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Multilevel library instruction for emerging nursing roles.

As new nursing roles emerge that involve greater decision making than in the past, added responsibility for outcomes and cost control, and increased emphasis on primary care, the information-seeking skills needed by nurses change. A search of library and nursing literature indicates that there is little comprehensive library instruction covering all levels of nursing programs: undergraduate, returning registered nurses, and graduate students. The University of Florida is one of the few places that has such a multilevel, course-integrated curriculum in place for all entrants into the nursing program. Objectives have been developed for each stage of learning. The courses include instruction in the use of the online public access catalog, printed resources, and electronic databases. A library classroom equipped with the latest technology enables student interaction with electronic databases. This paper discusses the program and several methods used to evaluate it.

Adult↗

Teaching literature searching in the context of the World Wide Web.

As part of the required curriculum for medical students, we devised a literature-searching practicum that has been used for two years. In both years, we stressed going beyond the skills needed for using a particular searching program, towards a more conceptual approach to information searching. In the first year, the practicum was taught in a traditional lecture/hands-on format. In the second year, the lecture was replaced by a World Wide Web-based tutorial (http:@www.welch.jhu.edu/Education/tutorials/pra cticum.html). To our knowledge, this is the first Web-based resource intended to teach students about appropriate use of search technology. Comparison of student evaluations showed no difference in attitude toward the two versions of the practicum, and observation of student performance suggested similar levels of proficiency. We conclude that placing these educational materials on the Web (1) makes us practice what we preach; (2) is as effective as traditional teaching methods; and (3) gives students a resource for reinforcement learning.

Computer Communication Networks↗

[Internet (1)].

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Animals↗

A clinical data repository implementation progress report.

In late 1992, the 161 bed Grace Hospital of Morganton, North Carolina, USA, entered into a prototype agreement with a major vendor of hospital information systems software to help develop remote delivery of a Clinical Data Repository system. A process for planning and designing the implementation of this system was instituted by the Hospital. As of June 1994, several types of patient data are being collected for storage in the repository; interfaces to existing systems have been created, and progress is being made on designing clinical user presentation formats for long-term, on-line clinical data.

Computer Communication Networks↗

Hospital information systems in China.

The hospital information system (HIS) is an important aspect of computer application in hospitals. China is a developing country, and its HIS has been in the process of being developed since the 80s. In this paper the process of developing the HIS in China is reviewed. By comparing it with the developed countries, we found some existing problems in the HIS. The key problem for us is to design and implement a Chinese HIS. Backward models need to be discarded and new ideas of development encouraged.

China↗

Education on medical informatics integrated in the campus information network system at Shimane Medical University.

An integrated campus information network system at Shimane Medical University has been developed to organize medical information generated from each section and provide information services useful for education, research, and clinical practice. This report outlines: the education-research system in connection with a campus information network system, the MUMPS programming self-directed learning software, and the curriculum of education on medical informatics.

Computer Systems↗

Medical undergraduates using the Internet as an information technology teaching tool.

The use of the Internet as an information resource is increasingly becoming useful as a tool for educators, government, and business sectors alike. The potential to deliver educational material to medical students via the Internet at any time or location is now a realistic option. Medical Informatics is a compulsory subject for all medical students at Monash University. Monash Medical Informatics (MMI), the body responsible for this teaching, considers the use and understanding of Internet resources an important component in the students overall understanding of information technology. Furthermore, the Faculty of Medicine at Monash has, as part of its mission statement, the desire to provide a sophisticated range of information technology resources to its students. his poster will show how the Unit of Medical Informatics teaches medical undergraduates to use the Internet. It will also illustrate some of the technical aspects in the establishment and efficient running of such a student facility.

Computer Communication Networks↗

Integration of nursing informatics in a registered nurse graduate program.

Experienced registered nurses (RNs) are adult learners seeking a program of study in many academic settings to prepare for the advanced practice nursing role. They want a visionary curriculum that builds on their previous experience and develops their creativity in meeting educational goals and objectives [1]. At the Northeastern University College of Nursing in Boston such a program exists. Building on their first foundation course, Professional Development Seminar, RN students are exposed to the Benner Model, From Novice to Expert [2].

Adult↗

Integration of a hospital information system in a Greek cardiac surgery hospital through specific education programs for health care personnel: development of nursing documentation.

This study represents an educative effort for integrating an innovative Hospital Information System (HIS) in Greece for quality impact on nursing practice and conductive research. The Hospital involved is the Onassis Cardiac Surgery Center (OCSC), a new 150 bedded state-of-the-art hospital in Athens. The aims of this study are the following: 1) To present the educational assessment concerning the HIS of Onassis Center, 2) To develop Nursing documentation to support the educational needs of nurses and clerks in correlation with the Nursing/Medical record of HIS, and 3) To show the meaning of continuing education for new and old hospital staff and the use of the system as an educative and consultative tool for decision support for health care personnel, especially nurses.

Attitude to Computers↗

Determining educational needs for the biomedical library customer: an analysis of end-user searching in MEDLINE.

The analysis of CD Plus usage logs provides an opportunity to determine specific areas where searchers are "missing opportunities" by misusing, or failing to use, system specific features. This paper describes a methodology, based on transaction log analysis, to provide automated, continuous analysis of end-user searching. The data collected in this process can then be used to enhance and provide insight into the educational needs of users.

CD-ROM↗

Legal issues of the electronic dental record: security and confidentiality.

Computer-based, electronic dental record keeping involves complex issues of patient privacy and the dental practitioner's ethical duty of confidentiality. Federal and state law is responding to the new legal issues presented by computer technology. Authenticating the electronic record in terms of ensuring its reliability and accuracy is essential in order to protect its admissibility as evidence in legal actions. Security systems must be carefully planned to limit access and provide for back-up and storage of dental records. Carefully planned security systems protect the patient from disclosure without the patient's consent and also protect the practitioner from the liability that would arise from such disclosure. Human errors account for the majority of data security problems. Personnel security is assured through pre-employment screening, employment contracts, policies, and staff education. Contracts for health information systems should include provisions for indemnification and ensure the confidentiality of the system by the vendor.

Computer User Training↗

Improving organizational processes for gains during implementation.

Reengineering work processes has not been a traditional part of health care automation. With the new emphasis on quality and cost cutting, users are more receptive to improving processes as they are automated in new or replacement systems. The authors describe a process flowcharting technique, which, as part of the implementation design phase, assists users in understanding and engineering the processes impacted during the implementation. Also described is a strategy for securing cooperation from physicians and other key players.

Attitude to Computers↗

User expectations and perceptions of a patient management information system.

The use of computers in health care has become increasingly common. However, implemented systems at times have not met the expectations of the user group, resulting in disconfirmed expectations. This article takes a first tentative look at the notion of disconfirmed expectations and the possible impact disconfirmed expectations may have upon the perceptions of the system the user group may develop. Seventy-two pre-users and 30 users completed a questionnaire regarding their system expectations (pre-users) or system perceptions (user). Analysis examined occupation and use (pre-user/user) ratings. Results found vast differences in both use and occupation. When examining the observed differences in use (pre-user/user), a discriminant analysis identified nine factors that discriminated significantly between these groups, with 'user support' being the main factor. When examining the groups by occupation (clerical, nursing, other) it was found that differences were explained by how effective the system was at meeting their daily work requirement needs. These results are discussed in relation to system implementation strategies.

Attitude to Computers↗