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Influence of direct computer experience on older adults' attitudes toward computers.

This research examined whether older adults' attitudes toward computers became more positive as a function of computer experience. The sample comprised 101 community-dwelling older adults aged 57 to 87. The intervention involved a 2-week computer training program in which subjects learned to use a desktop publishing software program. A multidimensional computer attitude measure was used to assess differential attitude change and maintenance of change following training. The results indicated that older adults' computer attitudes are modifiable and that direct computer experience is an effective means of change. Attitude change as a function of training was found for the attitude dimensions targeted by the intervention program: computer comfort and efficacy. In addition, maintenance of attitude change was established for at least two weeks following training.

Aged

The TEAM evaluation approach to Project FAMUS, a pan-Canadian risk register for primary care.

The application of the TEAM--Total Evaluation and Acceptance Methodology--to the development of Project FAMUS--Family Medicine, University of Sherbrooke--is described. Project FAMUS is concerned with the establishment of a pan-Canadian risk register, the data being provided from a network of 800 family physicians distributed across Canada. Emphasis is on the first phase of the project and the overall evaluation strategy.

Computer User Training

PADS (Patient Archiving and Documentation System): a computerized patient record with educational aspects.

Rapid acquisition and analysis of information in an Intensive Care Unit (ICU) setting is essential, even more so the documentation of the decision making process which has vital consequences for the lives of ICU patients. We describe an Ethernet based local area network (LAN) with clinical workstations (Macintosh fx, ci). Our Patient Archiving and Documentation System (PADS) represents a computerized patient record presently used in a university hospitals' ICU. Taking full advantage of the Macintosh based graphical user interface (GUI) our system enables nurses and doctors to perform the following tasks: admission, medical history taking, physical examination, generation of problem lists and follow up notes, access to laboratory data and reports, semiautomatic generation of a discharge summary including full word processor capabilities. Furthermore, the system offers rapid, consistent and complete automatic encoding of diagnoses following the International Classification of Disease (ICD; WHO, [1]). For educational purposes the user can also view disease entities or complications related to the diagnoses she/he encoded. The system has links to other educational programs such as cardiac auscultation. A MEDLINE literature search through a CD-ROM based system can be performed without exiting the system; also, CD-ROM based medical textbooks can be accessed as well. Commercially available Macintosh programs can be integrated in the system without existing the main program thus enabling users to customize their working environment. Additional options include automatic background monitoring of users learning behavior, analyses and graphical display of numerous epidemiological and health care related problems. Furthermore, we are in the process of integrating sound and digital video in our system. This system represents one in a line of modular departmental models which will eventually be integrated to form a decentralized Hospital Information System (HIS).

Computer User Training

A computer-based tutorial for H.I.S. orientation: laboratory results retrieval.

Computer-based training developed with high-level software packages offers a cost-efficient means of orienting large numbers of personnel to a hospital information system. Equally important, a decentralized, self-administered, self-paced tutorial allows professional personnel to get training where and when they want it, with as little or as much reinforcement as they desire. We will demonstrate the tutorial we developed to train 2500 clinical and unit support personnel to use the first clinical module of our Patient Care Information System. Although the Laboratory Results Inquiry function was simple to use, many of our staff had had little or no exposure to computers, and none knew how to use the system we would be implementing. About 300 of our 2500 personnel elected to come to mentored group classes, where the same computer-based tutorial was used, but a trained "superuser" was available to answer questions and offer guidance.

Boston

Quantitative morphology for biologists and computer scientists: I. Computer-aided tutorial for biological stereology (version 1.0).

This paper describes a computer-aided tutorial for biological stereology. Stereology, a type of quantitative morphology, includes a collection of statistical methods that quantify the structural compartments that can be viewed in sections with light and electron microscopy. These methods provide volume, surface, length, shape, and number data, and help define the quantitative relationships among the structural compartments of biological hierarchies. Hierarchies, which connect structural data ranging in size from molecules to organs, serve as a central core to which the data of biological databases can be linked. The tutorial focuses on two objectives. It provides the user primarily interested in using quantitative morphology databases with background information, and offers a set of state-of-the-art tools to researchers wishing to use these methods in the laboratory. The main topics of the tutorial include: introduction to quantitative morphology, symbols/terms, data types, sampling, hierarchies, data interpretation, and utilities. The tutorial runs under the MS-DOS operating system and requires at least an IBM PC AT (or compatible), a color monitor (EGA, VGA), 540 KB of RAM, and 3 MB of hard disk space.

Animals

Training of health care personnel towards the implementation and use of electronic health care records using integrated imaging technology.

The hospital of the future will be a place in which Health Care providers of various disciplines will have access to all information about a patient in a timely fashion, and where the communication system will be able to cope with all information representations ranging through data, text, images and voice. Multimedia systems offer the facilities to cope with the specific problems of the mainly manual approach for the effective and efficient organization of information related to facts and findings in medical care. In this article we outline the training needs for future users of such systems.

Computer User Training

Impact of end-user search training on pharmacy students: a four-year follow-up study.

The Alfred Taubman Medical Library at the University of Michigan has offered instruction in online literature searching to third-year pharmacy students as a component of the course "Drug Information and Scientific Literature Evaluation" since 1983. In the spring of 1989, a follow-up study was conducted to assess the impact of instruction on four classes of graduates. Of a pool of 151 graduates, 90 (60%) responded to a mailed questionnaire on their use of information and computerized literature searching. The respondents were divided into four subgroups: end-user searchers, users of intermediaries, end users who used intermediaries, and those who did not use computerized literature search systems. Seventy-two percent of the respondents used some type of computerized literature searching, and 42% performed their own searches. The four subgroups differed in general computer use, familiarity with MEDLINE search terminology, information use, reasons for using or not using literature searching, and characteristics of searches (i.e., type, time frame, amount, and frequency). Training in end-user search systems appears to have had an impact on the continued use of computerized literature searching several years after the formal educational program.

Computer User Training

An evaluation method of computer usability based on human-to-computer information transmission model.

This paper proposes a new evaluation and prediction method for computer usability. This method is based on our two previously proposed information transmission measures created from a human-to-computer information transmission model. The model has three information transmission levels: the device, software, and task content levels. Two measures, called the device independent information measure (DI) and the computer independent information measure (CI), defined on the software and task content levels respectively, are given as the amount of information transmitted. Two information transmission rates are defined as DI/T and CI/T, where T is the task completion time: the device independent information transmission rate (RDI), and the computer independent information transmission rate (RCI). The method utilizes the RDI and RCI rates to evaluate relatively the usability of software and device operations on different computer systems. Experiments using three different systems, in this case a graphical information input task, confirm that the method offers an efficient way of determining computer usability.

Computer Literacy

[Changes in the rate and accuracy of information processing in the computer training of middle-grade pupils].

The computer enters more and more quickly the new school. Therefore an important problem is the influence of computer training on the velocity and accuracy of information processing. For this purpose were examined 28 school-children from VI-VII class, participating in computer training, computer plays and traditional lesion. This activity was carried out in the computer study of the Pioneer Palace, Sofia. An electronic determinator with test programme, containing preliminary arranged succession of 50 visual stimulants on red, blue, green, yellow and white colours, at vas used at 1,2 s. speed. The changes in the correct, delayed and wrong reactions were traced. The results as a whole point out, that the computer training, on the one hand, has no unfavourable effect on the velocity and accuracy of information processing, and on the other hand--forms positive psychoemotional adjustment to work.

Bulgaria

[Changes in the rate and accuracy of information processing in the computer training of upper-grade pupils].

The basic activity of the student during the "computer training process" is the introduction and processing of information. In the dialogue regime of work, between student and computer, the velocity and accuracy of the information processing take important place. In this aspect, special attention is given to the changes in the indicated indices during the computer lesson, computer plays and the traditional training. Studies are carried out on 30 students from classes X and XI, educated in vocational school "V. Levski", the town of Pravets. For the purpose is used electron determinator with test programme, containing consecutively exposure to 50 visual stimulators in red, blue, green, yellow and white colours at 1,2 s/speed. The results as a whole show that the most favourable results concerning the computer plays, very likely could be explained with the diversion effect and the positive motivation adjustment to the activity performed. By means of dispersion analysis is established, that only the type of activity has an essential effect on the velocity and accuracy of the information processing.

Bulgaria

[Computers and education needs].

The purpose of this study was to identify nurses' computer training needs. A 20-statement questionnaire was circulated to 30 nurses. From the 26 responses received, a profile was created of the target group (nurses working in a teaching hospital), with a view to determining their current and desired level of knowledge. A number of diverse training needs were revealed through the study. The most interesting aspects, from the nurses' point of view, were those related to clinical practice and education. Figure one illustrates the low level of current knowledge of computer science. Figure two, however, demonstrates the high level of interest on the part of respondents (desired level) in becoming more computer literate and their wish to use computers in a wide range of applications, including teaching, health care delivery, clinical decision making and in-service training. Figure three highlights the training needs identified under each statement. The establishment of an information system in a teaching hospital setting is not dealt with in this article. This will be the subject of a second article, to appear next month. A number of teaching variables are described here, including the instructor, the learner, the training process itself, content, media and budgetary constraints. The outline of a training program will be proposed in a third and final article.

Computer User Training