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Next-generation informatics. A new picture of quality medicine.

It's up to the physician executive to make an informed choice when selecting a "next-generation" information system. Look for systems that truly integrate (not merely interface) managed care components, clinical capabilities, and other features in a model that mimics the workflow of an actual practice. Take the time to learn about the technology. Consider how a vendor's product will work at every point within your organization. Seven critical features that physician executives should consider in their decision-making are described.

Decision Making↗

Health informatics.

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Computer Communication Networks↗

Real-time informatics.

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Computer Communication Networks↗

An informatics education for improved nursing by introducing an easy data base system.

We began to explore the subject of nursing information systems nine years ago. Since then, we have advocated a system that is intended to be used by nurses for their own purposes. We have developed an easy database management system (Native Data Base Management System, called NDBS hereafter) that is feasible to operate in the nursing situation. We also have developed an educational training system for information technology, which is appropriate for nursing students as well as for experienced nurses. Both systems have helped to greatly improve nursing services. In fact, nurses have already created several beneficial databases which are tailored to their nursing needs.

Computer User Training↗

Using the Internet as a teaching strategy: informatics at work.

Development of the World Wide provides educators with an enormous library of teaching tools. The purpose of this presentation is to share the results of introducing over 60 graduate students to use e-mail, internet mailing lists, computer conferences, and the World Wide Web as teaching strategies. Data were collected from students through questions and Electronic Communication Logs. Response of the students was categorized into 6 phases: 1) fear and trepidation, 2) excitement, "this is great!", 3) "help, my mail box is full", 4) venturing forth independently, 5) this is easy, and 6) accepting the internet as a useful tool. Identification of these phases provided a basis for developing teaching strategies specific to internet uses. Feedback between students and instructor increased and was far more timely than occurs in the classroom setting. The student responses to these experiences were overwhelmingly positive.

Computer Communication Networks↗

E-discourse and continuing professional education: the fusion of nursing knowledge and informatics to close the theory-practice gap.

Several modes of electronic discourse (e-discourse) are currently used by nurses, and have potential for meeting their formal and informal continuing professional education (CPE) needs. After defining e-discourse in relation to computer-mediated communications (CMC), the author outlines some recent examples of it use. There follows discussion of the argument that, through e-discourse, nurses can reflect on their practice, incorporating and developing theory and meet their CPE needs. Some important constraining issues are presented, and the author suggests that, for many nurses, e-discourse will have more educational application than multimedia in the foreseeable future. The paper is set within the context of UK requirements, but the issues raised are pertinent to nurses around the world, particularly where CPE is incorporated within the re-registration cycle.

Communication↗