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PubMed2002

Quality of life assessment software for computer-inexperienced older adults: multimedia utility elicitation for activities of daily living.

Functional status as measured by dependencies in the Activities of Daily Living (ADLs) is an important indicator of overall health for older adults. Methodologies for outcomes-based medical-decision-making for public policy, such as decision modeling and cost-effectiveness analysis, require utilities for outcome health states. Utilities have been reported for many disease states, but have not been indexed by functional status, which is a strong predictor of outcome in geriatrics. We describe here a utility elicitation program developed specifically for use with computer-inexperienced older adults: Functional Limitation And Independence Rating (FLAIR1). FLAIR1 design features address common physical problems of the aged and computer attitudes of inexperienced users that could impede computer acceptance. We interviewed 400 adults ages 65 years and older with FLAIR1. In exit interviews with 154 respondents, 118 (76%) found FLAIR1 easy to use. Design features in FLAIR1 can be applied to other software for older adults

Activities of Daily Living↗
PubMed2003

The Midwifery Interactive Learning Environment (MILE).

The aim of the MILE project is to foster a multidisciplinary collaboration between the healthcare sector, specifically healthcare professionals and IT and computing experts. The objective is to develop a computer-based learning (CBL) environment for midwifery and nurse education. As there is little, if any, work within this application domain, MILE will be developed covering an appropriate subset of common skills necessary for midwives and nurses to work within obstetrics and/or gynaecology. The scope and functionality of the CBL environment will enable evaluation of the uptake and performance of such technology within a highly skilled and wide range task environment. This involves both classroom and on-the-job training.

Computer Literacy↗
PubMed2003

Increases in resident and faculty computing skills between 1998 and 2001.

BACKGROUND AND OBJECTIVES: Following a 1998 survey, we hypothesized that family practice residents would soon demand more advanced informatics and computer training than faculty could provide. We repeated the survey in 2001 to test our hypothesis. METHODS: We surveyed 97 first-year medical students, 46 family practice residents, and 18 family medicine faculty at our institution. We compared responses among groups and within groups since 1998. RESULTS: Significantly more respondents owned a computer in 2001 than in 1998. E-mail and Internet use increased dramatically for all groups. Students and faculty had significantly greater confidence in their general computer abilities than residents did in 2001, but third-year residents' confidence had increased significantly since 1998. Respondents cited inadequate computer resources as the most important barrier to effective computer use. CONCLUSIONS: Resident and faculty self-assessed computer skills have increased substantially at our program since 1998. These increases appear due to the current ubiquity of computers in society and improvements in device functionality and ease of use rather than curricular activities. Few residents and faculty need the basic computer training recommended in curricular guidelines. Residency programs should maintain up-to-date computer resources and consider providing selective advanced computer skills training.

Attitude to Computers↗
PubMedDate not supplied

Computers on the wards.

Explore the source record for details and available documents.

Attitude to Computers↗
PubMed2003

One-on-one proficiency training: an evaluation of satisfaction and effectiveness using clinical information systems.

OBJECTIVE: To examine the effectiveness of a one-on-one training method for advanced proficiency in the use of clinical information systems (CIS) by clinicians (physicians, physician assistants, and nurse practitioners) in a large HMO. DESIGN: A cross-sectional survey of 129 clinicians. MEASUREMENTS: Satisfaction was measured using a multi-item satisfaction index. Perceived effectiveness of the training was measured by assessing self-reported improvements in efficiency in CIS. RESULTS: Response rate of 80%. The one-on-one method was significantly preferred over any other teaching methods (p<.0001). Improvement in use of the electronic medical record was greatest following one-on-one training when compared to other CIS components. Major improvements (i.e., >3 on 5 point Likert scale) in use of the electronic medical record were reported by 61.4% of the clinicians. Overall satisfaction was significantly higher among women (p<.05). CONCLUSION: The findings support the assumption that one-on-one training is of value to clinicians and that this training modality is valued above other methods.

Attitude to Computers↗
PubMed1992

Increases in knowledge and use of information technology by entering medical students at McMaster University in successive annual surveys.

OBJECTIVE: To determine self-reported microcomputer and information technology competency, access, and usage by entering medical students and their perceptions of the need for training in additional applications. DESIGN: Cross-sectional surveys of successive classes. SETTING: McMaster University Faculty of Health Sciences Medical Undergraduate Program, which has a 33-month, problem-based, self-directed learning curriculum and a high applicant-to-student ratio. PARTICIPANTS: Medical school classes entering in 1987, 1988, and 1989. Response rates were 80%, 90%, and 86% respectively. MEASURES: A self-report questionnaire was sent to each student, with up to two follow-up letters to prompt a response. RESULTS: There was a progressive rise in reported information technology access and use for the three years. For the classes starting in 1987, '88, and '89 respectively, computer access was 29%, 49%, and 49% (P < 0.002 for linear trend), and, among those with computer access, modem access was 17%, 29% and 50% (P = 0.012). Self-service MEDLINE use on CD-ROM at the Health Sciences Library was 65%, 75%, and 89% respectively (P < 0.001) for all respondents within the first few months of starting medical school. Over 50% of each class stated they would take courses, if available, on clinical applications software, office management, online searching, filing, and CD-ROM searching. CONCLUSIONS: Half of the most recent entering students already had access to a personal computer and most wished to learn computer applications that would assist them with patient management, and with information access and organization. Medical schools need to address which applications they will teach or make available and how to bring all students to acceptable competency in their use.

Computer Literacy↗
PubMed2004

RN to CIO. High-tech nurses bridge hospitals' cultural divide.

A growing number of nurses are moving into leadership roles in hospital IT departments. Their patient care expertise is valuable as hospitals shift their IT focus from back-office functions to clinical processes. For RNs thinking about making the transition--and CEOs thinking about hiring an RN as CIO--there are important issues to consider.

Career Mobility↗
PubMed2003

Medical education in Nigeria: are we ready for the paradigm shift?

The information revolution is changing the way medicine is practised globally. Patients can now access the storehouses of knowledge, which hitherto were out of bounds, to acquire, process and use the medical evidence from a variety of sources such as the World Wide Web. The way medicine is being taught is changing. Many medical and dental schools have revised, or are in the process of revising their curricula. The ability to access information resources and apply up to date information, diagnosis and therapeutic protocols to their practice calls for a paradigm shift. Cybermedicine is fast becoming the twenty-first century practice. The challenge is real. If emphasis is being placed on fluency with information technology in the developed countries, learning to use the computer remains, in our opinion, the place to start from in the developing countries.

Computer Literacy↗
PubMed1992

Using microcomputers to facilitate research studies.

Microcomputers can facilitate research studies planned by busy PACU nurses. PACU nurses need to become computer literate to take advantage of these time-efficient methods. Computer hardware and software can be used to word process a research proposal, statistical software can be used for data analysis, and graphic and clip-art software can be used to summarize and to graphically present the results of this study.

Clinical Nursing Research↗
PubMed2004

Dealing with organizational change when implementing EHR systems.

Over the past years researchers at Aalborg University have been developing a method for examining change readiness of hospital staff during the implementation of new IT-systems. (CRR; Change readiness-research). The aim is to provide the hospital-management with a tool that will lead to an optimal implementation of new IT-systems. The method has recently been used in department Y at Skejby Hospital, Skejby, Denmark. 81% out of 241 employees answered the distributed questionnaire, and the results showed, that the employees have some expectations to the new EHR-system, which are important to either confirm or reject; on the other hand a great part of the employees lack basic computer skills. Thus the CRR-method has provided the Organization with important information before the implementation of the new EHR-system.

Attitude of Health Personnel↗
PubMed2004

Differing faculty and housestaff acceptance of an electronic health record one year after implementation.

In order to determine whether differences exist between housestaff and faculty physician acceptance of an electronic health record system, we conducted a written survey of attitudes towards new electronic medical record at the University of Illinois at Chicago. We surveyed 330 faculty and housestaff physicians. User acceptance of the EHR was high for both faculty physicians and housestaff. 88.0% of the housestaff and 64.7% of the faculty preferred the EHR over a paper record. Although both housestaff and faculty acceptance of an EHR was high, housestaff showed greater approval ratings than faculty. Central to acceptance of an EHR is conservation of physician time including improving system speed, reducing time spent waiting for a computer to become available, and minimizing time spent documenting care

Attitude of Health Personnel↗
PubMedDate not supplied

5 competencies needed by new baccalaureate graduates.

As nurse educators prepare new graduates for practice, part of the challenge is to ensure that these nurses are capable of functioning in a broad continuum of care with increased responsibilities. To identify competencies needed by new baccalaureate graduates in today's health care environment and determine whether these competencies fall into particular dimensions, a cross-sectional survey design was used to query 363 nurse administrators from three health care settings. Nurse administrators rated the importance of 45 nursing competencies. Factor analysis was conducted on the competency items, and factor scores were calculated to determine the importance ratings by work setting groups. Findings revealed a simple six-factor competency structure (Health Promotion Competency, Supervision Competency, Interpersonal Communication Competency, Direct Care Competency, Computer Competency, and Caseload Management Competency). MANOVA indicated significant differences in the importance of these competence factors by work setting. The findings are an important beginning for evidence-based decision-making about nursing curriculum reform, both in the classroom and clinical practice areas. The study also provides a foundation for further measurement of nursing competencies.

Attitude of Health Personnel↗
PubMed2004

Doctors on-line: using diffusion of innovations theory to understand internet use.

BACKGROUND AND OBJECTIVES: Family physicians must be aware of the latest and best evidence for a broad range of clinical and public health topics. The Internet is an important source of this information, but not all family physicians use the Internet. This study used "diffusion of innovations" theory to identify strategies for increasing Internet use by family physicians. METHODS: We conducted a mail survey of 58 family physicians in a midsized Northeastern metropolitan area in the United States to assess Internet use and identify sources from which physicians obtain medical information. We then used diffusion of innovations theory to describe the process by which physicians learn and develop skills at using the Internet. RESULTS: Internet use begins when physicians are not constrained by a heavy patient volume and are able to learn about and observe the benefits of Internet use. When they experience its usefulness, their Internet browsing and searching develop and become more effortless and less time-consuming. CONCLUSIONS: The innovation attributes of diffusion of innovations theory act as predictors of Internet use among family physicians. Internet use by family physicians might be increased by providing them time to learn about how to use it and to experience its benefits. Integration of continuing medical education courses created for the purpose of developing and enhancing Internet usage skills into their schedule may be a workable solution. Demographic factors such as gender and training recency have no influence on Internet use by family physicians.

Adult↗
PubMedDate not supplied

Assessing the value of the internet in health improvement.

The internet is a powerful tool that provides easy access to information. Many people access it for health information and bring the material gathered to health appointments. However, the information may not always be correct or adequately monitored for quality. This could lead to some of it being harmful. This article examines whether or not the internet will enable us to lead healthier lives. The need for a quality label, how professionals must become adept at using the internet, the possibility of a digital divide exacerbating health inequalities and the dangers of misusing the internet's interactive elements are examined.

Computer Literacy↗