ABSTRACT
This descriptive pilot study evaluated the influence of health resource information education and the use of Web-based communication technology on the professional practice of the parish nurse in the congregational setting. Five parish nurse participants from varied denominations in rural and nonrural Virginia received a laptop computer, printer, video projector, and webcam along with high-speed Internet access in each congregational setting. The nurses attended two group education sessions that incorporated computer applications and training in accessing and using quality health information resources and communication applications such as a group "chat" software and webcam to communicate with others through high-speed Internet access. Qualitative analysis from semistructured interviews of nurses confirmed that participants found the project to be beneficial in terms of awareness, education, and applicability of technology use in parish nurse practice. Quantitative data from preproject and postproject surveys found significant differences in nurses' abilities and confidence with technology use and application. Findings showed that the knowledge and experience gained from this study enhanced parish nurse practice and confidence in using technology for communication, health education, and counseling.
Subject(s)
Community Health Nursing , Internet , Nurses , Religion , Computer User Training , Pilot Projects , VirginiaABSTRACT
The goals of this study were to develop a computer-based electronic screening tool (eScreening) and determine the feasibility of implementing eScreening for rural users of primary care. This descriptive pilot adapted existing screening measures for depression and alcohol abuse to a portable computer-based format and examined the feasibility of its adoption and use. This was a three-step design using convenience samples for (1) a focus group with providers, (2) usability testing with selected rural patients using the computerized touch screen, and (3) implementing the touch screen platform with a small sample in primary care to determine feasibility. This paper reports on Phase III, which assessed consumer response to eScreening.
Subject(s)
Depressive Disorder, Major/epidemiology , Depressive Disorder, Major/therapy , Electronics/methods , Mass Screening/instrumentation , Mental Disorders/diagnosis , Mental Disorders/epidemiology , Primary Health Care/statistics & numerical data , Rural Population/statistics & numerical data , Substance-Related Disorders/epidemiology , Substance-Related Disorders/therapy , Female , Humans , Male , Middle Aged , Surveys and QuestionnairesSubject(s)
Education, Nursing/history , Pastoral Care/history , Schools, Nursing/history , Baltimore , Christianity , Female , History, 19th Century , HumansABSTRACT
Despite attention to prevention and screening for depression and alcohol use, Healthy People 2010 objectives continue to include goals to increase the detection of depression and decrease the rates of alcohol abuse. These problems remain significant. The overall goal of this study was to develop a computer-based electronic screening (eScreening) tool and determine the feasibility of implementing computer-based eScreening technology for rural visitors to a primary care clinic. The study called specifically for an electronic touch screen with voice prompts. This tool, called the eScreening tool, screens for alcohol abuse and depression among rural patients in a primary care setting. The screening was offered to rural adults who are not in acute distress and not at end of life, regardless of their stated reason for seeking medical care. Phase 1 of the pilot was used to determine the perceptions of nurses, other providers, and consumers regarding the acceptability and perceived usefulness of an eScreening tool. Phase 2 involved user testing of the eScreening tool. The longer term goals of the research program are to work with rural nurses to improve patient outcomes and develop interventions and for educational, consultation, and/or direct clinical care.
Subject(s)
Mental Disorders/diagnosis , Mental Health Services/organization & administration , Primary Health Care/organization & administration , Feasibility Studies , Focus Groups , Humans , Rural Health Services/organization & administrationABSTRACT
The Global Nursing Exchange is a welcoming, unstructured environment that connects colleagues in deeper ways. Nurses from a variety of environments dialogue about what could be and how to create it. Discussions are affirming, confirming, and challenging, creating personal and professional growth and innovation.