ISSN:0736-8593    

出版商:OVID    

年代:2001

数据来源: OVID

ISSN:0736-8593    

出版商:OVID    

年代:2001

数据来源: OVID

ISSN:0736-8593    

出版商:OVID    

年代:2001

数据来源: OVID

ISSN:0736-8593    

出版商:OVID    

年代:2001

数据来源: OVID

ISSN:0736-8593    

出版商:OVID    

年代:2001

数据来源: OVID

摘要:

The implementation of the electronic medical record (EMR) is a process that involves knowledge and skills of technology and group dynamics. The literature was reviewed to identify the most effective methodology for EMR implementation. Integral to the success of any EMR implementation is the ‘buy-in’ of the organization. To facilitate the implementation the use of a tiered team approach is advantageous. There must be an executive steering team whose role is to provide the vision, the approval, and the money for the project. The project steering team makes major policy decisions based on user needs and requirements, organization infrastructure, and general implementation strategies. The project work team has the responsibility of ensuring the implementation is satifactory to the organization. This article discusses the membership, roles, and functions of the three EMR implementation teams.

ISSN:0736-8593    

出版商:OVID    

年代:2001

数据来源: OVID

摘要:

Economic pressures on healthcare systems have intensified the necessity of demonstrating the unique contribution of nursing care to patient outcomes. The use of nursing information systems (NIS) has increased completeness of some nursing documentation elements. This study’s purpose was to evaluate differences in documentation completeness of nurse assessments of patient outcomes (NASSESS), achievement of patient outcomes (NGOAL), nursing interventions done (NQUAL), and routine assessments before and after implementation of an NIS in a 100-bed urban university hospital in west Tennessee and before and after retraining in NIS use and care planning. NIS implementation did not improve documentation within the first six months. However, retraining and continued NIS use did significantly improve NASSESS, NGOAL, NQUAL, and blood pressure documentation 18 months postimplementation. Nurses must evaluate documentation completeness before and periodically after NIS implementation, using results to improve patient record data validity for patient care decisions, quality improvement, and research.

ISSN:0736-8593    

出版商:OVID    

年代:2001

数据来源: OVID

ISSN:0736-8593    

出版商:OVID    

年代:2001

数据来源: OVID

摘要:

The use of computers in nursing education has evolved from elementary drill and practice tutorials to challenging presentations. Hypermedia technology has emerged as a powerful method of instruction that allows the user to experience new concepts, gain cognitive skill, and encounter realistic clinical situations in a no-harm environment. Hypermedia incorporates sound, video, graphics, text, and interaction. This article describes the process used to develop a CD-ROM for adult cardiovascular nursing that can be used as an interactive instructional program. A description of the use of Gagne’s instructional design theory is incorporated as a framework to guide the project. Educators possess knowledge expertise and must become involved in the design of new teaching methodologies. If instructional design principles are followed when using authoring software, learners are motivated with real, challenging, life-like, nonthreatening scenarios to expand their critical-thinking and decision-making skills.

ISSN:0736-8593    

出版商:OVID    

年代:2001

数据来源: OVID

摘要:

Communication on the Internet offers teachers a unique method for promoting learning among students who are challenged by numerous factors such as linguistic and cultural considerations. This article describes the use of out-of-class online discussions to promote active student learning among a diverse group of baccalaureate nursing students enrolled in a large lecture class. Student-to-student and teacher-to-student asynchronous threaded discussions occurred out of class. Students earned class points by posting and responding to classroom topics. By the end of the 15-week semester, there were approximately 790 messages on the bulletin board. Eighty-five percent of the 64 students participated in this assignment. Of the 64 students, approximately 50% were moderate to high users of the activity and 14% did not participate at all. There were no statistical differences between native English-speaking and non-native English-speaking students and their preference for study partners, interest, or experience with the Internet. These initial results suggest that this assignment, based on electronic discussions, promoted greater participation and feedback among this diverse nursing student population. Despite the potential isolation of Internet and e-mail–based communications, this computer-based technology may, ironically, facilitate an important shift from teacher-orchestrated to student-centered learning.

ISSN:0736-8593    

出版商:OVID    

年代:2001

数据来源: OVID