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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.
Internet communication and discussion lists for perinatal nurses.
The article describes how electronic connectivity facilitates professional communication. A brief background in computer communication networks, telecommunications and Internet access, email, and electronic discussion lists prepares the reader to participate in this technology. Directions for subscribing to an online discussion list and guidelines for professional behavior on the Internet are outlined. The article concludes with a description of the Perinatal Nursing Discussion List, an established networking tool. Printed and electronic resources for locating additional lists and a glossary of online abbreviations and terms are included.
Successful replacement of traditional psychiatric records with a multi-user computer system.
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Electronic publishing and nursing research.
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A Delphi study to determine informatics competencies for nurses at four levels of practice.
BACKGROUND: Despite its obvious need, a current, research-based list of informatics competencies for nurses is not available. OBJECTIVE: To produce a research-based master list of informatics competencies for nurses and differentiate these competencies by level of nursing practice. METHODS: After a comprehensive literature review and item consolidation, an expert panel defined initial competencies. Subsequently, a three round Delphi study was conducted to validate the items. Participants were expert informatics nurse specialists in the United States of America. RESULTS: Of the initial 305 competencies proposed, 281 competencies achieved an 80% or greater agreement for both importance as a competency and appropriateness for the correct practice level. Five competencies were rejected. Six competencies were considered valid competencies but the appropriate level of practice could not be agreed upon. Thirteen competencies did not reach any consensus after the three Delphi rounds. DISCUSSION: The Delphi study had a high rate of participation, demonstrating the great level of interest and need for a list of informatics competencies for nurses. Out of the initial 305 competencies, only 24 items were not validated. Respondents commented during each round about whether computer skills should be considered informatics competencies. The authors propose that computer skills, while not high level, are one set of tools within the larger category of informatics competencies. This sample of experts did not deem programming skills as necessary for informatics nurses. This research study is an initial effort to fill the void of valid and reliable informatics competencies. It is the first study to span four levels of nurses, create competencies for both entry-level and experienced informatics nurse specialists, and examine the categories of computer skills, informatics knowledge and informatics skills.
Influence of a computer intervention on the psychological status of chronically ill rural women: preliminary results.
BACKGROUND: Adaptation to chronic illness is a lifelong process presenting numerous psychological challenges. It has been shown to be influenced by participating in support groups. Rural women with chronic illness face additional burdens as access to information, healthcare resources, and sources of support are often limited. Developing virtual support groups and testing the effects on psychosocial indicators associated with adaptation to chronic illness may help remove barriers to adaptation. OBJECTIVE: To examine the effects of a computer-delivered intervention on measures of psychosocial health in chronically ill rural women including social support, self-esteem, empowerment, self-efficacy, depression, loneliness, and stress. METHODS: An experimental design was used to test a computer-delivered intervention and examine differences in psychosocial health between women who participated in the intervention (n = 44) and women in a control group (n = 56). RESULTS: Differences between women who participated in the intervention and controls were found for self-esteem, F(1,98) = 5.97, p =.016; social support, F(1,98) = 4.43, p =.038; and empowerment, F(1,98) = 6.06, p =.016. A comparison of means for depression, loneliness, self-efficacy, and stress suggests that differences for other psychosocial variables are possible. DISCUSSION: The computer-based intervention tested appears to result in improved self-esteem, social support, and empowerment among rural women with chronic illness. Descriptive but nonsignificant differences were found for other psychosocial variables (depression, loneliness, self-efficacy, and stress); women who participated in the intervention appeared to improve more than women in the control group.
Getting wired for success.
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The "rite of passage" for nurse executives of the 21st century is learning the informatics language.
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Cultivating informatics competencies in a community of practice.
To move the healthcare industry into the 21st century, nurses must become savvy in the use of informatics to provide optimal care to their patients. However, the relatively few formal nursing informatics programs that exist across the country are simply not adequate to meet the demands of both new and existing nurses. Informatics competencies must be incorporated into nursing curricula at entry-level and via staff development to provide a ready workforce. Creative faculty development strategies that capitalize on the concept of faculty as a community of practice are required to incorporate informatics competencies into nursing curricula.
Evidence-based practice: how nursing administration makes IT happen.
As the voice of and advocate for nurses, nursing administration should assume the leadership position in the development of evidence-based practice models. One of its most important tasks is to advocate for ubiquitous information technology (IT) to support these models. This article examines evidence-based nursing and the importance of IT to its development and growth. It explains the role of nursing administration in guiding IT implementation, as well as key issues that must be examined in system selection and development.
Promoting acquisition of telecommunications skills.
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An introduction to nursing on the Internet. Part One.
The Internet is a global resource connecting millions of computers. The author discusses the hardware and software needed to access the Internet and how to use one of the main Internet tools, electronic mail.
An introduction to nursing on the Internet: Part Two.
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Strategies for getting students on the information superhighway.
Many nurses indicate that they lack the formal education needed to use resources such as the Internet and computer technology related to healthcare. The results of a survey at a baccalaureate school of nursing revealed that although nearly 100% of those surveyed used computers, very few effectively used available Internet resources. In response, the authors implemented strategies to make available Internet resources "user-friendly" for communication and information gathering.
Using the Internet to integrate cultural diversity and global awareness.
Societal paradigm shifts are fundamentally changing nursing education and practice. A global view is fostered in business, education, and healthcare; a microcosmic view is no longer acceptable. Seeking to increase the global and technological knowledge of their students, the authors describe how they used electronic technology to integrate cultural diversity and global awareness concepts into a nursing curriculum.
Professor Plum at the podium: clues for teleteaching.
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Nursing students and computerized charting: lessons learned.
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