Information sources for specialist nurses.
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Adolescent↗
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Results for “Nursing Informatics”
Explore indexed PubMed citations for clinical trials, systematic reviews and public health research. Read source abstracts and follow each citation to its original PubMed record.
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The role of nurses in installing telehealth technology in the home.
Home telehealth involves the use of video conferencing or remote monitoring equipment in patients' homes. The installation of hardware and training of patients has historically been performed by nurses, typically RNs. This article examines the experience of RNs as telehealth installers in the Informatics for Diabetes Education and Telemedicine (IDEATel) project, where RNs were responsible for the installation of the Home Telemedicine Units (HTUs) and for training patients in the use of the HTUs, blood pressure cuffs, and fingerstick glucose meters. Average installation and training time was 166 minutes (SD 51 min). Structured interviews with RN installers revealed that patient education and training accounted for roughly two thirds of the in-home time. Technology-related problems, especially those related to telecommunications, were the primary cause of installation difficulties. Thematic analysis of installer interviews identified eight major themes and confirmed the importance of both clinical and technical knowledge during the telehealth installation process.
Aged↗
Information technology and patient safety in nursing practice: an international perspective.
When people become patients, they place their trust in their health care providers. As providers assume responsibility for their diagnosis and treatment, patients have a right to expect that this will include responsibility for their safety during all aspects of care. However, increasing epidemiological data make it clear that patient safety is a global problem. Improved nursing care may prevent many adverse events, and nursing must take a stronger leadership role in this area. Although errors are almost inevitable, safety can be improved, and health care institutions are increasingly making safety a top priority. Information technology provides safety benefits by enhancing communication and delivering decision-support; its use will likely be a cornerstone for improving safety. This paper will discuss the status of patient safety from an international viewpoint, provide case studies from different countries, and discuss information technology solutions from a nursing perspective.
Humans↗
The Virginia Henderson International Nursing Library: resource for nurse administrators.
This article describes the major knowledge resource of the Virginia Henderson International Nursing Library, The Registry of Nursing. The first part of this article examines informatics issues and is accompanied by examples of retrieval from a typical bibliographic database and a retrieval from the Registry of Nursing Research using case mix, both as a subject heading and as a research variable. The second part of the article examines the interaction of informatics and technology used in the Registry and presents some other Library resources.
Humans↗
Preparing the next generation of advanced practice nurses.
The Institute of Medicine's vision for health professions education highlights the importance of informatics competencies for all graduates. This paper describes an innovative course, required for all graduate students at the University of Colorado Health Sciences Center School of Nursing. The design, implementation, and evaluation of NURS6013, Human Technology Interface provides evidence to support it as one model for consideration in meeting the Institute of Medicine's vision for health professions education: The course provides learning opportunities which examine the impact of technology on society and health care, informatics and human factors, as well as the legal, ethical, and policy issues related to the use of technology.
Colorado↗
A nursing perspective to design and implementation of electronic patient record systems.
Achievements in informatics and use of new technologies are important to develop knowledge from clinical nursing practice. At the same time, progress in design and implementation of clinical information systems such as comprehensive Electronic Patient Record (EPR) systems can be complemented by attention to and examination of information processes as well as the health care constituencies' characteristics. In this article, selected issues and challenges related to EPR design and implementation are reviewed with a particular emphasis on those related to nursing practice and nursing leadership.
Computational Biology↗
Assessment of the level of the actual and desirable levels of computer literacy, usage and expected knowledge of undergraduate students of nursing.
The aim of the study was to determine the perceptions of students entering nursing at the bachelors level, of their actual and desirable knowledge about computers and their applications relevant to nursing and health care. Within the health care system the use of computerized systems is increasing rapidly. In Australia, the NSW Health Department's Information Management Resource Consortium pilot project--to introduce the First Data Hospital Information System into NSW public hospitals--is a significant example of this trend. While the importance of computerized systems is fairly well recognized for the areas of management and research, they are becoming increasingly significant in the delivery of clinical care and quality assurance. It is important that nurses during their undergraduate education develop the computer literacy and awareness that will allow them access to the both the information and its management. To achieve this effectively it is essential to determine both the entry knowledge of students and what skills and knowledge are essential and desirable for their future roles as nurses. The research undertaken replicated an American study [2] and used their validated questionnaire. Both pre-registration(n=20) and post-registration (n=24) undergraduate students responded to a 21 item questionnaire. The issues addressed related to computer literacy, usage, and knowledge of clinical applications. Both groups desired more "hands on" experience and knowledge in the nurse's role in developing applications and using computers to help care for patients. These results were consistent with the Parks et. al. study. The significance of comparing actual and desirable levels of computer knowledge and awareness is in assisting educators to shape curriculum and course content to more effectively meet the educational needs of these groups in terms of Health Informatics.
Attitude to Computers↗
Humans, information and science.
The use of information forms the basis of nursing policies, standards and professional codes of conduct. Although used intuitively, nurses must now also grapple empirically with information needs often defined by others, and with the technology used to capture and process it. Even the briefest contemplation of 'information' reveals a truly pervasive concept. Information is ubiquitous. In order to care effectively in the so-called 'information age' health care professionals need to understand information. This paper is a small contribution to that effort, attempting to conjoin the disparate fields of health and the information sciences; and the basic sciences upon which they are based. This paper explores how definitions of information formulated in computing and communication theory relate to health and other aspects of human experience. The strategy adopted to achieve this is threefold. First, there is the vexed question of defining data, information and knowledge. Second, I consider how communication--that essential nursing activity--relates to information, meaning and the messages people seek to convey to each other. Thirdly, clinical situations are described in an information-oriented manner, using the concepts of 'redundancy' and 'entropy'. The conclusion provides an historical perspective.
Communication↗
Information technology for nurses.
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Cost-Benefit Analysis↗
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↗
Critical care information systems: essential infrastructure for critical care nursing practice.
In the three decades since the installation of the first bedside computer in the "shock ward" at the University of California and Los Angeles County Hospital, both computer technology and critical care practice have evolved rapidly. The premise of this article is that critical care information systems are an essential infrastructure for critical care nursing practice. This premise is described in terms of the critical care environment, clinical decision making in critical care, increasing demands for information about quality and costs, and national initiatives for the sharing of health care information.
Critical Care↗
Parents as partners in obtaining the medication history.
OBJECTIVE: Patient-centered information management may overcome barriers that impede high-quality, safe care in the emergency department (ED). The utility of parents' report of medication data via a multimedia, touch screen interface, the asthma kiosk, was investigated. Our specific aims were (1) to estimate the validity of parents' electronically entered medication history for asthma and (2) to compare the parents' kiosk entries regarding medications to the documentation of ED physicians and nurses. METHODS: We enrolled a cohort of parents to use the asthma kiosk and tested the validity of this communication channel for medication data specific to pediatric asthma. Parents' data provided via the kiosk during the ED encounter and the documentation of ED nurses and physicians were compared with a telephone-based interview with the parent after discharge that reviewed all asthma-specific medications physically present in the home. Treating clinicians in the ED were blinded to the parents' kiosk entries. RESULTS: Sixty-six parents were enrolled and 49 of 66 (74.2%) completed the gold standard interview. When analyzed at the level of individual medications, the validity of parental report was 81% for medication name, 79% for route of delivery, 66% for the form of the medication, and 60% for dose. Parents' report improved on the validity of documentation by physicians across all medication details save for medication name. Parents' report was more valid than nursing documentation at triage for all medication details. CONCLUSION: Parents can provide an independent source of medication data that improves on current documentation for key variables that impact quality and safety in emergency asthma care.
Anti-Asthmatic Agents↗
Characterizing information needs and cognitive processes during CIS use.
Medical errors are often associated with inadequate cognitive processing that is based upon impaired access to information.1 Understanding the information needs of nurses and physicians' when using a clinical information system (CIS) is difficult largely because there are few systematic attempts made to do so. We collected 15.5 hours of data of nurses and physicians' CIS interactions in three clinical environments (cardiac ICU, a general medical/surgical nursing, and an ambulatory clinic). We accomplished this through observational, cognitive-based methods (e.g., thinking aloud during interaction) and the video capturing of events with a portable usability laboratory.2 We developed a systematic approach to identify and define in-context clinical information needs while using a CIS, and determine how to categorize and code such events. 3
Cognition↗
Methods in informatics: Development of a multiattribute utility questionnaire for feeding decisions in the neonatal intensive care unit.
Evidence that guides practice is gleaned from objective data and from the inherent value set of the decision maker. This study depicts the construction and initial testing of a multiattribute utility (MAUT) instrument for discerning feeding choices of neonatal nurse practitioners (NNPs) for the clinical problem of choosing between early enteral feeds and late enteral feeds for premature infants in a neonatal intensive care unit. Based on an individual's preferences, a decision may vary from that recommended by the objective data in the literature yet may represent a choice that is internally consistent with individual knowledge and values. Deconstructing and evaluating decisions using a method such as the MAUT can provide valuable information to support the development phase of decision support applications in the field of informatics.
Decision Support Systems, Clinical↗
Education and training in health informatics: guidelines for European curricula.
Guidelines are suggested for European curricula in Health Informatics that apply to both healthcare professionals and health administrative staff. These guidelines are the results of in-depth discussions and thoughts of the EU-EDUCTRA concerted action. Emphasis is placed on the way information is generated in the health domain. The guidelines also consider the various actors, their position and role in the healthcare structure. Characteristics of and operations on health information are discussed. Data quality control, ethical issues, benefits and potential caveats related to health information are also outlined. The article concludes with a list of possible applications.
Administrative Personnel↗
Encompassing influences.
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Databases, Factual↗
Ethics and information technology: how nurses balance when integrity and trust are at stake.
When we think about ethics in nursing, such things as "Do Not Resuscitate" (DNR) orders and euthanasia come to mind. However, in the information age, there are some often-overlooked ethical issues surrounding information and information systems. This article examines several information technology influences and their impact on the issues of ethics, integrity, and trust.
Codes of Ethics↗
Reliability of health information for the public on the World Wide Web: systematic survey of advice on managing fever in children at home.
OBJECTIVE: To assess the reliability of healthcare information on the world wide web and therefore how it may help lay people cope with common health problems. METHODS: Systematic search by means of two search engines, Yahoo and Excite, of parent oriented web pages relating to home management of feverish children. Reliability of information on the web sites was checked by comparison with published guidelines. MAIN OUTCOME MEASURES: Minimum temperature of child that should be considered as fever, optimal sites for measuring temperature, pharmacological and physical treatment of fever, conditions that may warrant a doctor's visit. RESULTS: 41 web pages were retrieved and considered. 28 web pages gave a temperature above which a child is feverish; 26 pages indicated the optimal site for taking temperature, most recommending rectal measurement; 31 of the 34 pages that mentioned drug treatment recommended paracetamol as an antipyretic; 38 pages recommended non-drug measures, most commonly tepid sponging, dressing lightly, and increasing fluid intake; and 36 pages gave some indication of when a doctor should be called. Only four web pages adhered closely to the main recommendations in the guidelines. The largest deviations were in sponging procedures and how to take a child's temperature, whereas there was a general agreement in the use of paracetamol. CONCLUSIONS: Only a few web sites provided complete and accurate information for this common and widely discussed condition. This suggests an urgent need to check public oriented healthcare information on the internet for accuracy, completeness, and consistency.
Analgesics, Non-Narcotic↗