Nursing Informatics: A Historical Bibliometric Analysis.

Computers were introduced into nursing care areas in the early 1950s; however, nursing informatics' historical roots emerged much earlier. Contrary to previous studies, which used manual review of the nursing informatics literature, we employed an automated, electronic approach with specialized software to identify its historical roots. The corpus of nursing informatics literature was harvested from Scopus using "informatic*" in information source titles, abstracts, and keywords, limited to the "subject area = nursing." The search resulted in 3805 publications containing 57 057 valid references. Fifteen historical sources were identified, the two oldest written by nursing pioneer Florence Nightingale. Other historical roots represent specific foundational and core scholarly works offering insight into the genesis and sustainment of particular bodies of literature in the field of informatics. Our study revealed that the field of nursing informatics has sought to respond to global health concerns and that through intensive development nursing informatics has become an independent research area affecting nursing advancements in general. Additionally, nursing informatics has influenced other disciplines. This study offered an in-depth look at nursing informatics literature, using a systematic approach to identify historical roots and analyze the evolution of topics and themes to gain more information about knowledge development in nursing informatics.

La gestión del cuidado humanizado de enfermería en la era digital / The Management of Humanized Nursing Care in the Digital Age

Introducción: La gestión de cuidados en la era digital está sometida a un desafío permanente, donde el ambiente socio cultural impone cambios. La informática como tecnología y, en particular, las tecnologías de la información y las comunicaciones forman parte de la vida cotidiana y deben ser incorporados al accionar profesional de enfermería de forma personalizada y como parte del mejoramiento del cuidado humanizado. Objetivo: Abordar la gestión del cuidado humanizado como cuestión necesaria, acompañados del desarrollo de la informática como complemento, sin abandonar aspectos éticos de la información en los servicios de salud. Métodos: Para la elaboración de este artículo, se realizó una revisión bibliográfica y documental, entre ellos, algunos clásicos que por su valor, aporte y trascendencia, constituyen obligada referencia. Se realizó, como método científico, una sistematización y estudio documental relacionado con la gestión del cuidado en enfermería, los cuidados humanizados, la ética informática y la informática en enfermería. Conclusiones: La informática debe verse como un instrumento que facilite la gestión del cuidado humanizado a partir de la interacción entre los propios profesionales y todos los actores del cuidado. Además, debe considerar su aplicación como una vía para brindar atención anticipada, promover salud con calidad y ética. Constituye otra manera de cuidar que no excluye su realización con humanidad y respeto(AU)

Introduction: The management of care in the digital age is subject to a permanent challenge, in which the sociocultural setting imposes changes. Information technology, as such, and particularly information and communications technologies are part of everyday life and must be incorporated into the nursing profession in a personalized way and as part of the improvement of humanized care. Objective: To address the management of humanized care as a necessary issue, accompanied by the development of information technology as a complement, without abandoning ethical aspects of information in health services. Methods: For the elaboration of this article, a bibliographic and documentary review was carried out; among them, some classic authors that, due to their value, contribution and transcendence, constitute a mandatory reference. As a scientific method, a systematization and documentary study related to nursing care management, humanized care, computer ethics and nursing informatics was carried out. Conclusions: Information technology should be seen as an instrument that facilitates the management of humanized care based on the interaction between the professionals themselves and all the care actors. In addition, its application should be considered as a way to provide early care, as well as to promote health with quality and ethics. It constitutes another way of caring that does not exclude its fulfillment with humanity and respect(AU)

Let's Get Digital.

The editor-in-chief provides an overview of this issue's focus on nursing leadership and digital health. She encourages nurse leaders to be knowledgeable and engaged in digital health initiatives.

Emerging Professionals' Observations of Opportunities and Challenges in Nursing Informatics.

The importance of nursing informatics (NI) is highlighted because of changing healthcare landscapes in response to rising digital health and technology integration and use. However, NI education, competency requirements and roles are not standardized across the world, and the potential of NI is modestly understood internationally. This paper explores opportunities and challenges in NI discussed in a panel at the 14th International Congress on Nursing and Allied Health Informatics. The panel was organized by the International Medical Informatics Association's - Nursing Informatics Working Group's Student and Emerging Professionals group. Discussions during the panel session were synthesized and analyzed using content analysis. Results indicate that challenges in NI education, career opportunities and roles continue to exist across healthcare settings and regions. Findings suggest that the following issues need attention: (1) collaboration to build stronger infrastructure to guide NI education, research and practice; (2) improved visibility and appreciation of NI; and (3) greater dissemination of evidence of NI in various health settings. This paper offers recommendations for nurse leaders on strategies to address these issues in NI at the local, regional and global levels.

Transforming Nursing Practice through Digitalization.

Happy Nursing Week! In this special issue of the Canadian Journal of Nursing Leadership for Nursing Week, you will find much food for thought. This issue may surprise you while you ponder the workings of Humber River Hospital, the first fully digitalized hospital in North America. Dr. Vanessa Burkoski and her team of researchers present their findings and insights related to the various technologies and the ways in which they impact nurses' work and patients' experiences of care. I imagine you will read with anticipation the ways in which digital health care practices have transformed nursing practice and the patient experience at Humber River Hospital.

Computerization of primary health care in Brazil: the network of actors.

OBJECTIVE: To analyze the network of human and non-human actors involved in the computerization of primary health care in the Brazilian federal government. METHOD: A qualitative study that used as a theoretical reference the actor-network theory and as a methodological reference the cartography of controversies. Data analysis was carried out using Gephi software, and through the extraction of reports, informed by the actor-network theory. RESULTS: We found a network of 288 connections among 33 actors, composed mainly of nonhuman influencers of computerization. These actors are distributed throughout 3 inter-related communities, and manage the network by defining obligations, penalties, conflicts and intentionalities, thus influencing the success of the intended computerization. FINAL CONSIDERATIONS: The network of actors at the federal level generates situations that, in many cases, hamper the successful implementation of a nationwide computerization strategy.

Computerization of primary health care in Brazil: the network of actors / Informatización de la atención primaria a la salud en Brasil: la red de actores / Informatização da atenção primária à saúde no Brasil: a rede de atores

ABSTRACT Objective: To analyze the network of human and non-human actors involved in the computerization of primary health care in the Brazilian federal government. Method: A qualitative study that used as a theoretical reference the actor-network theory and as a methodological reference the cartography of controversies. Data analysis was carried out using Gephi software, and through the extraction of reports, informed by the actor-network theory. Results: We found a network of 288 connections among 33 actors, composed mainly of nonhuman influencers of computerization. These actors are distributed throughout 3 inter-related communities, and manage the network by defining obligations, penalties, conflicts and intentionalities, thus influencing the success of the intended computerization. Final considerations: The network of actors at the federal level generates situations that, in many cases, hamper the successful implementation of a nationwide computerization strategy.

RESUMEN Objetivo: Analizar la red de actores humanos y no-humanos que están involucrados en la informatización de la atención primaria a la salud en la esfera federal del gobierno brasileño. Método: Estudio cualitativo que ha utilizado como referencial teórico la teoría actor-red y como referencial metodológico la cartografía de controversias. El análisis de los datos se dio por medio del programa Gephi y desde la técnica de extractos de relatos con punto de vista de la teoría actor-red. Resultados: Se ha constatado una red de 288 conexiones entre 33 actores, que está conformada mayoritariamente por no-humanos influyentes de la informatización. Los actores están distribuidos en 3 comunidades, que se relacionan entre sí, agenciando la red desde la definición de las obligatoriedades, las condenas, los conflictos y las intencionalidades, influyendo el éxito de la pretendida informatización. Consideraciones Finales: La red de actores en la esfera federal moviliza situaciones que, en muchos momentos, obstaculizan el éxito de la implantación de una estrategia de la informatización de abarcadura nacional.

RESUMO Objetivo: Analisar a rede de atores humanos e não-humanos envolvidos na informatização da atenção primária à saúde na esfera federal do governo brasileiro. Método: Estudo qualitativo que utilizou como referencial teórico a teoria ator-rede e como referencial metodológico a cartografia de controvérsias. A análise dos dados se deu por meio do software Gephi e a partir da técnica de extratos de relatos com ponto de vista da teoria ator-rede. Resultados: Constatou-se uma rede de 288 ligações entre 33 atores, composta majoritariamente por não-humanos influenciadores da informatização. Os atores estão distribuídos em 3 comunidades, que se relacionam entre si, agenciando a rede a partir da definição de obrigatoriedades, penalidades, conflitos e intencionalidades, influenciando o sucesso da pretendida informatização. Considerações finais: A rede de atores na esfera federal mobiliza situações que, em muitos momentos, obstaculizam o sucesso da implantação de uma estratégia de informatização de abrangência nacional.

Nursing students' learning dynamics with clinical information and communication technology: A constructive grounded theory approach.

BACKGROUND: The learning of nursing students can be facilitated through direct and/or indirect experiences of using clinical information and communication technology during clinical placements. However, nursing students experience difficulties in using technology for learning. Despite the difficulties, nursing students' learning dynamics with technology in real clinical contexts is poorly understood. OBJECTIVES: To develop a theoretical model by identifying nursing students' learning dynamics with clinical information and communication technology and the factors influencing the dynamics. DESIGN: A constructivist grounded theory approach was employed in order to develop the theoretical model. SETTINGS: This research was conducted by recruiting nursing students from four universities in Seoul, South Korea. PARTICIPANTS: Sixteen fourth year nursing students were recruited by purposive sampling. METHODS: This research collected qualitative interview data in up to four rounds of interviews using open-ended and semi-structured interview questions. A total of 23 interviews were conducted. The data were transcribed verbatim. All interview data were analysed using three coding methods; initial, focused, and theoretical coding. NVivo 11 was used for data management. RESULTS: This research developed a theoretical model of nursing students' learning dynamics with clinical information and communication technology. The model explains three dynamics that influence nursing students' use of clinical information and communication technology (interpersonal, organisational and emotional dynamics) and the students' responses regarding the dynamics for learning in clinical contexts. CONCLUSIONS: Nursing educators can use the theoretical model to understand how best to support nursing students in navigating their clinical environments to build competency in using clinical information and communication technology.

Uso de tecnologias no ensino de semiologia e semiotécnica de enfermagem / Uso de la tecnología en la enseñanza de semiología y semiotécnica de enfermería / Use of technology in the teaching of nursing semiology and semiotechnique

Objetivo relatar a vivência de discentes, docentes e monitores na utilização de diferentes tecnologias educativas durante ensino teórico-prático de semiologia e semiotécnica de enfermagem. Método relato de prática de ensino de 2 monitores, 2 docentes e 187 alunos de um curso de graduação em enfermagem de Vitória, Espírito Santo, realizado de 2015 a 2017, com reflexões sustentadas no referencial teórico de Merhy. Resultados o ensino foi mediado por tecnologias leves associadas às leve-duras e duras, buscando-se o desenvolvimento de competências que pudessem aprimorar a produção de conhecimentos e que possam futuramente ser aplicadas na prática profissional, tendo como horizonte um cuidado de enfermagem humanizado e não restrito ao tecnicismo. Conclusão a práxis pedagógica relatada favoreceu ao desenvolvimento de competências relacionais e manuais, à autonomia discente e ao pensamento crítico-reflexivo, necessários à articulação teórico-prática, à tomada de decisão clínica e a novos modos de se produzir cuidado em enfermagem.

Objetivo reportar la experiencia de los estudiantes, profesores y monitores en el uso de diferentes tecnologías educativas durante la enseñanza teórica-práctica de semiología y semiotécnica de enfermería. Método relato de práctica docente de 2 monitores, 2 profesores y 187 estudiantes de un curso de graduación en enfermería de Vitória, Espírito Santo, realizado de 2015 a 2017, con reflexiones sostenidas sobre el referencial teórico de Merhy. Resultados la enseñanza era mediada por tecnologías leves, asociadas a leves-duras, buscando el desarrollo de habilidades que podrían mejorar la producción de conocimiento, y que, en el futuro, podrían ser aplicadas en la práctica profesional, teniendo como horizonte un cuidado de enfermería humanizado y no restringido al tecnicismo. Conclusión lapraxis pedagógica relatada favoreció el desarrollo de competencias relacionales y manuales, la autonomía de los estudiantes y el pensamiento crítico y reflexivo, necesarios para la vinculación teórico-práctica, la toma de decisiones clínicas y las nuevas formas de producción de los cuidados de enfermería.

Objective to report the experience of students, professors and professor's assistants (PA) when using different educational technologies during theoretical-practical teaching of nursing semiology and semiotechnique. Method report of teaching practice of 2 PA, 2 professors and 187 students from a Nursing graduate course in Vitória, Espírito Santo, conducted from 2015 to 2017, with reflections based on Merhy's theory. Results the teaching was mediated by soft technologies associated to soft-hard ones, seeking the development of skills that could enhance knowledge production, and, in the future, be applied in professional practice, having as horizon a humanized nursing care, not restricted to techniques. Conclusion the reported pedagogical praxis favored the development of relational and manual competences, the student's autonomy and critical and reflective thinking, necessary the theoretical-practical articulation, clinical decision-making and new ways of producing nursing care.