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

In this paper we describe the analysis of a tele-nursing call management software system at HealthLink BC. Several methods of usability analysis were conducted in a process of continuous quality improvement. In the initial phase usability engineering methods were applied to assess simulated nurse interactions with the call system and decision support software. After modification of the software an evaluation of the resulting benefits of the usability engineering was carried out. Run and control charts were developed and the impact of the changes were assessed in the context of other ongoing changes occurring in the organization. It was found that call handle times were reduced after the software was modified based on the usability analyses, and the software was streamlined to require fewer steps to complete call management tasks. However, ongoing changes in business processes have underlined the need for continual usability analyses and system refinement even within mature systems.

Face Taiwan Medical system mechanism, in order to provide the best medication quality, approach cost efficiency without wasting any resources, and management goals of hospitals. Therefore, this paragraph based on Recurrent Neural Network to develop a time serial relation, to construct a formula to calculate the medication cost. According to the information we have, combined with the data base to analysis the current medical system, to understand the medical quality, cost efficiency, and problems. Once we understand the problems, we will be able to correct them and provide the best medical system(1987)6, with reduced cost. To be the guideline for the hospitals and reach our management goal.

This study intended to use a human-centered design study method to develop a bar-code technology in blood sampling process. By using the multilevel analysis to gather the information, the bar-code technology has been constructed to identify the patient's identification, simplify the work process, and prevent medical error rates. A Technology Acceptance Model questionnaire was developed to assess the effectiveness of system and the data of patient's identification and sample errors were collected daily. The average scores of 8 items users' perceived ease of use was 25.21(3.72), 9 items users' perceived usefulness was 28.53(5.00), and 14 items task-technology fit was 52.24(7.09), the rate of patient identification error and samples with order cancelled were down to zero, however, new errors were generated after the new system deployed; which were the position of barcode stickers on the sample tubes. Overall, more than half of nurses (62.5%) were willing to use the new system.

In designing informatics infrastructure to support comparative effectiveness research (CER), it is necessary to implement approaches for integrating heterogeneous data sources such as clinical data typically stored in clinical data warehouses and those that are normally stored in separate research databases. One strategy to support this integration is the use of a concept-oriented data dictionary with a set of semantic terminology models. The aim of this paper is to illustrate the use of the semantic structure of Clinical LOINC (Logical Observation Identifiers, Names, and Codes) in integrating community-based survey items into the Medical Entities Dictionary (MED) to support the integration of survey data with clinical data for CER studies.

The purpose of this study was to describe case managers' perceptions of the barriers and facilitators to implementing two different electronic data summaries (EDS), a USB-based and Web-based Continuity of Care Document (CCD) for patients living with HIV/AIDS (PLWH) in New York City. The primary aim of this descriptive qualitative study was to understand case managers' perceptions of the two systems. Focus group methodology was used to gather perceptions from 48 participants. Major themes by factor included: barriers (technical difficulties, quality of data, and confidentiality breaches), and facilitators (training/ user support, work efficiency, and improved coordination of care). EDSs may be particularly useful in improving coordination of services and information sharing for HIV case managers. Careful attention must be paid to barriers and facilitators for use of these EDSs so that they can best meet the healthcare and social service needs of PLWH.

Nursing documentation is crucial to high quality, good and safe nursing care. According to earlier studies nursing documentation varies and the nursing classifications used in electronic patient records (EPR) is not yet stable internationally nor nationally. Legislation on patient records varies between countries, but they should contain accurate, high quality information for assessing, planning and delivering care. A unified national model for documenting patient care would improve information flow, management between multidisciplinary care teams and patient safety. Nursing documentation quality, accuracy and development needs can be monitored through an auditing instrument developed for the national documentation model. The results of the auditing process in one university hospital suggest that the national nursing documentation model fulfills nurses' expectations of electronic tools, facilitating their important documentation duty. This paper discusses the importance of auditing nursing documentation and especially of giving feedback after the implementation of a new means of documentation, to monitor the progress of documentation and further improve nursing documentation.

Despite the wealth of literature on requirements engineering, little is known about engineering very generic, innovative and emerging requirements, such as those for cross-sectional information chains. The IKM health project aims at building information chain reference models for the care of patients with chronic wounds, cancer-related pain and back pain. Our question therefore was how to appropriately capture information and process requirements that are both generally applicable and practically useful. To this end, we started with recommendations from clinical guidelines and put them up for discussion in Delphi surveys and expert interviews. Despite the heterogeneity we encountered in all three methods, it was possible to obtain requirements suitable for building reference models. We evaluated three modelling languages and then chose to write the models in UML (class and activity diagrams). On the basis of the current project results, the pros and cons of our approach are discussed.

Little has been published on the individuals and circumstances that shaped the development of Nursing Informatics. This qualitative research, through a process of concept analysis, was undertaken to shape an understanding, of the Pioneer aspect of the leaders and innovators whose work contributed significantly to the early accomplishments that framed the development of the specialty. A content analysis of the transcripts of the identified 33 Pioneers of Nursing Informatics, defined as "innovators, trailblazers and ground breakers in some area of nursing informatics" was conducted to begin to define relevant concepts. The large data set was coded and themed in an iterative, inductive fashion. Four overall themes emerged from the research, including: Envisioning, Forging, Tinkering, and Swarming. The presentation will describe the themes and offer narrative textual examples of each theme. Future research will use this analysis to create a theory of nursing leadership.

The nursing portal is an informatics solution in which services and capabilities supports the nursing staff in their practices and professional development with respect to the existing challenges for use of Internet by nurses at work. It can be considered as a creditable gateway for quick access to research-based evidence provided by reliable resources. Also it provide interactive virtual environment for knowledge exchange with experts or colleagues in different geographical area. Through a comparative study on specialized nursing portals in Iran and other three countries, the aim of this paper is defining desired content and structural specifications of nursing portals which support the practice of nurses in the workplace. Based on results of the present study, a set of recommendations provide for development of a comprehensive nursing portal in Iran.

We conducted two mixed methods studies in community-based health care settings to examine EHR use among nurses documenting direct patient care and EHR impact on nurse satisfaction. Quantitative methods included documentation time-to-completion data and a clinician satisfaction survey. Qualitative methods included observations and follow-up interviews. Qualitative data was merged with the quantitative data by comparing findings along themes. Results indicated nurses increased the number and timeliness of notes documented. Nurse use of the EHR as intended varied between the research sites. Barriers to EHR use included cumbersome functionalities that impacted nurse efficiency, lack of interoperability, and hardware issues. Facilitators to adoption included functionalities that provided memory prompts during the care process and enabled nurses to communicate about patient care. Interpretation of findings underscores the importance of the interaction of workflow, EHR functionality, and usability to impact nurse satisfaction, efficiency, and use of the EHR.