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PubMed2004

Design and evaluation of a personal digital assistant- based alerting service for clinicians.

PURPOSE: This study describes the system architecture and user acceptance of a suite of programs that deliver information about newly updated library resources to clinicians' personal digital assistants (PDAs). DESCRIPTION: Participants received headlines delivered to their PDAs alerting them to new books, National Guideline Clearinghouse guidelines, Cochrane Reviews, and National Institutes of Health (NIH) Clinical Alerts, as well as updated content in UpToDate, Harrison's Online, Scientific American Medicine, and Clinical Evidence. Participants could request additional information for any of the headlines, and the information was delivered via e-mail during their next synchronization. Participants completed a survey at the conclusion of the study to gauge their opinions about the service. RESULTS/OUTCOME: Of the 816 headlines delivered to the 16 study participants' PDAs during the project, Scientific American Medicine generated the highest proportion of headline requests at 35%. Most users of the PDA Alerts software reported that they learned about new medical developments sooner than they otherwise would have, and half reported that they learned about developments that they would not have heard about at all. While some users liked the PDA platform for receiving headlines, it seemed that a Web database that allowed tailored searches and alerts could be configured to satisfy both PDA-oriented and e-mail-oriented users.

Attitude to Computers↗
PubMed2004

Nurses' adoption of technology: application of Rogers' innovation-diffusion model.

This qualitative study applied Everett Rogers' innovation-diffusion model to analyze nurses' perceptions toward using a computerized care plan system. Twelve nurses from three respiratory intensive care units in Taiwan voluntarily participated in a one-on-one, in-depth interview. Data were analyzed by constant comparative analysis. The content that emerged was compared with the model's five innovation characteristics (relative advantage, compatibility, complexity, trialability, and observability), as perceived by new users. Results indicate that Rogers' model can accurately describe nurses' behavior during the process of adopting workplace innovations. Related issues that emerged deserve further attention to help nurses make the best use of technology.

Adaptation, Psychological↗
PubMedDate not supplied

How family physicians choose an office computer system.

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.

Computer Literacy↗
PubMedDate not supplied

Computing knowledge, attitude and skills among healthcare professionals in Aminu Kano Teaching Hospital, Nigeria.

BACKGROUND: Health care professionals can no longer ignore the application of information technology to health care. This study was carried out to assess computing knowledge, attitude and skills among health care professionals and identify associated factors. METHODS: A cross section of 200 health care professionals- consisting of 64 doctors, 90 nurses, 35 laboratory scientists and 11 pharmacists in Aminu Kano Teaching Hospital were interviewed using a pre-tested, structured, closed-ended self-administered questionnaire. RESULTS: Only 181 (90.5%) of the respondents returned the completed questionnaires. Twenty six percent of the respondents had formal computer training whereas 34.8% owned a personal computer. Overall, 84 (46.4%) of the respondents had good knowledge of computing. Specifically, 41(66.0%), 5 (50.0%), 14 (51.0%) and 24 (30.0%) of these were doctors, pharmacists, laboratory scientists and nurses respectively. Computing knowledge was highest among doctors and lowest among nurses. These differences were statistically significant (chi2 = 19.1 df = 3 P < 0.01). Age, gender, computer ownership and formal computer training significantly influenced computing knowledge. Most healthcare professionals 160 (88.4%) had positive attitude towards computing and this was significantly influenced by respondent's age and previous computer training. Only 41 (22.7%) of the health care professionals had good computing skills and this was significantly associated with computer ownership (P < 0.01) and formal computer training (P < 0.01). CONCLUSION: Half of the healthcare professionals had good computing knowledge, majority had a positive attitude while many were quite deficient in computer skills. Computer loans and in-house computing courses were recommended to prepare our healthcare professionals for the challenges of the information technology age.

Adult↗
PubMed2005

Library-sponsored instruction improves core informatics competencies among allied health students: a research-based case study.

Since 1999, a librarian-administered course entitled Computer Literacy for Healthcare Professionals has been required of all incoming occupational, physical, and respiratory therapy students at Stony Brook University. Outcome data from pretests/posttests and student self-assessments over a 3-year period from 2000 to 2002 demonstrate the effectiveness of the training program and of library-sponsored instruction. This study evaluated whether curriculum-integrated informatics training by librarians is effective in enabling allied health students to acquire and retain literature-searching skills. Pretests and posttests measured the impact of instructional intervention upon student acquisition of literature-searching skills; a second posttest ("post5-test") measured skill retention. The intervention group consisted of 179 subjects enrolled in baccalaureate occupational, physical, and respiratory therapy programs between 2000 and 2002; the control group consisted of 48 physician assistant students who had no formal instruction in literature searching. Student self-assessments provided qualitative outcome measures. Paired t test analysis showed that the mean posttest score for the intervention group was considerably greater at the p < 0.01 level (t = 14.868; p < 0.001) than the mean pretest score. The change is statistically significant, and the null hypothesis can be rejected. The results of this study support the conclusion that library-sponsored informatics instruction is effective in improving student acquisition and retention of literature-searching skills.

Allied Health Personnel↗
PubMedDate not supplied

Neologisms in medical practice: their potential to be 'useful', 'useless' or 'misleading'.

BACKGROUND: The advances in human endeavours have led to changes in technology. New words, neologisms, have been creeping up and are coined with astounding speed. While these terms are fascinating etymologically, their impact needs to be appreciated from a realistic perspective to keep one aware of the collateral changes we are importing into common language, particularly in medical practice. The aim of this paper is to identify some of such neologisms, outline their current use and then discuss their potential to be 'useful' 'useless' or 'misleading'. METHODS: Terminologies in medical practice and information technology have been selected by the authors and their meanings have been analysed. RESULTS: The terminologies of our present interest include: Computer literacy; Surfing the web; Networking; Information technology; Medical informatics; Telemedicine; Capacity building; Problem-based learning; Mentoring; Learning curve; Evidence-based medicine; Impression; Comorbid conditions; Family medicine; Andropause; Surgical site infection; Confidence interval. CONCLUSION: Neologisms are inescapable in the face of rapid advances in knowledge, equipment and information dissemination to and through diverse cultures and languages. In their assimilation, we should be considerate in discarding familiar terms that have served time.

Humans↗
PubMed2005

New approaches to health promotion and informatics education using Internet in the Czech Republic.

The paper describes nowadays information technology skills in the Czech Republic. It focuses on informatics education using Internet, ECDL concept and the links between computer literacy among health care professionals and quality of health care. Everyone understands that the main source of wealth of any nation is information management and the efficient transformation of information into knowledge. There appear completely new decisive factors for the economics of the near future based on circulation and exchange information. It is clear that modern health care cannot be built without information and communication technologies. We discuss several approaches how to contribute to some topics of information society in health care, namely the role of electronic health record, structured information, extraction of information from free medical texts and sharing knowledge stored in medical guidelines.

Health Promotion↗
PubMedDate not supplied

Evaluation of Blackboard as a platform for distance education delivery.

The Hampton University School of Nursing has implemented a Pediatric Nurse Practitioner Distance Education Program that utilizes the Blackboard Learning System, which was designed to transform the Internet into a powerful environment for the educational experience. The Interne, however, may be a new learning environment for many nurses seeking a graduate degree. The Blackboard platform allows for synchronous, real-time activities such as chat rooms, and asynchronous, delayed, activities such as discussion boards and digital drop boxes that can be used for student-to-instructor and instructor-to-student document transfer. This article focuses on the skills and challenges of navigating a course on the Internet using Blackboard. Recommendations for improving the teaching-learning process using a Web-based environment are included.

Attitude of Health Personnel↗
PubMedDate not supplied

[The effects of computer-use on adolescents].

Computers continue to play a vital role in today's generation. The need for information about the effects of computers on their users also increases. The purpose of this study is to investigate how children and adolescents use a computer and to explore the beneficial and harmful effects of computer use on children's mental and physical health. The studied group of samples comprised 69 subjects, aged between 13 and 18 years, who answered to a questionnaire. The parents of the children also answered another questionnaire with the same subject. Data have been statistically processed using the program SPSS. The results were obtained about computer use and the pathological use was identified. Some children spend much time on computers, 4% more than five hours/day. 41% of the parents believe that the usage of the computer is favorable to the children's mental and physical health and development, 49% of parents believe that the computer may be harmful. 1.4% of the children had pathological use of the computer.

Adolescent↗
PubMed1996

[Nursing personnel attitudes prior to the introduction of informatic tools and contemporary vision of a hospital information system].

Computerization is no more improvised just like that and the management of computer plans is from now on a matter for methods and approaches which leave nothing to chance. The main purpose of the present work's empirical part is to a priori determine the attitude which will be the one of the nurses toward the implementation of computer aid in the care units that is expected on the short term. So we will have at our disposal pertinent information which will enable the concerned people to efficiently negotiate this change. For the realization of the present study, we built a LIKERT scale of attitude and integrated it within a question paper with nearly 40 questions. This later was submitted to a stratified random sample of 100 nurses in office at the Clinique St-Pierre in Ottignies (Belgium). After a presentation of that hospital's computer position and of observations made in other hospitals, a detailed study protocol specifies all the features of the research. The achieved results show us that the concerned nurses are highly favorable to the implementation of computer aid. The present work sets out and develops very numerous findings expressed in figures as well as relations and correlations between the attitude and certain features of the sample. The realization of the objectives of any care institution--i.e. a better nursing of the patients and a better managing of the care distribution--colldies with the abundance and the complexity of "Information" which is itself conveyed by numerous systems: nursing, medical, operational, managing information system,... Facing such a reality which is sometimes complex and relatively less analysed, this work is an outline reflection on a bibliographical basis, a conceptual approach that puts certain of the Nursing Information System's generalities in a prominent position--but also some of its specifies--themselves mainly brought to light by means of the introduction of computer aid. The reader will also find here a conceptual pattern integrating the various hospital information sub-systems in interaction, as well as a graphical representation of their information and overlap areas. As the reader will see, the information system--which has become an essential notion in today's data processing--is in the heart of the running of any hospital. Hardly unperceptible, the information system, as long as it is not materialized by the computerization project nonetheless represents a major stake which is covetted by the whole hospital contributors.

Attitude of Health Personnel↗
PubMed2005

Developing computer skills and competencies in seniors.

We developed a training protocol for elderly participants of a home telemedicine study, grounded in prior usability research. The training aimed to reduce barriers in developing system mastery. Our findings are indicative of both the promises and challenges involved in bridging the digital divide. Sixteen participants of a diabetes study were trained to use the computer applications.

Aged↗
PubMedDate not supplied

Analysing qualitative research data using computer software.

An increasing number of clinical nurses are choosing to undertake qualitative research. A number of computer software packages are available designed for the management and analysis of qualitative data. However, while it is claimed that the use of these programs is also increasing, this claim is not supported by a search of recent publications. This paper discusses the advantages and disadvantages of using computer software packages to manage and analyse qualitative data.

Attitude of Health Personnel↗
PubMedDate not supplied

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Attitude of Health Personnel↗