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PubMed2002

Looking for a needle in a haystack: searching the Internet for quality resources.

The Internet has expanded the range, quantity and quality of materials available to the nurse researcher. However, accessing the material stored there can be difficult and frustrating because of the variable nature of the resources available, and the challenge in locating them. This paper explores some of the issues involved in searching the Internet for quality nursing resources. It provides site addresses, search pointers and a glossary of terms used in the paper, to make the paper accessible and searching the Internet more productive.

Clinical Nursing Research↗
PubMed1997

Computerized education in a multi hospital university medical center.

The advantages of using authoring, instructional, and informational computer applications in a university-based multi-hospital medical teaching center are vast. Software applications are used by the staff development educators at The Presbyterian Hospital, Columbia University Medical Center (CPMC) for test construction and administration, information processing, instruction, assessment, and evaluation. The media formats include Windows and DOS based CAI programs, CD ROM, IVD, INTERNET sites, and other on-line resources. This presentation will focus on how nurse educators use the various types of software applications available on the CPMC network and in the multimedia center, and on the benefits experienced by learners, educators, and nursing management and administration.

Academic Medical Centers↗
PubMed1997

European standardization in healthcare informatics and the need for increased involvement of healthcare professionals.

This paper gives the background and an introduction to the results and present activities of CEN/TC 251 (European Standardization Committee, Technical Committee on Health Care Informatics). The importance of the involvement of healthcare professionals, e.g. nurses, in the standardization development process is stressed. The paper emphasises the need for increased awareness of the standardization efforts in order to accomplish a higher degree of commitment in healthcare professionals.

Classification↗
PubMed1999

Delivering health information statewide via the Internet in a collaborative environment: impact on individual member institutions.

The Arizona Health Information Network (AZHIN) is a statewide member-driven organization committed to improving access to information for health sciences students and practitioners. Members include several hospitals and hospital systems, an academic health sciences center, and other diverse health care organizations. AZHIN offers its members unlimited Web access to ten well-known health sciences databases. This paper explores the impact that AZHIN has had on its member institutions. A survey asked members to reflect on AZHIN and its possible effects on the visibility of the librarian within the institution, relative dollars spent on AZHIN and range of resources available, Internet connectivity within their institution, access to AZHIN and other Internet resources, teaching, and benefits of collaboration. Results indicated that AZHIN members have access to a wider range of resources than they would otherwise. There are financial savings for some. Internet connectivity and AZHIN membership can provide the librarian with a broadened role and increased visibility. The availability of MEDLINE and other AZHIN resources encouraged some institutions to install Internet connectivity more quickly. Teaching library users has increased. Overall, AZHIN members recognized many benefits of their collaboration.

Arizona↗
PubMedDate not supplied

Information literacy: educating for life-long learning.

Creating information-literate nurses is a challenging and complex task for nurse educators. It requires expertise on the part of the instructor, and a solid commitment to the importance of acquiring information skills and a willingness to demand quality work from the students. A librarian shares her views on information literacy.

Education, Nursing↗
PubMed2005

Promoting safe nursing care by bringing visibility to the disciplinary aspects of interdisciplinary care.

The provision of safe and effective interdisciplinary care requires making the unique and interdependent aspects of disciplinary care visible and understandable. Ideally, the electronic health record (EHR) should capture both disciplinary and interdisciplinary care. This paper reports on a "real time" pilot of a technology supported method of documenting, communicating, and tracking the nursing component of the patient's plan of care for eventual integration into EHR. An intensive care unit tested the intervention that included the adoption and use of the NANDA, NOC, and NIC terminologies. Multiple methods were used to evaluate the impact of the care planning method for a 12 month period. We found that the increased visibility of nursing care promoted greater awareness and understanding (collective mind) of care and in turn enhanced continuity. The results of the pilot were used to further refine our theoretical framework and method for the multi-site study currently underway.

Attitude to Computers↗
PubMed2005

Changing the culture of mental health nursing: the contribution of nursing clinical development units.

The reluctance of nurses to utilise research findings in their practice has been extensively discussed in the literature. Nursing Clinical Development Units (NCDU) represent one approach to facilitating a greater interaction between research and nursing practice. This paper presents the results of an impact evaluation of an NCDU program operating in Victoria, Australia. In-depth interviews were conducted with participants in the NCDU program (n = 14). The findings suggest an increase in accessing and ultilising research by nurses since the introduction of the program, with an increased focus on evidence-based practice.

Australia↗
PubMedDate not supplied

Terminology standards for nursing: collaboration at the summit.

OBJECTIVE: The objective of the 1999 Nursing Vocabulary Summit Conference was to seek consensus on and a common approach to the development of nursing terminology standards for use in information systems. METHODS: A four-day invitational conference brought together authors and representatives of responsible organizations concerned with the nursing terminologies recognized or under consideration by the American Nurses Association, along with experts on language and standards and representatives of professional organizations, federal agencies, and the health informatics industry. RESULTS: Participants distinguished between colloquial terminologies and reference terminologies, and between information models and terminology models. They agreed that most recognized nursing terminologies were colloquial terminologies and that a reference terminology was needed. They formed task forces to develop and test aspects of a reference terminology model prior to a second meeting in June 2000, at which they would determine readiness to collaborate on a single international standard. DISCUSSION: The 1999 Nursing Vocabulary Summit Conference changed the level of discussion about nursing vocabulary standards from a debate about the relative merits of the various terminologies recognized in the United States to an examination of methods for developing and testing a reference terminology model and, eventually, a reference terminology that could serve as an international standard.

American Nurses' Association↗
PubMed2005

Planning for the rapidly emerging digital OR.

Nurses working in today's operating room environments are faced with new technologies being added as the trend toward the digitalization of ORs becomes a reality. Many hospitals across the country are currently undergoing renovations to include updated equipment. This means nurses must adapt to new systems and become familiar with the driving forces behind the trend and how it will affect their daily work. Here, the author explores why digital ORs are increasingly becoming the norm and what today's nurses need to understand in order to be effective in this emerging environment.

Humans↗
PubMed1999

Planning for information technology key skills in nurse education.

New recruits to courses in nursing, midwifery and health visiting come from a wide range of educational backgrounds and it is reasonable to expect that this diversity will also be reflected in the range of their experience and competence with information technology (IT). Accommodating such variety can make the planning of appropriate training to enhance and develop their IT skills difficult. In order to explore the likely extent of diversity in IT experience and skills in today's recruits, the project reported here examined the competence, attitudes and previous IT training of two consecutive cohorts of new entrants to a higher diploma programme. The surveys add weight to the view that nurse educators do face a considerable diversity in new students' competence and experience with IT. Further analysis has also shown that subgroups of the cohorts, characterized by their age, gender, education or previous IT training, differed significantly in a 'knowledge of computers' score but not in their attitudes to IT. Arising from the results, the paper argues that, in seeking to develop a consistent level of IT literacy, core IT competence should be identified and all courses should have the clear objective of raising students' confidence in using computers.

Adult↗
PubMedDate not supplied

Pandora's box: physician order entry and nursing work redesign.

The Canadian health care industry is undergoing unprecedented restructuring in response to the quest for quality management and cost reduction. Physician order entry and on-line results viewing within a fully integrated hospital clinical information system is often thought to be essential to maximum quality management, cost control, and clinical decision support. Using Hackman and Oldham's Job Characteristics model (1989) as a grounding for discussion, this author examines the impact of computerized physician order entry and on-line results viewing on the intrinsic meaning of nursing work and its subsequent redesign. This paper explores the historical meaning of nursing work related to the manual transcription of physician's orders, and contemplates the implications for future nursing work and research. Until now there has been little discussion in the current informatics literature on this topic.

Attitude of Health Personnel↗