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

Chronic disease management is highly complex because multiple interventions are required to improve clinical outcomes. From the patient's perspective, his main problems are dealing with self-management without support and feeling isolated between clinical visits. A strategy for providing continuous self-management support is the use of communication technologies, such as the telephone. However, to be efficient and effective, an information system is required for telecare planning and follows up. The use of electronic clinical records facilitates the implementation of telecare, but those systems often do not allow to combine usual care (visits to the health clinics) with telecare. This paper presents the experience of developing an application called SIGSAC (Software de Información, Gestión y Seguimiento para el Autocuidado Crónico) for Chronic Disease Management and Telecare follow up.

Instituto Traumatológico developed an innovative project to gather clinical data in a digital format, thus generating the information necessary to make decisions. The ultimate goal of the project is to provide our patients with the best attention possible. The impact of incorporating health care informatics to a hospital's daily routine is profound, especially when those who are in charge of change have not learned about this topic or encouraged their students to incorporate new technologies to their work. The results of this project become even more significant when it is implemented in Latin American public hospitals, where the resources invested in technology are scarce. The success of this project could be considered a case of study for the region and the country. Although many efforts and resources have been invested in systematizing information, few cases have shown positive results. This project started with the systematization of the process of attention at the Emergency Department and the adaptation of the Emergency Information System. Once the implementation of this system was over, the project was applied to install the Polyclinic Information System, and Hospitalization Information Systems. The Electronic Health Record includes interfaces for specialties such as upper limbs, spine, hips and lower limbs, which makes it easier for specialists to handle the required information. The large amount of recollected data has been translated into statistic charts and indicators, which support the administration processes that take place in intermediate and superior areas of the Institute.

Electronic patient records are of importance to health care providers to ensure informational continuity. Here, we present a cross-sectional study in which 5455 nurses from 35 Norwegian hospitals answered a questionnaire in relation to a study of how their work environment - including satisfaction with the electronic patient records system in use - impacted patient safety. The survey data was analysed to test whether satisfaction with the patient records system varied between different groups of nurses, and to assess the association between satisfaction with the electronic patient records system and the nurses' perception of informational continuity. We found group-wise differences that indicate that the electronic patient records systems could be improved, in addition to an association between satisfaction with the system and perceived informational continuity that confirms the role of electronic patient record systems in patient safety efforts.

This study was to develop a usability-engineered mhealth application for a mother with new-born baby and to evaluate its acceptance. Baby's Health Handbook and hospital consultation service records were analyzed to design the contents of app. Special interface design principles were used for enhancing usability. App data were transmitted to an Excel-based server for management. Systems were evaluated in a 800-bed medical center in Taiwan with a questionnaire designed based on the Technology Acceptance Model for Mobile Service. 64 post-partum women were invited to use and evaluate the system and services at the next day after babies were delivered. The evaluation results indicated an overall satisfying perception with an average of 3.98(SD=0.71). The subjects perceived the system meeting their expectations, needs and the majority were willing to pay for service up to $6 per month. The mhealth appears having a great potential as an important health service model.

Canadian Health Outcomes for Better Information and Care (C-HOBIC) is leading the collection of standardized clinical outcomes reflective of nursing practice. C-HOBIC introduces a systematic structured language for patient assessments across the health care system enabling abstraction of information into jurisdictional EHRs Thus the information is available to clinicians across the health care system. This paper provides the background to C-HOBIC with an overview of the evidence supporting the clinical outcomes; the methodology for the electronic collection and abstraction of outcomes including the implications of including nursing information on databases; and describes the approach to coding information for interoperability and comparability of clinical information across the health care system.

Nurses represent the largest proportion of direct healthcare providers. Overstaffed or understaffed units will have implications for the quality, cost, patient, and nurse satisfaction. It is vital that nurses are armed with appropriate instruments and data to help them plan and implement efficient and effective nursing teams. A compelling case is made for the association between nursing care and clinical, quality, and financial outcomes. Even though there is a great body of work on the correlation, there is little agreement on the best approach to determine the correct balance between the patient-to-nurse ratios. The sheer number of variables depicted in the literature suggests why precise evidenced based formulas are difficult to achieve. This paper will describe a practice based knowledge generation mixed methods study using detailed observation and electronic health record abstraction to generate a structural equation for use in predicting staffing needs.

Information and communication technologies (ICT) can enrich elderly people's lives in various ways. The objective of this interventional quasi-experimental research study among elderly people in Slovenia and Finland is to present associations and relations between computer/Internet use, physical activity and social inclusion before and after a ICT interaction. The first study (before interaction) included 58 (M=72,41) and the second study (after interaction) 45 (M=72,96) elderly people. The results showed an increased level of social inclusion and physical activity by the elderly after becoming acquainted with ICT. Additionally, through ICT interaction, the elderly people developed new friendships and so expanded their social networks, which they also found easier to maintain with support from ICT.

The purpose of this study was to cross-mapped maternity nursing records with ICNP 2.0. Narrative nursing notes were collected from 25 inpatients records which were decomposed and unified into single sentence and classified as nursing phenomena, nursing intervention and contextual information. The total numbers of nursing statements were 4,263 and the redundancy rate was 10.3 times. 219 (61.3%) statements were cross-mapped completely, 137 (38.4%) statements were mapped partially and only one (0.3%) statement was not mapped.

The purpose of this literature review was to examine three common outcomes associated with nursing call centres. We carried out an electronic search with relevant keywords and identified 26 studies. We found that the nursing call centres directed patients to appropriate resources; the patients were adherent with nursing recommendations; and the nursing call centres were able to minimize unnecessary visits to healthcare facilities.

In preparing healthcare professionals to work in the field of informatics, there are many online programs of study. These programs of students include a variety of educational tools. This poster describes the experiences of four student located across the globe learning how to work as a collaborative team. The team used Second Life as a platform to participate in a system life cycle course. The benefits and challenges of the Virtual Clinic environment are highlighted.