Biomedical subjects

Kaija Saranto

Publications and source records attributed to Kaija Saranto.

16 recordsLinked to original sources

PubMed2006

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↗

PubMed2006

Nursing minimum data set in the multidisciplinary electronic health record.

The development of an electronic health record requires consensus about its structure and content. The structure and content of the electronic health record refers to the standardization of views, main headings and subheadings. Views are subrecords of electronic health records that are comprised of specific data elements. Agreement on the unified structure of the electronic health record was reached by means of the consensus-based Delphi method and nominal group meetings. The structure includes general views, views by specialists, views by services, views by preventive health care and views by different health care professionals. The main headings are admission, planning, delivery and outcomes of care. In addition, there are 28 subheadings. The first experiences of the applicability of the structure will be obtained after it has been implemented in electronic health record systems by 2007. The goal is through the unified structure of electronic health records to facilitate the transfer of data between health care providers and to maintain the quality of care.

Consensus↗

PubMed2006

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↗

PubMed2006

Consumer-centered nursing with ICT: A futuristic viewpoint.

The purpose of this paper is to describe the views of health care and information technology professionals and patients about the future use and scenarios of information and communication technologies (ICT) in nursing practice. The perspective was set at the year 2010. The Delphi method was used, and the data were gathered during the years 2001 and 2002 with three Delphi rounds from a Finnish expert panel (N = 81). The experts consisted of clinical nurses, clinical nurse managers, nurse educators, professionals of development, research and information technology and patients. The data were gathered and analysed with qualitative and quantitative methods. The use of ICT was observed from the viewpoints of probability and desirability. The experts agreed more often about the desirability than the probability of the use of ICT. Three future nursing scenarios were outlined based on the results: nursing knowledge management and development, patient orientation and self-care, and technology vs. the human being. The scenarios will be take-off points for development in nursing practice and education.

Delphi Technique↗

PubMed2006

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↗

PubMed2006

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↗

PubMed2006

Regional nurse led call center, a new public health service in Finland.

This poster presents a regional, speedy, nurse led, 24/7 response service in North Karelia Hospital District. Expert nurses have access to medical and pharmacy databases and Electronic Patient Record is used to consult and record patient data. Laboratory results are delivered, also warfarin dosing. Patients get advice for self care, information on health care services and they are guided to appropriate service. Appointments are made for doctor's or nurse's offices as appropriate. The goals of the project are to change call center into a health consultancy as well as a regional health care appointment center.

Appointments and Schedules↗

PubMed2006

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↗

PubMed2006

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↗

PubMed2005

The core data elements of electronic health record in Finland.

Delivery of good care, ability to communicate effectively about patient care and the decision-making during the care process depends on the quality of the information available to all professions and between sectors. The main purpose of an electronic health record is to support the multidisciplinary communication, cooperation and decision-making in the patient's care process. In addition, the data in electronic health records are used, e.g. in clinical research, health system management, the planning of health services and government reporting. A nationwide electronic health record will be introduced in Finland by the end 2007. Reaching this target has been a special part of the national health project. In a subproject of the introduction of a national electronic health record, core data elements of electronic health record have been defined through a consensus-based approach. The main elements are the patient identification information, the provider's identification information, care episode, risk factors, health patterns, vital signs, health problems and diagnosis, nursing minimum data set, surgical procedures, tests and examinations, information about medication, preventive measures, medical statements, functional status, technical aids, living will, tissue donor will, discharge summary, follow-up care plan and consent information. Furthermore, existing vocabularies, nomenclatures, classifications and codes were clarified. The HL7 Finland has defined the manner in which this information is expressed in the CDA R2 structure. The core information elements will be implemented in regional development projects which are partly funded by the Ministry of Social Affairs and Health. This paper presents the defining process of the national core data elements of electronic health record systems in Finland.

Acquired Immunodeficiency Syndrome↗

PubMed2004

Information literacy-what it is about? Literature review of the concept and the context.

OBJECTIVES: The use of IT in health care has merged advanced knowledge and skills for health care professionals. Former studies indicate that basic skills in computer use are no more than comprehensive competencies to manage electronically stored information in health care. The purpose of this paper is to review the literature focusing on the concept information literacy in the field of health, nursing and medical informatics. The target is to find out how information literacy is defined, in what kind of context it is presented and who are the focus of interest. METHODS: An automated literature search was performed on-line to Medline and by using the EndNote Bibliographic Software. All together the number of papers analyzed was 97 or 78% of the total literature search result. RESULTS: The survey indicates that the concept information literacy does not exist as such in the literature, but it can be found as a synonym to 'computer literacy' or even more obscure concepts such as 'informatics awareness' or 'computer experience'. The definitions of these concepts varied considerably. A variety of descriptions of educational programs were also found, none were based on the IMIA recommendations. CONCLUSIONS: In international cooperation such as that of IMIA WG1, a wide range of efforts still needs to be carried out to compile educational programmes in health informatics to enhance knowledge and skills in computer use among health care professionals.

Computer Literacy↗

PubMed2004

The role of evaluation in web-based education.

The use of web-based education has increased significantly. As a result there is a need to focus on methods, employed to evaluate teaching and learning outcomes, when technology is used to enhance learning. This chapter provides an overview of what, how, and why to assess, test and measure learning. The use of technology facilitates a combination of different perspectives within an evaluation process. Not only the knowledge and skills of students but also the learning arrangements are the focus of assessment. Evaluation generates information which can be used for different purposes e.g. planning, implementing and guiding teaching and learning processes timely and for the future as well. Based on experiences of teaching health informatics, an evaluation model for web-based courses is described. The risks of dishonesty and misbehavior related to web-based education are recognized.

Education, Distance↗

PubMed2003

Enhancing evidence-based practice--a controlled vocabulary for nursing practice and research.

Evidence-based practice requires flexible systems for information retrieval. Search processes in electronic databases must be based on terms, which are familiar to professionals and describe accurately the problem to be solved. The paper describes the process of evolving a controlled nursing vocabulary for indexing and information retrieval purposes. The vocabulary is based on terms of the Medline thesaurus the medical subject headings (MeSH) by National Library of Medicine and the International Classification for Nursing Practice by the International Council of Nurses. The created vocabulary consists of 10 themes central to nursing domain. The content was compiled using Delphi technique. The expert panel had four rounds and at the first stage the vocabulary consists of 558 terms. The validity of the vocabulary has been tested for indexing nursing research and based on the validation the expert panel has made some changes for the hierarchy and content. The vocabulary will be added as an independent theme to the Finnish thesaurus the FinMeSH.

Clinical Nursing Research↗

PubMed2003

A study design to measure the outcomes of education in data security issues among health care professionals.

The purpose of this paper is to describe a study design compiled to measure the outcomes of education in health care data security issues. Based on previous studies the knowledge in data security is not very comprehensive and health care professionals feel that they need more education and training in information technology, specially in the filed of data security issues.

Computer Security↗

PubMed2002

The digital portfolio: a tool for human resource management in health care?

This article discusses the current situation of human resource management (HRM) in Finnish health care and charts the views of nurse directors (ward sisters and clinical nurse managers, n = 47) on the digital portfolio as a tool of HRM. The study is part of an evaluation research project; this article reports on the findings from nurse directors' perspective. The data were collected from three organizations in eastern Finland: a University Hospital, a Central Hospital and a Social and Health Centre. The nurse directors indicated a need for information on their staff's skills and competencies, but the area on which they had most information was on staff's formal education. They did not have access to systematic tools and methods for monitoring the continuous education of staff members. The digital portfolio can be used as a tool for HRM in health care, although the nurse directors did not realize it could provide a tool for sharing expertise through the units or wards.

Adult↗

PubMed2002

A controlled vocabulary for nursing practice and research.

The paper describes the process of evolving a controlled Nursing Vocabulary for indexing and information retrieval purposes. The vocabulary is based on terms of the thesaurus of Medline i.e. MeSH (Medical Subject Headings) by National Library of Medicine and the International Classification for Nursing Practice (ICNP) by the International Council of Nurses. The vocabulary consists of 10 themes central to nursing domain. The vocabulary is added as an independent theme to the Finnish thesaurus FinMeSH. The validity of the vocabulary has been tested for indexing nursing research once and has afterwards been revised. The validity will be tested again during spring 2002.

Finland↗