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PubMed2006

Teaching nurses to provide patient centered evidence-based care through the use of informatics tools that promote safety, quality and effective clinical decisions.

Schools of Nursing face the challenge of providing students with experiences to use evidence-based consumer centric care information tools. To facilitate this challenge, a unique partnership was forged between a school of nursing and a leading clinical information systems corporation. This strategic partnership was created to advance the field of nursing informatics through the sharing of intellectual capital. Through this sharing, the goal is to study how technology can promote patient safety, support evidence-based care and facilitate consumer involvement in health care decisions. This paper describes the design, development and testing of a multimedia product that can be used by schools of nursing. This product can be integrated into a nursing curriculum to promote the use of informatics tools as an integral practice component. The multimedia product embraces the core competencies advocated by the Institute of Medicine's Health Professions Education Report.

Cooperative Behavior↗
PubMed1994

[Development of data bases for various nursing activities].

The purpose of this study is to discuss the utilization of informatics in nursing and the construction of computerized data bases by nursing professionals that have no previous experience with computers. Three data bases developed during the pos graduate nursing course are described.

Computer User Training↗
PubMed2000

Nursing record systems: effects on nursing practice and health care outcomes.

BACKGROUND: A nursing record system is the record of care planned and/or given to individual patients/clients by qualified nurses or other caregivers under the direction of a qualified nurse. Nursing record systems may be an effective way of influencing nurse practice. OBJECTIVES: To assess the effects of nursing record systems on nursing practice and patient outcomes. SEARCH STRATEGY: We searched The Cochrane Library, MEDLINE, Cinahl, Sigle, and databases of the Royal College of Nursing, King's Fund, the NHS Centre for Reviews and Dissemination, and the Institute of Electrical Engineers up to August 1999; and OCLC First Search, Department of Health database, NHS Register of Computer Applications and the Health Visitors' Association database up to the end of 1995. We hand searched the Journal of Nursing Administration (1971-1999), Computers in Nursing (1984-1999), Information Technology in Nursing (1989-1999) and reference lists of articles. We also hand searched the major health informatics conference proceedings. We contacted experts in the field of nursing informatics, suppliers of nursing computer systems, and relevant Internet groups. SELECTION CRITERIA: Randomised trials, controlled before and after studies and interrupted time series comparing one kind of nursing record system with another, in hospital, community or primary care settings. The participants were qualified nurses, students or health care assistants working under the direction of a qualified nurse and patients receiving care recorded and/or planned using nursing record systems. DATA COLLECTION AND ANALYSIS: Two reviewers independently assessed trial quality and extracted data. MAIN RESULTS: Six trials involving 1407 people were included. In three studies of client held records, there were no overall positive or negative effects, although some administrative benefits through fewer missing notes were suggested. A paediatric pain management sheet study showed a positive effect on the children's pain intensity. A computerised nursing care planning study showed a negative effect on documented nursing care planning. A controlled before-and-after study of two paper nursing record systems showed improvement in meeting documentation standards. REVIEWER'S CONCLUSIONS: No evidence was found of effects on practice attributable to changes in record systems. Although there is a paucity of studies of sufficient methodological rigour to yield reliable results in this area, it is clear from the literature that it is possible to set up randomised trials or other quasi-experimental designs needed to produce evidence for practice. The research undertaken so far may have suffered both from methodological problems and faulty hypotheses.

Humans↗
PubMed2005

Knowledge is power: using nursing information management and leadership interventions to improve services to patients, clients and users.

AIM: This paper examines the purpose, role and function of information and information management within health care today. It is set within the context of a specialist forensic learning disability setting. BACKGROUND: Changes in politics, government legislation and reforms of the National Health Service (NHS) have created a need to equip managers with the necessary tools and skills to be able to lead and manage effectively. As such there has been a great emphasis upon specialist training, such as the government-driven Leading an Empowered Organisation courses, for nurse managers and nurses with leadership potential. Yet with the drive to generate a new wave culture within the NHS of inspirational leaders, are we still overlooking a critical and key area which is fundamental in achieving and delivering cost effective, quality health care--the area of information management within health care today? METHODS: The processes presented in this paper are structured through a strategic nursing management and leadership performance implementation model, the Clinical Nursing Leadership Learning and Action Process (CLINLAP) model, which facilitates work-based learning and capability development in the reality of everyday clinical activities. Through the model, the emphasis is to make clinical goals specific, roles explicit, processes clear and encourage these activities to be carried out within an environment of open relationships. RESULTS: The use of CLINLAP model assisted as a management and leadership technology to manage change in the workplace so as to improve services to patients in Yelday Lodge. Structured management and leadership interventions led to observable positive change in information management on Yelday Lodge. CONCLUSIONS: The conclusion is that sustained quality information could be embedded in nursing practice at Yelday Lodge or elsewhere by evaluating and discussing the different information management approaches within the practice area through the use of structured management and leadership interventions. The use of the CLINLAP model is recommended for use as a model for managing information, knowledge and communication for results within nursing and health care services.

Budgets↗
PubMed2006

Cutting edge technology to enhance nursing classroom instruction at Coppin State University.

Educational technologies have changed the paradigm of the teacher-student relationship in nursing education. Nursing students expect to use and to learn from cutting edge technology during their academic careers. Varied technology, from specified software programs (Tegrity and Blackboard) to the use of the Internet as a research medium, can enhance student learning. The authors provide an overview of current cutting edge technologies in nursing classroom instruction and its impact on future nursing practice.

Attitude of Health Personnel↗
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↗