Int J Med Inform - The interplay between global standards and local practice in nursing.

Tópicos

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

Resumo

RPOSE: The paper assesses the extent, form, and transformation of global nursing classifications (NANDA) in a nursing practice during a period of 5 years.METHOD: A longitudinal case study was used to trace implementation, adoption and use of nursing classifications as an integral part of an electronic nursing module. A mixed method of data collection was used, including semi-structured interviews, observation and document analysis.RESULTS: A surprisingly high proportion of nursing diagnoses was consistent with the global standard, in spite of a gradual increase of user-generated concepts. This is elaborated more thoroughly through a co-constructing perspective, emphasizing how the global standard and the practice mutually shaped each other over several years.CONCLUSION: Standardization is an iterative process that is performed in close relationship with practice. The mutual interrelation between formal classifications (NANDA) and local practices are co-constructed in a dynamic interplay that evolves over time. In such a process, the use of local classifications and local strategies can be a means to bridge the gap between these two extreme points.

Resumo Limpo

rpose paper assess extent form transform global nurs classif nanda nurs practic period yearsmethod longitudin case studi use trace implement adopt use nurs classif integr part electron nurs modul mix method data collect use includ semistructur interview observ document analysisresult surpris high proport nurs diagnos consist global standard spite gradual increas usergener concept elabor thorough coconstruct perspect emphas global standard practic mutual shape sever yearsconclus standard iter process perform close relationship practic mutual interrel formal classif nanda local practic coconstruct dynam interplay evolv time process use local classif local strategi can mean bridg gap two extrem point

Resumos Similares

J Med Syst - EHR implementation in a new clinic: a case study of clinician perceptions. ( 0,739483245298304 )
Appl Clin Inform - Advice for Decision Makers Based on an Electronic Health Record Evaluation at a Program for All-inclusive Care for Elders Site. ( 0,736888154809673 )
Int J Med Inform - The benefits of introducing electronic health records in residential aged care facilities: a multiple case study. ( 0,714190683764385 )
Int J Med Inform - The impact of medical record technologies on collaboration in emergency medicine. ( 0,700415306130211 )
Inform Health Soc Care - Information practices of health care professionals related to patient discharge from hospital. ( 0,697242752234811 )
Int J Med Inform - The importance of the verbal shift handover report: a multi-site case study. ( 0,695491913092236 )
BMC Med Inform Decis Mak - A qualitative evaluation of general practitioners' views on protocol-driven eReferral in Scotland. ( 0,694328282672518 )
AMIA Annu Symp Proc - Examining the Multi-level Fit between Work and Technology in a Secure Messaging Implementation. ( 0,693910228123013 )
Appl Clin Inform - CAH to CAH: EHR implementation advice to critical access hospitals from peer experts and other key informants. ( 0,686958515387035 )
Appl Clin Inform - Adoption of electronic health records: a qualitative study of academic and private physicians and health administrators. ( 0,669894131899949 )
Inform Health Soc Care - Nurses' use of an integrated electronic health record: results of a case site analysis. ( 0,669868392394344 )
AMIA Annu Symp Proc - Cognitive design of a digital desk for the emergency room setting. ( 0,667474535464902 )
Appl Clin Inform - Clinician preferences for verbal communication compared to EHR documentation in the ICU. ( 0,665929121727216 )
J Am Med Inform Assoc - Health information exchange technology on the front lines of healthcare: workflow factors and patterns of use. ( 0,663801873063015 )
AMIA Annu Symp Proc - Coordination of care for complex pediatric patients: perspectives from providers and parents. ( 0,661535514521695 )
Int J Med Inform - Perceived efficiency impacts following electronic health record implementation: an exploratory study of an urban community health center network. ( 0,661480594063667 )
Inform Health Soc Care - Developing nurse educators' computer skills towards proficiency in nursing informatics. ( 0,660339581931103 )
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. ( 0,660288307879167 )
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. ( 0,654333620260914 )
Int J Med Inform - Evaluation of a comprehensive EHR based on the DeLone and McLean model for IS success: approach, results, and success factors. ( 0,654214086016524 )
Int J Med Inform - Perceptions of urgency: defining the gap between what physicians and nurses perceive to be an urgent issue. ( 0,650374511724777 )
Inform Health Soc Care - Team climate and attitudes toward information and communication technology among nurses on acute psychiatric wards. ( 0,647212429421467 )
Int J Med Inform - Adoption of a clinical decision support system to promote judicious use of antibiotics for acute respiratory infections in primary care. ( 0,646875557602955 )
BMC Med Inform Decis Mak - National survey focusing on the crucial information needs of intensive care charge nurses and intensivists: same goal, different demands. ( 0,645714567890633 )
Telemed J E Health - Task-technology fit of video telehealth for nurses in an outpatient clinic setting. ( 0,642745245235741 )
J Am Med Inform Assoc - You and me and the computer makes three: variations in exam room use of the electronic health record. ( 0,63855913976298 )
AMIA Annu Symp Proc - SRCAST-Diagnosis: understanding how different members of a patient-care team interact with clinical decision support system. ( 0,638392288616161 )
J Med Syst - Understanding critical barriers to implementing a clinical information system in a nursing home through the lens of a socio-technical perspective. ( 0,632997828377943 )
AMIA Annu Symp Proc - Describing the Clinical Communication Space through a Model of Common Ground: 'you don't know what you don't know'. ( 0,632801003980904 )
BMC Med Inform Decis Mak - Staff experiences within the implementation of computer-based nursing records in residential aged care facilities: a systematic review and synthesis of qualitative research. ( 0,632275810507229 )
Methods Inf Med - It's time for health record banking! ( 0,629511580291707 )
Methods Inf Med - Real-time feedback on nonverbal clinical communication. Theoretical framework and clinician acceptance of ambient visual design. ( 0,628259249377029 )
J Am Med Inform Assoc - The impact of PACS on clinician work practices in the intensive care unit: a systematic review of the literature. ( 0,62823298317708 )
Int J Med Inform - Organizational routines, innovation, and flexibility: the application of narrative networks to dynamic workflow. ( 0,628064167808064 )
J. Med. Internet Res. - The personal health record paradox: health care professionals' perspectives and the information ecology of personal health record systems in organizational and clinical settings. ( 0,627677940520203 )
Int J Med Inform - Managing variations from surgical care plans: challenges for coordination. ( 0,625679350558581 )
Int J Med Inform - Multi-disciplinary communication networks for skin risk assessment in nursing homes with high IT sophistication. ( 0,625301203850371 )
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. ( 0,625000708785137 )
Int J Med Inform - Using Cognitive Work Analysis to fit decision support tools to nurse managers' work flow. ( 0,624456124851824 )
BMC Med Inform Decis Mak - Lessons learned from implementation of computerized provider order entry in 5 community hospitals: a qualitative study. ( 0,624156504804414 )
Int J Med Inform - Lost in translation: the challenges of seamless integration in nursing practices. ( 0,624109967559397 )
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. ( 0,62306223609973 )
Int J Med Inform - Health information exchange in small-to-medium sized family medicine practices: motivators, barriers, and potential facilitators of adoption. ( 0,622901277694976 )
Healthc (Amst) - Implementing a patient centered medical home in the Veterans health administration: Perspectives of primary care providers. ( 0,622491006700523 )
Int J Med Inform - Using ORA to explore the relationship of nursing unit communication to patient safety and quality outcomes. ( 0,622124377860172 )
AMIA Annu Symp Proc - Falling through the cracks: information breakdowns in critical care handoff communication. ( 0,621498934536245 )
Appl Clin Inform - Electronic Health Record Adoption - Maybe It's not about the Money: Physician Super-Users, Electronic Health Records and Patient Care. ( 0,620420250054309 )
Inform Health Soc Care - Adopting nursing health record standards. ( 0,619617220568127 )
Int J Med Inform - Tensions of network security and collaborative work practice: understanding a single sign-on deployment in a regional hospital. ( 0,619132403772031 )
Int J Med Inform - Use of electronic information systems in nursing management. ( 0,617900314357647 )
J Am Med Inform Assoc - A qualitative study identifying the cost categories associated with electronic health record implementation in the UK. ( 0,617793467812724 )
Healthc (Amst) - Use of patient ethnography to support quality improvement in benign prostatic hyperplasia. ( 0,617415478800083 )
Telemed J E Health - Implementing home blood glucose and blood pressure telemonitoring in primary care practices for patients with diabetes: lessons learned. ( 0,616972566900021 )
J Biomed Inform - Bridging gaps in handoffs: a continuity of care based approach. ( 0,616966581562501 )
Telemed J E Health - Communication strategies and timeliness of response to life critical telemetry alarms. ( 0,61667400686862 )
J Am Med Inform Assoc - Intensive care unit nurses' information needs and recommendations for integrated displays to improve nurses' situation awareness. ( 0,61636949436602 )
Telemed J E Health - A systematic review of clinician and staff views on the acceptability of incorporating remote monitoring technology into primary care. ( 0,614585578059571 )
BMC Med Inform Decis Mak - The role of ICT in supporting disruptive innovation: a multi-site qualitative study of nurse practitioners in emergency departments. ( 0,613663591707381 )
Appl Clin Inform - Dealing with the archetypes development process for a regional EHR system. ( 0,612639315475024 )
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. ( 0,612323623576974 )
Healthc (Amst) - When scaling prevention means scaling demand: Voluntary medical male circumcision in Nyanza Province, Kenya. ( 0,612056372482123 )
Health Informatics J - Using integrated bio-physiotherapy informatics in home health-care settings: A qualitative analysis of a point-of-care decision support system. ( 0,609494098358344 )
Int J Med Inform - Going paperless at the emergency department: a socio-technical study of an information system for patient tracking. ( 0,609052241144338 )
Healthc (Amst) - Flexible implementation and integration of new team members to support patient-centered care. ( 0,606087508182979 )
Perspect Health Inf Manag - Development and testing of a survey instrument to measure benefits of a nursing information system. ( 0,602391786229174 )
Int J Med Inform - A combined disease management and process modeling approach for assessing and improving care processes: a fall management case-study. ( 0,600871595525052 )
Int J Med Inform - CareCoor: augmenting the coordination of cooperative home care work. ( 0,600161744142733 )
J Am Med Inform Assoc - ICU nurses' acceptance of electronic health records. ( 0,596543029602806 )
J. Med. Internet Res. - An evaluation of the use of smartphones to communicate between clinicians: a mixed-methods study. ( 0,596464392921859 )
Int J Med Inform - Effects of a computerized decision support system on care planning for pressure ulcers and malnutrition in nursing homes: an intervention study. ( 0,595960286969813 )
BMC Med Inform Decis Mak - Successful implementation of new technologies in nursing care: a questionnaire survey of nurse-users. ( 0,595593930491507 )
BMC Med Inform Decis Mak - The status of IT service management in health care - ITIL? in selected European countries. ( 0,594984877126757 )
Healthc (Amst) - Association of medical home team-based care functions and perceived improvements in patient-centered care at VHA primary care clinics. ( 0,593864462588602 )
Int J Med Inform - Unintended adverse consequences of introducing electronic health records in residential aged care homes. ( 0,593634117996735 )
AMIA Annu Symp Proc - A mixed methods approach for measuring the impact of delivery-centric interventions on clinician workflow. ( 0,593618961898368 )
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. ( 0,593383270788865 )
Int J Med Inform - Different usage of the same oncology information system in two hospitals in Sydney--lessons go beyond the initial introduction. ( 0,593122860342073 )
Methods Inf Med - Why the hell do we need electronic health records?. EHR acceptance among physicians in private practice in Austria: a qualitative study. ( 0,592184777730624 )
Int J Med Inform - Use of a human factors approach to uncover informatics needs of nurses in documentation of care. ( 0,589555005643283 )
Int J Med Inform - Healthcare professionals' adoption and use of a clinical information system (CIS) in primary care: insights from the Da Vinci study. ( 0,589380899325317 )
BMC Med Inform Decis Mak - General practitioners' attitudes and preparedness towards Clinical Decision Support in e-Prescribing (CDS-eP) adoption in the West of Ireland: a cross sectional study. ( 0,588674003242087 )
BMC Med Inform Decis Mak - Prescriber and staff perceptions of an electronic prescribing system in primary care: a qualitative assessment. ( 0,587470598534638 )
J Biomed Inform - Computer-interpretable clinical guidelines: a methodological review. ( 0,587035337038886 )
Perspect Health Inf Manag - Electronic health records: what are the most important barriers? ( 0,585601537298021 )
J Am Med Inform Assoc - Electronic health record functionality needed to better support primary care. ( 0,584252516385702 )
AMIA Annu Symp Proc - A Framework for Incorporating Patient Preferences to Deliver Participatory Medicine via Interdisciplinary Healthcare Teams. ( 0,583997116070745 )
AMIA Annu Symp Proc - Variations in patient portal adoption in four primary care practices. ( 0,582476182485841 )
Perspect Health Inf Manag - Family physician perceptions of personal health records. ( 0,582192035269664 )
J Am Med Inform Assoc - Towards public health decision support: a systematic review of bidirectional communication approaches. ( 0,58198366185644 )
J Med Syst - Emergency healthcare process automation using mobile computing and cloud services. ( 0,581953457924247 )
Int J Med Inform - Can technology change the work of nurses? Evaluation of a drug monitoring system for ambulatory chronic disease patients. ( 0,581708621739097 )
BMC Med Inform Decis Mak - Participatory eHealth development to support nurses in antimicrobial stewardship. ( 0,581691433207596 )
J Biomed Inform - Proclets in healthcare. ( 0,581618955944845 )
J Med Syst - Data envelopment analysis model for the appraisal and relative performance evaluation of nurses at an intensive care unit. ( 0,580667581295726 )
BMC Med Inform Decis Mak - Attitudes of nursing staff towards computerisation: a case of two hospitals in Nairobi, Kenya. ( 0,579315521350317 )
AMIA Annu Symp Proc - To talk or not to talk: exploring culturally diverse patients' health information communication choices. ( 0,576930703695347 )
Int J Med Inform - Does e-pain plan improve management of sickle cell disease associated vaso-occlusive pain crisis? a mixed methods evaluation. ( 0,576232584419533 )
AMIA Annu Symp Proc - Development of a nursing handoff tool: a web-based application to enhance patient safety. ( 0,576153673825518 )
J Med Syst - A review of analytics and clinical informatics in health care. ( 0,575293757033655 )
J. Med. Internet Res. - Experiences of multidisciplinary development team members during user-centered design of telecare products and services: a qualitative study. ( 0,575200407150872 )