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Developing data for practice and management: an Australian educational initiative.

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.

Computer User Training↗

An evaluation of an online intervention to provide social support and health education.

Managing chronic illness in the isolation of rural environments is challenging for women who lack access to personal sources of social support and health information. The Women to Women project was designed to provide chronically ill rural women access to support and health information via electronic means. This article reports on the acquisition of computer skills, the perceptions of importance of various aspects of the intervention, and an assessment of women's overall satisfaction with participation in the research project. Findings indicate that the women's self-ratings of computer skills improved significantly over the 22-week intervention and that highly interactive features of the project were rated as most important by the participants. Overall, women found the program beneficial in assisting them to better manage their chronic illness.

Attitude to Computers↗

Evaluating the impact of computerized clinical documentation.

A computerized system for care planning and documentation of patient care was initiated at a western teaching hospital, using the framework of Nursing Interventions Classification and Nursing Outcomes Classification standardized languages. The software integrates care planning and documentation, and includes both order entry as well as a charting application. Prior to initiating the project, a study was conducted to evaluate staff attitude toward computerization, time needed for documentation, and comprehensiveness of charting entries. Data from staff surveys, observations, and chart audits conducted pre- and post-computer project implementation demonstrated that the staff attitudes toward computers were less positive, the time required for charting was unchanged, and there were improvements in how completely the nurses documented charting elements.

Adult↗

Nursing attitudes and images of electronic patient record systems.

In an effort to predict nursing intention to adopt and properly use a new electronic patient record system (EPRS), a survey gathered demographic and computer experience information of, and attitude and image profile toward, the EPRS prior to installation. The results showed a somewhat positive overall attitude and age was found to be a significant factor in determining nurses' attitudes toward the EPRS. The image profile for the EPRS revealed a more negative perception of the EPRS by the nursing staff. A regression model, designed to identify variables that would predict attitude and in turn system adoption and use of the EPRS, found that age and image profile predictions were significant. The outcome of this research reinforces the notion that nurses are accepting of new EPRS systems and are somewhat supportive of technology in general, but the image profile draws attention to their concerns for quality healthcare delivery.

Adult↗

International communication via the Internet: Turkish nursing students' experiences.

This study involves an assignment given to first-year students at the Ege University School of Nursing in Turkey as part of a computer course. The assignment required students to obtain nursing and healthcare information about a foreign country via the Internet. The objective was to heighten global awareness while improving computer skills. The study was designed to assess the effectiveness of this teaching method, and to showcase the experiences and cooperation involved in knowledge-sharing by students in university schools of nursing around the world. Thirty-one contacts were established and information was exchanged between nursing students at 20 different universities in five countries. Despite some difficulties, the students' positive response indicates that this study was effective in developing cultural and computer competency.

Adolescent↗

Computer use in an urban university hospital: technology ahead of literacy.

The linkage of patient safety and care quality to the implementation of computerized information systems assumes that clinical staff are skilled with computers. Nurses and nursing support staff increasingly require computers to carry out their work. Minimum computer competencies for nurses have been identified. The determination of whether the current nursing workforce has acquired these competencies remains uncertain. We administered a self-assessment survey to nurses and nursing support staff to determine proficiency with computer skills they might perform at work. Respondents reported inadequacies in basic and work-related computer skills. More than 28% scored themselves as having fair or poor proficiency on all skills, and more than 50% as fair or poor on five of 11 skills. Respondents over age 50 and those graduating before 1984 tended to score proficiency lower. Our study suggests that many nurses and nursing support staff may not have the minimum computer competencies to effectively and efficiently perform their work.

Adult↗

Utilizing the language of Jean Watson's caring theory within a computerized clinical documentation system.

The healthcare facility described in the following article is part of an eight-hospital organization that adopted Watson's Theory of Caring as part of their nursing philosophy. According to Watson, this theory is an attempt to find and deepen the language specific to nurse caring relations and its many meanings. Yet during the implementation of the theory within the setting described, it was noted that there was no mechanism in the current documentation system for clinical nursing staff to document the patient experience using any language specific to the theory. Nursing members recognized an opportunity to develop a new context in charting during an extensive clinical documentation system upgrade. A discussion of the steps taken and the results within the clinical documentation system supporting the newly adopted caring philosophy are summarized here.

Altruism↗

Adopting best practices: "Agility" moves from software development to healthcare project management.

It is time for a change in mindset in how nurses operationalize system implementations and manage projects. Computers and systems have evolved over time from unwieldy mysterious machines of the past to ubiquitous computer use in every aspect of daily lives and work sites. Yet, disconcertingly, the process used to implement these systems has not evolved. Technology implementation does not need to be a struggle. It is time to adapt traditional plan-driven implementation methods to incorporate agile techniques. Agility is a concept borrowed from software development and is presented here because it encourages flexibility, adaptation, and continuous learning as part of the implementation process. Agility values communication and harnesses change to an advantage, which facilitates the natural evolution of an adaptable implementation process. Specific examples of agility in an implementation are described, and plan-driven implementation stages are adapted to incorporate relevant agile techniques. This comparison demonstrates how an agile approach enhances traditional implementation techniques to meet the demands of today's complex healthcare environments.

Adaptation, Psychological↗

Computer courses in the undergraduate nursing curriculum in Turkey.

This study surveys computer courses in undergraduate nursing schools in Turkey. To accomplish this, the investigator gave an assignment to first-year students at the Ege University School of Nursing as part of a computer course in 2003-2004. The assignment consisted of having students use their computer skills and do research on the Internet to obtain information about computer classes at other Turkish nursing schools. The objective of this assignment was to correspond by e-mail with first-year students at these institutions. Because of this assignment, at least 70 contacts were established, and information has been exchanged between nursing students at 45 different universities in Turkey. This study shows that one method used by undergraduate nursing schools in Turkey to educate their students in modern nursing practices is to integrate computer courses in their curricula, thereby providing students important practical technology skills.

Adaptation, Psychological↗

The role of frontline RNs in the selection of an electronic medical record business partner.

Frontline RNs knowledgeable in the strategic objectives of their organization made a difference in the selection of an electronic medical record business partner for a large, complex healthcare system. Their impact was significant because of the chief nurse executive's personal articulation of the organization's strategic goals and of her investment in their education. These factors provided the frontline RNs with a foundational base of knowledge about a variety of electronic medical record systems. The preparation and exposure enabled the frontline RNs to make a valuable contribution to the selection of an electronic medical record business partner. The RNs were a major force in affecting philosophical change from the organization's original pursuit of "best-of-breed" interfaced systems to a fully integrated, "best-of-class" vendor business partner. The learning experiences of the frontline RNs are explored to answer the following question: Why must frontline RNs play a key role in this process?

Chief Executive Officers, Hospital↗

Genetics on the World Wide Web.

Since 1990, when the Human Genome Project was initiated, the amount of genetic information on the World Wide Web (WWW) has grown substantially. The WWW has become an important resource for current, accurate, and reliable genetic information for health care professionals and the general public. The purpose of this article is to provide a variety of genetics-related WWW sites that are useful for all levels of practitioners interested in genetics. In selecting sites to be included in this article, a number of evaluation tools were reviewed. The primary concern was that these sites be reputable and provide accurate, timely information. A table of the WWW sites is included for quick easy reference.

Computer User Training↗

Challenges in electronic importing of health data.

The objective of this article is to increase awareness among public health personnel of the complexities involved in integrating existing data systems. This article describes the electronic importing feature of the Centers for Disease Control and Prevention (CDC) software package called staffTRAK-TB, and users' experience with it.

Attitude of Health Personnel↗

Healthcare on-line.

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Computer User Training↗

Healthcare on-line.

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Computer User Training↗