Evaluation of digital vaccine card in nursing practice in vaccination room.

OBJECTIVE: develop and evaluate a vaccine application for mobile devices, with update integrated with the National Immunization Program Information System, for care in vaccination rooms. METHOD: methodological research based on the Pressman System Development Life Cycle theory developed in three stages: integrative literature review, computational development, and application evaluation. The product was evaluated as to satisfaction, using a validated questionnaire, and as to usability by the System Usability Scale. RESULTS: the application functionalities were based on the survey of technological Innovations on immunization, published in the scientific literature. It displays user vaccines directly from the National Immunization Program Information System, notifies about upcoming vaccines, and enables the inclusion of vaccine cards of dependents. The evaluation resulted in users' mean score of 90.5 ± 11.1 and health professionals' mean score of 84.2 ± 19.4. CONCLUSION: the application is a technological tool with potential to improve the work process in vaccination rooms and to reach the goals of vaccine coverage. It synchronizes data with the National Immunization Program Information System, thus enabling the maintenance of people's vaccination history.

Mobile technologies in the Nursing area.

OBJECTIVE: To identify in the literature studies on mobile technologies in Nursing. METHOD: Integrative literature review in which was used the Population, Interest and Context (PICo) strategy, the tool of the National Library of Medicine for formulation of the research question, and search without a determined period of time in the following bibliographic databases: Medical Literature and Retrieval System onLine/PubMed®), Cumulative Index to Nursing & Allied Health Literature (CINAHL), SCOPUS (Elsevier), Latin American and Caribbean Literature in Health Sciences (LILACS) and Nursing Database (BDENF). Data collection period was from January to March 2017. RESULTS: Fifteen articles were selected, in which were addressed mobile technologies in Nursing for nurses, undergraduate students and patients. CONCLUSION: Mobile technologies in Nursing are a recent theme and enable care data sharing, experience acquisition by undergraduate students and patient empowerment.

Mobile technologies in the Nursing area / Tecnologías móviles en el área de Enfermería / Tecnologias móveis na área de Enfermagem

ABSTRACT Objective: To identify in the literature studies on mobile technologies in Nursing. Method: Integrative literature review in which was used the Population, Interest and Context (PICo) strategy, the tool of the National Library of Medicine for formulation of the research question, and search without a determined period of time in the following bibliographic databases: Medical Literature and Retrieval System onLine/PubMed®), Cumulative Index to Nursing & Allied Health Literature (CINAHL), SCOPUS (Elsevier), Latin American and Caribbean Literature in Health Sciences (LILACS) and Nursing Database (BDENF). Data collection period was from January to March 2017. Results: Fifteen articles were selected, in which were addressed mobile technologies in Nursing for nurses, undergraduate students and patients. Conclusion: Mobile technologies in Nursing are a recent theme and enable care data sharing, experience acquisition by undergraduate students and patient empowerment.

RESUMEN Objetivo: Identificar en la literatura estudios sobre tecnologías móviles en el área de Enfermería. Método: Revisión de la literatura en que se utilizó la estrategia Población, Interés y Contexto (PICo), herramienta de la National Library of Medicine para la formulación de la cuestión de la investigación y la búsqueda sin recorte temporal en las siguientes bases de datos bibliográficos: Medical Literature and Retrieval System onLine (MEDLINE/PubMed®), Cumulative Index to Nursing & Allied Health Literature (CINAHL), SCOPUS (Elsevier), Literatura Latinoamericana y del Caribe en Ciencias de la Salud (LILACS) y Base de Datos en Enfermería (BDENF). El período de la recolección de datos fue de enero a marzo de 2017. Resultados: Se seleccionaron 15 artículos, que abordaron tecnologías móviles en el área de Enfermería para enfermeros, estudiantes y pacientes. Conclusión: Las tecnologías móviles en el área de Enfermería son tema reciente y posibilitan compartir datos en la asistencia, adquisición de experiencia por estudiantes y empoderamiento del paciente.

RESUMO Objetivo: Identificar na literatura estudos sobre tecnologias móveis na área de enfermagem. Método: Revisão integrativa da literatura, utilizando a estratégia População, Interesse e Contexto (PICo), ferramenta da National Library of Medicine para formulação da questão de pesquisa e busca sem recorte temporal nas bases de dados bibliográficas: Medical Literature and Retrieval System onLine (MEDLINE/PubMed®), Cumulative Index to Nursing & Allied Health Literature (CINAHL), SCOPUS (Elsevier), Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS) e Base de Dados em Enfermagem (BDENF). A coleta de dados ocorreu no período de janeiro a março de 2017. Resultados: Foram selecionados 15 artigos, que abordaram tecnologias móveis na área da enfermagem para enfermeiros, graduandos e pacientes. Conclusão: As tecnologias móveis na área da enfermagem são tema recente e possibilitam compartilhamento de dados na assistência, aquisição de experiência por graduandos e empoderamento do paciente.

Nurses' use of computerised decision support systems affects drug monitoring in nursing homes.

AIM: To describe variations in nurses' perceptions of using a computerised decision support system (CDSS) in drug monitoring. BACKGROUND: There is an increasing focus on incorporating informatics into registered nurses' (RNs) clinical practice. Insight into RNs' perceptions of using a CDSS in drug monitoring can provide a basis for further development of safer practices in drug management. METHOD: A qualitative interview study of 16 RNs. Data were analysed using a phenomenographic approach. RESULTS: The RNs perceived a variety of aspects of using a CDSS in drug monitoring. Aspects of 'time' were evident, as was giving a 'standardisation' to the clinical work. There were perceptions of effects of obtained knowledge and 'evidence' and the division of 'responsibilities' between RNs and physicians of using the CDSS. CONCLUSION: The RNs perceived a CDSS as supportive in drug monitoring, in terms of promoting standardised routines, team-collaboration and providing possibilities for evidence-based clinical practice. IMPLICATIONS: Implementing a CDSS seems to be one feasible strategy to improve RNs' preconditions for safe drug management. Nurse managers' engagement and support in this process are vital for a successful result.

'A whole world of opportunity'.

Last year, NHS England announced that 74 trusts had been awarded a total of around £30 million from the Nursing Technology Fund. This is for projects to support nurses, midwives and health visitors make better use of digital technology for safer, more effective and efficient care.

A informática em enfermagem nos sistemas de informação: revisão sistemática de literatura / La informatica en enfermería en los sistemas de información: una revisión sistemática de la literatura / Nursing in computer information systems: a systematic review of the literature

Objetivo: Identificar produções científicas sobre sistema de informação, preferencialmente o prontuário eletrônico e suas relação com a enfermagem. Metodologia: Trata-se de um levantamento bibliográfico computadorizado, com análise sistemática, nas bases de dados BDENF, LILACS e Scielo, onde foram selecionados 10 artigos e destacadas suas idéias principais. Foram realizadas análise crítica e discussão dos resultados encontrados. Resultados: Os resultados evidenciaram que a informática favorece as tomas de decisão e possibilitam um maior aproveitamento da assistência, mas há uma maior necessidade de tecnologias voltadas para sistematização da enfermagem. Conclusão: Há necessidade da participação da enfermagem na produção das tecnologias em saúde, para que tenhamos um sistema informatizado para enfermagem e que haja incentivo na graduação. Nas bases científicas existem poucas publicações referentes o prontuário eletrônico na enfermagem

Objective: to identify scientific productions on information systems, preferably the electronic medical record and its relationship with nursing. Methodology: This is a bibliographic computerized, with systematic analysis in databases BDENF, LILACS and SciELO, where 10 articles were selected and highlighted its main ideas. We performed a critical analysis and discussion of results. Results: The results showed that the computer favors takes of decision and allow a better use of assistance, but there is a greater need for technologies for systematization of nursing. Conclusion: There is need for the involvement of nursing in the production of health technologies, so that we have a computerized system for nursing and there is incentive graduation. In scientific basis there are few publications concerning the electronic medical record in nursing

Objetivo: Identificar las producciones científicas sobre sistemas de información, preferiblemente la historia clínica electrónica y su relación con la enfermería. Metodología: Se trata de un sistema informatizado bibliográfica, el análisis sistemático de las bases de datos BDENF, LILACS y SciELO, donde se seleccionaron 10 artículos y destacó sus principales ideas. Se realizó un análisis crítico y discusión de los resultados. Resultados: Los resultados mostraron que el equipo favorece la decisión tomas y permitir un mejor uso de la asistencia, pero hay una mayor necesidad de tecnologías para la sistematización de la enfermería. Conclusión: Existe la necesidad de la participación de la enfermería en la producción de tecnologías de la salud, por lo que contamos con un sistema computarizado para la enfermería y no hay graduación de incentivos. En base científica existen pocas publicaciones acerca de la historia clínica electrónica en la enfermería

Tablet technology for nurses.

A guided tour of uses, potential uses, and pitfalls, plus a closer look at two leading contenders.

Keeping the patient focus: using tablet technology to enhance education and practice.

Nurses are busy. Technology places a vast amount of information at their fingertips.

A basic study on application of voice recognition input to an electronic nursing record system -evaluation of the function as an input interface-.

As computerization in the nursing field has been recently progressing, an electronic nursing record system is gradually introduced in the medical institution in Japan. Although it is expected for the electronic nursing record system to reduce the load of nursing work, the conventional keyboard operation is used for information input of the present electronic nursing record system and it has some problems concerning the input time and the operationability for common nurses who are unfamiliar with the computer operation. In the present study, we conducted a basic study on application of voice recognition input to an electronic nursing record system. The voice input is recently introduced to an electronic medical record system in a few clinics. However, so far the entered information cannot be processed because the information of the medical record must be entered as a free sentence. Therefore, we contrived a template for an electronic nursing record system and introduced it to the system for simple information entry and easy processing of the entered information in this study. Furthermore, an input experiment for evaluation of the voice input with the template was carried out by voluntary subjects for evaluation of the function as an input interface of an electronic nursing record system. The results of the experiment revealed that the input time by the voice input is obviously fast compared with that by the keyboard input and operationability of the voice input was superior to the keyboard input although all subjects had inexperience of the voice input. As a result, it was suggested our method, the voice input using the template made by us, might be useful for an input interface of an electronic nursing record system.

Experience of using a personal digital assistant in nursing practice - a single case study.

AIM: The aim of this study was to describe one nurse's experience of using a personal digital assistant (PDA) in nursing practice. BACKGROUND: Nurses handle large amounts of information and a PDA may contain valuable information that nurses need in their daily work. METHODS: In this qualitative single case study, data were collected through an open-ended interview with one registered nurse and were analysed by content analysis. RESULTS: The findings show that the PDA provides immediate access to information anywhere and at anytime, with advantages for both the nurse and for her patients. The PDA increased her confidence and efficiency in practice; it was easier to keep up-to-date and spend more time with the patient. Furthermore, the PDA was perceived as improving patient safety and patient participation. CONCLUSIONS: The PDA requires improved content and more functions. Ease of use should also be improved. This study indicates that PDAs could be valuable and may inspire further research. IMPLICATIONS FOR NURSING MANAGEMENT: The incorporation of a multifunctional PDA is an important issue for nursing management, as it could both change and provide new possibilities for nursing practice. The use of PDAs could also aid decision-making, improve patient safety and benefit patient outcomes.

Evaluation of the content coverage of SNOMED CT representing ICNP seven-axis version 1 concepts.

OBJECTIVES: The purpose of this study is to evaluate the ability of SNOMED CT (Systematized Nomenclature of Medicine Clinical Terms) to represent the concepts of the ICNP version 1--the seven-axis model. METHODS: The first author mapped 1658 concepts of the ICNP version 1 to SNOMED CT using CLUE browser 5.0. The second author from SNOMED Terminology Solutions--with a team of SNOMED CT experts--and the third author from the ICN with a team of ICNP experts validated the mapping result. If there was any disagreement during the validation process, the three of us convened online meetings to reach a consensus. RESULTS: In total, SNOMED CT covered 1331 out of 1658 (80%) ICNP seven-axis model concepts ranging from a 61% coverage rate of the Actions Axis concepts to a 94% coverage rate of the Judgment axis concepts. CONCLUSIONS: SNOMED CT can represent most (80%) of the ICNP version 1 concepts. However, improvements in the ICNP version 1 in terms of concept naming and definition, and the addition of missing concepts to SNOMED CT, would lead to a greater harmonization of the ICNP seven-axis model version 1 concepts with SNOMED CT.

Adoption of a PDA-based home hospice care system for cancer patients.

This study describes a systematic and efficient point-of-care home hospice information system, which can effectively manage patient information and can easily be incorporated into a home hospice service using wired and/or wireless communications and mobile computing technology. To help with the design of a portable home hospice information system, we analyzed the services provided by visiting nurses and the opinions of users, based on the 2005 Guidelines for Cancer Patient Management Program of the Ministry of Health and Welfare of Korea. We performed a service trial with three experienced visiting nurses. A visiting nurse can use a PDA, implementing the hospice information system, to accomplish tasks that range from registering a new patient to performing nursing services based on the patient's condition, as well as accessing guidelines and searching past information for better nursing performance. The system resulted in a saving of 8.5 minutes in recoding time. We expect the findings of this study to help field workers in community nursing care by reducing unnecessary paperwork and by enabling improvements in the quality of point-of-care services.

Technology solutions can make nursing care safer and more efficient.

The shortage of registered nurses in hospitals threatens to cripple healthcare delivery in the next three to five years. The demand for nursing care has increased while the willingness of nurses to stay at the bedside in acute-care settings has decreased. The American Academy of Nursing Workforce Commission developed and tested a process called Technology Drill Down in more than 200 medical-surgical patient care units in a study supported by The Robert Wood Johnson Foundation. The process identified workflow inefficiencies that could be addressed through the deployment of technology. Findings from the study indicate the need for smart, portable, point-of-care solutions that are interoperable across devices and systems. Nurses believe that technology can reduce waste and workflow inefficiency and enable nurses to provide safe, reliable, quality patient care.