nurses
Holden RJ et al, J Am Med Inform Assoc, 2012
Objective
To identify predictors of nurses’ acceptance of bar coded medication administration (BCMA).DesignCross-sectional survey of registered nurses (N=83) at an academic pediatric hospital that recently implemented BCMA.
Methods
Surveys assessed seven BCMA-related perceptions: ease of use; usefulness for the job; social influence from non-specific others to use BCMA; training; technical support; usefulness for patient care; and social influence from patients/families. An all possible subset regression procedure with five goodness-of-fit indicators was used to identify which set of perceptions best predicted BCMA acceptance (intention to use, satisfaction).
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Published:
3 June 2012 |
Keyword(s): Barcode, Nurses, Satisfaction, United States, Usefulness
Davies E, Yeoh K-W. Br J Cancer, 106(4)
Background:
Reliable information can improve patients’ knowledge of chemotherapy. As internet chemotherapy information (ICI) is increasingly viewed as a valuable patient education tool, we investigated the impact of ICI on patient care and analysed health professionals’ (HPs’) attitudes towards ICI.
Methods:
The following questionnaires were distributed: (1) self-administered questionnaire randomly given to 261 patients receiving chemotherapy (80% returned); and (2) separate questionnaire given to 58 HPs at the same UK Oncology Centre (83% returned).
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Published:
19 January 2012 |
Keyword(s): Education, Internet, Nurses, Oncology, Patient, Physician, UK
Goran SF. Critical Care Nurse, 32(1)
The tele-intensive care unit (tele-ICU) uses sophisticated telemedicine technology and a remote team of critical care experts, including nurses, to provide continuous monitoring, assessment, and interventional services to a large number of patients across multiple ICUs. This new practice environment offers experienced critical care nurses an opportunity for career and knowledge expansion while reducing some of the physical and emotional risks encountered at the bedside.
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Published:
February 2012 |
Keyword(s): Nurses, Tele-ICU, Telemedicine, United States
Kutney-Lee A, Kelly D. The Journal of Nursing Administration, 41(11)
The aim of this study was to examine the effect of having a basic electronic health record (EHR) on nurse-assessed quality of care, including patient safety. Few large-scale studies have examined how adoption of EHRs may be associated with quality of care. A cross-sectional, secondary analysis of nurse and hospital survey data was conducted. The final sample included 16,352 nurses working in 316 hospitals in 4 states.
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Published:
November 2011 |
Keyword(s): Adoption, Electronic Health Records, Hospitals, Nurses, Patient Safety, Quality of Health Care, United States
Mullen-Fortino M et al, American Journal of Critical Care, 21(1)
Background
Intensive care unit telemedicine is an innovative approach to providing critical care services for a broad geographic area, but its success may depend on acceptance by bedside providers.
Objectives
To determine critical care nurses’ attitudes toward and perceptions about the use of telemedicine in critical care.
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Published:
January 2012 |
Keyword(s): Intensive care unit, Nurses, Tele-ICU, Telemedicine, United States
Carrington JM, Effken JA. Computers Informatics Nursing, 29(6)
The purpose of this research was to compare nurses’ perceptions of the strengths and limitations of the electronic health record with and without nursing languages for documenting and retrieving patient information regarding a clinical event. The effectiveness of the electronic health record to facilitate nurse-to-nurse communication is not well understood. Furthermore, little is known how nurse-to-nurse communication influences patient safety and failure-to-rescue events.
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Published:
June 2011 |
Keyword(s): Clinical Events, Communication, Electronic Health Records, Nurses, United States
Wu R te al, J Med Internet Res, 13(3)
Background:
Communication between clinicians is critical to providing quality patient care but is often hampered by limitations of current systems. Smartphones such as BlackBerrys may improve communication, but studies of these technologies have been limited to date.
Objective: Our objectives were to describe how smartphones were adopted for clinical communication within general internal medical wards and determine their impact on team effectiveness and communication.
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Published:
29 August 2011 |
Keyword(s): Canada, Communication, e-Mail, Hospitals, Nurses, Physicians, Smart Phone
Bowers AM et al, Computers, Informatics, Nursing, 2011
The advent of the electronic medical record has brought a new challenge to nursing education. Although most nursing students are proficient in data entry and computer skills, they often do not comprehend how the information they enter becomes a vital component of interdisciplinary team communication. Furthermore, the electronic medical record becomes a repository for information that can be retrieved for the purpose of decision support. Developed by the Cleveland Clinic, the Deans’ Roundtable, and University Hospitals of Cleveland, the Student Nurse Portal provides a means of assisting the student to understand how data entered into the computer transforms into information and knowledge, resulting in the wisdom that enables healthcare workers to provide optimal patient care.
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Published:
5 August 2011 |
Keyword(s): Electronic Health Records, Electronic Medical Records, Nurses, Students, United States
Carayon P et al, J Am Med Inform Assoc, 2011
Objective
To assess intensive care unit (ICU) nurses’ acceptance of electronic health records (EHR) technology and examine the relationship between EHR design, implementation factors, and nurse acceptance.
Design
The authors analyzed data from two cross-sectional survey questionnaires distributed to nurses working in four ICUs at a northeastern US regional medical center, 3 months and 12 months after EHR implementation.
Measurements
Survey items were drawn from established instruments used to measure EHR acceptance and usability, and the usefulness of three EHR functionalities, specifically computerized provider order entry (CPOE), the electronic medication administration record (eMAR), and a nursing documentation flowsheet.
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Published:
22 June 2011 |
Keyword(s): Acceptance, CPOE, Electronic Health Records, Implementation, Intensive care unit, Nurses, United States
Sockolow PS et al, Computers, Informatics, Nursing, 2011
A new survey instrument was developed and validated to measure clinician (nurse) satisfaction with electronic health record impact on clinical process. The Health Information Technology Reference- Based Evaluation Framework guided the selection of evaluation dimensions for the survey. Survey questions were gathered from existing health information technology satisfaction surveys that reflected individual evaluation concepts, such as efficiency or benefits. Decisions about data-gathering methods (eg, item selection) were made based on reviews of literature and surveys of clinician satisfaction with health information technology and expert input. Preliminary instrument validation was accomplished using qualitative and statistical analysis of five repeated sets of responses from clinicians at the pilot site and field administrations repeated twice at electronic health record implementation and paper-based comparison sites and by analyzing convergent evidence from observations and interviews. Reliability was assessed on one sample: 30 graduate nursing students at the single pilot site.
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Published:
2 May 2011 |
Keyword(s): Electronic Health Records, Nurses, Satisfaction, Survey, United States
Furukawa MF et al, Medical Care Research and Review, 68(3)
Electronic medical records (EMR) have the potential to improve nursing care in the hospital setting. This study estimated the association of EMR implementation with nurse staffing levels, skill mix, contract/agency percent, and nurse-sensitive patient outcomes in U.S. hospitals. Data on nurse staffing and patient outcomes came from the 2004-2008 National Database of Nursing Quality Indicators. Data on EMR implementation came from the 2004-2008 HIMSS Analytics Database.
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Published:
10 November 2010 |
Keyword(s): Adverse Events, Efficiency, Electronic Health Records, Electronic Medical Records, Health Information Technology, Implementation, Nurses, Patient Outcomes, Patient Safety, United States
Waneka R, Spetz J. The Journal of Nursing Administration, 40(12)
Objective:
We conducted a review of the literature to determine the impact of health information technologies (HITs) on nurses and nursing care.
Background:
Nurses’ effective use of HIT has the potential to produce a positive impact on nursing-sensitive patient outcomes, patient safety, and quality of care.
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Published:
December 2010 |
Keyword(s): Documentation, Health Information Technology, Literature Review, Nurses
Top M, Gider O. Journal of Medical Systems, 2011
Electronic medical records are generally used by nurses in hospitals. However, studies investigating views on and evaluations of electronic medical records by nurses are limited in Turkey and in other countries around the world. Thus, in this study, nurses’ views on electronic medical record systems will be investigated in terms of use, quality and user satisfaction. Our goal was to investigate the views on electronic medical records used by nurses working at hospital clinics (inpatient care units). Moreover, in this study, we will examine whether there are relationships among the use, quality and user satisfaction of electronic medical records. This study is composed of field research conducted using questionnaires. To prepare the data-measuring instrument, the literature on electronic medical records was reviewed. In addition, during the pilot run of the questionnaire, some revisions were made to the measuring instrument to account for the views of nurse managers in the field.
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Published:
8 February 2011 |
Keyword(s): Electronic Health Records, Electronic Medical Records, Health Information Management, Nurses, Turkey, User Satisfaction
Collins SA et al, Journal of Biomedical Informatics, 2011
Purpose
The aims of this systematic review were: 1) to analyze the content overlap between nurse and physician hospital-based handoff documentation for the purpose of developing a list of interdisciplinary handoff information for use in the future development of shared and tailored computer-based handoff tools, and 2) to evaluate the utility of the Continuity of Care Document (CCD) standard as a framework for organizing hospital-based handoff information for use in electronic health records (EHRs).
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Published:
2 February 2011 |
Keyword(s): CCD, Electronic Health Records, Hand-off, Interdisciplinary, Nurses, Physicians, Systematic Review, United States
Lupiáñez-Villanueva F et al, International Journal of Medical Informatics, 18(1)
Objectives
To identify and characterise different profiles of nurses’ utilization of Information and Communication Technology (ICT) and the Internet and to identify factors that can enhance or inhibit the use of these technologies within nursing.
Methods
An online survey of the 13,588 members of the Nurses Association of Barcelona who had a registered email account in 2006 was carried out. Factor analysis, cluster analysis and binomial logit model was undertaken.
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Published:
10 December 2010 |
Keyword(s): Delivery of Health Care, ICT, Internet, Nurses, Patients, Web
Purvis S, Brenny-Fitzpatrick M. Clinical Nurse Specialist, 24(6)
Purpose:
The purpose of the study was to demonstrate how clinical nurse specialists (CNSs) can use information pulled from the electronic health record (EHR) in innovative ways to improve nursing care of vulnerable older adults.
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Published:
November 2010 |
Keyword(s): Elderly, Electronic Health Records, Nurses, United States
Poissant L et al, J Am Med Inform Assoc, 12(5)
A systematic review of the literature was performed to examine the impact of electronic health records (EHRs) on documentation time of physicians and nurses and to identify factors that may explain efficiency differences across studies. In total, 23 papers met our inclusion criteria; five were randomized controlled trials, six were posttest control studies, and 12 were one-group pretest-posttest designs. Most studies (58%) collected data using a time and motion methodology in comparison to work sampling (33%) and self-report/survey methods (8%). A weighted average approach was used to combine results from the studies.
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Published:
19 May 2005 |
Keyword(s): CPOE, Efficiency, Electronic Medical Record System, Electronic Medical Records, Literature Review, Nurses, Physicians, Systematic Review
Lagu T et al, Journal of General Internal Medicine, 23(10)
Background
Medical weblogs (“blogs”) have emerged as a new connection between health professionals and the public.
Objective
To examine the scope and content of medical blogs and approximate how often blog authors commented about patients, violated patient privacy, or displayed a lack of professionalism.
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Published:
23 July 2008 |
Keyword(s): Blog, Confidentiality, Internet, Nurses, Physicians
Pitcher E. Nurse Leader, 8(3)
As we are facing an uncertain future with healthcare reform, a key element for survival will be enhanced efficiency and the ability to share patient clinical information across the continuum.
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Published:
10 June 2010 |
Keyword(s): Decision Making, Electronic Health Records, Implementation, Nurses, Patient Safety, United States
Kazemi, Alireza et al, J Med Internet Res, 12(1)
Background:
Despite the significant effect of computerized physician order entry (CPOE) in reducing nonintercepted medication errors among neonatal inpatients, only a minority of hospitals have successfully implemented such systems. Physicians’ resistance and users’ frustration seem to be two of the most important barriers. One solution might be to involve nurses in the order entry process to reduce physicians’ data entry workload and resistance. However, the effect of this collaborative order entry method in reducing medication errors should be compared with a strictly physician order entry method.
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Published:
26 February 2010 |
Keyword(s): CPOE, Decision Support Systems, Iran, Medication Errors, Neonatology, Nurses, Patient Safety, Physicians
