J Telemed Telecare - Mobile computing and the quality of home care nursing practice.

Tópicos

{ care(1570) inform(1187) nurs(1089) }
{ survey(1388) particip(1329) question(1065) }
{ data(1714) softwar(1251) tool(1186) }
{ record(1888) medic(1808) patient(1693) }
{ patient(1821) servic(1111) care(1106) }
{ structur(1116) can(940) graph(676) }
{ ehr(2073) health(1662) electron(1139) }
{ monitor(1329) mobil(1314) devic(1160) }
{ bind(1733) structur(1185) ligand(1036) }
{ assess(1506) score(1403) qualiti(1306) }
{ model(3480) simul(1196) paramet(876) }
{ medic(1828) order(1363) alert(1069) }
{ treatment(1704) effect(941) patient(846) }
{ perform(1367) use(1326) method(1137) }
{ patient(2837) hospit(1953) medic(668) }
{ method(1219) similar(1157) match(930) }
{ patient(2315) diseas(1263) diabet(1191) }
{ model(2220) cell(1177) simul(1124) }
{ case(1353) use(1143) diagnosi(1136) }
{ compound(1573) activ(1297) structur(1058) }
{ studi(1119) effect(1106) posit(819) }
{ group(2977) signific(1463) compar(1072) }
{ sampl(1606) size(1419) use(1276) }
{ time(1939) patient(1703) rate(768) }
{ use(1733) differ(960) four(931) }
{ result(1111) use(1088) new(759) }
{ activ(1452) weight(1219) physic(1104) }
{ model(3404) distribut(989) bayesian(671) }
{ can(774) often(719) complex(702) }
{ imag(1947) propos(1133) code(1026) }
{ data(1737) use(1416) pattern(1282) }
{ inform(2794) health(2639) internet(1427) }
{ system(1976) rule(880) can(841) }
{ measur(2081) correl(1212) valu(896) }
{ imag(1057) registr(996) error(939) }
{ sequenc(1873) structur(1644) protein(1328) }
{ featur(3375) classif(2383) classifi(1994) }
{ imag(2830) propos(1344) filter(1198) }
{ network(2748) neural(1063) input(814) }
{ imag(2675) segment(2577) method(1081) }
{ take(945) account(800) differ(722) }
{ studi(2440) review(1878) systemat(933) }
{ motion(1329) object(1292) video(1091) }
{ surgeri(1148) surgic(1085) robot(1054) }
{ framework(1458) process(801) describ(734) }
{ problem(2511) optim(1539) algorithm(950) }
{ error(1145) method(1030) estim(1020) }
{ chang(1828) time(1643) increas(1301) }
{ learn(2355) train(1041) set(1003) }
{ concept(1167) ontolog(924) domain(897) }
{ clinic(1479) use(1117) guidelin(835) }
{ algorithm(1844) comput(1787) effici(935) }
{ extract(1171) text(1153) clinic(932) }
{ method(1557) propos(1049) approach(1037) }
{ design(1359) user(1324) use(1319) }
{ control(1307) perform(991) simul(935) }
{ general(901) number(790) one(736) }
{ method(984) reconstruct(947) comput(926) }
{ search(2224) databas(1162) retriev(909) }
{ featur(1941) imag(1645) propos(1176) }
{ howev(809) still(633) remain(590) }
{ data(3963) clinic(1234) research(1004) }
{ studi(1410) differ(1259) use(1210) }
{ risk(3053) factor(974) diseas(938) }
{ perform(999) metric(946) measur(919) }
{ research(1085) discuss(1038) issu(1018) }
{ system(1050) medic(1026) inform(1018) }
{ import(1318) role(1303) understand(862) }
{ model(2341) predict(2261) use(1141) }
{ visual(1396) interact(850) tool(830) }
{ blood(1257) pressur(1144) flow(957) }
{ spatial(1525) area(1432) region(1030) }
{ health(3367) inform(1360) care(1135) }
{ state(1844) use(1261) util(961) }
{ research(1218) medic(880) student(794) }
{ model(2656) set(1616) predict(1553) }
{ data(2317) use(1299) case(1017) }
{ age(1611) year(1155) adult(843) }
{ signal(2180) analysi(812) frequenc(800) }
{ cost(1906) reduc(1198) effect(832) }
{ gene(2352) biolog(1181) express(1162) }
{ data(3008) multipl(1320) sourc(1022) }
{ first(2504) two(1366) second(1323) }
{ intervent(3218) particip(2042) group(1664) }
{ activ(1138) subject(705) human(624) }
{ use(2086) technolog(871) perceiv(783) }
{ can(981) present(881) function(850) }
{ analysi(2126) use(1163) compon(1037) }
{ health(1844) social(1437) communiti(874) }
{ high(1669) rate(1365) level(1280) }
{ cancer(2502) breast(956) screen(824) }
{ use(976) code(926) identifi(902) }
{ drug(1928) target(777) effect(648) }
{ implement(1333) system(1263) develop(1122) }
{ estim(2440) model(1874) function(577) }
{ decis(3086) make(1611) patient(1517) }
{ process(1125) use(805) approach(778) }
{ method(1969) cluster(1462) data(1082) }
{ method(2212) result(1239) propos(1039) }
{ detect(2391) sensit(1101) algorithm(908) }

Resumo

We investigated the effects of the introduction of mobile computing on the quality of home care nursing practice in Qu?bec. The software, which structured and organized the nursing activities in patients' homes, was installed sequentially in nine community health centres. The completeness of the nursing notes was compared in 77 paper records (pre-implementation) and 73 electronic records (post-implementation). Overall, the introduction of the software was associated with an improvement in the completeness of the nursing notes. All 137 nurse users were asked to complete a structured questionnaire. A total of 101 completed questionnaires were returned (74% response rate). Overall, the nurses reported a very high level of satisfaction with the quality of clinical information collected. A total of 57 semi-structured interviews were conducted and most nurses believed that the new software represented a user-friendly tool with a clear and understandable structure. A postal questionnaire was sent to approximately 1240 patients. A total of 223 patients returned the questionnaire (approximately 18% response rate). Overall, patients felt that the use of mobile computing during home visits allowed nurses to manage their health condition better and, hence, provide superior care services. The use of mobile computing had positive and significant effects on the quality of care provided by home nurses.

Resumo Limpo

investig effect introduct mobil comput qualiti home care nurs practic qubec softwar structur organ nurs activ patient home instal sequenti nine communiti health centr complet nurs note compar paper record preimplement electron record postimplement overal introduct softwar associ improv complet nurs note nurs user ask complet structur questionnair total complet questionnair return respons rate overal nurs report high level satisfact qualiti clinic inform collect total semistructur interview conduct nurs believ new softwar repres userfriend tool clear understand structur postal questionnair sent approxim patient total patient return questionnair approxim respons rate overal patient felt use mobil comput home visit allow nurs manag health condit better henc provid superior care servic use mobil comput posit signific effect qualiti care provid home nurs

Resumos Similares

Telemed J E Health - Telemonitoring increases patient awareness of health and prompts health-related action: initial evaluation of the TELE-ERA study. ( 0,752201402399771 )
J. Med. Internet Res. - Exploring the value of technology to stimulate interprofessional discussion and education: a needs assessment of emergency medicine professionals. ( 0,748859018180366 )
BMC Med Inform Decis Mak - Successful implementation of new technologies in nursing care: a questionnaire survey of nurse-users. ( 0,746041238071173 )
Healthc (Amst) - Association of medical home team-based care functions and perceived improvements in patient-centered care at VHA primary care clinics. ( 0,739115794108762 )
Inform Health Soc Care - Information exchange between registered nurses and district nurses during the discharge planning process: cross-sectional analysis of survey data. ( 0,736949985218139 )
BMC Med Inform Decis Mak - A pilot with computer-assisted psychosocial risk-assessment for refugees. ( 0,734775519548302 )
Healthc (Amst) - Flexible implementation and integration of new team members to support patient-centered care. ( 0,734160030426203 )
Int J Med Inform - Using Cognitive Work Analysis to fit decision support tools to nurse managers' work flow. ( 0,722517313238138 )
J Am Med Inform Assoc - Resident physicians as human information systems: sources yet seekers. ( 0,722049769458418 )
BMC Med Inform Decis Mak - National survey focusing on the crucial information needs of intensive care charge nurses and intensivists: same goal, different demands. ( 0,720306150512828 )
J Telemed Telecare - A survey of telehealth coordinators in Canada. ( 0,717829063162053 )
BMC Med Inform Decis Mak - What is needed to implement a computer-assisted health risk assessment tool? An exploratory concept mapping study. ( 0,716564466958977 )
AMIA Annu Symp Proc - To talk or not to talk: exploring culturally diverse patients' health information communication choices. ( 0,716422526216591 )
AMIA Annu Symp Proc - Examining the Multi-level Fit between Work and Technology in a Secure Messaging Implementation. ( 0,713697356759891 )
Int J Med Inform - Impact of IT-supported clinical pathways on medical staff satisfaction. A prospective longitudinal cohort study. ( 0,710031417005346 )
Int J Med Inform - Electronic emergency-department whiteboards: a study of clinicians' expectations and experiences. ( 0,707728128074284 )
Inform Health Soc Care - Information practices of health care professionals related to patient discharge from hospital. ( 0,701875476906008 )
Int J Med Inform - The impact of medical record technologies on collaboration in emergency medicine. ( 0,700390612063324 )
Telemed J E Health - Improving communication in level 1 trauma centers: replacing pagers with smartphones. ( 0,700002927507937 )
Telemed J E Health - Task-technology fit of video telehealth for nurses in an outpatient clinic setting. ( 0,69796332785636 )
AMIA Annu Symp Proc - Coordination of care for complex pediatric patients: perspectives from providers and parents. ( 0,691965720064145 )
AMIA Annu Symp Proc - Falling through the cracks: information breakdowns in critical care handoff communication. ( 0,690860570712581 )
Healthc (Amst) - When scaling prevention means scaling demand: Voluntary medical male circumcision in Nyanza Province, Kenya. ( 0,686026624935565 )
J Biomed Inform - Bridging gaps in handoffs: a continuity of care based approach. ( 0,685904249889897 )
Int J Med Inform - Use of electronic information systems in nursing management. ( 0,684947837873267 )
J Biomed Inform - Complementary methods of system usability evaluation: surveys and observations during software design and development cycles. ( 0,683828705470431 )
BMC Med Inform Decis Mak - Quality of prenatal and maternal care: bridging the know-do gap (QUALMAT study): an electronic clinical decision support system for rural Sub-Saharan Africa. ( 0,683416811126593 )
Inform Health Soc Care - Developing nurse educators' computer skills towards proficiency in nursing informatics. ( 0,677732879033122 )
J. Med. Internet Res. - Perceived barriers and facilitators of using a Web-based interactive decision aid for colorectal cancer screening in community practice settings: findings from focus groups with primary care clinicians and medical office staff. ( 0,677152638740192 )
Int J Med Inform - Evaluation of a comprehensive EHR based on the DeLone and McLean model for IS success: approach, results, and success factors. ( 0,671575224343544 )
Appl Clin Inform - Usability characteristics of self-administered computer-assisted interviewing in the emergency department: factors affecting ease of use, efficiency, and entry error. ( 0,671274188087413 )
Int J Med Inform - Perceptions of urgency: defining the gap between what physicians and nurses perceive to be an urgent issue. ( 0,670258825308948 )
Int J Med Inform - The effects of EMR deployment on doctors' work practices: a qualitative study in the emergency department of a teaching hospital. ( 0,669340010824855 )
J. Med. Internet Res. - Aligning medication reconciliation and secure messaging: qualitative study of primary care providers' perspectives. ( 0,669197225871796 )
Int J Med Inform - A model of awareness to enhance our understanding of interprofessional collaborative care delivery and health information system design to support it. ( 0,668677787389432 )
J. Med. Internet Res. - Conducting research on the Internet: medical record data integration with patient-reported outcomes. ( 0,666713358808567 )
Appl Clin Inform - Information needs for the OR and PACU electronic medical record. ( 0,666695982128243 )
Int J Med Inform - Does e-pain plan improve management of sickle cell disease associated vaso-occlusive pain crisis? a mixed methods evaluation. ( 0,665213460421235 )
J Am Med Inform Assoc - Challenges to nurses' efforts of retrieving, documenting, and communicating patient care information. ( 0,663980237484961 )
Int J Med Inform - Managing variations from surgical care plans: challenges for coordination. ( 0,663258326154423 )
J Am Med Inform Assoc - The intended and unintended consequences of communication systems on general internal medicine inpatient care delivery: a prospective observational case study of five teaching hospitals. ( 0,662320208101042 )
Telemed J E Health - Home telehealth: facilitators, barriers, and impact of nurse support among high-risk dialysis patients. ( 0,661164200341372 )
J Am Med Inform Assoc - Intensive care unit nurses' information needs and recommendations for integrated displays to improve nurses' situation awareness. ( 0,660086292692728 )
Int J Med Inform - Beyond the basics: refills by electronic prescribing. ( 0,658165698021187 )
AMIA Annu Symp Proc - Using TURF to understand the functions of interruptions. ( 0,655676355121454 )
Int J Med Inform - Multi-disciplinary communication networks for skin risk assessment in nursing homes with high IT sophistication. ( 0,654952953520957 )
BMC Med Inform Decis Mak - The role of ICT in supporting disruptive innovation: a multi-site qualitative study of nurse practitioners in emergency departments. ( 0,653844842577042 )
Int J Med Inform - Using ORA to explore the relationship of nursing unit communication to patient safety and quality outcomes. ( 0,653068195857706 )
Int J Med Inform - Effect of a nursing information system on the quality of information processing in nursing: An evaluation study using the HIS-monitor instrument. ( 0,652185159682672 )
Int J Med Inform - Evaluation of the national nursing model and four nursing documentation systems in Finland--lessons learned and directions for the future. ( 0,650941176862572 )
Med Decis Making - Qualitative and Quantitative Analysis of Interviewer Help Answering the Time Tradeoff. ( 0,650830336007892 )
Int J Med Inform - The benefits of introducing electronic health records in residential aged care facilities: a multiple case study. ( 0,650228982989949 )
Appl Clin Inform - CAH to CAH: EHR implementation advice to critical access hospitals from peer experts and other key informants. ( 0,648611643452463 )
J Am Med Inform Assoc - The impact of PACS on clinician work practices in the intensive care unit: a systematic review of the literature. ( 0,648166600227139 )
J Innov Health Inform - Using information to deliver safer care: a mixed-methods study exploring general practitioners' information needs in North West London primary care. ( 0,6480973992952 )
AMIA Annu Symp Proc - A Framework for Incorporating Patient Preferences to Deliver Participatory Medicine via Interdisciplinary Healthcare Teams. ( 0,647559885888156 )
BMC Med Inform Decis Mak - Qualitative evaluation of a diabetes electronic decision support tool: views of users. ( 0,646291029951524 )
Int J Med Inform - Different usage of the same oncology information system in two hospitals in Sydney--lessons go beyond the initial introduction. ( 0,645152466477363 )
J. Med. Internet Res. - Pediatric caregiver attitudes toward email communication: survey in an urban primary care setting. ( 0,637602122414372 )
J Telemed Telecare - Telehealth in palliative care in the UK: a review of the evidence. ( 0,637083107502535 )
Int J Med Inform - Can technology change the work of nurses? Evaluation of a drug monitoring system for ambulatory chronic disease patients. ( 0,636106989739353 )
Int J Med Inform - Going paperless at the emergency department: a socio-technical study of an information system for patient tracking. ( 0,635362401357776 )
AMIA Annu Symp Proc - Development of a nursing handoff tool: a web-based application to enhance patient safety. ( 0,632980860292401 )
AMIA Annu Symp Proc - Describing the Clinical Communication Space through a Model of Common Ground: 'you don't know what you don't know'. ( 0,631460386872889 )
BMC Med Inform Decis Mak - Stage 1 of the meaningful use incentive program for electronic health records: a study of readiness for change in ambulatory practice settings in one integrated delivery system. ( 0,626126682073605 )
Telemed J E Health - Implementing home blood glucose and blood pressure telemonitoring in primary care practices for patients with diabetes: lessons learned. ( 0,625676303903316 )
Int J Med Inform - Does the introduction of an electronic nursing documentation system in a nursing home reduce time on documentation for the nursing staff? ( 0,624815416335649 )
J. Med. Internet Res. - Communications between volunteers and health researchers during recruitment and informed consent: qualitative content analysis of email interactions. ( 0,624746560254795 )
J. Med. Internet Res. - Perspectives of family physicians on computer-assisted health-risk assessments. ( 0,62401815215547 )
Int J Med Inform - Lost in translation: the challenges of seamless integration in nursing practices. ( 0,623861678815639 )
J Am Med Inform Assoc - Computerized provider documentation: findings and implications of a multisite study of clinicians and administrators. ( 0,623679222486106 )
Inform Health Soc Care - Adopting nursing health record standards. ( 0,623384314401911 )
BMC Med Inform Decis Mak - Improving the effectiveness of electronic health record-based referral processes. ( 0,622245689732664 )
Int J Med Inform - Health information exchange interventions can enhance quality and continuity of HIV care. ( 0,621375174799626 )
Appl Clin Inform - Advice for Decision Makers Based on an Electronic Health Record Evaluation at a Program for All-inclusive Care for Elders Site. ( 0,620682804061079 )
AMIA Annu Symp Proc - Clinical Workflow Observations to Identify Opportunities for Nurse, Physicians and Patients to Share a Patient-centered Plan of Care. ( 0,619146208360502 )
Appl Clin Inform - The implementation of an integrated information system for substance use screening in general medical settings. ( 0,619042497515443 )
BMC Med Inform Decis Mak - Prescriber and staff perceptions of an electronic prescribing system in primary care: a qualitative assessment. ( 0,617743044593141 )
Int J Med Inform - The importance of the verbal shift handover report: a multi-site case study. ( 0,615278617084668 )
BMC Med Inform Decis Mak - Participatory eHealth development to support nurses in antimicrobial stewardship. ( 0,614817866463237 )
BMC Med Inform Decis Mak - Formative evaluation of a telemedicine model for delivering clinical neurophysiology services part II: the referring clinician and patient perspective. ( 0,61464401768576 )
Int J Med Inform - Multi-professional patterns and methods of communication during patient handoffs. ( 0,6126783930569 )
AMIA Annu Symp Proc - A software communication tool for the tele-ICU. ( 0,611141535083007 )
J Med Syst - Understanding critical barriers to implementing a clinical information system in a nursing home through the lens of a socio-technical perspective. ( 0,610528351282499 )
Health Informatics J - The coordination hub: Toward patient-centered and collaborative care processes. ( 0,610245943707027 )
J. Med. Internet Res. - Clinicians' perspectives on a Web-based system for routine outcome monitoring in old-age psychiatry in the Netherlands. ( 0,610045562430919 )
Healthc (Amst) - Doubling down: Lessons learned from building a new electronic health record as part of primary care practice redesign. ( 0,609498681494074 )
Health Informatics J - Using integrated bio-physiotherapy informatics in home health-care settings: A qualitative analysis of a point-of-care decision support system. ( 0,609340244253518 )
Telemed J E Health - New models for medical education: Web-based conferencing to support HIV training in Sub-Saharan Africa. ( 0,608761519363747 )
Healthc (Amst) - Implementing a patient centered medical home in the Veterans health administration: Perspectives of primary care providers. ( 0,608728539516585 )
J. Med. Internet Res. - An evaluation of the use of smartphones to communicate between clinicians: a mixed-methods study. ( 0,608058385854923 )
Int J Med Inform - Guidelines for maternal and neonatal point of care: needs of and attitudes towards a computerized clinical decision support system in rural Burkina Faso. ( 0,607105024234374 )
J Biomed Inform - Informing the design of clinical decision support services for evaluation of children with minor blunt head trauma in the emergency department: a sociotechnical analysis. ( 0,604196853343971 )
AMIA Annu Symp Proc - A mixed methods approach for measuring the impact of delivery-centric interventions on clinician workflow. ( 0,602661175538281 )
AMIA Annu Symp Proc - Implementation of an electronic referral system for outpatient specialty care. ( 0,601918763497232 )
J Med Syst - Advanced nurse-patient communication system. ( 0,601643925936419 )
J. Med. Internet Res. - Evaluating user experiences of the secure messaging tool on the Veterans Affairs' patient portal system. ( 0,600977289457232 )
BMC Med Inform Decis Mak - Validation of the Work Observation Method By Activity Timing (WOMBAT) method of conducting time-motion observations in critical care settings: an observational study. ( 0,600961781888948 )
Int J Med Inform - Qualitative and quantitative evaluation of EHR-integrated mobile patient questionnaires regarding usability and cost-efficiency. ( 0,600829413341044 )
Health Info Libr J - Information needs of clinicians and non-clinicians in the Emergency Department: a qualitative study. ( 0,600355587107749 )