Computers in nursing最新文献

The informatics nurse specialist (INS) is often the primary change agent in facilitating the implementation of clinical information systems (CIS) in healthcare settings. The INS has a unique understanding of the nursing issues that can affect the change process, and thus is in a key position to facilitate positive implementation outcomes. Innovation-diffusion theory is particularly useful in its application to the change agent role of the INS. With this theoretical knowledge, the INS can design CIS training interventions according to the psychological phenomena of Rogers' Innovation-Decision Process. An understanding of the decision-making process and the distribution of different rates of innovation adoption within a given population enable the INS to anticipate and address influential factors that affect the implementation process. Thus, Innovation-Diffusion Theory may be used as a powerful cognitive tool for the INS in facilitating the diffusion process and nurses' adoption of the technology in practice.

This study compared the effectiveness of three instructional intervention strategies for teaching nursing students about congenital heart disease (CHD). They are: (1) computer-assisted instruction (CAI), (2) traditional class room lecture (TCL); and (3) the combination of CAI and TCL. The subjects were associate degree nursing (ADN) students enrolled in a pediatric nursing course at the University of Cincinnati Raymond Walters College. Differences between pre- and post-scores on a 20-item multiple choice test were analyzed by analysis of variance. There was a significant improvement in scores for all groups but no significant difference in improvement in scores between the CAI group and the TCL group. The CAI/TCL group showed significant improvement in scores compared with the other two groups. The researcher concluded that when teaching strategies are comparable, CAI is as effective as TCL. Used together, a significant improvement is seen in student performance than when either strategy is used alone.

Previous literature on evaluation of computer-assisted learning (CAL) programs has generally not emphasized the importance of evaluation during the design and development phases. A tendency toward an objective model of evaluation rather than a naturalistic model has also meant that there is little consideration given to the context in which students learn. The aim of this study was to demonstrate the benefits of using a combination of objective and naturalistic models when undertaking a formative evaluation of a computer-assisted learning program. During the design and development phases, the program, Pharmacology Resource for Nurses (PRN), was evaluated using observation of student pairs, student questionnaires, and student focus group interviews to address the complex issues underlying program effectiveness. This study confirmed the importance and value of collecting a variety of evaluation data in order to produce a useful learning program for students.

The REACH for TLC (telephone-linked care) project is a randomized study to assess the feasibility and usefulness of a computer-mediated telecommunications system for family caregivers of persons with Alzheimer's disease. The development of this automated system created technical challenges compounded by the participation in a national multisite research study. Issues arose due to the difference of cultures between researchers and technology developers. Strategic approaches were implemented proactively and during the course of the intervention to balance the competing demands of technology development and outcomes research. Key issues are discussed and recommendations made to assist others interested in developing technology-based applications for intervention research.

The rapid expansion of computer use for various nursing activities has made computer technology an important part of the curriculum in many schools of nursing across the world. Computer technology has become an alternative tool for teaching practice skills to students in a variety of educational settings and disciplines. Information technology (IT) is not yet well recognized in the Lebanese nursing curricula. This article traces the events of planning, developing, integrating, and evaluating nursing informatics on the Bachelor of Science in Nursing (BSN) Program of the School of Nursing (SON), at The American University of Beirut (AUB), Lebanon.

Assessment of patient care needs is the foundation for planning patient care and documenting the nursing process to enhance the nurse's ability to coordinate care, plan discharges effectively, and provide appropriate patient/family education. An on-line assessment module in the hospital clinical information system was implemented. This module uses Gordon's Functional Health Pattern Assessment as the foundation for the professional nursing documentation system in this academic, health science center. The article provides a description of the design of the pathways for the on-line assessment, analysis of the design, benefits of using the on-line assessment, and lessons learned from the design and implementation of the pathways.

Electronic communication can enhance long-distance networking and scholarly activity and make long-distance collaboration through technology a reality. Technology presents a new world of opportunity for improving writing skills, nurturing collegiality, and maximizing efficiency in the successful completion of collaborative projects. The concept of "seamless technology" introduced by the authors provides a guide to assist partners involved in collaborative projects to manage technology for a successful, rewarding experience. Basic questions regarding technology that need to be answered on the front end of a long-distance project are suggested in this article. In addition, the steps taken by the authors to co-author and co-edit a nursing textbook and accompanying instructor's manual by using electronic communication and other sources of technology are outlined. The authors address ways that long-distance collaboration required them to maximize their communication and planning skills, thereby increasing productivity and reducing costs. The challenges and rewards of working together exclusively through technology are discussed, and finally, implications for professional nursing are addressed.

This quasi-experimental, modified time series study measured the effects of the nursing module of a point of care clinical information system on nursing documentation and patient satisfaction. Measurements were taken before implementation of the module and at 6-, 12-, and 18-month intervals postimplementation. Quality of nursing documentation was measured by compliance to items applicable to nursing documentation selected from the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) Closed Medical Review Tool. Patient satisfaction was measured by using the Risser Patient Satisfaction Scale. The study data showed a statistically significant increase in the quality of nursing documentation after implementation of the computerized nursing documentation system, as well as a decrease in variability in charting, as evidenced by a decrease in standard deviations. A significant increase in charting compliance was still occurring between the 12- and the 18-month time points after initiation of automated documentation. The point of care computer system did not seem to affect patient satisfaction with the nurse-patient relationship.