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PubMedDate not supplied

A cluster analysis to investigating nurses' knowledge, attitudes, and skills regarding the clinical management system.

Nurses' knowledge, attitudes, and skills regarding the Clinical Management System are explored by identifying profiles of nurses working in Hong Kong. A total of 282 nurses from four hospitals completed a self-reported questionnaire during the period from December 2004 to May 2005. Two-step cluster analysis yielded two clusters. The first cluster (n = 159, 56.4%) was labeled "negative attitudes, less skillful, and average knowledge" group. The second cluster (n = 123, 43.6%) was labeled "positive attitudes, good knowledge, but less skillful." There was a positive correlation in cluster 1 for nurses' knowledge and attitudes (rs = 0.28) and in cluster 2 for nurses' skills and attitudes (rs = 0.25) toward computerization. The study showed that senior and more highly educated nurses generally held more positive attitudes to computerization, whereas the attitudes among younger and less well educated nurses generally were more negative. Such findings should be used to formulate strategies to encourage nurses to resolve actual problems following computer training and to increase the depth and breadth of nurses' computer knowledge and skills and improve their attitudes toward computerization.

Cluster Analysis↗
PubMedDate not supplied

AMIA 2006.

Explore the source record for details and available documents.

District of Columbia↗
PubMed2006

Exploring knowledge work and leadership in online midwifery communication.

AIM: This paper reports a study to answer the following question: if given a user-friendly online system, that enabled communication across the practice community, would midwives function as knowledge workers? BACKGROUND: Globally, the demand for quality-led and innovative service delivery requires that nurses and midwives shift from being 'information workers', or passive receivers of managerial and organizational decisions, to become 'knowledge workers' who are able to create, lead and communicate service innovation and practice development. New communication technologies may offer a means for healthcare professionals to interact as knowledge workers and develop supportive communities of practice. METHODS: An online discussion forum was implemented as a low-cost technological intervention, deploying existing hardware and a standard hospital intranet. The evaluation of the forum was constructed as case-study organizational research. The totality of online communication, both traffic and content, was analysed over a 3-month period (193 messages downloaded 2003/2004), and 15 in-depth interviews were undertaken with forum users. FINDINGS: Given simple, facilitative, innovative technology, supported by a positive working culture and guided by effective leadership, midwives could function as 'knowledge workers', critically reflecting upon their practice and translating knowledge into action designed to achieve change in practice. Participation occurred across all staff grades, and midwives were predominantly supportive and facilitative towards the contributions made by colleagues. CONCLUSION; Midwives may be well placed to exemplify the 'ideal' characteristics of the knowledge worker being demanded of modern healthcare professionals. The deployment of online interactive technologies as part of strategic vision to enhance knowledge work among healthcare professionals should be given attention within health systems.

Attitude of Health Personnel↗
PubMed2005

Situational leadership: a model for leading telecommuters.

AIM: To describe a leadership model aimed at assisting health care leaders to incorporate situational leadership into their practice when leading telecommuters. BACKGROUND: Technological developments have grown in two areas, including medicine and communication, which have facilitated an enhanced information exchange in health care. These technological enhancements have allowed the health care arena to expand and improve its capabilities, including the delivery of health care and the information exchange among patients, providers and workers. KEY ISSUES: Traditional leadership styles must be modified to respond to the needs of telecommuters. Situational leadership gives structured guidance to the nursing leader when managing telecommuters. CONCLUSIONS: Situational leadership has been used in the traditional work setting and can be used in the virtual workplace. The strategies and techniques used have to be modified for the telecommuter and must focus on increasing communication.

Humans↗
PubMed2005

Virtual reality or real virtuality: the space of flows and nursing practice.

The use of virtual environments for the provision of health-care is on the increase, and with each new development brings debates about their impact on care, nursing and nursing practice. Such environments offer opportunities for extending care and improvements in communication. Others believe these developments threaten aspects of nursing they hold sacrosanct. This paper explores the development of an assemblage of computer networks, databases, information systems, software programs and management systems that together work to manage health-care in Australia, namely casemix. We contend that spatial theories on network society show how this assemblage co-ordinates and operates to manage care. We discuss how this assemblage affects care and suggest that changes in organisation may be a part of the shift in how bodily organisation occurs more generally, but more specifically in health-care. We also suggest how nurses are enrolled in and by such networks, leading to transformation in nurses' practices. Finally, we argue that using spatial forms of analysis allows an interpretation of such assemblages that may account for their strengths and their shortcomings.

Australia↗
PubMed1998

World Wide Web search tools.

This article describes and compares five popular general search tools and two popular general metasearch tools. The tools and their related files in February 1998 are the source of information and illustrations. A MEDLINE(R) search no longer guarantees retrieval of the most current, relevant, appropriate, and useful information. To meet demands for current information, the World Wide Web (WWW) must be searched. However, the enormous size of the WWW makes finding relevant information a difficult task. Fortunately, there are many automated search tools that can assist in locating relevant information quickly. Choosing the most appropriate tool depends on the type of information being sought.

Humans↗
PubMedDate not supplied

Using technology to promote perinatal patient safety.

Leaders in health care and national health policy recommend information technology information technology as a strategy to promote patient safety. Technology enables error prevention, surveillance, and analysis. Although there is little research about technology and safety in perinatal care, nurses in the specialty can use current evidence about the electronic health record, decision support systems, and medication safety devices to guide practice. This article includes key issues and general recommendations for the use of information technology to promote patient safety, the most common applications relevant to perinatal care, and strategies for perinatal nurses who implement information technology to promote patient safety.

Adult↗
PubMedDate not supplied

[Information system in nursing: interacion of tacit-explicit knowledge].

The present article aims to trace some theoretical and conceptual considerations on information systems in nursing, seeking to point out the knowledge based on the clinical practice evidences to construct a model of system integrated to the conceptual structures, formed by the combination of three sciences: information, computing and nursing. This knowledge can systematically describe and explain the necessary phenomena to develop a comprehensive information system that contribute for nursing records improvement and to consolidate a mechanism to provide basic measuring of costs, quality, patient access to care, and results of this care.

Clinical Competence↗