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.

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...

Elaboração de telas eletrônicas em um sistema de informação hospitalar utilizando as classificações de enfermagem / Creating electronic screens in a hospital information system using nursing classifications / Elaboración de pantallas electrónicas en un sistema informático hospitalario utilizando las clasificaciones de enfermería

O registro eletrônico tem a finalidade de proporcionar maior legibilidade e segurança na documentação das ações do enfermeiro. A utilização das classificações de enfermagem inseridas em um sistema informatizado organiza, uniformiza e resgata os dados essenciais para o planejamento do cuidado individualizado e a avaliação dos resultados advindos das intervenções. O objetivo foi descrever a elaboração das etapas da Sistematização da Assistência de Enfermagem (SAE) utilizando as Classificações de Enfermagem em um Sistema de Informação Hospitalar (SIH). Um mapeamento cruzado entre o seu conteúdo e o impresso do plano de cuidados da Unidade de Cuidado Semi-Intensiva foi realizado. Planilhas em Excel foram inseridas de acordo com as etapas da sistematização e telas eletrônicas permitiram o registro da avaliação clínica do enfermeiro. A documentação eletrônica proporcionou agilizar e resgatar dados, estimular a acurácia diagnóstica e avaliar as intervenções por meio dos indicadores de resultados.

Electronic health records aim at providing greater readability and safety in documenting nursing actions. Using the nursing classifications of an information system organizes, standardizes and retrieves the data considered essential to plan individualized care and the results evaluation from the interventions. The objective was to describe the development of the Nursing Care Systematization stages using Nursing Classifications in a Hospital Information System. Cross-mapping was performed of the care plan content and the printed version, at a Semi-Intensive Care Unit. Excel spreadsheets were included according to the systematization stage and electronic screens permitted to record the nurses' clinical evaluation. The electronic documentation permitted faster data input and retrieval, in addition to stimulating diagnosis accuracy and evaluating the interventions by means of result indicators.

El registro electrónico tiene la finalidad de proporcionar mayor legibilidad y seguridad a la documentación de las acciones del enfermero. La utilización de las clasificaciones de enfermería insertas en un sistema informático organiza, otorga uniformidad y resguarda los datos esenciales para la planificación del cuidado individualizado y la evaluación de los resultados derivados de las intervenciones. Se objetivó describir la elaboración de las etapas de la SAE utilizando las Clasificaciones de Enfermería en un Sistema Informático Hospitalario (SIH). Se realizó un mapeo cruzado entre su contenido y la versión impresa del plan de cuidados de la Unidad de Terapia Intermedia. Fueron incluidas planillas de Excel de acuerdo con las etapas de la sistematización, y las pantallas electrónicas permitieron registrar la evaluación clínica del enfermero. La documentación electrónica permitió agilizar y resguardar datos, estimular la precisión diagnóstica y evaluar las intervenciones mediante los indicadores de resultados.

A state profile of IT sophistication in nursing homes.

In healthcare, IT Sophistication has been defined as the diversity and maturity of information system hardware and software that support clinical services. Clinical services relevant to this study include resident care management, clinical support and administrative activities in nursing homes. An IT sophistication survey previously validated in acute care settings and adapted for nursing homes was used to develop a state profile of Missouri nursing homes. The IT survey was disseminated via paper and electronic methods as chosen by a selected responder that had IT oversight and knowledge of IT stakeholders. A census of 199 respondents completed the survey, representing a 41% (199/491) response rate. Findings support recent literature indicating a higher percentage of nursing homes are still using technology for administrative purposes; however, there is growing recognition that technologies with greater functionality, is used more extensively for electronic and automated transfer of resident care information.

Registro individual informatizado de salud y exposición laboral en la industria química y farmacéutica / The computerised individual workplace health record in the chemical and pharmaceutical industry

En la actualidad existen diversos modelos de historias clínicas laborales informatizadas que son utilizadas por el personal sanitario de los servicios de prevención de algunas empresas. Estas herramientas de trabajo que facilitan la actividad diaria de las unidades de salud, no contienen sin embargo datos relacionados con las condiciones laborales. De esta carencia podemos deducir que la explotación informática de estos sistemas de información está coartada en su esencia, ya que no sirven para correlacionar los datos médicos con los higiénicos y medioambientales por lo que no son útiles para validar la actividad preventiva desarrollada en la empresa ni tampoco ayudan a tomar decisiones correctas que sirvan para llevar adelante una aceptable prevención laboral primaria. La Ley de Prevención de Riesgos Laborales, el Reglamento de los Servicios de Prevención y el Real Decreto 374/2001 que transpone a la legislación española la Directiva 98/24 CE relativa a la protección de la salud y la seguridad de los trabajadores expuestos a agentes químicos establecen aquellos datos mínimos necesarios que el empresario está obligado a registrar y archivar en la documentación de cada trabajador. En ella se hace especial hincapié en los riesgos higiénicos a los que ha estado expuesto el trabajador durante toda su vida laboral y en las patologías descubiertas durante la vigilancia de la salud. Con el ánimo de solucionar esta carencia, un grupo multidisciplinar de una industria química y farmacéutica (médicos, higienistas industriales, técnicos de seguridad, del área de recursos humanos e informáticos) ha consensuado y elaborado, en soporte informático, un banco de datos básico de higiene industrial y medicina laboral sobre la base de los mínimos datos exigidos por la legislación laboral vigente, nacional y europea. Este documento, denominado registro individual informatizado de salud y exposición laboral, está en fase de implantación en los centros de fabricación y se estima su explotación epidemiológica a partir de finales del año 2003. Puede ser o no complementario de la historia clínica laboral (informatizada o no) y se sostiene que en el mismo marco informático en el que se ha desarrollado (SAP) o en otros (Acces, Excel, etc.) puede ser adaptado y aplicado por la mayoría de las empresas químicas y farmacéuticas sin importar la envergadura de las mismas. Su uso garantiza el cumplimiento de la legislación laboral vigente, la gestión adecuada de la prevención laboral primaria y el desarrollo de estudios epidemiológicos prospectivos de grupos homogéneos de exposición (AU)

There are currently a wide range of models for computerised clinical records used by members of some companies’ Prevention Services healthcare staff. These working tools facilitate the day-to-day work of health units, but do not contain information on working conditions. This leads us to deduce that the computerised use of these information systems is severely limited, since medical data cannot be correlated with information on the hygienic environment and thus the systems are of no use in assessing the preventative activities of the company, nor do they help in taking correct decisions which assist the implementation of an acceptable policy for primary prevention of risks at work. Spain’s Prevention of Risks at Work Act, Prevention Services Regulations and Royal Decree 374/2001, which brings Spanish legislation into line with EC Directive 98/24, on the protection of the health and safety of workers exposed to chemical agents, establish the minimum information which employers are required to record and store in each worker’s documentation. Special emphasis is placed on the hygienic risks to which workers are exposed throughout their working life and upon the pathologies discovered whilst monitoring their health. In the aim of providing a solution to this important deficiency, a multidisciplinary group from the chemical and pharmaceutical industries (doctors, industrial hygienists, safety experts, human resources and IT professionals) has developed a simple yet original workplace hygiene and medicine database on the basis of the minimum requirements of current Spanish and European employment legislation. The group calls this a Computerised Individual Workplace Health Record: it is currently undergoing implementation in production centres, with epidemiological use being forecast from the end of 2003 on. It may, if wished, be used as a complement to the Workplace Clinical Record (computerised or not), and the group maintains that, using the same computer platform upon which it has been developed (SAP) or, indeed, another (Access, Excel, etc.) it may be adapted and used by the majority of chemical and pharmaceutical businesses, whatever their size. Its use guarantees compliance with current employment legislation, proper management of primary workplace prevention and the performance of prospective epidemiological studies of homogenous risk groups (AU)