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At least 613 records · Page 34Linked to original sources
PubMed2006

A 6-month follow-up of the effects of an information and communication technology (ICT) training programme on people with intellectual disabilities.

We investigated the long-term effects of an information and communication technology (ICT) training programme for people with intellectual disabilities (ID). A community-based ICT training programme was designed to enhance the computer skills of people with ID and prepare them to make use of ICT in their daily life. Of the 100 who had participated in the original ICT training programme, 59 of them and their caregivers agreed to participate in the follow-up interview. A computer skills checklist was used to assess the ICT competence of the participants before training, after training, and at the 6-month follow-up assessment. All caregivers were interviewed at the 6-month follow-up session to explore the use of ICT by people with ID and their needs for further training. Results from repeated measures ANOVA showed that participants maintained at the 6-month follow-up the basic ICT skills that they acquired during training [F=13.86, p<0.001]. Caregivers reported that participants spent more time in using the computers, but still needed occasional guidance. They also reported a need to advance their ICT skills beyond the basic computer training. We concluded that ICT training for people with ID would help them in maximizing the benefits of information technology via computers.

Adolescent↗
PubMed2003

Questionnaire survey on the use of computerisation in dental practices across the Thames Valley Region.

OBJECTIVES: To investigate the extent of and attitudes to computerisation in dental practices across the Thames Valley Strategic Health Authority Region. DESIGN: Postal questionnaire survey. RESULTS: A response rate of 88% was achieved. Most (77%) of the practices were using computerised systems or were planning to do so soon. The main reasons for not using computers were that computerisation was not currently necessary (56%), practice staff were reluctant to move to electronic systems (24%), or because computer systems were perceived as too expensive (19%). Computerised systems were used mainly for transmitting dental practice board data, or managing patient and financial records. Only 45% of practices had access to the internet and electronic mail (email). Forty-nine percent of practices thought that it was important to have access to email, 46% to the internet and 40% to NHSnet. Many practices requested training for staff in a variety of areas including managing databases and setting up web-sites. CONCLUSIONS: Despite the advantages of using computerised systems, many dental practices were only using them to a limited extent. Training and follow-up support may encourage dental practice teams to develop more positive attitudes towards computerisation and encourage them to use computers more extensively in clinical practice.

Attitude of Health Personnel↗
PubMed2006

A web-based library consult service for evidence-based medicine: Technical development.

BACKGROUND: Incorporating evidence based medicine (EBM) into clinical practice requires clinicians to learn to efficiently gain access to clinical evidence and effectively appraise its validity. Even using current electronic systems, selecting literature-based data to solve a single patient-related problem can require more time than practicing physicians or residents can spare. Clinical librarians, as informationists, are uniquely suited to assist physicians in this endeavor. RESULTS: To improve support for evidence-based practice, we have developed a web-based EBM library consult service application (LCS). Librarians use the LCS system to provide full text evidence-based literature with critical appraisal in response to a clinical question asked by a remote physician. LCS uses an entirely Free/Open Source Software platform and will be released under a Free Software license. In the first year of the LCS project, the software was successfully developed and a reference implementation put into active use. Two years of evaluation of the clinical, educational, and attitudinal impact on physician-users and librarian staff are underway, and expected to lead to refinement and wide dissemination of the system. CONCLUSION: A web-based EBM library consult model may provide a useful way for informationists to assist clinicians, and is feasible to implement.

Chicago↗
PubMed1999

Just a beta....

Traditional implementation of clinical information systems follows a predictable project management process. The selection, development, implementation, and evaluation of the system and the project management aspects of those phases require considerable time and effort. The purpose of this paper is to describe the beta site implementation of a knowledge-based clinical information system in a specialty area of a southeastern hospital that followed a less than traditional approach to implementation. Highlighted are brief descriptions of the hospital's traditional process, the nontraditional process, and key findings from the experience. Preliminary analysis suggests that selection of an implementation process is contextual. Selection of elements from each of these methods may provide a more useful process. The non-traditional process approached the elements of communication, areas of responsibility, training, follow-up and leadership differently. These elements are common to both processes and provide a focal point for future research.

Artificial Intelligence↗
PubMed2003

Informatics training in pathology residency programs: proposed learning objectives and skill sets for the new millennium.

CONTEXT: To be successful in tomorrow's health care environment, to make the most appropriate decisions for their laboratories, to optimize training and continuing medical education opportunities, and to advance pathology as a professional specialty, pathologists must possess basic informatics knowledge and proficiency. Traditional areas of anatomic and clinical pathology residency training employ learning objectives, knowledge expectations, and skill sets, but such items have not been as well developed or widely implemented for pathology informatics training. OBJECTIVE: We present a proposal that defines a standard and specific set of learning (knowledge) objectives and skill set (proficiency) expectations for resident training in pathology informatics. DESIGN: The proposal includes a comprehensive and detailed set of knowledge applications and proficiencies that will assist residency programs in developing basic pathology informatics training for residents. The content of the proposal is based on and compiled from existing successful pathology informatics training programs. Learning objectives include those related to general and enterprise computing as well as objectives related specifically to pathology informatics. Skill set expectations include the ability to use software that facilitates and adds value to the work of pathologists, including the use of a laboratory information system and of productivity software and other tools. Other topics include guidelines for evaluating residents' informatics competency, suggestions regarding curriculum structure and implementation, and recommendations for residents' computing infrastructure. CONCLUSION: This proposal provides a foundation for building effective and standard curricula for residency training in pathology informatics. These curricula will be able to meet increasing expectations and needs for pathologists to contribute to clinical information management.

Clinical Competence↗
PubMed2005

A web-based therapeutic workplace for the treatment of drug addiction and chronic unemployment.

This article describes a Web-based therapeutic workplace intervention designed to promote heroin and cocaine abstinence and train and employ participants as data entry operators. Patients are paid to participate in training and then to perform data entry jobs in a therapeutic workplace business. Salary is linked to abstinence by requiring patients to provide drug-free urine samples to gain access to the workplace. Prior data show that a prototype of the intervention could promote drug abstinence. Preliminary data on the Web-based intervention suggest that it should be able to teach adults with histories of chronic unemployment and drug addiction to become skilled data entry operators in about 3 to 6 months. Early experience in the business provides preliminary evidence that it might become financially successful. The therapeutic workplace intervention may serve as an effective and practical long-term treatment for chronic unemployment and heroin and cocaine addiction.

Adult↗
PubMed2005

A computer services program for residents of a continuing care retirement community: needs assessment and program design.

Preparatory to establishing a computer services program for residents, Presbyterian Homes, a multi-campus continuing care retirement community, conducted an assessment of residents' computer needs, ownership, and usage. Based on the results of the needs assessment, computer resource rooms were established at each facility, with computer hardware and software adapted for the use of seniors. We also deliver adapted computer education for residents, including small-group training in basic software skills; classes on software for computer accessibility; and workshops on themes motivating computer use. Ongoing evaluation shows that half of residents make use of computer resources, and that their computer skills have opened the door to other educational opportunities.

Aged↗
PubMedDate not supplied

Selection and implementation of an automated care planning system for a health care institution.

This article describes the process of selecting and implementing an automated care planning system in a 634-bed hospital setting. Obstacles to system selection and personnel training are discussed. The advantages and disadvantages of automated systems as they impact nursing staff are delineated. Recommendations for nursing managers interested in selecting and using automated care planning systems are outlined.

Attitude to Computers↗
PubMed1991

Thorough trial period cut changeover travails.

If you want a little advice on how to change information systems without experiencing an unwelcome increase in accounts receivable, a Waterloo, Iowa, hospital has some to offer. And it's pretty simple--take the time to train your staff and eradicate the system's bugs. By insisting on two extra months time before taking the system "live," the hospital avoided common problems and saw only a minuscule increase in accounts receivable.

Accounts Payable and Receivable↗
PubMed2003

Effectiveness of training health professionals in literature search skills using electronic health databases--a critical appraisal.

The objective was to assess the effect on health professionals' skills of one to eight hours literature search and retrieval training from electronic health databases. We searched: Cochrane library (2002; Issue 3), MEDLINE (1977-2002/5), EMBASE (1980-2002/7); CINAHL (1982-2002/5); ASSIA (1982-2002/7), BNI (1994-2002/5), ERIC (1985-2002/6); LISA (1969--current), NRR (2002, Issue 2), the world-wide-web and references. The selection criteria consisted of randomised controlled trials, controlled before and after, and controlled cohort studies in comparison with no training. The intervention had to be one to eight hours training in literature search and retrieval skills for health professionals. The outcome was the effect on health professionals' literature search and retrieval skill levels measured through reliable instruments. For data collection and ana-lysis, one reviewer extracted data and assessed the quality of the studies and the second reviewer checked it. The results indicate that there is some evidence of positive impact on health professionals' skill levels in literature searching and they find the training useful. In conclusion, the size of the positive effect is debatable as only three small and methodologically weak studies met the inclusion criteria and out of those only two showed the positive effect.

Computer Literacy↗
PubMed1998

An implementation study of the PDRD primary care computerized guidelines.

OBJECTIVE: To study the implementation of electronic guidelines designed for general practitioners (GPs). DESIGN: A descriptive 3-year follow-up study. SUBJECTS: All new subscribers to Physician's Desk Reference and Database (PDRD) in 1992. SETTING: Locations of computers, where PDRD software was installed for the first time in 1992. MAIN OUTCOME MEASURES: Expectations of the program and changes in attitudes towards it, getting started with the system, frequency and continuity of use and estimated usefulness of the program. RESULTS: The guidelines were expected to enhance diagnostic accuracy (60% of subscribers), save time (45%), and reduce costs (11%). After 1 year's use, the opinions of the users on these topics had become slightly more positive. Technical problems delayed starting to use the program in 27%. After 1 year 72% were using the program at least weekly. Using frequency was associated with having the computer in the office. The subscribers who renewed their subscription after one year often became regular users. CONCLUSIONS: The study provides insight into the implementation phase of computer-based guidelines in a population of early adopters. Technical support was essential to overcome the barriers associated with computer technology. The perceived need for information was independent of the age and experience of the physicians.

Adult↗
PubMed2001

Reflections from a point-of-care pilot nurse group experience.

Home care agencies often fail to commit adequate resource time preparing nurses for POC technology. Successful implementations need to incorporate human issues in addition to the technical aspects for POC. This article discusses the experiences and perceptions of nurses who participated in a pilot POC training group. The pilot group and key elements of the training are presented. The results of a focus group present the major POC focus of importance for the nurses.

Attitude of Health Personnel↗
PubMedDate not supplied

Use of the Internet for health information by older adults with arthritis.

BACKGROUND: Despite the information available on the Internet and the increasing number of older adults who use the Internet, little is known about Internet use for health information by elders with arthritis. PURPOSE: The purposes of this study were (1) to examine the use of computers and the Internet by elders with arthritis and (2) to describe demographic and illness-related characteristics of elders who use the Internet to find health information. SAMPLE: Seventy-one elders with arthritis completed survey questionnaires. FINDINGS: Twenty-eight percent had a computer in their home, of whom 95% had Internet access. Thirty-nine percent sought arthritis information on the Internet. People with more education were more likely to use the Internet. However, age and functional disability resulting from arthritis were not associated with Internet use. IMPLICATIONS: Health professionals need to be aware of Internet resources and assist elders in finding appropriate Internet-based arthritis information.

Activities of Daily Living↗
PubMed1990

Drug information skills for pharmacy students: curriculum integration.

For pharmacy students to provide optimal and complete pharmaceutical care, it is vital that they develop drug information skills. At the University of Southern California, the School of Pharmacy and the Norris Medical Library have established an interactive educational program. Library programs support an increasingly complex progression of information retrieval, evaluation, organization, application, and communication. Librarians are systematically involved in all four years of coursework for the doctor of pharmacy degree. Training and experience in computer literacy and online database searching are included in the library components. Description of the educational program covers its beginning a decade ago, current status, and future in an environment of rapidly advancing technology.

California↗
PubMed1989

[Problems of the training of medical personnel in computer technology].

The author discusses the article by Gavrilenko A. F. et al (Soviet Public Health, 1987, N 10, p. 9-12) and tackles the problems of training medical staff in computer science and computing machinery. In is proposed to direct the curriculum at job control, fundamentals of economics, mathematics, algorithmics, programming. The proposal to pay special attention to medical automated management systems, primarily used in medico-sanitary units of industrial enterprises, is argued.

Algorithms↗
PubMed2005

Architecture for remote training of home telemedicine patients.

In spite of efforts to develop easy-to-use devices, patients may require multiple training sessions to achieve mastery of advanced telehealth devices, especially those incorporating web-access. In geographically-distributed projects, such repeat training can be costly. A software architecture for simultaneous voice conferencing and remote device control over a single telephone line is presented. Evaluation of the pilot implementation is favorable.

Aged↗
PubMed1995

Organizing for EDI.

In many ways, nontechnical issues of an electronic data interchange (EDI) initiative--such as organizational issues--can be more daunting and expensive than the technical issues of EDI implementation. Estimates are that the "human" costs associated with education, training, and implementation management constitute 90 percent of EDI implementation costs. In order to successfully implement EDI, a strategy is needed for managing the nontechnical, organizational issues involved in the process.

Attitude to Computers↗