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.

Tópicos

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

Resumo

JECTIVES: To assess the changes in the quality of information processing in nursing after the introduction of a computer-based nursing information system.METHODS: 94 nurses filled out the HIS-monitor survey, comprising 41 questions and focusing on the quality of the information processing, shortly before and again one year after the introduction of a computer-based nursing information system. A McNemar-Bowker-test was used to assess the changes in quality over time. The HIS-monitor instrument was formally validated by calculating Cronbach Alpha.RESULTS: Despite some technical problems, the quality of the information processing in nursing significantly improved after the introduction of a computer-based nursing information system in many areas. The results show improved support during patient anamnesis and care planning, higher availability and completeness of nursing documentation, better overview on the patient, better readability of nursing documentation, reduction of duplicate documentation, better workflow support with task lists and checklists, and better fulfillment of the legal regulations. The results with regard to time efforts for nursing documentation and the related impact on patient care were mixed, however. Most of the expectations of the nurses that were stated before IT introduction seem to have been realized.CONCLUSIONS: The HIS-monitor was found to be a useful instrument, in turn showing that the quality of the information processing in nursing strongly increased after the introduction of a nursing information system.

Resumo Limpo

jectiv assess chang qualiti inform process nurs introduct computerbas nurs inform systemmethod nurs fill hismonitor survey compris question focus qualiti inform process short one year introduct computerbas nurs inform system mcnemarbowkertest use assess chang qualiti time hismonitor instrument formal valid calcul cronbach alpharesult despit technic problem qualiti inform process nurs signific improv introduct computerbas nurs inform system mani area result show improv support patient anamnesi care plan higher avail complet nurs document better overview patient better readabl nurs document reduct duplic document better workflow support task list checklist better fulfil legal regul result regard time effort nurs document relat impact patient care mix howev expect nurs state introduct seem realizedconclus hismonitor found use instrument turn show qualiti inform process nurs strong increas introduct nurs inform system

Resumos Similares

Healthc (Amst) - When scaling prevention means scaling demand: Voluntary medical male circumcision in Nyanza Province, Kenya. ( 0,863322417402344 )
BMC Med Inform Decis Mak - National survey focusing on the crucial information needs of intensive care charge nurses and intensivists: same goal, different demands. ( 0,85472607157255 )
Int J Med Inform - Multi-disciplinary communication networks for skin risk assessment in nursing homes with high IT sophistication. ( 0,841750857398813 )
Int J Med Inform - Perceptions of urgency: defining the gap between what physicians and nurses perceive to be an urgent issue. ( 0,836262671149815 )
Int J Med Inform - Managing variations from surgical care plans: challenges for coordination. ( 0,834080234970345 )
Int J Med Inform - Using Cognitive Work Analysis to fit decision support tools to nurse managers' work flow. ( 0,833595648131534 )
Int J Med Inform - Use of electronic information systems in nursing management. ( 0,831181611314474 )
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. ( 0,825690497643283 )
BMC Med Inform Decis Mak - Successful implementation of new technologies in nursing care: a questionnaire survey of nurse-users. ( 0,819726717708845 )
Telemed J E Health - Task-technology fit of video telehealth for nurses in an outpatient clinic setting. ( 0,816347656935711 )
AMIA Annu Symp Proc - Development of a nursing handoff tool: a web-based application to enhance patient safety. ( 0,816055932365855 )
AMIA Annu Symp Proc - Falling through the cracks: information breakdowns in critical care handoff communication. ( 0,814842694317703 )
AMIA Annu Symp Proc - Examining the Multi-level Fit between Work and Technology in a Secure Messaging Implementation. ( 0,812989620650226 )
J Am Med Inform Assoc - Intensive care unit nurses' information needs and recommendations for integrated displays to improve nurses' situation awareness. ( 0,804898114968861 )
J Biomed Inform - Bridging gaps in handoffs: a continuity of care based approach. ( 0,803493929841729 )
Int J Med Inform - Can technology change the work of nurses? Evaluation of a drug monitoring system for ambulatory chronic disease patients. ( 0,800104668095049 )
Healthc (Amst) - Association of medical home team-based care functions and perceived improvements in patient-centered care at VHA primary care clinics. ( 0,799669453281031 )
Healthc (Amst) - Flexible implementation and integration of new team members to support patient-centered care. ( 0,799027145310355 )
J Am Med Inform Assoc - The impact of PACS on clinician work practices in the intensive care unit: a systematic review of the literature. ( 0,798295874200936 )
Int J Med Inform - Evaluation of the national nursing model and four nursing documentation systems in Finland--lessons learned and directions for the future. ( 0,79735034370394 )
AMIA Annu Symp Proc - Describing the Clinical Communication Space through a Model of Common Ground: 'you don't know what you don't know'. ( 0,796574333810822 )
Int J Med Inform - Going paperless at the emergency department: a socio-technical study of an information system for patient tracking. ( 0,791390934780906 )
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. ( 0,79080653188658 )
J. Med. Internet Res. - An evaluation of the use of smartphones to communicate between clinicians: a mixed-methods study. ( 0,785199365276424 )
Health Info Libr J - Information needs of clinicians and non-clinicians in the Emergency Department: a qualitative study. ( 0,784931485749989 )
Telemed J E Health - Implementing home blood glucose and blood pressure telemonitoring in primary care practices for patients with diabetes: lessons learned. ( 0,783718699714548 )
AMIA Annu Symp Proc - To talk or not to talk: exploring culturally diverse patients' health information communication choices. ( 0,782499593409048 )
Int J Med Inform - The impact of medical record technologies on collaboration in emergency medicine. ( 0,780419160772514 )
Perspect Health Inf Manag - Assessment of success on the RHIA certification examination: a comparison of baccalaureate program graduates and postbaccalaureate certificate program graduates. ( 0,77984530171622 )
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. ( 0,778842679586939 )
Inform Health Soc Care - Information practices of health care professionals related to patient discharge from hospital. ( 0,778101186319914 )
BMC Med Inform Decis Mak - Participatory eHealth development to support nurses in antimicrobial stewardship. ( 0,772811447953701 )
Health Informatics J - Using integrated bio-physiotherapy informatics in home health-care settings: A qualitative analysis of a point-of-care decision support system. ( 0,771240096095847 )
Int J Med Inform - The benefits of introducing electronic health records in residential aged care facilities: a multiple case study. ( 0,765763765942596 )
AMIA Annu Symp Proc - A Framework for Incorporating Patient Preferences to Deliver Participatory Medicine via Interdisciplinary Healthcare Teams. ( 0,765549916237933 )
AMIA Annu Symp Proc - Coordination of care for complex pediatric patients: perspectives from providers and parents. ( 0,763184691188593 )
Telemed J E Health - Home telehealth: facilitators, barriers, and impact of nurse support among high-risk dialysis patients. ( 0,762674790597181 )
Inform Health Soc Care - Patients' contribution to the development of a web-based plan for integrated care - a participatory design study. ( 0,758362416569367 )
J Med Syst - Understanding critical barriers to implementing a clinical information system in a nursing home through the lens of a socio-technical perspective. ( 0,754466368776524 )
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. ( 0,748587736098532 )
Healthc (Amst) - Implementing a patient centered medical home in the Veterans health administration: Perspectives of primary care providers. ( 0,74638528030385 )
J Am Med Inform Assoc - Health information exchange technology on the front lines of healthcare: workflow factors and patterns of use. ( 0,746017043350373 )
J Am Med Inform Assoc - Patient-centered care requires a patient-oriented workflow model. ( 0,745710543943209 )
J. Med. Internet Res. - Experiences of multidisciplinary development team members during user-centered design of telecare products and services: a qualitative study. ( 0,742623766075426 )
Int J Med Inform - The integration of Information and Communication Technology into nursing. ( 0,736789715616611 )
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. ( 0,734786866343855 )
J Med Syst - Data envelopment analysis model for the appraisal and relative performance evaluation of nurses at an intensive care unit. ( 0,732865592576872 )
Telemed J E Health - Communication strategies and timeliness of response to life critical telemetry alarms. ( 0,732706024466683 )
Int J Med Inform - Lost in translation: the challenges of seamless integration in nursing practices. ( 0,730305947924859 )
BMC Med Inform Decis Mak - The status of IT service management in health care - ITIL? in selected European countries. ( 0,729307660024009 )
Methods Inf Med - Real-time feedback on nonverbal clinical communication. Theoretical framework and clinician acceptance of ambient visual design. ( 0,728813692663539 )
Health Informatics J - The coordination hub: Toward patient-centered and collaborative care processes. ( 0,728219919675095 )
Int J Med Inform - The importance of the verbal shift handover report: a multi-site case study. ( 0,723116025287658 )
Int J Med Inform - Organizational routines, innovation, and flexibility: the application of narrative networks to dynamic workflow. ( 0,7218158838758 )
J Telemed Telecare - Telehealth in palliative care in the UK: a review of the evidence. ( 0,721600670420037 )
Int J Med Inform - Barriers and facilitators to the use of computer-based intensive insulin therapy. ( 0,718979657979858 )
BMC Med Inform Decis Mak - The role of ICT in supporting disruptive innovation: a multi-site qualitative study of nurse practitioners in emergency departments. ( 0,715803863193008 )
AMIA Annu Symp Proc - A mixed methods approach for measuring the impact of delivery-centric interventions on clinician workflow. ( 0,713848446941955 )
Telemed J E Health - Telemonitoring increases patient awareness of health and prompts health-related action: initial evaluation of the TELE-ERA study. ( 0,71369959953323 )
AMIA Annu Symp Proc - Clinical Workflow Observations to Identify Opportunities for Nurse, Physicians and Patients to Share a Patient-centered Plan of Care. ( 0,712105834783002 )
Int J Med Inform - Nurses' experiences of using an interactive tailored patient assessment tool one year past implementation. ( 0,711935145784648 )
Inform Health Soc Care - Team climate and attitudes toward information and communication technology among nurses on acute psychiatric wards. ( 0,709916089346445 )
Int J Med Inform - Organisational influences on nurses' use of clinical decision support systems. ( 0,709187322482287 )
J Biomed Inform - Proclets in healthcare. ( 0,709015903584033 )
Appl Clin Inform - Advice for Decision Makers Based on an Electronic Health Record Evaluation at a Program for All-inclusive Care for Elders Site. ( 0,705455554212429 )
BMC Med Inform Decis Mak - Qualitative evaluation of a diabetes electronic decision support tool: views of users. ( 0,705073176436533 )
AMIA Annu Symp Proc - Support for contextual control in primary care: a qualitative analysis. ( 0,704570227793861 )
Healthc (Amst) - The EFECT framework for interprofessional education in the patient centered medical home. ( 0,704467035601777 )
J Am Med Inform Assoc - Challenges to nurses' efforts of retrieving, documenting, and communicating patient care information. ( 0,703232365844889 )
Comput. Biol. Med. - Smart medical environment at the point of care: auto-tracking clinical interventions at the bed side using RFID technology. ( 0,701137812166578 )
Int J Med Inform - Impact of IT-supported clinical pathways on medical staff satisfaction. A prospective longitudinal cohort study. ( 0,69758544113825 )
Inform Health Soc Care - Information exchange between registered nurses and district nurses during the discharge planning process: cross-sectional analysis of survey data. ( 0,696546339383643 )
J Med Syst - Advanced nurse-patient communication system. ( 0,69563983976884 )
Inform Health Soc Care - 'The web is not enough, it's a base'--an explorative study of what needs a web-based support system for young carers must meet. ( 0,695078693299919 )
Appl Clin Inform - Design challenges for electronic medication administration record systems in residential aged care facilities: a formative evaluation. ( 0,69426930981855 )
J Am Med Inform Assoc - Computerized provider documentation: findings and implications of a multisite study of clinicians and administrators. ( 0,694029627121991 )
AMIA Annu Symp Proc - A software communication tool for the tele-ICU. ( 0,692057140434472 )
Healthc (Amst) - Doubling down: Lessons learned from building a new electronic health record as part of primary care practice redesign. ( 0,691677098072894 )
BMC Med Inform Decis Mak - A qualitative evaluation of general practitioners' views on protocol-driven eReferral in Scotland. ( 0,691514076889676 )
Int J Med Inform - Health information exchange interventions can enhance quality and continuity of HIV care. ( 0,690438230653865 )
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. ( 0,685879168910527 )
Telemed J E Health - A systematic review of clinician and staff views on the acceptability of incorporating remote monitoring technology into primary care. ( 0,684092139015727 )
Int J Med Inform - Using a sociotechnical framework to understand adaptations in health IT implementation. ( 0,68334817571997 )
Appl Clin Inform - Insight into the sharing of medical images: physician, other health care providers, and staff experience in a variety of medical settings. ( 0,682267588177299 )
Int J Med Inform - Evaluation of a comprehensive EHR based on the DeLone and McLean model for IS success: approach, results, and success factors. ( 0,680764859260967 )
Int J Med Inform - Different usage of the same oncology information system in two hospitals in Sydney--lessons go beyond the initial introduction. ( 0,680738022530804 )
J. Med. Internet Res. - Evaluating user experiences of the secure messaging tool on the Veterans Affairs' patient portal system. ( 0,678366895036192 )
Int J Med Inform - An exploration of the impact of computerized patient documentation on clinical collaboration. ( 0,675640653532946 )
BMC Med Inform Decis Mak - Communicating cancer treatment information using the Web: utilizing the patient's perspective in website development. ( 0,672945806559285 )
Appl Clin Inform - CAH to CAH: EHR implementation advice to critical access hospitals from peer experts and other key informants. ( 0,672392924081067 )
Int J Med Inform - Does e-pain plan improve management of sickle cell disease associated vaso-occlusive pain crisis? a mixed methods evaluation. ( 0,672095894496856 )
Appl Clin Inform - A case report in health information exchange for inter-organizational patient transfers. ( 0,672018914766328 )
Int J Med Inform - Using ORA to explore the relationship of nursing unit communication to patient safety and quality outcomes. ( 0,671937455246394 )
AMIA Annu Symp Proc - Using TURF to understand the functions of interruptions. ( 0,671601101924193 )
Health Informatics J - Accessibility, usability, and usefulness of a Web-based clinical decision support tool to enhance provider-patient communication around Self-management TO Prevent (STOP) Stroke. ( 0,667086393727561 )
AMIA Annu Symp Proc - Implementation of an electronic referral system for outpatient specialty care. ( 0,66209563004035 )
BMC Med Inform Decis Mak - Lessons learned from implementation of computerized provider order entry in 5 community hospitals: a qualitative study. ( 0,661757615116448 )
Int J Med Inform - CareCoor: augmenting the coordination of cooperative home care work. ( 0,661438600260608 )
BMC Med Inform Decis Mak - Prescriber and staff perceptions of an electronic prescribing system in primary care: a qualitative assessment. ( 0,659006715335852 )
AMIA Annu Symp Proc - A pilot study to explore the feasibility of using theClinical Care Classification System for developing a reliable costing method for nursing services. ( 0,658716942097926 )