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Biomedical subjects

Anneli Ensio

Publications and source records attributed to Anneli Ensio.

6 recordsLinked to original sources

Education and training of health information systems--a literature review.

This review concerned the content of education and training in health information systems targeted for healthcare professionals. The publications selected for the review were explored as to their educational content, theoretical approaches, available options, learning outcomes and the respective impact on organisational learning. A total of 1772 abstracts were screened and up to 423 abstracts studied in more detail. Two reviewers independently assessed the extracted data and decided to include 21 articles for the final review. The studies were analysed in relation to health informatics competence level, previous knowledge of information system usage, learning environment, teaching methods, pedagogical approaches, goals of training and assessment of learning. The review revealed that any level of competence in health informatics contributes to the learning process. The review suggested that more attention should be paid to setting up goals for training and measuring the preferable competence level of learning. It also clearly indicated the need for further research on teaching health informatics to healthcare professionals.

Curriculum↗

Perceptions of health care professionals concerning development of clinical pathways.

The purpose of this survey was to investigate the perceptions of health care professionals concerning the development of clinical pathways before the implementation of the regional electronic health record. The data of this study were collected from health care professionals working with conservative heart patients and surgical hip joint patients by means of a questionnaire. The professionals were working at one central hospital and two primary care units. In this hospital region, the process of regional electronic health record implementation is ongoing. The data from this survey were analyzed using statistical methods. The participants in this study set great store by developing and describing the current clinical pathways, and believed it was important to plan the changes in clinical pathways before implementing the electronic health record. However, the clinical pathways development work has not yet fully commenced.

Attitude of Health Personnel↗

Patient medication--How is it documented?

The purpose of this study was to find out how nurses use the standardized terminology of the Finnish Classification of Nursing Interventions (FiCNI) in describing their patients' medication. The main focus was on the use of the FiCNI component Medication and its various categories in daily documentation. The data were collected during a ten-month period in 2003 from electronic nursing care plans drawn up for patients of different ages (N = 1,157). The anonymous data were gathered on five psychiatric, two surgical and two medical wards, one children's intensive care unit as well as one surgical and one medical outpatient clinic at one central hospital. Data analysis was by descriptive statistical methods, and "Drug Administration per os" interventions including narrative text were further classified by means of content analysis. The main categories of the Medication component were used to describe medication administration, side effects and medication counselling. However the subcategories were more commonly used in descriptions of daily care than the main categories. Subcategories were most typically complemented with narrative descriptions of prescribed drugs, time, cause and routes of delivery.

Documentation↗

The national evaluation of standardized terminology.

The purpose of this study is to present the results of the national evaluation of Finnish Classification of Nursing Interventions (FiCNI). The data was collected using a questionnaire which included both Likert type questions (scale 1 = best - 4 = worst) and open questions. The questions covered the clarity, concreteness, importance and coherence of the components (N = 17) in FiCNI. The content and structure of FiCNI was introduced to health care professionals who responded to the questionnaire. The data was analysed using descriptive statistical methods and content analysis. According to the results, the components Medication, Respiration and Summary of care had the greatest clarity (mean = 1). The least clear component was Physical regulation (mean = 3). The components Elimination, Medication, Self care and Skin integrity had the greatest concreteness (mean = !). The importance of components was estimated for 13 of 17 components at mean 1. Only Health services, Physical regulation, Safety and Self care were given the mean value 2. The Coherence of all components was given the mean value 2. The answers to open questions provided detailed information on e.g. the content of FiCNI and the benefits and disadvantages of the hierarchical structure of the classification. The nursing process model in electronic documentation was considered useful, even essential. The findings established a basis for further development of the classification.

Finland↗

A controlled nursing vocabulary for indexing and information retrieval.

The lack of a nursing thesaurus in Finnish has emerged among nursing professionals searching nursing knowledge and librarians when indexing literature to databases. The Finnish Nursing Education Society launched a project focusing on the development of a nursing vocabulary and the compilation of a thesaurus. The content of a vocabulary was created by six experts using Delphi-technique. The validity of the vocabulary was twice tested for indexing nursing research and has afterwards been revised. The vocabulary can be used for indexing and information retrieval purposes. The main challenge is that nurses easily can find national as well as international nursing research from databases and enhance research utilization.

Abstracting and Indexing↗

Using standardized terminology for nursing documentation.

The documentation of nursing data is one important part of compiling information about patient care. Information recorded by using standardized and coded terms is needed to facilitate the subsequent use of nursing data. Structured data can be used to describe, compare and support nursing practice, research, education and management. The possibility of narrative text must also be included in documentation. The Finnish Classification of Nursing Interventions (FiCNI)Ensio A. & Saranto K.: The Finnish Classification of Nursing Interventions (FiCNI) based firmly on the Home Health Care Classification has been tested and used since 2003 in one Central Hospital and two Health Care Centers.

Finland↗