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Home blood pressure (BP) telemonitoring allows patients to take their BP, store the data, and then transmit data by phone to a healthcare provider. Research to date shows that home BP telemonitoring is accurate and helps patients gain control over their blood pressure. When used regularly, home BP telemonitoring can improve control and help reduce health problems associated with hypertension.
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As in other countries, the Australian healthcare industry is replete with massive data collections, often not used effectively to generate meaningful information to inform decision making, particularly at the operational or clinical level. While senior administrators and planners may use the data for forecasting or benchmarking, it is imperative that clinicians, including nurses and nurse managers, appreciate the value of the data and develop the knowledge and skills to access, analyze, and use it to inform their decision making. Only in the last decade or so have increasing numbers of nurses moved toward higher levels of information technology competence, particularly as information technology applications entered the healthcare sector. Facility in understanding standard administrative data is an important new skill for nurses who have an interest in information management. It is a skill that can readily be taught and its value becomes clearly evident to the students. This article describes an Australian University's Faculty of Nursing's approach to teaching this material at the master's level.
Initiating a college-wide, complex multimedia approach to teaching-learning can be fraught with considerable challenges. The strategic use of faculty workgroups to maximize faculty involvement in the development and use of interactive Web-based modules was one successful approach to overcoming such challenges. Use of faculty workgroups composed of grant team faculty members and course faculty during the development process recognized the faculty's curricular and content expertise and tapped individual creativity. Other successful approaches to meeting development challenges were the inclusion of a multimedia designer in faculty workgroups, demonstrations of technology at college council meetings and the use of familiar software by faculty to communicate module design ideas. Additional practical approaches for technology teams within higher education settings are presented from both person and design perspectives.
This article describes the development of NMAP, the UK academic gateway to high-quality Internet resources for Nurses, Midwives and Allied health Professionals. The service is described and the rationale for NMAP summarized, focusing on the increasing use of Internet resources in nursing education and practice. International concerns over the quality of health information available on the Internet are considered, and the approach adopted by NMAP to quality filtering described. The usage data and results of evaluation studies show the need for this type of Internet gateway, and some of the lessons may be relevant to others involved in developing national high-quality Internet gateways for nurses.
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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.
Falls among inpatients are the most frequently reported critical incidents in hospitals and can have tragic consequences that affect morbidity and mortality. The present study aimed to determine whether certain nursing units of care identified on patient care plans can be used to predict falls among hospitalized inpatients. A retrospective analysis of 7167 inpatient admissions in the 2002 calendar year was conducted. Faller status was ascertained from the hospital's accident and incident monitoring system, and nursing units of care activated in the hospital's nursing information system were identified. Twelve nursing units of care predicted falls. Logistic regression analyses showed that nursing units of care related to patient safety, confusion, incontinence, medication, mobility, and sleep were significant risk factors for falls among inpatients. The number of nursing units of care activated also predicted falls. Data collected from nursing information systems can be used to identify patients at high risk of falls.
The Intermountain Healthcare system has developed a text-based, electronic reference system for nonphysician staff to provide patient care guidelines intended to reduce variability in bedside care processes and improve patient outcomes. Implementation issues with two interface tools used to deploy the electronic documents at the bedside have caused difficulty with document accessibility. A third interface tool (Viewer) was designed to solve the accessibility problems. This study was designed to compare the time spent searching for information and success of information retrieval from all three interfaces before clinical deployment of the Viewer interface. Study results were used by nursing leadership in a decision to continue supporting the electronic dissemination of text-based practice guidelines for nonphysician staff within our health system's acute care settings.