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Implementing a computer system: issues for nurse administrators.

Because more and more health care agencies are becoming computerized, nursing administrators need to increase their knowledge about computer systems. Specifically, they must have at least some basic knowledge regarding the purchase, implementation, and maintenance of systems, because they and their staff are ultimately affected by them. This article describes how one agency managed the implementation of a new computer system and the issues that the nurse administrator faced during this process.

Computer Literacy

Computer skills course integrates AIDS education.

Health professionals play an important role in educating the public about AIDS and HIV patient and community health education. This article describes an innovative approach incorporating AIDS education into a basic skills course covering statistical computing, computerized literature searches and modeling.

Acquired Immunodeficiency Syndrome

Implementation of a local area network for nursing management.

This paper describes the planning and implementation of a Local Area Network (LAN) for the nursing service of a 504-bed urban teaching hospital. The major goals of the network were: support for nurse executives, nurse managers, and the departmental assistants assigned to administrative offices; increased efficiency and effectiveness of the nursing administrative areas; and improved communication systems. Collaboration between the nursing service and the Computer Information Center (CIC) resulted in a network of over 70 workstations, spanning 11 buildings. The network provides access to multiple programs that support clinical, managerial, and research activities. Gateways provide access to the hospital's two mainframes.

Boston

Developing trends in clinical computing.

With the emergence of personal computers and graphical interfaces during the 1980s, advanced computational power has at last become accessible and affordable for practising clinicians in both inpatient and outpatient settings. Many observers have accordingly noted the relatively low level of direct computer use by physicians in their practices. This paper summarises developing trends in clinical computing, emphasising the role of local and wide-access networks, the revolutionary potential of optical storage techniques, and the notion of integrated workstations that will bring a critical mass of diverse functions to the physician. An important lesson of this review is the current availability of most of the technologies needed for high-quality and acceptable clinical computing tools. The barriers to successful implementation tend to be logistical, financial, and political. Despite these obstacles, new technologies, coupled with educational efforts, should allow the computer to emerge as a crucial aid to clinicians in the decade ahead.

Attitude to Computers

A nursing service--education model for introducing baccalaureate nursing students to research and computer concepts.

Knowledge of core content of nursing research and computer technology is increasingly required of baccalaureate students. This article describes a teaching model that incorporates computer technology content within a baccalaureate nursing research course. The model uses thirteen (13) linking concepts to reinforce learning about both content areas throughout the course.

Communication

A cost-effective, unit-based approach to computerized care planning education.

This article describes a grassroots approach to developing an educational program on nursing diagnosis and computerized care planning. The process involved staff nurses in program design, implementation, and evaluation. Using this process, staff development educators will be better able to successfully initiate grassroots programs that educate large numbers of nurses at minimal cost.

Computer User Training

Preparing nurses to use microcomputers for the work of management.

Communications and information systems are expanding rapidly in health care organizations today. That nurses must not only be computer literate but also consumers of information technologies emerges as a professional imperative. This is especially true for nurses in management and administration. Therefore, exposing them to current technologies becomes crucial in their academic experience. Educating students to use business software applications and to understand their output will yield a leading edge to those preparing for management decision-making.

Computer User Training

Establishing a nursing informatics program.

Nursing informatics is the synthesis of nursing science, information management science, and computer science to enhance the input, retrieval, manipulation, and/or distribution of nursing data. The literature abounds with articles stressing the unmet computer needs of nurses. Nurses must go beyond knowing computer terms and following basic program commands; they must be informatics competent. This article proposes five courses in nursing informatics to enhance all areas of nursing: practice, administration, education, and research.

Certification