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This month's report from the RCN R&D Co-ordinating Centre is about how the centre is used from the Welsh perspective. Angela Perrett, RCN Wales Librarian and Information Services Manager, writes about the co-ordinating centre's development in Wales, and Helen Nethercott, a practice development nurse at the Pembrokeshire and Derwen NHS Trust, recounts her experience of the interactive Internet workshop.
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As the internet becomes increasingly accessible to more people, it is important to understand its relevance to nursing. Rod Ward discusses its benefits and drawbacks, and the need for evaluating web information.
This article provides advice on how to carry out a successful literature search using electronic databases available on the Internet.
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Our society is becoming more aware of the basic fact that education is a lifelong process. The dynamic world in which we live requires that we continually update our knowledge and skills. Educational institutions that have traditionally viewed their mission as one of providing a sequence of courses leading to a specific degree are now expanding their role to include postgraduate nondegree offerings. The MIS area certainly ranks high among those fields that have a dynamic characteristic. Institutions with particular academic strength in this area can provide a needed service--and at the same time create a market niche for themselves--by developing and presenting continuing education programs in the area of MIS.
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The question of the degree of technical versus managerial competence to be found in future graduates from health administration programs is not easily resolved. In the HIMSS 1988 survey of CIOs the attributes needed for success are listed in descending rank order as follows: leadership ability, vision/imagination, knowledge of hospital systems, business acumen, decisiveness, and technical competence. CIOs ranked technical competence as less important than other attributes associated with general management success. The expectations for attitudes, knowledge, and skills presented in this article support the greater importance of management abilities relative to pure technical competence. However, it is vital that an appropriate level of technical knowledge and skill be maintained to enable future alumni of health administration programs to function effectively as administrators. Depending on their role in a health care organization, greater or lesser technical knowledge may be needed. Those pursuing a career path toward CIO must, of necessity, have greater technical knowledge and skill. We have discussed necessary and expected attitudes, knowledge, and skills that will be needed by the generalist health administration graduate in the future. It will be important to develop and maintain an attitude that MIS is a strategic tool, that health care technology is a corporate asset, and that information is power. Graduates must recognize the necessity of maintaining and enhancing their knowledge and skills through continuing education. The knowledge base of MIS education should focus on determining information needs to support strategic goals, understanding of general systems theory, principles of systems analysis, design, implementation and maintenance, awareness and exposure to standard application software, and an awareness of external sources of data.(ABSTRACT TRUNCATED AT 250 WORDS)
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Information technology will continue to have a profound effect on decision analysis. Clinicians and technologists must continue to work together to achieve systems that enhance patient quality and managerial decision making. Users will continue to grow more sophisticated in using information systems for patient care and organizational analyses. Strategic information systems will not solve all problems that health care professionals may face. However, better decisions will result from improved availability of information. The acceptance, support, and imagination of power users will enhance and drive information system development and design. Strategic information systems will provide opportunities for data analysis enabling health care professionals to better support decisions.
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