The status of nursing information ability and its relationships with information consciousness and information anxiety in intern nursing students / 中国实用护理杂志

Objective:To explore the status of nursing information ability and its relationships with information consciousness, information anxiety in intern nursing students, provide basis for the cultivation of nursing information ability of intern nursing students.Methods:From December 2019 to January 2020,185 nursing students working as interns in Jinan Central Hospital Affiliated to Shandong University were surveyed by general information questionnaire, information anxiety questionnaire, information consciousness questionnaire and nursing information ability assessment scale.Results:The total score of nursing information ability of nursing students in practice was 111.6±19.7; nursing information ability was positively correlated with information consciousness ( r=0.358, P<0.001), and not related to information anxiety ( r=0.136, P=0.065); information consciousness had a predictive effect on nursing information ability( β=0.287, P<0.001), and information anxiety could moderate the relationship between information consciousness and nursing information ability ( β=0.175, P=0.011). Conclusions:The score of nursing information ability is above the medium level, while improving the nursing information ability through the development of information consciousness, and the information anxiety level of nursing students should also be paid attention to.

Aplicativos móveis em saúde: caracterização da produção científica da enfermagem brasileira / Mobile health applications: characterization of the scientific production of Brazilian nursing

O uso de dispositivos móveis por enfermeiros é crescente na área da saúde. Estudo bibliométrico que identificou o desenvolvimento de aplicativos móveis na produção científica brasileira stricto sensu na enfermagem por meio de buscas no Catálogo de teses e dissertações da Coordenação de Aperfeiçoamento de Pessoal de Nível Superior. Amostra com 24 estudos, sendo 19 dissertações de mestrado e 5 teses de doutorado. Temas variados, com predominância de estudos em terapia intensiva, saúde do adulto e idoso e ainda sistematização da assistência de enfermagem. Das produções, 16 (66,7%) tiveram foco assistencial, seis (25%) com foco educacional e duas (8,3%) com foco na gestão. Foi possível identificar que a enfermagem brasileira está avançando cientificamente no campo da tecnologia móvel e apropriando-se desse recurso para produzir aplicativos que trazem resultados que fortalecem a prática assistencial, a educação e a gestão em saúde, apesar de escasso em relação ao contexto de produção internacional.

The use of mobile devices by nurses is increasing in healthcare. This bibliometric study identified the development of mobile health applications in Brazilian stricto sensu master's and doctoral scientific production in the area of nursing, by searching the Coordination for the Improvement of Higher Education Personnel's (CAPES) Catalog of Theses and Dissertations. The sample consisted of 24 studies, of which 19 were master's dissertations and five were doctoral theses. The studies addressed a range of topics, with a predominance of studies on intensive care, and adult and elderly healthcare, as well as on topics such as systematization of nursing care. Of these productions, 16 (66.7%) were care-focused, six (25%) were education-focused and two (8.3%) were management-focused. It was possible to identify that Brazilian nursing is advancing scientifically in the field of mobile technology and is adopting this resource to produce applications with outcomes that strengthen healthcare practice, education and management, although these applications remain scarce in relation to the context of international production.

Building and application of a smart nursing interactive system / 中华医院管理杂志

This nursing interactive system, based on hospital information system, minimizes manual repetitions of nurses and their cross-space communication problems. It provides an accurate and intuitive information display and communication channel for clinical nursing care, which can also provide a preliminary evaluation of its application effects. On such basis, the authors propose that building such a system is a necessity in nursing informationization, as it elevates nursing efficiency, scientific management and patient safety.

Development and application of closed-loop execution system of drainage-tube / 中国实用护理杂志

Objective Through the design and application of the closed-loop drainage system,the whole process data is extracted from the clinical nursing information system,and the data tracking and quality management of the whole process node are carried out.Methods From October 2015 to February 2017,during the clinical application,the total number of drainage tube closed-loop data was 117 625,the whole process from the drainage tube placement to extubation could be traced,unified the name of drainage tube,statistics days by artificial to information,saved the time of nursing staff,improved the accuracy of channel statistics.The WeChat questionnaire was designed to investigate the satisfaction of nurses on the closed-loop executive system of drainage tube by using the Likert five scale.Results After improvement,saved the time for nursing staff,nurses from the original manual statistics,per capita spent 10 minutes a day to now the computer automatically crawl.After the implementation,nurses thought that the drainage tube assessment more effective overall satisfaction for(4.32±0.99)points;unplanned extubation of patients reporting process more convenient overall satisfaction for(4.22±0.80)points;application of the system more simple and more effective management overall satisfaction respectively for(4.35±0.73),(4.35±0.74)points.The transfer time was(7.85±5.10)minutes before the implementation and(4.53±3.98)min after the implementation,there was significant difference(t=5.68,P＜0.05).The color of drainage tube number was 309.3±204.8,the number of characters was 3020±1 097.Conclusions The establishment and development of drainage tube closed-loop execution system provide a reliable factual basis for clinical medical diagnosis decision;at the same time,the clinical term in classified,the description of the color and character of the drainage-tube has tended to be centralized and unified;improve the work efficiency and patient safety;the quality management system based on process management is generally effective.

Research and application of patient satisfaction information system / 中国实用护理杂志

Objective To establish and apply the statistical information system of patient satisfaction, improve statistical work practice of patient satisfaction. Methods Developed the patient satisfaction research statistic information system which was generated by authority, security settings, the correction and collection of the patient questionnaire, multi-dimension statistics and a copy of data and statistics form through the content and data demand of nursing job satisfaction questionnaire. The system would count up the satisfaction from the whole hospital, every department, every dimension and every item as well as the unsatisfaction item and developed the statistic comparison chart automatically. Results After the formal operation for 6 months, the input time data of patient satisfaction statistic information system decreased from 2.0 days to 0.5 days, the statistic time decreased from 2.0 days to 0.5 days, which saved 6 statistic workers and 3 computers. Conclusions The patient satisfaction statistic information system improves the efficiency and accuracy of data collection dramatically, avoid the waste of human and material resources, achieve the function that data can develop the charts automatically and multi-dimension statistic, which provide the data support for the nursery management work.

Experiencias de enfermeros con educación a distancia: una visión sobre las dimensiones interacción y autonomía / Nurses' experience in distance education: an overview on the dimensions of interaction and autonomy / Experiências de enfermeiros na educação a distância: um olhar sobre as dimensões interação e autonomia

Estudo de caso de abordagem qualitativa que buscou analisar as experiências de enfermeiros na modalidade a distância nas dimensões interação e autonomia. Realizaram-se entrevistas semiestruturadas com 13 enfermeiros de uma Instituição de Ensino Superior em Minas Gerais, entre dezembro de 2014 e fevereiro de 2015. Utilizou-se da Análise de Conteúdo como técnica de análise. Verificou-se que a interação foi destacada por meio dos componentes diálogo e estrutura. O diálogo aconteceu, predominantemente, entre os próprios estudantes e na perspectiva da socialização e do aprendizado colaborativo. Quanto à estrutura, constatou-se a concepção de alta estruturação e o controle favorecidos pela maximização do aparato tecnológico. Na dimensão autonomia, o aprendizado se deu em rede e de forma colaborativa, potencializados pelas características: flexibilidade de horários/tempo/deslocamento, redução de custos e a decisão pela busca do aprimoramento. Conclui-se que a enfermagem tem encontrado na Educação a Distância possibilidades de avanços no conhecimento, entretanto a interação e autonomia necessitam serem maximizadas nestas experiências (AU).

This was a case study with a qualitative approach that aimed to analyze nurses' experience in the distance education modality focusing on the dimensions of interaction and autonomy. Semi-structured interviews were carried out with 13 nurses in a Higher Education Institution in Minas Gerais, from December 2014 to February 2015. Content Analysis was used as technique of analysis. It was found that interaction was made possible through the components of dialogue and structure. Dialogue took place mainly among students themselves and in the context of socialization and collaborative learning. Regarding structure, the study found the evidence of high structuring and control made possible by the maximization of the technological apparatus. In the dimension of autonomy learning took place through networking and in a collaborative way, enhanced by the following features: Time/displacement flexibility; reduced costs; and the decision to search for improvement. This study found possibilities of advancing knowledge in Distance Education, though interaction and autonomy need to be maximized in these experiences (AU).

Estudio de caso, abordaje cualitativo, buscando analizar experiencias de enfermeros en aprendizaje a distancia respecto de dimensiones interacción y autonomía. Se realizaron entrevistas semiestructuradas con 13 enfermeros de Institución de Enseñanza Superior de Minas Gerais, entre diciembre 2014 y febrero 2015. Se aplicó técnica de Análisis de Contenido. La interacción fue destacada por sus componentes diálogo y estructura. El diálogo se dio, fundamentalmente, entre los propios estudiantes, en perspectiva de socialización y aprendizaje colaborativo. Respecto a la estructura, se constató concepción de alta estructuración y de control, favorecidos por maximización del aparato tecnológico. En la dimensión autonomía, el aprendizaje se realizó en red, de manera colaborativa, potenciado por las características: flexibilidad de horarios/tiempo/desplazamiento, reducción de costos y decisión de búsqueda de mejoramiento. Se concluye en que la enfermería encuentra en la Educación a Distancia posibilidades de avances del conocimiento, en tanto interacción y autonomía sean maximizadas en la experiencia (AU).

Bibliometric analysis of domestic Nursing Information System from 2009 to 2013 / 中国实用护理杂志

Objective To analyze the trend of nursing information system(Nursing Information System,NIS) and contemporary situation,so as to provide a reference for the further development of NIS in China.Methods Based on China Academic Journal Network Publishing Database,Wanfang database and VIP Chinese academic periodical database,retrieval published NIS literature from 2009 to 2013 in China.Seven aspects were analyzed:time,areal distribution,cooperative rate,authors,institutions,periodicals and keywords.Results There were 438 articles from 128 published journals,47.9％ papers were in the statistical source journals.Research content mainly involved clinical nursing and nursing management.Conclusions NIS research has achieved great development in the past 5 years,but the researches should be strengthened in breadth and depth.

User Satisfaction of Nursing Information System / 대한의료정보학회지

OBJECTIVE: User satisfaction of nursing information system and its user interface were measured in the S general hospital which new electronic medical record system had been introduced to. The new system had been developed based on nursing job's analysis. METHODS: 487 nurses who were working in the S hospital joined to survey through QUIS (Questionnaire for User Interface Satisfaction) about satisfaction of system they used. There were 4 categories-convenience, rapid response, content/configuration, accuracy of information. Those 4 categories were used analytical factors to know how the users were satisfied with its interface and function through the selected 13 system interfaces. RESULTS: With 9 scales of satisfaction score, we measured the satisfaction that the hardware provided. Terminology and system information got the highest score, and user friendly interface, easiness of learning, system performance in high score order. As like as above, we defined 5 scales of user interface satisfaction score. Content, configuration, information accuracy, convenience, rapid responses were identified as analytic categories. With interface satisfaction aspect, the pages which were reconfigured from physician order page to nurse interface got the highest score. And content and page configuration were acknowledged as the highest place. CONCLUSION: This study showed the nurses were satisfied with nursing information system. Also the trend of system development can be revealed.

The Effects of Nursing Information System on the Nursing Job: Focused on Direct and Indirect Nursing Time, the Number of Cases and of Patient's Treatment Fees / 대한의료정보학회지

The purposes of this study were to identify the effects of the Nursing Information System on time of the direct and indirect nursing activities, the frequencies of verbal and telephone order, the number of cases and patient's treatments fees before and after NIS. 10 nursing units in the S.N.U.H. were se lected. The data were colle cted for 6 month prior and pa st to NIS. The frequencies of verbal and telephone order were reported from staff nurses for 3 days. The numbers of cases and fees of patient's treatments were taken for 3 month before and after NIS. The results of this study were as follows: 1. 66.9% of participants said direct nursing activities were increased. Any changed nursing performances were patients education, nursing rounds, care of patient's hygiene, care for patient's movements, oral and tracheal suctioning, changing position, and feeding. 2. The difference of amount of time of dir ect and indirect nursing activities 1)There was 14 minutes increase indirect,4 minutes decrease in indirect. 2)NA's activities we re increased by 30minute in direct, decreased by 16 minute in indirect. 3. The frequency of telephone order decreased 16 and verbal order decreased 46 per day. 4. The difference of the number of patient treatment case before and after NIS was increased 9,907 per 3 months and of fees for patient treatment was increased 797,811,067 won per 3 months.

Validation of Nursing Diagnosis and Intervention Management System based on Medical Diagnosis and Standardized Nursing Classffications / 대한의료정보학회지

The nursing process, composed of diagnosis, intervention and outcome, is practical and scientific approach. In addition, many studies on the nursing process have been performed. However, the nursing process has not applied to clinical fields. Therefore, we developed a nursing information system that supports nurses nursing diagnosis and intervention management. This system provides expected nursing diagnoses and interventions for subjective patients automatically so that nurses can make more accurate diagnoses and perform more adequate interventions. For that purpose, we have analyzed the relations of medical diagnoses and standardized nursing classifications and developed the outputs into a database system. In this study, we performed clinical tests for the system and verify the usefulness of the system with case database accumulated through the tests. We expect the system can be used in many hospitals efficiently after some upgrade based on the results of this study is completed.

The Effect of Nursing Information on the Women's Emotional Adaptation Undergoinga Hysterectomy / 여성건강간호학회지

The purpose of this Quasi-experimental design was to assess the effects of a hysterectomy on women's emotional response and ultimately, to develop a nursing protocol recommending nursing education for women undergoing a hysterectomy. The subjects at D university hospital receiving a hysterectomy,( for benign gynecological disease) were invited to participate in the study. Subjects who agreed to participate were allocated into control or experimental groups. Each group consisted of 30 women. The subjects emotional adaptation was surveyed through mood questionnaires. The data were analyzed using SAS program. The findings of the study are as follows: In the post test, the "experimental group" reported higher emotional adaptation than the "control group". Between pre and post testing, the "experimental group" showed significant improvement in emotional response; the "control group" did not. In conclusion, allocating nursing information to women both before and after undergoing a hysterectomy was confirmed as an effective nursing intervention for promoting women's emotional adaptation. Therefore, we propose a nursing protocol should be adapted recommending nursing education for women undergoing a hysterectomy.

Contents Development of Nursing Information Network / 대한의료정보학회지

There is no nursing information network related to nursing research, clinical test, drug, and law, although primary responsibility is on nurses about medication, and clinical laboratory test such as blood sampling. Majorities of education for nurses on medication and clinical laboratory test are not systematic, and education on medical law that can be protect nurses' right is very limited. Therefore, information exchange and communication among clinical nurses is required to expand nursing knowledge and professionalism. This study was conducted to develop nursing information contents on nursing research trend, drug, clinical test, nursing law, and medical atlas. Those can fulfil the nurses' informational needs. As a result of contents development, nursing information site was constructed that can offer all nursing related informations using direct link services. In this site, nurses can integrate informations on nursing research, nursing education, and nursing practice systematically with diversity.

New Approach for Improving Quality of Nursing Profession: nursing information services in cyberspace-Nurscape(R) / 대한의료정보학회지

An Internet portal site Nurscape(R) for professional nurses was developed and evaluated. CyberNurse an interdisciplinary team of nursing academic faculty, physician and vendor personnel played an important role as an advisory committee for system design and content provision. The Nurscape(R) site was developed through the systematic approach of interaction among the CyberNurse, contents team, and technical team. Three approaches were used for a formative evaluation; 1) system evaluation including user testing and technical testing, 2) focus group survey for contents evaluation, and 3) analysis of the users' characteristics using the user registration information. Based on the data collected from the three different Internet environments (LAN, ADSL, Modem), it was found that the average access time and network status showed the corresponding differences in the latency of the network tested, but have been steady and consistent to use. And from the group survey some operational issues were found. In the user analysis the 20-30 generation nurses covered 94% of user, and clinical nurse working in the hospital and student nurse were active information seeking groups in Internet. However special nurse such as public health and home health nurse was the main group in community health area.

The Changes in the Work Patterns of Nurses after Implementation of an Information System in Tertiary Hospitals in Seoul / 기본간호학회지

PURPOSE: The purpose of this study was to analyze changes in the work patterns of nurses working in tertiary hospitals in Seoul, Korea. METHOD: Structured self-administered questionnaires were sent to the nursing department of each hospital, and distributed to nurses. The questionnaires were designed to identity changes in work patterns, frequency of contact inside & between departments, and interpersonal relationship inside & between departments. And also variables for analysis included the followings; acknowledgement of convenience, information applicability, willingness to participate in, and job satisfaction after implementation of a Hospital Information System. A total of 249 nurses from 13 hospitals replied. RESULTS: Changes in direct nursing time showed the most improvement and the frequency of contact was decreased while interpersonal relationships among coworkers was improved. As most nurses expressed a positive opinion of the HIS including its convenience, and information applicability, their willingness to participate in it and job satisfaction, it can be concluded that the implementation of the HIS has resulted in positive influences in the work patterns of clinical nurses.

Construction And Evaluation Of A Point Of Care Computer System (Pccs) To Improve The Efficiency Of A Nursing Information System / 대한의료정보학회지

The purpose of this study was to construct an effective point of care computer system (PCCS) to improve bedside nursing care and integrate it into a nursing information system. The study was based on the System Development Life Cycle. We preliminarily investigated user demands of a Nursing information system (NIS) and then proceeded on to the PCCS Design and Development. At the analysis stage, the nursing units of four general hospitals in the Seoul and the Kyongin areas were compared with G hospital. Sub-programs of the PCCS were customized for G hospital's system. At the PCCS Design stage, a nursing information flowchart was constructed and contents to be used by each PCCS sub-program were selected. At the PCCS Development stage, PCCS sub-programs were developed using the Visual Basic. Fifty-three nurses of six nursing units who used PCCS (on a wireless notebook computer) responded to the questionnaire 3 months after they started using the system. The results of the evaluation were positive. It is believed that this study helped to improve patient service and the efficiency of nursing units in providing bedside nursing care.

Impact of Applying "Nursing Process Program" to Nursing Practice: Based on I.C.U. Nursing Practice / 기본간호학회지

This study was done to identify the effectiveness of applying a "Nursing Process Program" to the nursing students' clinical practice. The data collection period was from September 2000 to January 2001, and the subjects of the study were 39 students who were doing clinical practice in the ICU. The results are as follows; 1. Most subjects had a personal computer, had experience in using computers for one year and usually did word processing and internet, and wanted computerization of nursing work. The average results of the questions on the need for, and the effectiveness of applying a "Nursing Process Program" to clinical practice were, on five point scales, 4.07 and 4.21 respectively . 2. There were no significant differences in the mean scores for subjects' attitudes toward computers and computer anxiety between before and after using a "Nursing Process Program". 3. The total case study frequency using a "Nursing Process Program" was 68, and "Risk for infection" was the most frequent nursing diagnosis.

A Survey Study of Nursing Information Systems Implementation in Korean Hospitals / 대한의료정보학회지

This study was conducted to explore the status of nursing information systems implementation in Korean hospitals. Structured questionnaires were mailed to the 411 hospitals with more than 80 beds. Data were tabulated using descriptive procedure. Out of 411 hospitals, 116 hospitals replied. Out of 116 replied hospitals 114 hospitals indicated that they have some kind of hospital information system implemented. 86 hospitals have computerized their outpatient care management system and 84 hospitals have computerized their inpatient care management system. And 70 hospitals replied that they have some form of nursing information systems. Most components in the nursing information system are the ones related to other department with only a few nursing specific tasks being computerized. Order communication system was ranked the first as a task to be computerized with nursing history. nursing record. nursing care plan, daily report following. Nursing department of the sixty hospitals reflect their input in nursing information system development by participating a hospital wide adhoc committee. And 32 hospitals have their own committee to discuss issues related to nursing information system development. Eleven hospitals reported that they have nurse information and 17 hospitals have dispatched nurses to the information department. And 25 hospitals said that they are not involved at all in nursing information system development. Sixty-two hospitals indicated that the N have some form of computer education programs for nurses: 28 have regular in-service education programs 34 have irregular in-service education programs: and 29 have education programs for the newly employed.

Standardization and Validity study of Korean Nomenclature of NOC / 성인간호학회지

The purpose of this study was to develop and test the validity of the standardized Korean nomenclature of Nursing Outcomes Classification (NOC), developed by Johnson &Maas at the University of Iowa. The four phases of the study were: (1) translation of the NOC into Korean by the research team, (2) four nursing professors and eight nurses with various clinical backgrounds reviewed each nomenclature taking into consideration definitions and nursing activities. The modified Delphi method was used to determine the most appropriate nomenclature for each term; (3) Twenty four academic and clinical experts in nursing were given a questionnaire to rate each Korean nomenclature using a 5 point Likert scale ranging from very inappropriate to very appropriate; (4) the team determined the most appropriate Korean nomenclature for each class of the NOC. The mean validity score of 190 items was 4.54, but several nursing outcome had a score lower than 4.0. They included 'adherence behavior(3.3)', 'ambulation : walking(3.57)', 'transfer performance (3.57)', 'caregiving endurance potential(3.57)'.

Standardization of Nursing Documents for Special Nursing Units / 대한의료정보학회지

The purpose of this paper is to introduce standardization activities of nursing documentation for special nursing units following standardization efforts for general nursing units last year. Modified Delphi approach with expert panel was used to identify essential nursing documents and data set for each units. Expert panel was consisted of head nurses or charge nurses of each special nursing unit from 8 tertiary hospitals with more than 500 beds in Seoul. the secretary-general of Clinical Nurses Association and a faculty of College of Nursing. The exiting nursing forms of seven special nursing units, which include Emergency room, Intensive care unit, Operating room, Respiratory intensive care unit. Delivery floor. Nursery and Dialysis room, were analyzed and prototypes of the standard nursing forms and guidelines were developed. The clinical field test was done with the help of Clinical Nurses Association. At the field test 3.744 clinical staff nurses from 20 tertiary hospitals with more than 500 beds in Korea were involved and provided feedback. Finally public hearing was held and more than 600 nurses from 116 hospitals attended and provided feedback. Through these process consensus of nursing community was attained for standard documents and data items. The result is available at http://nursing.snu.ac.kr/standard/ through internet.

Development of Mobile Nursing Information System with PDA: MobileNurseTM / 대한의료정보학회지

In this study, we developed MobileNurseTM; a prototype of mobile nursing information system using PDA. MobileNurseTM is designed to communicate with hospital information system(HIS) via mobile support station(MSS) which interchanges and stores clinical data. MobileNurseTM consists of 3 components. The first component is medical order checking module. It enables nurses to retrieve patients' information such as physicians' orders and test results at anywhere or anytime. The second component is nursing recording module which helps nurses to record the results of their practices at bedside. On the autosynchronization of MSS and PDA, the data in PDA and MSS can be interchanged and updated respectively. The last component is nursing unit care planing module. It is helpful for retrieving the nursing care plans of patients that are expected to be done, such as patients' discharge, consultation, or transfer. With use of PDA in clinical environment, nurses can spend more time on caring for patients by reducing time-consuming, redundant paperwork. It is promising that this 'point-of-care system enables nurses to improve the quality of nursing care.