ISSN:1538-2931    

出版商:OVID    

年代:2003

数据来源: OVID

ISSN:1538-2931    

出版商:OVID    

年代:2003

数据来源: OVID

ISSN:1538-2931    

出版商:OVID    

年代:2003

数据来源: OVID

摘要:

One of the most recent innovations coalescing computer technology and medical care is the further development of integrated medical component technology coupled with a computer subsystem. One such example is the self-contained patient transport system known as the Life Support for Trauma and Transport (LSTAT(tm)). The LSTAT creates a new transport platform that integrates the most current medical monitoring and therapeutic capabilities with computer processing capacity, creating the first “smart litter.” The LSTAT is built around a computer system that is network capable and acts as the data hub for multiple medical devices and utilities, including data, power, and oxygen systems. The system logs patient and device data in a simultaneous, time-synchronized, continuous format, allowing electronic transmission, storage, and electronic documentation. The third-generation LSTAT includes an oxygen system, ventilator, clinical point-of-care blood analyzer, suction, defibrillator, infusion pump, and physiologic monitor, as well as on-board power and oxygen systems. The developers of LSTAT and other developers have the ability to further expand integrative component technology by developing and integrating clinical decision support systems.

ISSN:1538-2931    

出版商:OVID    

年代:2003

数据来源: OVID

摘要:

Change is a regular occurrence in the healthcare environment. The computerization of nursing systems is one aspect of the changes taking place in the information revolution. As a result, nurses have widely varying attitudes toward computers and change in the workplace. To transition the nursing team effectively from one system to another, the nurse informaticist must be aware of the factors that encourage and those that impede the change. Strategies must be developed to assist nurses in moving forward with the transition. This article presents a theoretical discussion of how Lewin’s Force Field Analysis Model could be applied in the practice setting to implement a nursing information system successfully.

ISSN:1538-2931    

出版商:OVID    

年代:2003

数据来源: OVID

ISSN:1538-2931    

出版商:OVID    

年代:2003

数据来源: OVID

摘要:

Nurses in practice have an increasing need to become aware of the computer-based resources available and the evidence regarding their use in the process of patient education. This synthesis of the literature examines research related to computer-based patient education. A particular focus is placed on the nurse clinician’s perspective and the role of the nurse as a patient educator in the digital age. Two primary healthcare database resources, MEDLINE and CINAHL, were selected for review of the current literature. A listing of articles related to the use of computer technology in patient education was obtained from both of these databases. The search strategy included exploding the subject heading terms “computer” and “patient education,” and included articles from 1971 to 2001. Computer-based patient education is an effective strategy for improving healthcare knowledge and clinical outcomes. Computer-based learning can be tailored to the individual’s age and specific learning needs. Furthermore, although access to computer-based resources continues to be a barrier for some, socioeconomic disparities have no reported impact on patients’ abilities to use computer-based technologies effectively.

ISSN:1538-2931    

出版商:OVID    

年代:2003

数据来源: OVID

摘要:

Existing criteria used to evaluate information on the World Wide Web often are not related to nursing, especially in relation to clinical and evidence-based practice. Published criteria have been found orientated to the health-consumer, medicine, or general information. In this study, the process by which nurses evaluate practice-related information and the associated evaluative nursing criteria were investigated using a grounded theory approach. In the first stage of this ongoing investigation, semistructured interviews were used to collect data from UK postregistration nursing students. The findings from this initial study provided indications of the process and the criteria for evaluating information on the World Wide Web. Participating students identified intuition as part of the evaluative process. They identified some criteria similar to existing standards, but critically, with additional criteria that are nursing practice related. Because these new criteria are significant for evaluating nursing information, further refinement of these findings is being undertaken through the next stage of the research program.

ISSN:1538-2931    

出版商:OVID    

年代:2003

数据来源: OVID

摘要:

Point-of-care technology for home care use will be the final step in enterprise-wide healthcare electronic communications. Successful implementation of home care point-of-care technology hinges upon nurses’ attitudes toward point-of-care technology and its use in clinical practice. This study addresses the factors associated with home care nurses’ attitudes using Stronge and Brodt’s Nurse Attitudes Toward Computers instrument. In this study, the Nurses Attitudes Toward Computers instrument was administered to a convenience sample of 138 nurses employed by a large midwestern home care agency, with an 88% response rate. Confirmatory factor analysis corroborated the Nurses Attitudes Toward Computers’ 3-dimensional factor structure for practicing nurses, which was labeled as nurses’ work, security issues, and perceived barriers. Results from the confirmatory factor analysis also suggest that these 3 factors are internally correlated and represent multiple dimensions of a higher order construct labeled as nurses’ attitudes toward computers. Additionally, two of these factors, nurses’ work and perceived barriers, each appears to explain more variance in nurses’ attitudes toward computers than security issues. Instrument reliability was high for the sample (.90), with subscale reliabilities ranging from .86 to .70.

ISSN:1538-2931    

出版商:OVID    

年代:2003

数据来源: OVID

ISSN:1538-2931    

出版商:OVID    

年代:2003

数据来源: OVID