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Biomedical subjects

Jeungok Choi

Publications and source records attributed to Jeungok Choi.

5 recordsLinked to original sources

Heuristic evaluation of a Web-based Educational Resource for low literacy NICU parents.

"Web-based Educational Resources for the NICU Parent," an educational website for low literacy families, was developed and implemented as prototype web pages using Macromedia Dreamweaver MX. Research has shown that evaluating a website before its implementation can reduce usability errors and improve the overall interface design. As an initial assessment of the website's interface, a heuristic evaluation was conducted with a sample of three usability experts. The usability experts reviewed the website with typical case scenario and completed an evaluation form covering ten usability heuristics. The task was completed in approximately one and a half hours; 82 heuristic violations were reported. The heuristic violations noted on the evaluation forms and the experts' verbalizations captured by a usability testing tool (Morae) were content analyzed and categorized based on the potential design solutions to be implemented: function, design and layout, content, and navigation. Approximately 88% of the violations were resolved by implementing these solutions. The study findings suggest that the heuristic evaluation was an efficient and inexpensive method for evaluating the low literacy interface of the "Web-based Educational Resources for the NICU Parent."

Comprehension↗

Toward semantic interoperability in home health care: formally representing OASIS items for integration into a concept-oriented terminology.

OBJECTIVE: The authors aimed to (1) formally represent OASIS-B1 concepts using the Logical Observation Identifiers, Names, and Codes (LOINC) semantic structure; (2) demonstrate integration of OASIS-B1 concepts into a concept-oriented terminology, the Medical Entities Dictionary (MED); (3) examine potential hierarchical structures within LOINC among OASIS-B1 and other nursing terms; and (4) illustrate a Web-based implementation for OASIS-B1 data entry using Dialogix, a software tool with a set of functions that supports complex data entry. DESIGN AND MEASUREMENTS: Two hundred nine OASIS-B1 items were dissected into the six elements of the LOINC semantic structure and then integrated into the MED hierarchy. Each OASIS-B1 term was matched to LOINC-coded nursing terms, Home Health Care Classification, the Omaha System, and the Sign and Symptom Check-List for Persons with HIV, and the extent of the match was judged based on a scale of 0 (no match) to 4 (exact match). OASIS-B1 terms were implemented as a Web-based survey using Dialogix. RESULTS: Of 209 terms, 204 were successfully dissected into the elements of the LOINC semantics structure and integrated into the MED with minor revisions of MED semantics. One hundred fifty-one OASIS-B1 terms were mapped to one or more of the LOINC-coded nursing terms. CONCLUSION: The LOINC semantic structure offers a standard way to add home health care data to a comprehensive patient record to facilitate data sharing for monitoring outcomes across sites and to further terminology management, decision support, and accurate information retrieval for evidence-based practice. The cross-mapping results support the possibility of a hierarchical structure of the OASIS-B1 concepts within nursing terminologies in the LOINC database.

Dictionaries, Medical as Topic↗

Web-based educational resources for low literacy families in the NICU.

Web-based educational resources for families in the neonatal intensive care unit (NICU)with low health literacy were developed and implemented as prototype web pages using Macromedia Dreamweaver MX. The user interface was designed for a touch-screen platform with voice-recorded messages to incorporate parents' varying literacy levels and computer experience. Cognitive load theory was used to guide the organization and presentation of information. The text was translated to a 6th grade reading level by Flesch-Kincaid Grade Level, MS Word.

Comprehension↗

Piloting web-based NAMCS data collection for nurse-managed centers.

Research consistently has shown that Nurse Practitioners (NPs) provide health care equivalent to that of physicians, and especially excel in patient education and case management, essential interventions to promote self-care in chronically ill ambulatory patients. Yet large-scale national studies have not been done. Nurse-managed centers are not included in the sampling frame of the National Ambulatory Medical Care Survey (NAMCS) and only 2.1% of the 2000 sample was from patient encounters with NPs.1 The aims of this pilot study were to create a web-based format for the NAMCS; to expand it by adding selected nursing diagnoses, interventions, and outcomes; and to pilot-test it with 300 patient encounters in 5 nurse-managed centers.

Ambulatory Care Facilities↗

Perceived nursing work environment of critical care nurses.

BACKGROUND: Different concepts and measures have been used to evaluate the work environment of nurses in hospital settings. There is increasing need for updated measurement tools that reflect the evolving nature of the work environment. OBJECTIVES: To report the psychometric properties of the Perceived Nursing Work Environment (PNWE) instrument, and to compare these results with those of other scales derived from the same background instrument: the Nursing Work Index-Revised. METHODS: The Nursing Work Index-Revised was used in a national survey of critical care nurses. Exploratory principal component analysis with orthogonal rotation was conducted. Psychometric properties were examined. Construct validity was evaluated by comparing the scores for a subsample of nurses in magnet and nonmagnet hospitals. RESULTS: Surveys obtained from 68 hospitals across the nation had a mean response rate of 41%, resulting in a sample of 2,324 participants. The PNWE, with its seven subscales and 42 items, explained 53% of the total variance of the Nursing Work Index-Revised. The subscales exhibited moderate to high reliabilities ranging from .70 to .91, except for one subscale (.56), and generally low intercorrelation. A similar version of the nurse-physician collaboration subscale was found in three of the other four scales compared. The positive scheduling climate subscale was a unique finding. Nurses employed at magnet hospitals had more positive perceived work environments than those employed at nonmagnet hospitals, and showed higher mean scores in four of the seven subscales (p < .05). CONCLUSIONS: The PNWE, a measure of the work environment as perceived by nurses, represents the latest version of the Nursing Work Index-Revised based on current practice. In this study, it exhibited sound psychometric properties. Further application and testing of the PNWE in various patient care settings is recommended.

Adult↗