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

Implementation of an electronic health record (EHR) system is generally believed to improve the quality of patient care. However due to the variability of systems and users, there is little agreement on successful implementation. The purpose of this research is to evaluate the implementation of a BlackBerry hosted application enabling wireless documentation and access to electronic decision support resources in one home care agency in Ontario. Through mixed-methods including surveys, corporate data collection and interviews, this study investigates nurses' perceptions of barriers and facilitators to adoption of the electronic clinical information system. Early results highlight usability, organizational culture, evidence-based practice, and factors influencing nurses' adaptation of this electronic clinical information system.

Nursing terminology development efforts in the United States and globally provide concept coverage across many domains of nursing practice. Efforts to integrate concepts from across terminology systems into a single reference terminology support broad concept coverage but do not provide a means to leverage the full benefits of the individual terminology systems. The purpose of this paper is to explore the feasibility of harmonizing the 198 Clinical Care Classification (CCC) System core intervention concepts with intervention concepts in the International Classification for Nursing Practice (ICNP®) as a means to leverage both the information model components of the CCC system and the broad concept coverage of the ICNP®. Findings suggest that the CCC system and ICNP® are largely interoperable and a common framework underlying the two terminology systems provides a foundation for harmonization.

Improving transitions in care is an international priority. In acute care, this complex process starts upon admission and requires multiple interventions to appropriately transition patients from one setting to the next. Within this multi-step process are two important decision points that warrant standardization and support. Our research teams have developed decision support tools that meet this critical need. The Early Screen for Discharge Planning (ESDP) and the Discharge Decision Support System (D(2)S(2)) bring evidence based, interdisciplinary decision support to two common and important decisions. The purpose of this paper is to share information about "real life" experiences in implementing decision support covering the development and use of the tools, advising about implementation considerations, making suggestions for automating the process, and sharing findings from our recent implementation study.

Patients' experiences, knowledge and preferences, as well as more person-centered care need to be implemented in clinical support systems and are central values and outcomes of eHealth. Health assets represent such information. The concept of health assets was explored and described based on analysis of nursing documentation in cancer patients' records. A convenience sample from 100 records, available from a larger study, resulted in 43 records that met the inclusion criteria. These were analyzed using content analysis methods. A mean of 3.2 health assets was documented in these records, and 61% of the descriptions of assets quoted patients. Assets were found most often in the admission notes (49%), but no information was found that described or indicated an intended use or follow up in the nursing documentation.

Integrating clinical information systems(CISs) into nursing units is a complex process. In 2008, we deployed an electronic nursing documentation system within two pilot units in an acute care setting. Bedside nurses actively participated in modifications to the software and participated in testing devices for use at the bedside.

Adoption of electronic health records (EHRs) has the potential to assist with clinical reasoning and streamline workflow; however, the data entry and review capabilities of most systems are suboptimal which may lead to workarounds. As an instance of a workaround, we examined nurses' use of optional free-text comments in EHR flowsheets to support clinical needs for data interpretation. This mixed-method study included: 1) Content analysis of comments, 2) Interviews with nurses. We performed a sub-analysis of flowsheet data for 201 patients that experienced a cardiac arrest and interviewed 5 acute care nurses. We found that nurses used workarounds in the EHR - despite the extra effort that they required - to convey clinically significant relationships and to communicate concerning events to physicians. EHRs should better support entry of clinical data that "belongs together" and enable messaging capabilities integrated with nurses' flowsheet documentation workflow.

Over the last 20 years the evolution of web browsers providing easy access to the Internet has initiated a revolution in access to healthcare related information for both healthcare providers and patients. This access has changed both the process used to deliver education and the content of the nursing education curriculum worldwide. Our amazing ability to access information around the world is referred as to Web 1.0. Web 2.0 moves beyond access to a world where users are interactively creating information. With the advent of Health 2.0 we are confronting a second revolution that is challenging all aspects of healthcare including all aspects of nursing. This paper explores the concept of Health 2.0, discusses a conceptual framework approach for integrating Health 2.0 content into the nursing curriculum, outlines examples of key concepts required in today's nursing curriculum and identifies selected issues arising from the impact of Health 2.0.

The objective of this study is to evaluate the functional performance and the technical quality of an electronic documentation system designed to document the data of the Nursing Process. The Model of Quality will be the one established by the ISO/IEC 25010. Such research will allow the spreading of the knowledge of an emerging area, thus adding a further initiative to the growing efforts made in the information technology area for health and nursing.

As technological advances saw computers become more common, nurses in New Zealand were inspired to look for ways to harness the use of computers and other technologies to aid patient care and their practice. This paper traces the history of the development of nursing informatics in New Zealand from the earliest days in the 1980s through to the present, when nurses have leadership roles in informatics and are represented at the highest levels in national decision making, thereby influencing the development of national strategies. Nurses have developed a strong informatics profile through working collaboratively with other organizations, yet ensuring that the interests of nurses are maintained. In addition, the support from international nursing informatics pioneers and New Zealand nurses contribution to the international nursing informatics community is highlighted.

The recruitment of study participants is a significant research challenge. The Internet, with its ability to reach large numbers of people in networks connected by email, Facebook and other social networking mechanisms, appears to offer new avenues for recruitment. This paper reports recruitment experiences from two research projects that engaged the Internet and social networks in different ways for study recruitment. Drawing from the non-Internet recruitment literature, we speculate that the relationship with the source of the research and the purpose of the engaged social network should be a consideration in Internet or social network recruitment strategies.