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PubMedDate not supplied

The N-CODES project moves to user testing.

For a technology to be implemented successfully, it must be thoroughly tested by the stakeholders who will use it in practice. This article reports on the user testing of the Nurse Computer Decision Support working prototype. Ten acute care nurses with varying levels of education and experience participated in the testing. The study's protocol consisted of a series of tasks requiring the participants to use the system while solving patient problems. Both quantitative and qualitative data on usability, ease of navigation, and nurse satisfaction were collected. The nurses ranked usability and ease of navigation highly. Nurses were excited about the system's clinical potential and felt that it would be useful to all practitioners regardless of experience. Testing the system in an actual clinical setting is the next step, but it is clear that the system has extraordinary potential to improve clinical decision making and patient outcomes.

Acute Disease↗
PubMedDate not supplied

Women's health nursing in the context of the National Health Information Infrastructure.

Nurses must be prepared to participate in the evolving National Health Information Infrastructure and the changes that will consequently occur in health care practice and documentation. Informatics technologies will be used to develop electronic health records with integrated decision support features that will likely lead to enhanced health care quality and safety. This paper provides a summary of the National Health Information Infrastructure and highlights electronic health records and decision support systems within the context of evidence-based practice. Activities at the Columbia University School of Nursing designed to prepare nurses with the necessary informatics competencies to practice in a National Health Information Infrastructure-enabled health care system are described. Data are presented from electronic (personal digital assistant) encounter logs used in our Women's Health Nurse Practitioner program to support evidence-based advanced practice nursing care. Implications for nursing practice, education, and research in the evolving National Health Information Infrastructure are discussed.

Adolescent↗
PubMed2004

Data management using the personal digital assistant in an acute pain service.

Handheld personal digital assistants (PDA) are increasingly being used by physicians for a variety of information and data management purposes. We evaluated a PDA-based data management system for our acute pain service. A structured questionnaire survey was conducted to assess staff experience and attitude towards the paper system before the introduction of the PDA, and three months after introduction of the PDA system. We compared the time taken to conduct the acute pain round before and after the implementation of the PDA. The time saved in data management and the amount of paper saved were estimated. Data from 177 patients with a total of 635 acute pain follow-up visits were entered over a three-month period. User satisfaction, ease of access to drug reference and clinical guidelines were similar between the two systems. The respondents found that the PDA was easy to use but less so than the paper system (P = 0.007), in particular, when accessing a patient's cumulative data (P = 0.007). There was no missed follow-up or data entry with the use of PDA. The time taken to attend follow-up visits was similar for the two systems (Paper: 8.8 +/- 3.2 compared to PDA: 7.0 +/- 2.0 minutes, P = 0.151). The estimated annual amount of paper and time saved in data management was 650 sheets and 130 man-hours respectively. Our experience with the use of the PDA in APS was satisfactory. The PDA system can potentially reduce time and paper use and missed data entry and patient follow-up.

Acute Disease↗
PubMed1996

Electronic media.

Explore the source record for details and available documents.

Attitude to Computers↗
PubMed2004

Reluctant horses at the digital river.

Mastery of the changing bank of information needed to practice at the cutting edge will require the exploitation of emerging informatics and communication technologies. Whether their limitless promise will be embraced or forgone will depend as much on human as on technological practice.

Attitude of Health Personnel↗
PubMed2003

Extending the hand of knowledge: promoting mobile technologies.

The widespread use of handheld computers and other mobile devices in the healthcare environment and their potential for providing access to information has prompted health sciences librarians everywhere to learn more about this technology. Early in 2001, the Health Sciences Library (HSL) at the University of North Carolina at Chapel Hill began exploring ways to support mobile computing. This paper describes the four basic approaches taken by the librarians that helped establish the HSL as a leader in the area of mobile technologies.

Academic Medical Centers↗
PubMedDate not supplied

Computer use in a school of nursing.

Scepticism over the use of computers in nursing still abounds. In this article, Nicola Eaton describes how the initial interest of one lecturer in a university based school of nursing led eventually to the development of a sophisticated computer network within an expanding department. The resultant benefits to staff and students are described, with the suggestion that familiarity with systems can promote improvements in nurses' attitudes towards computer technology.

Attitude to Computers↗
PubMed1992

Bar codes in health information management: status, standards, and selections.

The demands placed on medical record professionals can be overwhelming. However, these challenges present the opportunities to develop the new, exciting role of health information manager. The technologies and potential benefits are there. It is up to the medical record professional to make use of the opportunity.

Computer User Training↗
PubMed2003

Informatics competencies pre-and post-implementation of a Palm-based student clinical log and informatics for evidence-based practice curriculum.

The purpose of this paper is to describe the implementation and evaluation of a two-part approach to achieving informatics competencies: 1) Palm-based student clinical log for documentation of patient encounters; and 2) informatics for evidence-based practice curriculum. Using a repeated-measures, non-equivalent control group design, self-reported informatics competencies were rated using a survey instrument based upon published informatics competencies for beginning nurses. For the class of 2002, scores increased significantly in all competencies from admission to graduation. Using a minimum score of 3 on a scale of 1=not competent and 5=expert to indicate competence, the only area in which it was not achieved was Computer Skills: Education. For 2001 graduates, Computer Skills: Decision Support was also below 3. There were no significant differences in competency scores between 2001 and 2002 graduates. Computer Skills: Decision Support neared significance. Subsequently, the approaches were refined for implementation in the class of 2003.

Computer Literacy↗
PubMed1992

The TEAM evaluation approach to Project FAMUS, a pan-Canadian risk register for primary care.

The application of the TEAM--Total Evaluation and Acceptance Methodology--to the development of Project FAMUS--Family Medicine, University of Sherbrooke--is described. Project FAMUS is concerned with the establishment of a pan-Canadian risk register, the data being provided from a network of 800 family physicians distributed across Canada. Emphasis is on the first phase of the project and the overall evaluation strategy.

Computer User Training↗
PubMed2004

Does IT "cut the mustard" in primary care?

BACKGROUND: General practice faces something of a computer revolution with the appointment of new regional suppliers and the prospect of new and as yet untried systems being imposed upon it in the next few years. OBJECTIVE: To investigate the current use, acceptance of, and the real potential of information technology in the 23 general practices in one primary care trust. METHOD: Personal interview with the manager of computing in each practice. RESULTS: Apart from their perceived advantages in the clarity of records and help with prescribing, the use of computers has tended to follow demand from above for the provision of data. Very few practices have a strong attraction to the use of computers as a flexible tool and the ancillary staff that manage the systems are overworked, unsupported in most cases, and generally not well served by their system suppliers. Innovation tends to be tolerated rather than welcomed since the advantages to patients and daily users are seldom promoted. CONCLUSION: Despite the piecemeal way that computing was introduced into primary care it has achieved great success in the absence of significant external support and shows no sign, overall, of being helped by the new information technology (IT) strategy in the NHS as it applies to that sector.

Attitude of Health Personnel↗