Happiness and Achievement Motivation among Iranian Nursing Students: A Descriptive Correlational Study.

Background: Happiness and achievement motivation are two important concepts in students' lives. Therefore, this study was aimed at investigating the association between happiness and achievement motivation in undergraduate nursing students and examining their relationship with students' demographic characteristics. Method: A descriptive correlational study was undertaken; 255 undergraduate nursing students enrolled in one nursing school in an urban area of Iran during the academic year 2017-2018 were included in the study using census method sampling. The demographic data questionnaire, Oxford Happiness Questionnaire (OHQ), and Hermans Achievement Motivation Questionnaire (HAMQ) were used for data collection. Data were analyzed using univariate analysis and multivariate linear regression analysis. Results: The total mean (SD) of happiness and achievement motivation scores were 40.73 (11.20) and 82.61 (7.50), respectively. There was a direct significant correlation between happiness and achievement motivation (r = 0.36, p < 0.001). An inverse significant association between happiness and students 21-24 years old (ß = -3.99, p < 0.03) was found. There was a direct significant association between happiness and being married (ß = 5.33, p = 0.03) and interest in nursing (ß = 4.78, p = 0.02). Additionally, achievement motivation was associated directly with female gender (ß = 1.93, p = 0.03) and interest in nursing (ß = 3.71, p = 0.005) and inversely associated with studying in the fourth academic year (ß = -3.06, p = 0.03) and history of course drops (ß = -3.45, p = 0.002). Conclusion: Our study indicated that there was a direct significant relationship between happiness and achievement motivation in undergraduate nursing students. Therefore, officials and nursing education lecturers should consider programs to increase students' happiness, such as counseling or emotional support programs and workshops.

The Health Information Technology Competencies Tool: Does It Translate for Nursing Informatics in the United States?

Information technology use in healthcare delivery mandates a prepared workforce. The initial Health Information Technology Competencies tool resulted from a 2-year transatlantic effort by experts from the US and European Union to identify approaches to develop skills and knowledge needed by healthcare workers. It was determined that competencies must be identified before strategies are established, resulting in a searchable database of more than 1000 competencies representing five domains, five skill levels, and more than 250 roles. Health Information Technology Competencies is available at no cost and supports role- or competency-based queries. Health Information Technology Competencies developers suggest its use for curriculum planning, job descriptions, and professional development.The Chamberlain College of Nursing informatics research team examined Health Information Technology Competencies for its possible application to our research and our curricular development, comparing it originally with the TIGER-based Assessment of Nursing Informatics Competencies and Nursing Informatics Competency Assessment of Level 3 and Level 4 tools, which examine informatics competencies at four levels of nursing practice. Additional analysis involved the 2015 Nursing Informatics: Scope and Standards of Practice. Informatics is a Health Information Technology Competencies domain, so clear delineation of nursing-informatics competencies was expected. Researchers found TIGER-based Assessment of Nursing Informatics Competencies and Nursing Informatics Competency Assessment of Level 3 and Level 4 differed from Health Information Technology Competencies 2016 in focus, definitions, ascribed competencies, and defined levels of expertise. When Health Information Technology Competencies 2017 was compared against the nursing informatics scope and standards, researchers found an increase in the number of informatics competencies but not to a significant degree. This is not surprising, given that Health Information Technology Competencies includes all healthcare workers, while the TIGER-based Assessment of Nursing Informatics Competencies and Nursing Informatics Competency Assessment of Level 3 and Level 4 tools and the American Nurses Association Nursing Informatics: Scope and Standards of Practice are nurse specific. No clear cross mapping across these tools and the standards of nursing informatics practice exists. Further examination and review are needed to translate Health Information Technology Competencies as a viable tool for nursing informatics use in the US.

Competency Skills Assessment: Successes and Areas for Improvement Identified During Collaboration Between Informaticists and a National Organization.

The Association of periOperative Registered Nurses (AORN) approached the Nursing Informatics Research Team (NIRT) with a request to collaborate and conduct a competency assessment for their organization. An online tool was developed to determine current technology in perioperative settings. This presentation shares the process used to conduct research that led to a method for assessing perioperative nurses' competencies skills in their practice as well as identified gaps in curricula that faculty could address. Both successes and areas for improvement are detailed. The outcome of the process demonstrated a need to understand what skills are being assessed as AORN did not know what technology existed or how existing equipment was being used.

Operationalizing the TANIC and NICA-L3/L4 Tools to Improve Informatics Competencies.

Two tools were developed for nurses to self-assess different levels of informatics competencies. The TANIC is used for all nurses to self-assess; the NICA-L3/L4 is a tool for the informatics nurse specialist (INS) to self-assess skill levels. There are 167 informatics items in the TANIC and 178 advanced informatics items in the NICA-L3/L4. These tools were piloted; the results presented here. Based on the evaluation, the tools have been integrated into informatics courses at the BSN and MSN programs at Chamberlain College of Nursing, and presented in two AACN webinars and other national conferences. Numerous requests have been honored to provide the tools for other schools of nursing to use in their courses, including DNP programs. Other requests include those from CNIOs and managers to include in their job descriptions for informatics nurses.

The integration of informatics content in baccalaureate and graduate nursing education: a status report.

Many experts, professional organizations, landmark reports, and nurse executives have called for a nursing workforce that demonstrates informatics competencies. However, surprisingly, gaps in the integration of informatics into nursing curriculum and development of informatics competencies among nurses remain. To obtain a clearer picture of the current status of the integration of informatics content into baccalaureate and graduate nursing education, the authors discuss their assessment of a 2012 published list of the top online schools of nursing in the United States.

Informatics competencies for healthcare professionals: the Technology Informatics Guiding Education Reform (TIGER) Initiative model.

A growing awareness exists that informatics competencies are essential skills for healthcare professionals today, yet the development of these competencies lags behind the need. The Technology Informatics Guiding Education Reform (TIGER) Initiative represents a comprehensive, interdisciplinary effort that is well suited to the integration of informatics into education, practice, administration, and research environments. This article briefly discusses the background and significance of the TIGER Initiative and why it may be used as a model to instill informatics among the healthcare professionals globally.

Application of the relationship-based care model to improve health outcomes via the electronic personal health record.

This article examines the metaparadigm of the relationship-based care (RBC) model in health care delivery, delineates selected characteristics of the electronic personal health record (ePHR), provides an example of how RBC applies to integration of the ePHR in the health care delivery setting, discusses the utility of RBC for interprofessional collaboration using the ePHR, and examines how application of RBC in conjunction with the ePHR has the potential to significantly improve patient outcomes.

Operationalizing TIGER NI Competencies for Online Assessment of Perceived Competency.

Competencies in nursing informatics (NI) are needed by every nurse. The TIGER Initiative published a set of NI competencies for every nurse in 2009. A research project focused on using these competencies is underway. A systematic instrument-development process is used to adapt these competencies for use in an online instrument. Results of a modified Delphi method, content-validity assessment, and pilot testing are related. Plans for ongoing research are shared.

What nurse educators need to know about the TIGER initiative.

The Technology Informatics Guiding Education Reform (TIGER) Initiative is designed to address a set of skills that is needed by all nurses who will practice in the profession in the 21st century. The skill set includes informatics competencies that range from basic computer skills to advanced-level information technology and literacy competencies and expertise. Despite the significance of the TIGER Initiative, few nurse educators have operationalized TIGER or adopted its plan to transform nursing practice and education to better prepare nurses to practice in a technology rich healthcare environment. TIGER is currently in phase III: implementation. The authors outline the TIGER Initiative as well as actions that nurse educators can take to develop and integrate informatics competencies into the curriculum to prepare nurses for the high-touch, high-technology patient-centered care of the 21st century.