Nursing I.T.: from stations to bedside.
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Humans↗
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Results for “Nursing Informatics”
Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.
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The holy grail: cost-effective healthcare evidence transparently and consistently used by clinicians.
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Attitude of Health Personnel↗
Use of the Omaha System data to validate Medicare required outcomes in home care.
Millions of dollars have been spent developing standardized terminologies for nursing. However, many nurses are unaware of them, because vendors have not incorporated them into electronic health records (EHRs), and quality assurance staff and researchers have not benefited from reuse of the data to examine practice. Government regulations require the use of particular data sets, such as OASIS in home care. Most staff and agencies are focused on government-mandated data without realizing how the nationally recognized terminologies for nursing can benefit an agency. This article seeks to demonstrate the value of using the Omaha System in an EHR for documenting care and conducting Medicare's required Outcome-Based Quality Improvement process in one home care agency.
Certification↗
[An experience promoting evidence-based nursing at a medical center in central Taiwan].
In the 21st Century, evidence-based nursing (EBN) may provide a mechanism by which nurses can manage the explosion in published information in the literature, introduce new techniques, effectively control healthcare costs, and increase attention on nursing quality and health outcomes. The objective of this paper is to share the experience implementing evidence-based nursing. We had applied strategies to implement evidence-based nursing care in our hospital since 2002. Over a more than three-year period (January 2002 to October 2005), we held 46 basic course sessions (around 1,840 attendees) and 58 advanced course sessions (around 500 attendees). There are 445 clinical questions with answered reports, Most questions related to foley care, central vein care and peripheral intravenous injection. Our nursing department revised three guidelines on nursing care skills related to suction and foley and nasal-gastric feeding to meet local conditions. Based on our subjective experience, promotion and implementation of EBN is feasible and helpful to update knowledge and decrease variance in clinical nursing care. However, further outcome research is needed in the future in order to obtain more objective evidence.
Evidence-Based Medicine↗
The evolution of educational information systems and nurse faculty roles.
Institutions of higher education are purchasing and/or designing sophisticated administrative information systems to manage such functions as the application, admissions, and registration process, grants management, student records, and classroom scheduling. Although faculty also manage large amounts of data, few automated systems have been created to help faculty improve teaching and learning through the management of information related to individual students, the curriculum, educational programs, and program evaluation. This article highlights the potential benefits that comprehensive educational information systems offer nurse faculty.
Commerce↗
Knowledge management essential, not optional.
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England↗
Coherent heterogeneity: Redefining nursing in a consumer-smart world.
Survival of any species depends on adaptation and evolution. In the changing healthcare environment, patients have evolved into consumers but nursing has yet to undergo a corollary evolution in order to survive in what is now a consumer-centric industry. This article examines how and why healthcare has become consumer-centric and what nursing can and must do to remain viable. One of the world's unanswerable questions is, "How did life begin?" Religion and science have argued about it. Folklore has attempted to make a metaphor of it. Big Bang or Divine Intervention-the truth is, we just do not know. However life began, one thing is clear: It evolved. At least some species did. Many did not. The difference between those that did and those that didn't? The ability to adapt to a changing environment. Such is the scenario playing out in healthcare and nursing today. Patients adapted to an increasingly cost-focused, information-based environment by evolving into consumers. The challenge nursing faces is adapting to the resultant consumer-centric world. The question: What will it take? The answer: Technology.
Consumer Behavior↗
Development and evaluation of online evidence based guideline bank system.
The purpose of this study was to develop and evaluate the online evidence-based nursing practice guideline bank system to support the best evidence-based decision in the clinical and community practice settings. The main homepage consisted of seven modules for introduction of site, EBN, guideline bank, guideline development, guideline review, related sites, and community. The major contents in the guidelines were purpose, developer, intended audience, method of development, target population, testing, knowledge components, and evaluation. Electronic versions of the guidelines were displayed by XML, PDF, and PDA versions. The system usability were evaluated by general users, guideline developers, and guideline reviewers on the web and the results showed high scores of satisfaction. This online evidence-based guideline bank system could support nurses' best and cost-effective clinical decision using the sharable standardized guidelines with education module of evidence based nursing.
Databases as Topic↗
Development of the nursing information system based on the standardized nursing language system for gastric cancer patients.
The purpose of this study was to develop the nursing information system based on the Standardized Nursing Language System for gastric cancer patients according to the framework of the nursing process. This study also tried to evaluate the usability by applying it to the gastric cancer nursing practice. The system was developed based on the System Development Life Cycle. Therefore, it is considered that the gastric cancer nursing information system developed in this study can contribute to the improvement of clinical usability under the nursing process and to the enlargement of the range of nursing records. In addition, the system developed in this study was based on the Standardized Nursing Language System, for effectively controlling data related to gastric cancer nursing. The gastric cancer nursing information system in this study can be applied effectively in the quality control of nursing care, follow-up care and research for the whole nursing field as well as in cancer nursing, and can promote the use of the Standardized Nursing Language System.
Humans↗
A study of ICT use and developments in supporting pre-registration students in practice.
This study aimed to obtain students views about the potential for the use of ICT in supporting students in practice settings and perceived barriers. Focus group interviews involving 16 students from nursing and the allied health professions found that students drew on networked resources for personal learning and meeting patient needs. Access to computers whilst in placements proved problematic for some, with the culture not seeming to support ICT use. Lack of time, attitudes towards computers and ICT skills also affected student engagement.
Allied Health Personnel↗
A Tartan Warning: Results from the Royal College of Nursing (Scotland) on-line surveys.
Rapid advancements in Information and communication technologies are set to revolutionise the National Health Service across UK and billions of pounds are spent on modernising the service. The technology enabled service in Scotland will have a considerable impact on the working lives of care providers. Nursing professionals, being the largest single professional group in the care service, are likely to be the most affected by it. Early consultations, dissemination of appropriate information and involvement of nurses, health visitors and midwives is vital for a successful Scottish e-Health programme. However, results from the Royal College of Nursing 2004/5 on-line surveys, reported here, suggest that the majority of respondents remain unaware of Scottish e-Health developments. The authors argue that more focused action is needed to enable more nurses to get involved in the design and implementation of new clinical systems.
Awareness↗
Building an innovation electronic nursing record pilot structure with nursing clinical pathway.
The nursing process consists of five interrelated steps: assessment, diagnosis, planning, implementation, and evaluation. In the nursing process, the nurse confronts a great deal of data and information. The amount of data and information may exceed the amount the nurse can process efficiently and correctly. Thus, the nurse needs assistance to become proficient in the planning of nursing care, due to the difficulty of simultaneously processing a large set of information. Thus, some form of assistance will be needed to help nurses to become more proficient in planning nursing care. Using computer technology to support clinicians' decision making may provide high-quality, patient-centered, and efficient healthcare. Although some existing nursing information systems aid in the nursing process, they only provide the most rudimentary decision support--i.e., standard care plans associated with common nursing diagnoses. Such a computerized decision support system helps the nurse develop a care plan step-by-step. But it does not assist the nurse in the decision-making process. The decision process about how to derive nursing diagnoses from data and how to individualize the care plans still remains in the mind of the nurse. The purpose of this study is to develop a pilot structure in an electronic nursing record system integrated with international nursing standards for improving the proficiency and accuracy of the plan of care in the clinical pathway process. The pilot system has shown promise in assisting both student nurses and beginner nurses. It also shows promise in helping experts who need to work in a practice area that is outside of their immediate domain.
Critical Pathways↗
Consumer-centered nursing with ICT: A futuristic viewpoint.
The purpose of this paper is to describe the views of health care and information technology professionals and patients about the future use and scenarios of information and communication technologies (ICT) in nursing practice. The perspective was set at the year 2010. The Delphi method was used, and the data were gathered during the years 2001 and 2002 with three Delphi rounds from a Finnish expert panel (N = 81). The experts consisted of clinical nurses, clinical nurse managers, nurse educators, professionals of development, research and information technology and patients. The data were gathered and analysed with qualitative and quantitative methods. The use of ICT was observed from the viewpoints of probability and desirability. The experts agreed more often about the desirability than the probability of the use of ICT. Three future nursing scenarios were outlined based on the results: nursing knowledge management and development, patient orientation and self-care, and technology vs. the human being. The scenarios will be take-off points for development in nursing practice and education.
Delphi Technique↗
Making the procedure manual come alive: A prototype relational database and dynamic website model for the management of nursing information.
The nursing procedural manual is an essential resource for clinical practice, yet insuring its currency and availability at the point of care remains an unresolved information management challenge for nurses. While standard HTML-based web pages offer significant advantage over paper compilations, employing emerging computer science tools offers even greater promise. This paper reports on the creation of a prototypical dynamic web-based nursing procedure manual driven by a relational database. We created a relational database in MySQL to manage, store, and link the procedure information, and developed PHP files to guide content retrieval, content management, and display on demand in browser-viewable format. This database driven dynamic website model is an important innovation to meet the challenge of content management and dissemination of nursing information.
Information Management↗
Development of standardized Midwifery Nursing Reproductive Health Data Set (MN-RHDs) for Pakistan.
UNLABELLED: Pakistan has a marked discrepancy between reported and unreported maternal mortality, morbidity and reproductive health figures. Pakistan's figures are listed in the "E" category by the World Health Organization meaning there is no official means of data collection and reporting. PURPOSE: The purpose of this study was to develop the standardized "Midwifery Nursing Reproductive Health Data Set (MN-RHDS)" to provide systematic information about Pakistan's maternal mortality, morbidity, reproductive health, midwifery practices, and patient outcomes. METHOD: The descriptive data elements and definitions were generated and validated through Delphi survey and consensus conference of 25 experts. DATA COLLECTION: The experts rated each element on necessity, clarity of definition, and collectability. FINDINGS: Elements were categorized as follows: 1) Antenatal, 2) Labor and Delivery, 3) Postnatal, 4) Demographics, 5) Service Data, 6) Maternal Death, 7) Referral, and 8) Maternal Status. Elements related to task work compared to psychosocial nursing care achieved higher means with lower standard deviation. CONCLUSIONS: The MN-RHDS impacts data collection, storage, retrieval, and linkage of standardized information about reproduction interventions and outcomes in developing nations.
Female↗
Towards a reference model for representing nursing information needs.
Information needs studies in clinical settings often face the problem of integrating and analyzing data collected using different study tools. Generally, a coding taxonomy or a model is developed to capture and code the study data. Significant efforts are required to develop a model that not only captures the study data but is also closer to the clinical domain to draw meaningful real world inferences. Further, a study-specific model limits comparative evaluation of studies across different institutions. In this paper, we propose a reference model for representing nursing information needs. We use an iterative and collaborative approach in representing the concepts in the model. The model consists of 33 information (need) concepts, 29 information sources and 7 categories of nursing tasks which were used to code 228 identified information need instances.
Hospitals, Urban↗
Changes in the ICNP Version 1.0 from Beta 2.
The International Classification for Nursing Practice (ICNP) Programme focuses on terminology for nursing practice and acknowledges that nursing practice is not static but changing and dynamic. A number of major revisions were made to the Beta 2 to develop the ICNP Version 1.0. Although the Beta 2 Version functioned to compare and combine data from different sources, there were many recommendations for improvement. In this paper, we examined the ICNP Version 1.0 and identified the changes from the Beta 2 Version. A major change was the use of new technology for development of the ICNP Version 1.0 using description logics. Another change to the new version is the single classification structure that was refined into representation of a 7 Axis Model. The new coding system and new guidelines for composing statements that were developed using an International Organization for Standardization (ISO) Standard are also discussed.
Nursing Informatics↗
Factors affecting the degree of satisfaction for nursing information system.
This study was performed to identify the degree of satisfaction for Nursing Information System of clinical nurses and factors affecting the degree of satisfaction in S hospital that introduced and managed Nursing Information System when it opened in 2003. In result it was revealed that the degree of satisfaction of the Nursing Information System varies according to the selected subjects' demographical characteristics, such as age, marital status, department, position, and computer using capability for online searches. Also, the subjects' level of experience and perception and satisfaction toward the Nursing Information System had significant correlations.
Adult↗