Evaluation of the Effect of Intensive Nursing Intervention Based on Process Analysis.

In order to achieve significant improvements in the evaluation of key indicators such as speed, quality, cost, and service, this paper fundamentally rethinks and completely redesigns the business process, and recreates a new business process. This study combines the particularity of AMI with emergency nursing to construct an in-hospital AMI emergency nursing process to further standardize the AMI rescue work. The implementation of the process helps to clarify the responsibilities and requirements of nurses in the AMI emergency process, reduce the delay time of AMI emergency, and improve the efficiency and effectiveness of emergency. In addition, after refactoring the business process, this paper builds an intelligent digital critical illness monitoring system. This system combines the original work flow of the ICU medical staff, optimizes the work flow of the medical staff through computer technology and information technology, and designs and completes the digital intensive nursing system software to run and use in the hospital and obtain significant results.

Models of collaboration and dissemination for nursing informatics innovations in the 21st century.

BACKGROUND: Nursing informatics innovations are constantly adapting to a rapidly changing health care environment. PURPOSE: This study aims to present the lessons learned from 4 nursing informatics projects and rationale for development decisions to inform future informatics innovations. METHODS: Using a comparative cross-case analysis, four case studies of informatics projects led by nurse scientists were described and analyzed through the lens of the Informatics Research Organizing Model which was modified to include policy and interoperability contexts. FINDINGS: The comparison analysis examined dynamic relationships between processes and constructs in nursing informatics interventions and also highlighted the scientific, intellectual property, technical, and policy challenges encountered among the four case studies. DISCUSSION: The analysis provided implications for future intervention development and implementation in consideration of multiple contexts for nursing informatics innovations.

Filipino Nurses' Use of Smartphones in Clinical Settings.

While previous research has examined specific ways that nurses have used smartphones for work purposes in clinical settings, large-sample quantitative studies are limited, particularly in Asia. To address this research gap, this study provided a ranking on how nurses have used their smartphones for work purposes in clinical settings and identified differences based on demographic and organizational factors. In January to June 2017, a pen-and-paper survey was administered to 517 staff nurses employed in 19 tertiary-level general hospitals in Metro Manila, Philippines. Results show that nurses frequently used their smartphones to exchange voice calls and text messages with other nurses and doctors. Results also showed that specific items reflecting the use of smartphones for communication purposes differed according to gender, age, hospital ownership, nursing area, number of patients handled in last shift, and presence of a hospital-provided mobile phone. Next, some items for information-seeking purposes differed according to highest educational attainment and years of clinical experience. Moreover, some items for documentation purposes differed according to age, hospital ownership, and number of patients handled in last shift. Overall, the results of this study can be used to guide policies on the use of smartphones in clinical settings.

Use of Nurses in Tele-Consultation for Patients in Remote Areas.

UNLABELLED: There is poor penetration of trauma healthcare delivery in rural areas. On the other hand, mobile penetration in India is now averaging 80% with most families having access to mobile phone. AIMS AND OBJECTIVES: The aim of this study was to evaluate the effectiveness of tele-consultation by nurses using an integrated call centre. MATERIALS AND METHODS: This was a prospective observational study carried out over a 6-month period at a level I trauma Center in New Delhi, India. Patients called the call centre and the specially trained call centre staff answered the calls who handled their simple queries, if they were unable to respond, the call was directed to the nurse informatics specialist on duty responded to their queries with the help of senior residents who were posted in emergency department. The nurse informatics specialist documents a tele-consult note in CPRS (Computerized Patient Record System). RESULTS: Of the total 150 calls, 64 calls were diverted to the nurse informatics specialist (NIS). Of the 64 calls received by the NIS 55 (85%) were rectified by the nurses at their level and 9 calls (14%) were further discussed with the concerned doctors. CONCLUSIONS: As shown by our case study, call centers can be used for tele consultation with the help of nurse informatics specialist.

Evaluation of Acceptance of Nursing Information System in a German and American Hospital.

Nursing Information Systems (NIS) are not well-adopted and accepted in Germany. The evaluation of a NIS deployment in a German University Hospital supports this assumption. A second side study in the US should point out the differences regarding the technical and organizational differences. We use a questionnaire including standardized instruments like the Unified Theory of Acceptance (UTAUT). Results indicated that nurses in Germany compared to in the US do not use nursing process documentation to the same extent. The main reasons behind the low usage in comparison with the US are deficits in ease-of-use, system performance and the high expenditure of time and paper work for charting nursing plans.

The Role of Nurses in E-Health: The MobiGuide Project Experience.

Leveraging the experience of the European project MobiGuide, this paper elaborates on the nurses' role in developing, delivering and evaluating e-health based services. We focus on the home monitoring of atrial fibrillation. Patients enrolled in our study are provided with a smartphone and an ECG sensor, and receive recommendations, reminders and alerts concerning medications and measurements that they should perform through a mobile decision support system that is constantly updated by a backend system. Patients' data are sent to health care personnel that may visualize them, and act accordingly. Nurses play a central role in such setting. After being involved in the design of the caregiver interface, they are responsible for the patients' enrollment phase (which includes patients' training), for the daily checking of incoming data, for the triage of patients' complaints, and for the final phase of the study where patients are interviewed about their experience with the system.

Applications of Information Technology in Nursing During 2005-15: Evidence from Iran.

In this ever-changing health care environment, nurses employ technologies and information systems to accomplish the intentions of the practice of nursing. Information technology supports the basic and advanced nursing practices in all settings. This review provides evidence about applications of information technology in Iranian nursing. We systematically searched all papers about applications of information technology in nursing in Iran that were indexed in SID, Magiran, Iran medex, PubMed and scopus databases. This study indicated that 12 (%52) studies used information technologies in the nursing education domain. Also, in 6 (%26) studies telenursing was used for patient care. 3 (13%) of the articles were related to the impact of the use of computer-based information system on nursing practice. In 2 (%9) papers the researchers developed computerized software for nursing processes. The results of this study indicate the use of information technology in nearly every aspect of nursing in Iran.

Discussion on the Initial Use of Nursing Information Systems Related Factors of Satisfaction.

Information technological advances to develop health care-related systems, Improve clinical efficiency through introducing information technology, Simplify processes to enhance the quality of nursing care. Study investigated the regional hospital nurses after initial information system the use of satisfaction surveys, Study for unit 50-bit nurse the use questionnaires collection, not satisfied is 30%, For analysis in found to be not satisfied. 1. Aged between 38-50 years old. 2. The operating practices are not familiar. 3. Typing is siow the fee time is more long. 4. The slow operation of the system. 5. Information ability is low. For the above reasons and after improvement and guidance dissatisfaction reduced to 5%, multi-enhancing information related to education and training in future, Increase nurses information literacy competency.

An Empirical Study on the Successful Implementation of Nursing Information System.

This study investigated the major NIS implementation factors and their capability of predicting the effectiveness of NIS implementation by using the clinical information systems success model. The triangulation method was employed in this study. A total of 348 nurses were recruited from regional hospitals in two districts of Taipei through purposive sampling. Research data were collected through questionnaires and focus group interviews 3 and 6 months after an NIS was implemented at their hospital. The result show the explanatory power of use dependence, use satisfaction, and net benefits in predicting NIS effectiveness was approximately 64.5%-89.4%. The explanatory power of net benefits in predicting NIS effectiveness after 3 and 6 months exceeded 80%. The nurses reported that NIS implementation changed their workflow and positively influenced medication administration safety. This study empirically identified the critical factors that affect the successful implementation of NISs and reported the nurses' experience of NIS use.

User Expectations: Nurses' Perspective.

Healthcare is a technology-intensive industry. Although all healthcare staff needs qualified computer support, physicians and nurses need more. As nursing practice is an information intensive issue, understanding nurses' expectations from healthcare information systems (HCIS) is a must issue to meet their needs and help them in a better way. In this study perceived importance of nurses' expectations from HCIS is investigated, and two HCIS is evaluated for meeting the expectations of nurses by using fuzzy logic methodologies.

Decision Support System in the Nursing Instruction Information System.

The purpose of this study is to explore the usage frequency of the decision support instruction in the nursing information system, and to survey the technology acceptance among nurses in one hospital. The results indicated that the usage frequency of the care instruction was increased from 191.3 to 1308.5 per month. Nurses also rated the "perceived usefulness" the highest score, followed by "perceived ease of use" in the survey.

A produção de software por enfermeiros para utilização na assistência ao paciente / La producción de software por enfermeros para utilización en la atención al paciente / Software production by nurses for use in patient care

analyzing the scientific literature referring to strategies used for the production of software for the application by nurses in patient care through a literature review published between 1985 and 2013 and summarizing the findings. Method: an integrated review article search occurred online in English, Portuguese and Spanish, in databases LILACS, BDENF, MEDLINE, IBECS, Web of Science and SCOPUS, where the descriptors were applied individually and subsequently crossed, finally applied the filters language and period, limiting the search. Results: it was found that most software produced by nurses was directed to the educational area. There were found only seventeen studies on the topic in question, of which 52% had high impact strength. Conclusion: in this age of technology, this production may still be considered too little...

analisar a produção científica referente às estratégias utilizadas para produção de software por enfermeiros para a aplicação na assistência ao paciente através de uma revisão da literatura publicada entre 1985 e 2013, e sintetizar os achados. Método: revisão integrativa, busca de artigos ocorreu de forma online,em língua inglesa, portuguesa e espanhola, nas bases de dados LILACS, BDENF, MEDLINE, IBECS, WEB OF SCIENCE e SCOPUS, onde os descritores foram aplicados individualmente e posteriormente cruzados, por fim aplicados os filtros de idioma e período, delimitando a busca. Resultados: constatou-se que a maioria dos softwares produzidos por enfermeiros foi direcionada à área educacional. Foram encontrados apenas dezessete estudos sobre o tema em questão, dos quais 52% apresentaram força de impacto elevada.Conclusão: nesta era de tecnologia, esta produção ainda pode ser considerada muito pequena...

analizar la literatura científica referidas a las estrategias utilizadas para la producción de software para la aplicación de las enfermeras en la atención al paciente a través de una revisión de la literatura publicada entre 1985 y 2013, y un resumen de los hallazgos. Método: una búsqueda en artículo de revisión integrado ocurrió formulario en línea en Inglés, portugués y español en las bases de datos LILACS, BDENF, MEDLINE, IBECS, Web of Science y Scopus, donde se aplicaron individualmente los descriptores y posteriormente cruzaron finalmente aplica los filtros periodo y lengua, limitando la búsqueda. Resultados: se encontró que la mayor parte del software producido por las enfermeras se dirige a la zona educativa. Sólo se encontraron diecisiete estudios sobre el tema en cuestión, de los cuales 52% tenían alta fuerza de impacto. Conclusión: en esta era de la tecnología esta producción aún puede ser considerada demasiado pequeña...

The Usage Behavior and Intention Stability of Nurses: An Empirical Study of a Nursing Information System.

BACKGROUND: Many prior studies of technology adoption treat user intention as the single predictor of actual usage behavior. However, as many researchers of behavioral science have pointed out, multiple factors mediate the relationship between user intention and usage behavior. PURPOSE: The present article explores the factors that mediate the relationship between intention and actual behavior. We develop a conceptual framework that is based on the Technology Acceptance Model III and behavior theory to further elicit system usage behavior and to confirm "intention stability" and "past experience" as two significant mediating factors in this relationship. METHODS: The target system was a nursing information system that had been recently adopted by a medical center in central Taiwan. Data were collected using a questionnaire survey conducted in two rounds. Two hundred forty-five valid questionnaires were returned (response rate: 49%). Mediated moderation was analyzed to explore the presence of mediators or moderators between intention and behavior. RESULTS: The results support that intention stability is a mediated moderator and that prior experience is a moderator of the relationship between intention and behavior. These two factors increased by over 13.6% the explanatory power of intention on actual behavior. Furthermore, this study expanded the scope of prior research by confirming intention stability as a moderating variable between intention and behavior. Finally, this study identified the moderating effect of past experience on the intention-behavior relationship, indicating that past experience enhances the predictive power of intention on behavior. CONCLUSIONS/IMPLICATIONS FOR PRACTICE: The findings of this study may assist hospital managers to better understand the nursing information system usage behaviors of nursing staff and to develop ways to enhance the intention stability of these staff. Managers may improve the familiarity of nursing staff with the system by increasing their system-related practice time. More experience should enhance staff system skills and resolve problems such as the need for extra work hours or overtime because of initial system unfamiliarity. Improved work efficiency should then allow nurses to divert more time from administrative work to patient care and training. This positive circle of support is expected to increase the willingness of nurses to accept and take advantage of the system.

Powering Big Data for Nursing Through Partnership.

The Big Data Principles Workgroup (Workgroup) was established with support of the Healthcare Information and Management Systems Society. Building on the Triple Aim challenge, the Workgroup sought to identify Big Data principles, barriers, and challenges to nurse-sensitive data inclusion into Big Data sets. The product of this pioneering partnership Workgroup was the "Guiding Principles for Big Data in Nursing-Using Big Data to Improve the Quality of Care and Outcomes."

Computer Experience of Nurses.

This study aimed to identify the computing experience of nurses in southern Brazil, through exploratory survey research. The results, which were obtained from the application of The Staggers Nursing Computer Experience Questionnaire®, were analyzed by statistical tests. The survey was conducted with nurses working both in hospitals, as in public health, in a capital in southern Brazil. There is the predominance of novice nurses in the application of computer tools in their practices but most often declare the use the computers to develop their professional and also personal life activities. We conclude that the computer and health information systems are part of the working reality of the participants, being considered indispensable resources his activity, while noting limitations on the potential use of these tools. This study reflects on how the issue has been addressed in educational schools and the challenges of inclusion of the theme of Nursing Informatics in the curricula in Brazil.

Informatics Competencies in Nursing Management.

This study aimed to identify in scientific literature the informatics competencies required from the nurses to make decision in management process. Through a scoping review, literature databases were searched to find articles published in Portuguese, English, or Spanish, until July 2013. 188 articles were found, and seven were included in this study, published between 1994 and 2011. The studies were written in English (5; 71%), in USA (5; 71%), using experience reports or literature review designs (5; 71%). The informatics competences were categorized according the Technology Informatics Guiding Education Reform (TIGER). The findings highlight gaps in informatics competence to make decisions in the management process--essentially in information management competence.

Health Informatics Competences for eHealth: What Can We Learn From a Bibliometric Analysis?

The appearance of eHealth adds a new dimension to health informatics competencies--they are not necessary just for health providers and health information system users and developers, but also for health consumers.

Identifying gaps between current and expected ICT competencies of nurses in Serbia.

Introducing of ICT in the health care system in Serbia started 19 years ago and systematic training of nurses and technicians has not been realized yet. The primary objective of this paper is to determine the gap between the sets of ICT competencies of nurses and technicians acquiring education and experience and the necessary skill set required for their daily work. The qualitative research included questioning of the focus group of experts and 400 nurses and technicians employed in secondary and tertiary health institutions in Serbia. Based on the analysis of existing literature we choose the Informatics competencies for nurses at four levels of practice (Staggers, Gassert, Curran, 2001), and for the purposes of this study, we used a list of competencies of the first, and partially of the second and third level. At the start, the group of 12 experts had the task to eliminate some of listed competencies to express the subjective expectations of the ICT competencies of nurses. After that nurses and medical technicians were expected to grade, by Likert scale, their level of knowledge and skills for each of the 39 competencies, respectively. The answers were analyzed using measure of central tendency and distribution of results was done by median. Comparison of perceived competence of the nurses and the desired/expected level by managers shows that there is difference in 25 of the 39 offered statements. Managers expect that nurses are great users of administrative applications for staff scheduling and for maintaining employee records, while nurses declared that these programs they use relatively poorly or not at all. The larger gap is also observed when it comes to computer skill for documenting patient care--experts expect that nurses do it well, and nurses, again, estimate that their documentation skills are relatively poor. The same situation is with use of ICT for patient education. It can be concluded that further training is required in the field of ICT, either through additional training in the workplace, either through formal education. Due to the fact that ICT competencies are becoming part of the basic, functional sets, it should be considered the correction of curricula of secondary schools for nurses.

Nursing informatics competencies: bibliometric analysis.

Information and communication technology is developing rapidly and it is incorporated in many health care processes, but in spite of that fact we can still notice that nursing informatics competencies had received limited attention in basic nursing education curricula in Europe and especially in Eastern European countries. The purpose of the present paper is to present the results of a bibliometric analysis of the nursing informatics competencies scientific literature production. We applied the bibliometrics analysis to the corpus of 332 papers found in SCOPUS, related to nursing informatics competencies. The results showed that there is a positive trend in the number of published papers per year, indicating the increased research interest in nursing informatics competencies. Despite the fact that the first paper was published in Denmark, the most prolific country regarding the research in nursing informatics competencies is United States as are their institutions and authors.