaire designed for the study. The experts agreed that nurses must know how to use the computer for word-processing purposes, for accessing and using the hospital information system, and for e-mailing. Nurses must also be aware of system security and show a positive attitude towards computers. It is concluded that hospital information systems and nursing informatics should be integrated into laboratory and hospital training.

Attitude to Computers↗
PubMed2006

The development of a heuristic-based excel scheduling support system for nurses.

The purpose of this study was to develop a nurse-self-made scheduling support system based on the heuristic approach. A Pediatric ICU unit, staffed with 35 nurses, was taken as the case in this study. Nurses' preferred scheduling principles were surveyed. The Excel VBA was used to develop the support system by an informatics nurse. The system was composed of five components: personal scheduling request setting, auto-scheduling, shift modification, report generating and inquiry. The scheduling results were widely accepted by the nurses and the time to plan a monthly schedule was reduced from 4-5 hours to 30 minutes.

Decision Making, Computer-Assisted↗
PubMed1998

Looking to care or caring to look? Technology and the rise of spectacular nursing.

New technologies, such as ultrasonography and vital function monitoring, have made nursing care more spectacular. Nurses now watch, in addition to watching over, their patients. Nursing practice increasingly shapes and is shaped by simulations and representations of the real. Visualist technologies represent a new way of knowing in nursing and a new area of nursing informatics. They also raise all the esthetic, political, and ethical dilemmas associated with looking. They raise the question: Do nurses look to care, or care to look?

Empathy↗
PubMedDate not supplied

The use of computers as cognitive tools to facilitate higher order thinking skills in nurse education.

Much of what has been written about computer use in nursing has been technocentric in nature. Nursing literature has focused on the intricacies of the technology, computer literacy, nurses' attitudes to computers and information systems, the implementation of these systems and, to a lesser degree, nursing information and its application in a computerized environment. Little, if any, attention has been given to the underlying cognitive processes required to use information technologies effectively. Can nursing stand accused of concentrating too heavily on the technology of information rather than on the cognitive processes involved in the acquisition, management, and use of information? This discussion will focus on the utilization of cognitive tools to facilitate the higher order thinking skills required for the effective use of information technologies. The concept of cognitive tools and cognitive residues will be defined. The role of these concepts within the broader context of nursing informatics will be illustrated using examples of how computer-based cognitive tools have been implemented in one undergraduate nursing program.

Cognition↗
PubMed2006

Cognitive abilities and clinical decision making in nursing.

This investigation focused the clinical decision-making process in a naturalistic context and its relationship to the nurses' abilities of critical thinking, creative thinking and emotional intelligence. Apart from describing a model of the clinical decision-making process in nursing, the results showed its continuous and interactive nature as well as that different patterns of decisions correspond to distinct patterns of those cognitive abilities. Despite some limitations, we consider that this study has implications in the caring, administration, education and nursing informatics areas.

Cognition↗
PubMed2006

Cognitive ability patterns and nurses' clinical decision making.

The present study concerns the clinical decision-making process in a naturalistic context and its relationship to the nurses' abilities of critical thinking, creative thinking and emotional intelligence. Apart from describing a model of the clinical decision-making process in nursing, the results showed its continuous and interactive nature as well as that different patterns of decisions correspond to distinct patterns of those cognitive abilities. Despite some limitations, we consider that this study has implications in the caring, administration, education and nursing informatics areas.

Decision Support Systems, Clinical↗
PubMed1997

Nurses' MEDLINE usage and research utilization.

This exploratory study in the field of nursing informatics examined the usage of information technology, namely on-line access to MEDLINE in clinical setting, by a convenience sample of 121 nurses from a large university hospital. A descriptive correlational design was used. Guided by the conceptual frameword of Nurse-Computer Interaction and based on variables set forth in the Theory of Reasoned Action, the study tested hypotheses regarding attitudinal and normative influences on reported use of on-line bibliographic retrieval systems. It was also hypothesized that using MEDLINE coild increase and improve nurses' adoption of nursing research findings. Multiple regression analyses were conducted on nurses' responses to survey questions to test hypotheses-that those who register more favorable attitudes towards nursing research would have a higher reported use of the MEDLINE system. Findings were significant and supported the hypothesis that nurses' attitudes towards research influenced MEDLINE usage. Findings also indicated that MEDLINE usage was significantly related to nurses' research utilization.

Adult↗
PubMed2006

Surveying acute care providers in the U.S. to explore the impact of HIT on the role of nurses and interdisciplinary communication in acute care settings.

In 2005, the Healthcare Information and Management Systems Society's Nursing Informatics Task Force surveyed acute care providers across the United States to explore the impact of health information technology on the role of nurses and interdisciplinary communication in acute care settings. More than 1,700 healthcare professionals responded to the online survey and provided numerous insights into the impact that clinical information systems have in their daily communication and workflow patterns. This paper provides an overview of survey results from four large healthcare delivery systems with a focus on how the results will be employed to support an evidence-based approach to improving acute care IT systems across the following healthcare delivery systems: Partners and Lifespan Health Systems in the Northeast, Baptist Health South Florida in the Southeast, and Providence HealthSystem in the Northwest.A case study approach is employed to describe survey findings at the healthcare system level and then provide a set of recommendations to leverage findings to capitalize on the strengths of existing IT applications and tools, and work towards overcoming barriers to interdisciplinary communication or acute care workflows.

Acute Disease↗
PubMed1998

NIGHTINGALE MM system--the work in progress.

A multimedia computer based system for the self-learning of Nursing Informatics has been designed as a part of NIGHTINGALE project. A video thread has been designed as a central structure and "a real life anchor" for the abstract concepts related to the Electronic Patient Record. The hypermedia structure of the application has been maintained through the mapping of illustrated IT entries to specific points in the video sequences.

Computer-Assisted Instruction↗
PubMed2006

Preparing our public health nursing leaders with informatics skills to combat bioterrorism in the United States.

Our public health nursing leaders are practicing in a new world responding to terrorism and other threats to our nation's health. Informatics solutions provide a viable opportunity to respond to new pressures on the public health system, changes in healthcare delivery, and improvements in information technology. Informatics competencies for public health workers in the United States have been developed by a working group sponsored by the Centers for Disease Control and Prevention (CDC). These competencies provide the framework in which to design a series of activities prepared exclusively to meet the needs of our public health nursing leaders using contemporary informatics tools and solutions. Many of these leaders graduated during an era where informatics was not recognized as a necessary component of their curriculum The completion of this proposed futuristic curriculum will allow our public health nursing leaders to work more efficiently and provide greater influence on public policy.

Bioterrorism↗
PubMed1999

A tutor for nursing process education.

Computer managed instruction (CMI) has been used in nursing education since the late 1960's. It is due to the accessibility and self paced format that CMI is very well suited for both students and practicing nurses, while learning can occur at the learner's own pace and time. In addition CMI supports also continuing education and distant learning. The aim of this paper is to present CArE--a software package for Computer Aided Nurse Education in particular for teaching the basics of the nursing care process, developed as a result of the Phare TEMPUS project called NICE (Nursing Informatics and Computer Aided Education).

Computer-Assisted Instruction↗
PubMed2000

The evolution of a clinical database: from local to standardized clinical languages.

For more than twenty years, the University of Iowa Hospitals and Clinics Nursing Informatics (UIHC NI) has been developing a clinical database to support patient care planning and documentation in the INFORMM NIS (Information Network for Online Retrieval & Medical Management Nursing Information System). Beginning in 1992, the database content was revised to standardize orders and to incorporate the Standardized Nursing Languages (SNLs) of the North American Nursing Diagnosis Association (NANDA), Nursing Diagnosis Extension Classification (NDEC), Nursing Interventions Classification (NIC), and Nursing Outcomes Classification (NOC). This paper reports the results of the database revision as well as recent usage data, new user selection methods for clinical content, and the advantages of a database utilizing SNLs.

Databases as Topic↗
PubMed2006

Photographic data--An untapped resource to explore complex phenomena such as health information management in the household (HIMH).

Exploring the context of use for informatics tools and applications can provide insight into requirements for their design. Historically, photographs have been used by social scientists as a way to study context in complex environments. Using data collected in the study "Advanced technologies for Health@Home" we share how photographs can be used to understand one such complex environment where informatics tools appear, the household. By capture, categorization, analysis and interpretation of photographs, we developed a richer understanding of information artifacts and the context of these artifacts used to support health information management in the household (HIMH). Photographs are an underused data source. Appropriately used, photographs can aid in the development of informatics resources that align with and extend current practices of health information management in the household (HIMH). Their use should be investigated further concerning other complex environments within nursing informatics.

Delivery of Health Care↗
PubMed2006

Opportunities and obstacles in electronic data collection in nursing.

The article deals with the advantages and drawbacks of electronic data collection in nursing. The first part underlines the importance of data standards and common terminology, and traces the evolution of nursing informatics over the past decades. The main national and international projects in this field are listed. The second part describes the role of the government in promoting electronic collection of data on nursing care. In the third part, the information technology required for electronic collection of data is presented, and the current situation in Slovenia in this field is outlined. In the final part, the author suggests steps to be taken in order to achieve the final goal: an electronic nursing record in Slovenia.

Data Collection↗
PubMed2000

The future of computers in nursing.

Nursing and computers will enter the new millennium in synergy. As a science, nursing is using computers to organize and communicate information to expedite the nursing process and provide safe patient care. In 1992, the American Nursing Association recognized a new specialty in nursing: Nursing Informatics, a specialty that will provide the ability to adapt to the ever-changing future technology.

Career Mobility↗