PubMed Health⌕ Search

Biomedical subjects

N Staggers

Publications and source records attributed to N Staggers.

At least 19 recordsLinked to original sources
PubMed2001

History and trends in clinical information systems in the United States.

PURPOSE: To provide a synopsis of issues about clinical information systems for nurses not schooled in nursing informatics. ORGANIZING CONSTRUCT: The past, present, and future of clinical computing, including major factors resulting in the early hospital information systems (HIS) and decision support systems (DSS) in the United States, current advances and issues in managing clinical information, and future trends and issues. METHODS: Literature review and analysis. FINDINGS AND CONCLUSIONS: The first HIS and DSS were used in the late 1960s and were focused on applications for acute care. The change from fee-for-service to managed care required a change in the design of clinical information systems toward more patient-centered systems that span the care continuum, such as the computer-based patient record (CPR). Current difficulties with CPR systems include lack of systems integration, data standardization, and implementation. Increased advances in information and technology integration and increased use of the Internet for health information will shape the future of clinical information systems.

Decision Making, Computer-Assisted↗
PubMed2001

Informatics competencies for nurses at four levels of practice.

Valid and comprehensive nursing informatics (NI) competencies currently are lacking. Meanwhile, nursing leaders are emphasizing the need to include NI in nursing curricula, as well as within the roles of practicing nurses in all settings. This article presents the initial work of a team of NI experts toward development of a valid and reliable set of NI competencies. Previous work primarily has focused on computer-related skills, rather than examining a broad definition of informatics competencies. For this current work, NI competencies encompass all skills, not only computer-related skills, as well as knowledge and attitudes needed by nurses. The first two authors created a database of NI competencies from the existing literature. A larger panel of NI experts then affirmed, modified, added, or deleted competencies from this database. Competencies were placed into four distinct skill levels. Definitions of each skill level and an initial master list of competencies are provided.

Computer Literacy↗
PubMed2001

Using a web-based prototype and human-computer interaction concepts to develop a vision for a next generation patient care management system.

This paper describes the novel use of two tools to develop requirements for a new generation patient care system: a web-based prototype and a human-computer interaction framework. These tools allowed a development team to crystallize new requirements for a patient care system, illustrate to clinicians a radical change in care process models, and begin the change management process in a large enterprise.

Hospital Information Systems↗
PubMed2000

The vision for the Department of Defense's computer-based patient record.

To meet the Department of Defense's clinical information management mission for the next century, a vision for the computer-based patient record (CPR) was needed. This article describes the generation of that vision as well as the resulting definition, characteristics, and essential functions of the Department's CPR.

Forecasting↗
PubMed1999

A provocative look at performance measurement.

A fascinating web of issues can be spun from the notion of performance measurement. After a brief discussion about the background of performance measurement, this article puts performance measurement into a fresh light by examining three major issues: the concept of quality and its application to performance measurement, the power of the patient and the transition of focus to customers within health care organizations, and deliberations about data and concomitant implications for information systems of the future.

Data Collection↗
PubMed1999

A classification scheme for outcome indicators.

PURPOSE: To provide a framework for classifying outcome indicators for a more comprehensive view of outcomes and quality. METHODS: Review of outcomes literature published since 1974 from medicine, nursing, and health services research to identify indicators. Outcome indicators were clustered inductively. FINDINGS: Three groups of outcome indicators were identified: patient-focused, provider-focused, and organization-focused. Although investigators tend to focus on a select few outcome indicators, such as patient satisfaction, quality of life, and mortality, many indicators exist to measure outcomes. CONCLUSIONS: Selecting and integrating a wide array of outcome indicators from the various categories will provide a more balanced view of health care delivery as compared with focusing on a few common indicators or only one category.

Diagnosis-Related Groups↗
PubMed1998

The language of outcomes.

Outcomes are a topic of great interest. Their potential is considerable as a mechanism to evaluate quality, improve effectiveness, and link practice to professional accountability. Greater clarity and precision in the use of outcomes terminology will allow this potential to be realized. This article identifies the current confusion in outcomes terminology, begins an outcomes lexicon, and issues a call to action for further clarification in the language of outcomes.

Humans↗
PubMed1994

The Staggers Nursing Computer Experience Questionnaire.

This report described the development and initial psychometric testing for an instrument measuring nurses' perceived computer experience. The instrument's theoretical basis was psychometric theory and innovation adoption, specifically innovation use and knowledge. The scored portion of the instrument asks nurses to rate their past or present computer use and knowledge for general computer and HIS applications as well as participation in and knowledge about informatics role activities. A descriptive section of the tool asks nurses to indicate the number of formal courses and college-level computer/informatics courses they have taken. A novice-to-expert scale allows nurses to indicate their overall computer experience. Additionally, nurses list reasons, if any, that they might not use computers often. Content and construct validity were adequate for the instrument. Test-retest reliability indicated beginning reliability for the tool. The SNCEQ provides a reliable and valid measure for assessing nurses' past and present computer experience.

Adult↗
PubMed1994

Nurse-computer performance. Considerations for the nurse administrator.

Regulatory reporting requirements and economic pressures to create a unified healthcare database are leading to the development of a fully computerized patient record. Nursing staff members will be responsible increasingly for using this technology, yet little is known about the interaction effect of staff characteristics and computer screen design on on-line accuracy and speed. In examining these issues, new considerations are raised for nurse administrators interested in facilitating staff use of clinical information systems.

Adult↗
PubMed1992

Collaboration between unlikely disciplines in the creation of a conceptual framework for nurse-computer interactions.

A unique conceptual framework for the study of nurse-computer interaction was created through the collaboration of two researchers in seemingly diverse fields: nursing informatics and developmental psychology. The framework depicts nurses and computers interacting in a system of mutual influences, exchanging information during a particular task, and proceeding on a developmental trajectory. The conceptual framework can help guide research within nursing informatics and help build a cohesive body of knowledge for the future.

Medical Informatics↗
PubMed1990

The clinical nurse specialist role in the Army Medical Department.

Although clinical nurse specialists (CNSs) have been in the Army Medical Department for more than 10 years, there are no reports in the literature regarding role implementation for them. In this study, a survey of all practicing CNSs in the Army Medical Department (AMEDD) and their supervisors was conducted with the purpose of defining their perceived role and the value placed on it by their supervisors. The results showed that the study population (n = 52) has implemented the role with all components (practice, education, consultation, administration, and research) considered important by them. Further, 85% of the CNSs report positive job satisfaction, and 67% believe they have reached role maturation. Their supervisors were equally or more positive about the importance of the role, and all (n = 26) felt it must be maintained despite budget constraints and nursing shortages. Findings were that CNSs experience role satisfaction, have achieved role maturation, and are valued by their supervisors within the AMEDD.

Adult↗
PubMed1989

Electronic mail basics.

Electronic mail can improve productivity, preserve resources, and contain costs in nursing organizations. Because of its speed, reliability, and convenience, electronic mail virtually eliminates "telephone tag," drastically reduces the turnaround time for responses to messages, produces documentation of conversations, reduces the need for travel and face-to-face meetings, and improves the information processing efficiency of all who use this computer age tool.

Evaluation Studies as Topic↗
PubMedDate not supplied

Comparing response time, errors, and satisfaction between text-based and graphical user interfaces during nursing order tasks.

Despite the general adoption of graphical users interfaces (GUIs) in health care, few empirical data document the impact of this move on system users. This study compares two distinctly different user interfaces, a legacy text-based interface and a prototype graphical interface, for differences in nurses' response time (RT), errors, and satisfaction when the interfaces are used in the performance of computerized nursing order tasks. In a medical center on the East Coast of the United States, 98 randomly selected male and female nurses completed 40 tasks using each interface. Nurses completed four different types of order tasks (create, activate, modify, and discontinue). Using a repeated-measures and Latin square design, the study was counterbalanced for tasks, interface types, and blocks of trials. Overall, nurses had significantly faster response times (P < 0.0001) and fewer errors (P < 0.0001) using the prototype GUI than the text-based interface. The GUI was also rated significantly higher for satisfaction than the text system, and the GUI was faster to leam (P < 0.0001). Therefore, the results indicated that the use of a prototype GUI for nursing orders significantly enhances user performance and satisfaction. Consideration should be given to redesigning older user interfaces to create more modern ones by using human factors principles and input from user-centered focus groups. Future work should examine prospective nursing interfaces for highly complex interactions in computer-based patient records, detail the severity of errors made on line, and explore designs to optimize interactions in life-critical systems.

Analysis of Variance↗
PubMedDate not supplied

Health professionals' views of informatics education: findings from the AMIA 1999 spring conference.

Health care leaders emphasize the need to include information technology and informatics concepts in formal education programs, yet integration of informatics into health educational programs has progressed slowly. The AMIA 1999 Spring Congress was held to address informatics educational issues across health professions, including the educational needs in the various health professions, goals for health informatics education, and implementation strategies to achieve these goals. This paper presents the results from AMIA work groups focused on informatics education for non-informatics health professionals. In the categories of informatics needs, goals, and strategies, conference attendees suggested elements in these areas: educational responsibilities for faculty and students, organizational responsibilities, core computer skills and informatics knowledge, how to learn informatics skills, and resources required to implement educational strategies.

Computer User Training↗
PubMedDate not supplied

Analysis, processes, and techniques. Case study.

The case studies will represent a wide variety of scenarios encountered in the field of healthcare information system technology implementation. We hope that the series will be of value to readers of Computers in Nursing. We encourage feedback so that subsequent cases within the series can be tailored to meet the needs of readers.

Case Management↗