Exploring Perceptions of Health Care Providers' Use of Electronic Advance Directive Forms in Electronic Health Records.

The current study explored the perceptions of health care providers' use of electronic advance directive (AD) forms in the electronic health record (EHR). The Technology Acceptance Model (TAM) was used to guide the study. Of 165 surveys distributed, 151 participants (92%) responded. A moderately strong positive correlation was noted between perceived usefulness and actual system usage (r = 0.70, p < 0.0001). Perceived ease of use and actual system usage also had a moderately strong positive correlation (r = 0.70, p < 0.0001). In contrast, the strength of the relationship between behavioral intention to use and actual system usage was more modest (r = 0.22, p < 0.004). There was a statistically significant difference in actual system usage of electronic ADs across six departments (χ2[5] = 79.325, p < 0.001). The relationships among primary TAM constructs found in this research are largely consistent with previous TAM studies, with the exception of behavioral intention to use, which is slightly lower. These data suggest that health care providers' perceptions have great influence on the use of electronic ADs. [Journal of Gerontological Nursing, 45(1), 17-21.].

Systematic review of program evaluation in baccalaureate nursing programs.

Program evaluation is a common practice in nursing education programs; however, evidence indicates that many schools only focus on program evaluation around the scheduled accreditation period, thus reducing the potential value of the evaluation. This systematic review explores the current program evaluation practices of prelicensure baccalaureate nursing programs. ERIC, CINAHL, and Scopus databases were searched to locate original research articles published in English. Twenty articles met the inclusion criteria. The purposes of the evaluated studies varied from needing to meet external accountability requirements to proposing conceptual frameworks and evaluation tools. However, most studies focused on summative evaluation assessing program products and on providing evidence of program evaluation based on descriptive data. Notably, few studies employed a rigorous method to evaluate and interpret program evaluation findings. Most studies solicited information from multiple stakeholder groups, with students being the most represented. Despite the wide range of data collection tools used in the reviewed studies, reporting of validity and reliability was limited. Student grade point average, graduation rate, NCLEX passing rate, and satisfaction with the learning experience were the most common variables. Further studies are needed to assess the effectiveness of current educational program evaluation practices in nursing education.

A National Assessment of Access to Technology Among Nursing Home Residents: A Secondary Analysis.

BACKGROUND: According to the National Center for Health Statistics, there are over 1.7 million nursing home residents in the United States. Nursing home residents and their family members have unique needs and stand to benefit from using technology empowering them to be more informed and engaged health care consumers. Although there is growing evidence for benefits of patient-facing technologies like electronic patient portals on patient engagement in acute and outpatient settings, little is known about use of this technology in nursing homes. OBJECTIVE: The purpose of this study was to report findings from a secondary analysis of data from a national nursing home study of information technology (IT) adoption, called IT sophistication. We describe the extent to which nursing homes (n=815) allow residents or their representatives to access technology including electronic health records, patient portals, and health information-exchange systems as well as the ability of the residents or representatives to self-report data directly into the electronic health record. METHODS: We used descriptive statistics and regression techniques to explore relationships between information technology adoption (IT sophistication) and residents' or their representatives' access to technology. Covariates of location, bed size, and ownership were added to the model to understand their potential influence on the relationship between IT sophistication and resident access to technology. RESULTS: Findings revealed that resident access to technology was a significant predictor of the nursing home IT sophistication (P<.001). The inclusion of covariates-nursing home location, bed size, and ownership-with their interactions produced a nonsignificant effect in the model. Residents' or their representatives' use of electronic health records and personal health records were both significant predictors of overall IT sophistication (P<.001). CONCLUSIONS: As nursing homes continue to progress in technological capabilities, it is important to understand how increasing IT sophistication can be leveraged to create opportunities to engage residents in their care. Understanding the impact of health information technology on outcomes and which technologies make a difference will help nursing home administrators make more informed decisions about adoption and implementation.