Impact of clinical reminder redesign on learnability, efficiency, usability, and workload for ambulatory clinic nurses.
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OBJECTIVE: Computerized clinical reminders (CRs) were designed to reduce clinicians' reliance on their memory and to present evidence-based guidelines at point of care. However, the literature indicates that CR adoption and effectiveness has been variable. We examined the impact of four design modifications to CR software on learnability, efficiency, usability, and workload for intake nursing personnel in an outpatient clinic setting. These modifications were included in a redesign primarily to address barriers to effective CR use identified during a previous field study. DESIGN: In a simulation experiment, 16 nurses used prototypes of the current and redesigned system in a within-subject comparison for five simulated patient encounters. Prior to the experimental session, participants completed an exploration session, where "learnability" of the current and redesigned systems was assessed. MEASUREMENTS: Time, performance, and survey data were analyzed in conjunction with semi-structured debrief interview data. RESULTS: The redesign was found to significantly increase learnability for first-time users as measured by time to complete the first CR, efficiency as measured by task completion time for two of five patient scenarios, usability as determined by all three groupings of questions taken from a commonly used survey instrument, and two of six workload subscales of the NASA Task Load Index (TLX) survey: mental workload and frustration. CONCLUSION: Modest design modifications to existing CR software positively impacted variables that likely would increase the willingness for first-time nursing personnel to adopt and consistently use CRs. (+info)
The nurse-patient trajectory framework.
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The development of nursing knowledge should give structure and form to the practice of nursing. The development of Nursing Process Theory resulted from early nursing observations and inferences from nursing practice that resulted in formal data accumulation processes, mutual correspondence between nurses and patients, and exchange of information. The development of the nursing process discipline helped to substantiate the need for professional nursing services. The shifts towards examining the links between processes and outcomes, professional accountability, and classification of distinct nursing functions have influenced the development of information systems. The Nurse-Patient Trajectory Framework described in this paper may be used to show the relationships between the virtual information system and the real world that it affects. The framework is visualized along two separate and distinct nurse and patient trajectories. (+info)
Educational software for scheduling nursing personnel: elaboration, development and application through the internet.
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This study aimed to describe the development stages of software about Nursing Staff Scale, created to support teaching of the subject, as well as to serve as a consultation instrument for professional nurses, since it joins labor legislation, testimonies and simulation. The adopted methodology consisted of the planning and developmental phases, with various stages and professionals, as detailed in the article. Although the need for continuous updating of the system is recognized, the availability of a resource that is easily accessed through the world wide web is considered an advance in teaching and in nurses' management practice. (+info)
Informatics in the doctor of nursing practice curriculum.
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In 2006, The American Association of Colleges of Nursing approved a new doctoral degree for clinical leaders, the Doctor of Nursing Practice. These new advanced practice leaders will need sophisticated skills in informatics to acquire and use data, information, and knowledge in their roles. This paper proposes a foundational course for all Doctor of Nursing Practice students and some strategies for integrating informatics throughout the curriculum. (+info)
Translation and integration of CCC nursing diagnoses into ICNP.
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Identifying logical clinical context clusters in nursing orders for the purpose of information retrieval.
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Nurses information needs relate to nursing orders and nursing orders have many contexts including body systems, safety practices and other clinical categories. When searching for information related to orders one search term might retrieve documents related to multiple orders. We clustered nursing orders into sets that are related by the same logical clinical context. We then generated clusters and their search terms from a data set of 636 orders obtained from a CIS/CPOE system at an academic medical center. We refined those cluster search terms by searching an electronic nursing procedure manual to retrieve resources that could answer one of six generic nursing questions. Sixty-three cluster search terms were identified. The search terms for 100 (16%) of the orders were validated in a second hospitals electronic nursing procedure manual; precision was 32.5%.. Our process of identifying cluster search terms may be a useful method to obtain clinically relevant information resources. (+info)
A state profile of IT sophistication in nursing homes.
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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. (+info)