PubMed HealthSearch

Biomedical subjects

C A Romano

Publications and source records attributed to C A Romano.

At least 19 recordsLinked to original sources

Diffusion of technology innovation.

Within the context of nursing informatics as a field that addresses the use of information technology by nurses as they care for patients, carry out administrative tasks in health facilities, and educate others in the discipline, this article presents the theoretic perspectives of the adoption and implementation of such technologies. Research in the area of diffusion of innovations is reviewed from the perspective of classical diffusion theory and organizational theory. The state of the art and methodological issues of research in this area are addressed. Areas for future study are proposed.

Communication

Computers and nursing diagnoses. Issues in implementation.

In summary, the issue of using computerized systems for nursing diagnosis is really a question of when and how, not if, because we look to technology to simplify our information processing requirements. In a society that is moving quickly to increase applications of computers, there are still many technical as well as professional issues that need to be addressed. How we define computerized information systems can define how we practice. It is critical then to recognize nursing's responsibility to use technology to emphasize a commitment to care that is both individualized and humanistic. As we look to technology to simplify our information processing requirements, the process of developing computer applications for nursing holds great promise.

Humans

Neomycin and plasma lipoproteins in type II hyperlipoproteinemia.

Neomycin, a nonabsorbable aminoglycoside antibiotic, has been shown to exert a hypocholesterolemic effect in man. In a 9-mo, double-blind, randomized, crossover, placebo-controlled clinical trial, the effect of neomycin, 2 gm/day, on plasma lipoproteins, as well as its safety, was described in 20 subjects with type II hyperlipoproteinemia. A 15% (50 mg%) decline in plasma cholesterol concentration was observed with neomycin. Most of this effect resulted from a 41 mg% (16%) decrease in low-density lipoprotein cholesterol concentration. No significant or consistent effect on the concentration of high-density lipoprotein cholesterol was observed. Monthly audiologic and renal evaluation disclosed no oto- or nephrotoxicity. Neomycin treatment in patients with type II hyperlipoproteinemia is an inexpensive and effective means of lowering the concentration of low-density lipoproteins and is free of significant side effects over a 3-mo period.

Adult

Nursing informatics: a model curriculum for an emerging role.

The authors delineate the emerging role of the nurse as Information Systems Specialist and describe a prototype educational program in Nursing Informatics which is designed to prepare nurses for this role. Major duties, knowledge required, and resulting interactions related to the role are discussed in relation to the curriculum design and course content. The projected impact of this model program is also addressed.

Curriculum

Radon: implications for the health professional.

Radon is a colorless, odorless gas formed by radioactive decay of radium and uranium, which are naturally present in the earth's crust. When concentrated indoors, this invisible gas becomes a potential health hazard. The Environmental Protection Agency estimates that up to 20,000 lung cancer deaths annually can be attributed to prolonged radon exposure. Radon is an important health issue that should be understood by all health care professionals. This paper discusses some of the important issues regarding radon, such as the incidences of lung cancer believed to be attributable to radon, the high-risk areas in the United States, federal safety guidelines, and public apathy. These issues and their impact on the health care required by professionals, especially nurse practitioners, are discussed.

Environmental Exposure

Innovation. The promise and the perils for nursing and information technology.

The concept of innovation refers to the process of bringing new ideas into use. It has been studied from the perspective of classical, organizational, and political theory; yet many aspects of the process remain unknown. Addressed here is the management of innovations, whether social, organizational, or technical in nature. The use of power, participation management, and the construction of change are offered as skills useful in the managing process. Opportunities or sources for creating innovation are reviewed, as are the principles that guide the innovation process.

Communication

Graduate specialization in nursing informatics.

This article describes the need and rationale for developing nursing informatics as a new area of graduate level specialization. Included are the results of a comprehensive needs assessment study that was conducted to determine the employment opportunities for graduates of such a program of study as well as the potential student applicant pool. The findings clearly indicate the immediate and future demand for master's prepared nurses in this field and the importance of a timely academic response.

Adult

Levels of computer education for professional nursing. Development of a prototype graduate course.

Leveling computer education for professional nurses at the undergraduate and graduate levels is presented via a four-tiered model. Foundational course content at level 2 for all graduate nursing students preparing for advanced nursing roles is described. A quasi-experimental study (N = 80) demonstrated the effectiveness of the course in terms of the attitude changes toward computerization and perceived knowledge about computer applications in nursing.

Attitude of Health Personnel