NI 2012 : 11th International Congress on Nursing Informatics, June 23-27, 2012, Montreal, Canada. International Congress in Nursing Informatics (11th : 2012 : Montreal, Quebec)最新文献

Nursing is a dynamic profession; for registered nurses their role is increasingly requiring greater information process understanding and the effective management of information to ensure high quality safe patient care. This paper outlines the design and implementation of Systems of eCare. This is a course which advances information and communication technology knowledge for undergraduate nursing students within a Faculty of Health and Wellbeing appropriately preparing nurses for their professional careers. Systems of eCare entwines throughout the three year programme mapping to the curriculum giving meaning to learning for the student. In conclusion comments from students convey their appreciation of the provision of this element of the undergraduate programme.

Many complex markets such as banking and manufacturing have benefited significantly from technology adoption. Each of these complex markets experienced increased efficiency, quality, security, and customer involvement as a result of technology transformation in their industry. Healthcare has not benefited to the same extent. We provide initial findings from a policy analysis of complex markets and the features of these transformations that can influence health technology adoption and acceptance.

The objective of this study was to evaluate the feasibility of the national nursing model in Finland. The feasibility evaluation was carried out with nurses using interviews and patient case scenarios in primary, specialized and private healthcare. The nursing process model showed to be feasible in nursing practice but the current national nursing classification (FinCC) was considered to be too detailed, multi-layered and difficult to understand and use. Overall, electronic nursing documentation improves the legal protection of patients and health professionals and makes nursing care transparent, but the nursing documentation systems do not support multi-professional care or information exchange. This study resulted in that the nursing model should conform better to nursing practices and support better nurses in their care interventions. An essential improvement for nursing practice would be specific templates that are easy to apply in specific situations with homogenous patient groups.

An important step in advancing global health through informatics is to understand how systems support health professionals to deliver improved services to patients. Studies in several countries have highlighted the potential for clinical information systems to change patterns of work and communication, and in particular have raised concerns that they reduce nurses' time in direct care. However measuring the effects of systems on work is challenging and comparisons across studies have been hindered by a lack of standardised definitions and measurement tools. This paper describes the Work Observation Method by Activity Time (WOMBAT) technique version 1.0 and the ways in which the data generated can describe different aspects of health professionals' work. In 2011 a revised WOMBAT version 2.0 was developed specifically to facilitate its use by research teams in different countries. The new features provide opportunities for international comparative studies of nurses' work to be conducted.

The purposes of this methodological paper are: 1) to describe web mining methods for knowledge discovery in Tweets, and 2) to illustrate application of the methods using the topic of physical activity. Methods described include: 1) structure mining to discover structures (macro-, meso-, and micro-level) of Tweet networks using social network analysis, and 2) content mining to discover Tweet contents using n-gram based text analysis and sentiment analysis. Specific web mining tools for each step of the web mining process (e.g., NodeXL, ORA, Pajek, Weka) are detailed. Our novel application of web mining methods was useful in understanding multiple dimensions of physical activity. The methods that we applied may be useful to others wishing to mine social media for health-related purposes.

Standardization is one proposed solution for more efficient and effective nursing handoffs. The purpose of this review is to describe the format of handoff tools designed for standardizing nursing handoffs within inpatient acute care units. Four formats were identified in the 14 articles meeting inclusion criteria: printed templates, printed spreadsheets, mnemonics, and checklists. Little consistency across tools exists. Further research to compare efficiency and effectiveness of handoffs using different formats in needed.

Unlabelled: Federal agencies within the United States (US) are contributing to global advancement of Health Information Technology (HIT) through strategic goals and alignment of priorities. The US Department of Health and Human Services (DHHS) is helping transform HIT as part of health reform efforts. Each DHHS agency participates in ways that are increasingly transparent. The Substance Abuse and Mental Health Services Administration (SAMHSA) contributes through performance measurement and reporting activities. Nurses are key players as automated tools promote optimal outcomes. Nurses assure the accurate performance measurement by promoting integration within systematic safety and quality improvement efforts.

Disclaimer: This paper represents the opinions of the authors and does not represent official positions of the United States (US) Government, the US Department of Health and Human Services, or the Substance Abuse and Mental Health Administration.

To update the published NI competencies with the latest research findings, we conducted a literature search via CINAHL and PubMed databases from 2009 to 2011. A total of 19 articles were retrieved with 7 meeting the inclusion criteria. Five studies gave examples of NI competencies. It's possible to observe trends in NI competencies research field, including contemporary skills, foundational concepts and intellectual capabilities amongst the competencies. The studies consider progressive levels of nursing practice, and give examples of the NI competencies. Nevertheless, a need of studies that links theoretical concepts and practical real environments still remains all over the world, as well as the need for defining competencies as rapid changes in informatics processes and solutions occur.

Medical errors are an enormous problem in the health care industry. With the growing prominence of electronic medical records, new tools are becoming available to reduce the risk of errors. A clinical dashboard is one tool that is being employed in health systems to reduce medical error and improve clinician communication. The aim of this paper is to review how a clinical dashboard tool has been implemented at Virginia Commonwealth University Health System (VCUHS ) with the intention of reducing preventable medical errors.

Nurses collect, communicate and store patient information needed for care through verbal, handwritten and electronic information sources. However, the specific categories of nurses' information needs for the care of hospitalized patients remain unknown. The purpose of this study was to identify the categories of nurses' information needs and develop an observational tool to measure the information needs through available information sources. We analyzed qualitative data from interview transcripts and conducted direct observations of nurses to identify a total of 17 categories of nurses' information needs when caring for hospitalized patients. Once identified, we developed an observational tool to quantitatively measure the category of information need, whether the information need was collected and communicated, and through which information source. Future studies will be able to measure the gathering and communication of information needs through direct observation.