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Internet usage among women with breast cancer: an exploratory study.

An increasing number of breast cancer patients are accessing the Internet for medical information. A survey was administered to breast cancer patients and their families attending follow-up outpatient clinics in a comprehensive cancer care center to explore their frequency of Internet use, their motivation for online activity, the type of information they sought, and the perceived impact of the information they found on the Internet on their medical care. The survey was conducted over a 4-month period. A total of 107 surveys were returned. Seventy-nine of these (74%) were from patients while 28 (26%) were from family members and friends. Thirty-four of the patient responses (43%) indicated that the patient had used the Internet to look for cancer-related information. Patients who had used the Internet to access cancer-related information were significantly younger (P = 0.007), better educated (P = 0.027), and less satisfied with the amount of treatment-related information given by caregivers than those patients who had not used the Internet to access cancer-related information (P = 0.032). The majority of patient Internet users desired more information on their cancer and its treatment (91%), looked up information that was presented to them by their clinicians (66%), researched other treatment options (63%), and obtained more information on "alternative treatments" (63%). Patient Internet users generally found the cancer-related information on the Internet to be useful, and the majority discussed Internet-derived information with their health care providers and perceived that clinicians listened to such information. However, 53% were undecided about the trustworthiness of the medical information obtained via the Internet. Internet nonusers commonly lacked Internet access (53%) or were unfamiliar with the Internet (33%), but few (13%) distrusted Internet-derived information. This exploratory study underscores the need for more research in this area, specifically with the aims of identifying and verifying factors that lead patients to use the Internet and the impact of their online activities on their medical care.

Adult↗

Oncology nurses' use of the Internet for continuing education: a survey of Oncology Nursing Society Congress attendees.

A publication and continuing education company conducted a survey at the 23rd Annual Oncology Nursing Society Congress to determine whether nurses are using the Internet and, if so, for what purposes. Survey results revealed that oncology nurses are using the Internet for a variety of educational purposes, which include drug information, literature searches, academic information, continuing education, and patient education. Continuing education providers should continue to pursue the Internet as a means of meeting the needs of oncology nurses for quick, up-to-date information in their field. There is a need for further documentation on the use of the Internet by nurses for continuing education, including topics and program formats that would be most beneficial.

Attitude of Health Personnel↗

Comparison of oncology nurse and physician use of the Internet for continuing education.

BACKGROUND: In the past 10 years, there has been a dramatic increase in published literature on the topic of Internet use by healthcare professionals. Learners and organizations providing grants to the continuing education (CE) division of a medical education and publishing company have expressed increasing interest in the area of Internet CE. To quantify and analyze this trend, the company began using surveys to evaluate this growing area of interest. METHOD: Since 1998, annual surveys at the annual meetings of the Oncology Nursing Society and the American Society of Clinical Oncology were used to determine trends in educational use of the Internet for CE. FINDINGS: Internet use and frequency of use, including use of the Internet for CE among both nurses and physicians, have been increasing. When asked what would make these professionals more likely to use the Internet for CE, both indicated making the activities low cost or free and easier access. CONCLUSIONS: Nurses and physicians are looking to the Internet for quick access to reliable information, thus challenging CE educators to develop ways to implement Internet CE activities quickly. Ongoing needs assessment of target audiences and evaluation of the effectiveness of Internet CE is essential to optimizing the role of this educational format for healthcare professionals.

Attitude of Health Personnel↗

Enabling student nurses to use the information superhighway.

Nursing graduates must be sophisticated in the use of information technologies and understand how these technologies interface with various health care systems. The purpose of this project was to evaluate the impact of a newly developed Internet course, focusing on current information technologies, on 20 RN-to-MSN students. Author-developed instruments were used to measure weekly computer use, perceived computer skill, and knowledge related to the information superhighway. The Stronge & Brodt Nurses Attitudes Toward Computerization Questionnaire was used to assess attitudes toward computerization. Qualitative data was elicited using weekly evaluation forms. When compared to 23 students at a similar stage of their nursing program, quantitative findings indicated that, at the end of the semester, students in the pilot course had more computer knowledge, reported greater computer skill, and used computers more. Qualitative findings suggested that pilot students: * Were connected with nursing networks and expressed their intent to maintain these networks. * Were able to use current health information found on the Internet in their nursing practices. * Used skills learned in the pilot class to complete projects in other classes. * Communicated with classmates via the Internet, thus forming a potentially valuable professional support system. * Used the library and librarians early in their programs. * Understood the relevancy of telemedicine and the Internet to the future survival of nursing in a changing health care arena. While the authors caution that an adequate infrastructure must be available to support such an endeavor, they emphasize that knowledge of the relevancy and use of the information superhighway is crucial to the future survival of nursing in a rapidly changing health care arena.

Adult↗

Incorporating electronic-based and computer-based strategies: graduate nursing courses in administration.

The use of electronic technology allows faculty to improve their course offerings. Four graduate courses in nursing administration were contemporized to incorporate fundamental computer-based skills that would be expected of graduates in the work setting. Principles of adult learning offered a philosophical foundation that guided course development and revision. Course delivery strategies included computer-assisted instructional modules, e-mail interactive discussion groups, and use of the electronic classroom. Classroom seminar discussions and two-way interactive video conferencing focused on group resolution of problems derived from employment settings and assigned readings. Using these electronic technologies, a variety of courses can be revised to accommodate the learners' needs.

Computer Literacy↗

Informatics competencies for nurses at four levels of practice.

Valid and comprehensive nursing informatics (NI) competencies currently are lacking. Meanwhile, nursing leaders are emphasizing the need to include NI in nursing curricula, as well as within the roles of practicing nurses in all settings. This article presents the initial work of a team of NI experts toward development of a valid and reliable set of NI competencies. Previous work primarily has focused on computer-related skills, rather than examining a broad definition of informatics competencies. For this current work, NI competencies encompass all skills, not only computer-related skills, as well as knowledge and attitudes needed by nurses. The first two authors created a database of NI competencies from the existing literature. A larger panel of NI experts then affirmed, modified, added, or deleted competencies from this database. Competencies were placed into four distinct skill levels. Definitions of each skill level and an initial master list of competencies are provided.

Computer Literacy↗

The effect of demographic variables on achievement in and satisfaction with online coursework.

Although an ethnically diverse health care workforce is considered necessary to meet the needs of our multicultural society, little attention has been given to the effect of language in distance-delivered coursework. A population of ethnically diverse nurse practitioner and physician assistant students at three institutions was studied to determine the effect of demographic variables, such as native language, gender, and prior computer experience, on both successful completion of and satisfaction with online coursework. No significant difference was found in academic achievement of native and non-native English speakers, nor in course satisfaction between these two groups. In addition, neither gender nor prior computer experience affected either academic achievement or course satisfaction.

Adult↗

Unlocking information technology.

Computer technology has made vast quantities of information more readily available through accessible data bases. This article discusses the use of information technology and some of the problems that have prevented it from being more widely used. Also included is information on some rehabilitation-related data bases.

Computer Literacy↗

Current trends in assistive technology education in entry-level occupational therapy curricula.

OBJECTIVE: This replication study investigated what changes, if any, occurred in the education of entry-level occupational therapy students relative to assistive technology between 1989 and 1994-1995. METHOD: A questionnaire was mailed to all entry-level occupational therapy programs in the United States (N = 79). The response rate was 88.6% (n = 70). Results were compared with those of a similar survey that examined the same issues in 1989. RESULTS: Assistive technology education had increased from 1989 to 1994-1995 in 11 identified areas. The highest increases were found in environmental access and robotics, sensory aids, augmentative communication, and prosthetics and orthotics. Only 10% of the respondent programs had less than 20 hours of assistive technology education compared with 50% in the earlier study. Thirty (43%) programs included one or more technology courses in the curriculum compared with 17 (29%) in 1989, and 62 (89%) programs included assistive technology content in lectures or units throughout the curriculum compared with 32 (54%) in 1989. CONCLUSION: Occupational therapy educators are placing more emphasis on assistive technology education than they did in 1989 and are learning the skills to teach this content. If this trend continues, we will see assistive technology content taught in all occupational therapy programs in the next millennium.

Computer Literacy↗

What do medical students know about computers?

OBJECTIVE: To evaluate the computer knowledge and skills of medical students in the first, fourth and final years of the Monash University medical course. DESIGN: Questionnaire. SETTING: Undergraduate medical education. PARTICIPANTS: All first, fourth and final year medical students in the Monash University medical course in 1991. RESULTS: The students in first year were found to have greater computer skills than those in sixth year. There were also significant differences between the sexes, particularly in sixth year, with male students having significantly greater computer skills than female students. CONCLUSIONS: The perceived importance of computing in medicine was high among all students and there was enthusiasm for the development and inclusion of a course on medical computing in the undergraduate curriculum.

Computer Literacy↗

Time machine.

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Attitude of Health Personnel↗

Improving information management in ward nurses' practice.

The introduction of a national programme for information technology will affect nurses' methods of managing clinical information on hospital wards. Within a healthcare team, information is managed through formal recording mechanisms as well as informal information exchange. Opportunities to combine these two approaches are highlighted through scenarios. Recommendations are made for nurses to adapt their current information systems and better manage their clinical information.

Attitude of Health Personnel↗

[Higher medical schools and medical institutions: feedback problems].

Sociological study of graduates from Nizhny Novgorod State Medical Academy was carried out in 1997. The opinions of 199 physicians on the quality of training at the Academy, on employment and continuous education, etc., are analyzed. Proposals on improving the quality of staff training from a practitioners' viewpoint are collected and classified.

Computer Literacy↗