Computers in small bytes: the computer workbook.
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BACKGROUND: Purchasing an office computer can be time consuming and frustrating. Financial costs and time demands make it difficult for the family physician, especially in solo practice, to follow the many recommendations offered in the literature. The purpose of this study was to identify the most helpful selection factors used by family physicians who had already purchased an office computer. METHODS: In May 1990 an 18-item questionnaire was mailed to a random sample of 26 percent of the 1167 active members of the Washington Academy of Family Physicians. A final response rate of 45 percent was achieved. Twenty-three percent of the nonresponders were contacted to obtain information about practice demographics and office computer status. RESULTS: Seventy-three percent of responders reported using a computer in their practice. The mean cost ranged from $17,300 for solo practitioners to $55,000 for multispecialty groups. Respondents who reported performing a prepurchase needs assessment, involving the office staff in the decision process, and making cost comparisons were more satisfied with their computer systems than those who did not (P less than 0.05). Satisfaction and acceptance were lower and negatively related to an increasing amount of time needed for the system to become fully operational (P less than 0.01). The level of involvement by the practitioner in the decision process was highly predictive of satisfaction with a computer system: those physicians who were most involved were also the most satisfied. CONCLUSIONS: Family physicians responsible for selecting an office computer for their practices are advised to become personally involved in the decision process, evaluate the practice's needs and goals, involve the office staff, and compare costs before choosing a system. A set of guidelines for selecting an office computer is presented.
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Because more and more health care agencies are becoming computerized, nursing administrators need to increase their knowledge about computer systems. Specifically, they must have at least some basic knowledge regarding the purchase, implementation, and maintenance of systems, because they and their staff are ultimately affected by them. This article describes how one agency managed the implementation of a new computer system and the issues that the nurse administrator faced during this process.
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This article proposes specific areas of computing competence and illustrates how these skills can be acquired as an integral part of the curriculum of medical genetics. Geneticists are at the forefront in the use of computers for medical care, because of the driving force of the Human Genome Project. Computer searching of international data bases is the most efficient method to keep current with the explosion in molecular genetics data and with its immediate relevance to clinical care. The use of computers in genetics education could go far beyond the use of computer-assisted instruction (CAI) to show how to use computer systems to assist with clinical decisions. The proposed basic computer skills can be obtained using genetics software. The six proposed skills include the use of (1) microcomputers, (2) productivity software, (3) CAI, patient simulations and specific application programs, (4) remote computers, (5) data bases and knowledge bases, and (6) computers to improve the clinical care of patients.
This baccalaureate program integrated computerized patient care documentation with courses in nursing fundamentals and health assessment. Using an information system designed for acute care settings, students become familiar with computer use while learning documentation of care and other nursing skills. Computer literacy may be enhanced with integration of content and increased exposure to different information systems.
Faculty in academic and service settings are searching for mechanisms for improving effectiveness and efficiency of teaching students with diverse learning styles. This article describes the Dunn, Dunn, and Price Productivity Environmental Preference Survey (PEPS), a computerized learning style inventory, that provides both individual and group summaries for learning style preference on 20 subscales. The validity and reliability of the instrument for nurses is reported. Practical suggestions are offered for using the individual and group results of the inventory. The use of the inventory has added benefits of improving computer literacy for novice users.
The aim of this article is to discuss some of the important issues that form the basis of curriculum development for education in speech-language therapy and audiology. The demands of the profession are such that a horizontal occupational structure is no longer adequate in the multicultural, multilingual RSA context. It is therefore necessary to investigate alternative educational options to accommodate current needs. These may include diploma training for technicians, certificate programmes for community rehabilitation workers and professionally directed masters courses. It is also apparent that the professional functions of the speech-language therapist and audiologist have extended to the point where aspects such as computer literacy, management functions, community work and consultation should play a greater role in the curriculum than is the case at present.
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This study investigated the effects of implementing cognitive learning theory principles in computer assisted instruction of educational psychology concepts. A total of 19 preservice deaf teachers participated in the study. We used a pre-post design to measure the learning and attitude changes of the teachers. The results of the analysis of pretests and posttests of cognitive outcomes indicated that significant learning occurred as a result of the computer-based instruction. Also, the majority of the students reacted positively to the quality of the lessons. The results also suggest that applying an appropriate theoretical framework to the design of instruction offers an avenue for meaningfully addressing the appropriate use of technology.
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OBJECTIVE: To assess the effectiveness of a computer-aided learning program on dementia. DESIGN: Fourth year medical students were arbitrarily assigned to groups that used a computer-aided learning program (65) or had a tutorial covering similar material (73). These sessions were in addition to a base curriculum in a two-week course in geriatric medicine. MAIN OUTCOME MEASURES: The effectiveness of the teaching sessions was judged by the performance on a multiple choice questionnaire about dementia, given to the students on two occasions, one at the beginning and one at the end of the two-week course. RESULTS: Both groups of students scored significantly better on the second test (computer group, 66% [95% confidence interval, 64-69] to 81% [79-83] and tutorial group, 66% [63-67] to 74% [73-77]). The difference between the groups at the start of the course was not significant (F1,136 = 0.61, P = 0.61); however, there was a significant difference between the groups at the end of the course (F1,136 = 21.83, P < 0.001). CONCLUSION: Both groups improved their knowledge of dementia during the two-week course. Students who used the computer-aided learning programs showed a greater improvement in score. Computer learning programs are effective learning tools and are a useful addition to traditional teaching methods. Further study is required to assess the effects of computer-aided learning programs in long-term studies of dementia knowledge.