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Keeping current: computer basics for gastroenterology nurses.

The computer age is here! However, many nurses are not using available computer technology. As the uses of computers increase in work, home, and community settings, nurses need to "keep up with the times." This article provides the gastroenterology nurse with a historical perspective on computer technology, some basic information on computers and computer resources, and encourages the nurse to become computer literature. Gastroenterology nurses need to use computer technology to enhance patient care.

Attitude to Computers

Information technology and the clinical curriculum: some predictions and their implications for the class of 2003.

Information technology, medical knowledge, and medical practice are on a collision course. The consequences of the impact will change the way physicians work, the way medical knowledge is processed, packaged, and distributed, and the way patients obtain medical care and information. Today's educators need to design an information technology curriculum to prepare students for this emerging world of practice. Computer labs, based on today's complex and unreliable desktop systems, are not the answer. What is needed by students who entered medical school in 1997-98 is an informatics curriculum that is based on the real-world requirements of 2003 and beyond. The authors draw upon academic studies and their own clinical and industry experiences to outline some predictable elements of what lies ahead. Their predictions--ubiquitous, simple network computing and "power tools" for managing medical knowledge--have implications for how schools cover such educational topics as patient confidentiality, systems thinking and error management, and knowledge resource evaluation.

Computer Communication Networks

Expanding Internet access for health care consumers.

Sophisticated health care consumers are beginning to use the Internet to educate themselves about their own health and manage their own care. As health care stakeholders (providers, payers, employers) feel pressure from consumers to implement Internet-related strategies, stakeholders must realize that obtaining Internet access is a challenge for many consumers. Stakeholders who expand consumer Internet access will, however, have a competitive advantage. This article outlines how stakeholders can expand consumer Internet access.

Attitude to Computers

Computers and the disabled family member.

Home healthcare nurses work with families that include disabled adults and children. Blind and mobility-impaired clients can learn to use computers to modify their home environment. As a result, the clients' level of disability is decreased. This paper presents a realistic picture of the rewards, problems, and resources associated with the use of a computer as an assistive device.

Community Health Nursing

The Internet. Part-II. A home care nursing clinical resource.

Part I of this series discussed the many features of the internet and how to access this powerful tool. This article will focus on using the Internet's World Wide Web (WWW) as a home care nursing reference and way to access nursing, health-care, and home care knowledge. This article will also describe a few WWW sites that provide nursing and home care information for the practitioner and informational sites for families and caregivers.

Community Health Nursing

Building information linkages between the physician and the hospital.

The economics and complexity of health care will continue to require better and faster methods of information access. As a multipurpose resource, physician networks can offer a host of benefits to institutions, caregivers, and patients. Early entrants into this technological arena can expect some degree of competitive advantage by attracting physicians who want sophisticated support systems and by expediting referrals for specialized care. Whether or not this proves to be of long-term merit, the need for administrative and patient care information systems will likely increase in the future. In this respect, innovation is purely a point in time.

Computer Communication Networks

Computer use for work accomplishment. A comparison between nurse managers and staff nurses.

Studies on computers in nursing typically observed nurses' perceptions toward computers. This study examined the computer use of 528 nurses in three urban teaching hospitals, and compared nurse managers' with staff nurses' time spent at the computer and systems frequently used for work accomplishment. Differences were found in their experiences with computerized information systems (CISs) and expectations of CIS use. Although there was striking similarity in the systems used, nurse managers had significantly greater access to computers and technical support. Findings suggest the importance of integrating clinical and managerial tasks if unit work is to be accomplished efficiently and effectively.

Adult

Perinatal computerized patient record and archiving systems: pitfalls and enhancements for implementing a successful computerized medical record.

Interest in purchasing and installing a perinatal computerized patient record (CPR) and archiving system is growing in the United States as a result of increased patient satisfaction demands, cost containment, and quality improvement. Perinatal nurses are commonly charged with researching available computer software and hardware, making purchasing decisions, developing menus and forms, orienting users, and maintaining and upgrading systems. The decision to chart and archive by computer as well as installation and maintenance issues mandate that nurses increase their computer-related knowledge. The article reviews information related to CPR capabilities and rationales for purchase decisions, implementation and staff development issues, ergonomic and maintenance considerations, and realistic expectations of a CPR to provide perinatal nurses who are involved in purchasing, implementing, and maintaining these systems with a timely understanding of important elements that they need to know to make this effort successful.

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