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Enhancing perioperative nursing effectiveness through informatics.

The science of nursing informatics is becoming increasingly important to delivering quality nursing care to all patient populations. Perioperative nursing informatics skills are practiced within the context of powerful and complex information systems that enhance nurses' ability to view and report clinical data in a manner that has never before been possible. This article explores how the analysis of several examples of two typical system indicators (i.e., the unplanned returns to surgery rate within the same admission event, surgical site infection rate) can result in improved patient outcomes. Nursing informatics is an invaluable tool for identifying trends and communicating them to perioperative nurses in a way that can positively influence the delivery of perioperative care and patient outcomes.

Database Management Systems↗

A study of network education application on nursing staff continuing education effectiveness and staff's satisfaction.

The rapid development of computer technology pushes Internet's popularity and makes daily services more timely and convenient. Meanwhile, it also becomes a trend for nursing practice to implement network education model to break the distance barriers and for nurses to obtain more knowledge. The purpose of this study was to investigate the relationship of nursing staff's information competency, satisfaction and outcomes of network education. After completing 4 weeks of network education, a total of 218 nurses answered the on-line questionnaires. The results revealed that nurses who joined the computer training course for less than 3 hours per week, without networking connection devices and with college degree, had the lower nursing informatics competency; while nurses who were older, at N4 position, with on-line course experience and participated for more than 4 hours each week, had higher nursing informatics competency. Those who participated in the network education course less than 4 hours per week were less satisfied. There were significant differences between nursing positions before and after having the network education. Nurses who had higher nursing information competency also had higher satisfaction toward the network education. Network education not only enhances learners' computer competency but also improves their learning satisfaction. By promoting the network education and improving nurses' hardware/software skills and knowledge, nurses can use networks to access learning resources. Healthcare institutions should also enhance computer infrastructure, and to establish the standards for certificate courses to increase the learning motivation and learning outcome.

Computer-Assisted Instruction↗

Computer literacy in baccalaureate nursing students during the last 8 years.

With the rapid integration of information technology in the healthcare field, equipping nurses with skills to effectively use the technology is vital. Evaluations of nursing students' nursing informatics competencies are scarce in nursing programs as reported in the literature. The current study was implemented to evaluate the self-reported nursing informatics competence of undergraduate baccalaureate students upon admission and graduation in the years from 1997 to 2005 and to compare the differences between admission and graduation. The Gassert/McDowell Computer Literacy Survey was used to survey 411 students on admission and 429 students on graduation from a baccalaureate nursing program. Results showed a significant increase during the 8-year period, both on admission and graduation, for reported level of experience with word processing, electronic mail, and World Wide Web. Areas of less experience that did not increase significantly were spreadsheet experience, database experience, and use of statistical programs. The nursing informatics competencies established for beginning nurses include databases, spreadsheets, word processing, presentation graphics, and keyboard skills. The results of this study indicate nursing education programs currently may not be providing beginning nurses with the tools needed to effectively and efficiently work in the technology-rich healthcare arena.

Computer Literacy↗

The technologic imperative: a new agenda for nursing education and practice, Part 2.

The National Advisory Council on Nurse Education and Practice (NACNEP), which advises the Secretary of the Department of Health and Human Services, recently published a report on the state of nursing informatics. Part 2 of this two-part series offers a definition of nursing informatics and nursing's role in furthering it, details the current state of nursing informatics education/training, and delineates key goals.

Computer User Training↗

An integrated informatics curriculum in a baccalaureate nursing program.

As health care requirements change, nurses will not only have to process and communicate more information, but the nature and types of this information will dramatically change as well. It is imperative that nurses understand the potential information technologies offer to assist the nurse in this expanded role. This paper describes an innovative endeavor to incorporate information technology with its undergraduate nursing program. The challenge was to design a program that would help develop the students' skills to critically appraise their information needs and conceptually evaluate the utility of gathering information in providing patient care. After completing the first nursing informatics course, there was an increase in the students' perception and understanding of the uses of information technology to support the nursing process in providing patient care.

Attitude to Computers↗

Nursing information management and processing: a framework and definition for systems analysis, design and evaluation.

This paper discusses a new framework and definition for the development of nursing information systems. Graves and Corcoran presented a framework for nursing informatics and defined the science. In this article their framework is expanded to include nursing practice as domain of study and to better integrate the fact that nursing informatics finds its foundation in both the nursing and the informatics disciplines. The expansion is based on both the review of definitions of medical and nursing informatics and of models and descriptions from the informatics discipline. For research purposes, the domain of nursing informatics is defined, and methods for conducting investigations in the area of analysis, modeling and development of nursing information systems are described.

Computer Simulation↗

Global health informatics education.

Health informatics education has evolved since the 1960s with a strong research foundation primarily in medical schools across the USA and Europe. By 1989 health informatics education was provided in some form by at least 20 countries representing five continents. This continues to progress, in Europe with the help of a number of special projects, via the integration of informatics into pre registration health professional courses, undergraduate and post graduate course work and research degree programs. Each program is unique in terms or content and structure reflecting the many foundation disciplines which contribute or are incorporated in the health informatics discipline. Nursing informatics education is not as widespread. Indeed the evidence suggests a poor uptake of informatics by this profession. Advances in computer based educational technologies are making innovative modes of educational delivery possible and are facilitating a shift towards learner centred, flexible and life long learning. Greater cooperation between Universities is recommended.

Curriculum↗

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↗

The technologic imperative: a new agenda for nursing education and practice, Part 1.

Here's an explanation of what the National Advisory Council on Nurse Education and Practice is and a description of the environment and issues that compelled its recent effort, a report on the state of nursing informatics. The report set forth specific goals for expanding the use of informatics in nursing education and practice.

Computer User Training↗

From computer technology to information technology. Findings from a national study of nursing education.

A research survey was conducted on a stratified random sample of National League for Nursing accredited diploma, associate, baccalaureate, and master programs to determine the status of computer and information technology in nursing education. Fifty-five percent (n = 190) of the 347 selected schools responded. Compared with national statistics, all programs (diploma, associate, and higher degree) were proportionately represented. Findings indicated that schools have almost universal access to computers and educational software. However, further data analysis indicated that a majority of schools lacked a coordinated plan for technology implementation and were underfinanced for technology and related personnel. In addition, less than one third of the schools addressed nursing informatics (the information of nursing) in the curriculum and only 19 schools indicated that nursing informatics was offered as a separate course. Successful strategies for the implementation of computer and information technology are presented based on the findings.

Computer User Training↗

The importance of informatics competencies in nursing: an Australian perspective.

Over the past two decades, dramatic changes have occurred in the nature and extent of communication and information technology use in nursing worldwide. The need for student nurses to be well prepared for the use and application of information technology in nursing is arguably now paramount. This article details areas where information and communication technology is used in nursing in Australia and discusses why nurses must be diligent in maintaining skills in this area to facilitate the delivery of safe, quality care in any healthcare setting. It will then discuss the importance of information and communication technology (ICT) skills, knowledge and understanding as an integral aspect of nursing programs in tertiary institutions. The challenge for training providers to prepare nurses for ever-changing ICT technology and technological applications in their workplace is highlighted.

Attitude of Health Personnel↗

[Informatics in nursing practice: a new challenge for the nurse].

The study does a critical analysis about the nurse's insertion and role in the informatic applied to health. It brings up the importance of nurse's envolvement in the implantation projects of the automatized systems information, the necessity of acquiriment knowledge and control about this technology so that it can be used as a useful work instrument, aiding the decision process and rationalizing the work, with the main objective to improve the nursing practice.

Brazil↗

Collaborating for a cause--Creating partnerships between IT and academia.

An international nursing shortage is driving the redesign of nursing education curriculum. Providing nursing students with an opportunity for hands on use of advanced healthcare technology is critical to the development of highly competent nurses who are prepared not only to fully interact in the healthcare domain, but to also participate in its re-engineering via IT. The academic institution with an integrated IT solution in clinical simulation labs can become a place where students can learn the skills, understand the potential, participate in the selection and evaluation of software systems and eventually help to craft IT solutions that benefit both the patient and the practice of nursing and medicine. As the healthcare environment continues to change - pushing curricular redesign, the expectation that educators will increase the integration of IT into coursework and clinical experiences is increasing. The challenge however, is not only to educate the students, but to also educate faculty who often possess limited amounts of IT knowledge. Faculties, like students, have limited time and learning outcomes are enhanced when hands-on and practical educational opportunities are available. This presentation therefore will not only focus on the student; instead, the gestalt of integrated teaching/learning from faculty and student perspectives will be addressed. The challenges, including identifying partnership opportunities, identifying financial resources to support such partnerships, gaining institutional support, determining criteria to evaluate student performance, and strategies for engendering faculty support will be discussed, along with solutions on how they can be overcome. The presentation will also highlight the benefits of the partnership for both the institution and the industry vendor. The institution can benefit from the access to the vendor's software, hardware, and expertise. By using advanced clinical solutions in the classroom and hospital setting, students and faculty can benefit from access to evidence based content and knowledge management. Opportunities for faculty and student research also become possible. In turn, the vendor has access to the institution's intellectual capital, participation in research studies co-authorship in academic publications, and enhancements of product design. The outcome is a nursing informatics educational partnership empowering nurses to utilize and drive the enhancements of advanced technology to improve the delivery of patient care.

Cooperative Behavior↗

Online informatics education: Challenges and lessons learned.

Current advances in knowledge and technology have resulted in profound implications on the methodology of teaching. Faculty involved with Informatics Nursing curriculum face particular challenges because the foundational concepts of Informatics must often be integrated with the software commonly used in information management systems.This demonstration includes an overview of the informatics curriculum and explores the issues related to providing a nursing informatics curriculum at a distance. An in-depth review of an actual course that combines the foundational concepts of informatics with software technology used in informatics management systems will be provided. The end-of-course assessments and lessons learned from integration of software technology within the curriculum will be discussed.

Education, Nursing↗

Switzerland: new medical informatics curriculum.

Swiss Society for Medical Informatics (SSMI) started to build a postgraduate curriculum in medical informatics a year ago. The aim is to build a curriculum with different modules allowing the healthcare professionals to follow individual path in order to fulfill their objectives. The professionals who could benefit from the curriculum are physicians, nurses, medical assistants, computer specialists in the healthcare domain. Different levels of certificates or diplomas will be given depending on the number of modules taken and the professional background. Modules can be taken in different ways: universities, hospitals, distance learning.... The kickoff meeting for the leading group of this curriculum chaired by Dr Denz from Zurich was held on June 5 and 6 1998 was Swiss Nursing informatics group is active in this field. Working Group 5 (WG5) "Nursing Informatics in Europe" is supporting countries efforts in building nursing informatics curriculum. Promoting links between specialists in this domain in different countries. Selecting relevant Websites to be used. Disseminating information to country members of WG5.

Curriculum↗