COVID-19 reveals the urgent need to strengthen nursing informatics competencies: a view from Peru.

The COVID-19 pandemic requires an urgent action to transform health-care delivery and to promote research and capacity-building nursing programs. Specifically, many countries at the global level have described nursing informatics as an essential competence for nurse professionals. In Peru, nursing personnel represents the largest health workforce group and nursing informatics is still emerging, but the field appear to hold much promise. In this sense, the Peruvian Ministry of Health (MoH) defined in 2020 the core nursing competences, which included a technology and innovation domain. The competence established to apply scientifically based technology and innovation to improve the processes or health service resources. The minimum competencies established by the MoH were as follows: to carry out innovations in processes or resources in their different professional performance areas, to creatively adapt technology in different areas of professional performance, to make rational and ethical use of health technologies with focus on new developments that will be evaluated and applied critically, and to manage information and communication technologies, and health information systems, with emphasis on telehealth (i.e. telemedicine, telecare management, tele-education, and tele-training). Besides the nursing competences defined by the MoH is a good starting point, this special contribution discusses the urgent need to strengthen nursing informatics competencies in Peru.

Adopting Open Educational Resources in a Nursing Informatics Course: An Evaluation of Student Performance and Course Satisfaction.

BACKGROUND: Open educational resources (OERs) provide many benefits in nursing education, such as continuously updated course content and textbook cost savings. PURPOSE: The purpose of this study was to determine the effectiveness of OER adoption by analyzing final course grades (to measure student performance) and course evaluations (to measure student satisfaction) in an online nursing informatics course in an RN-BSN completion program. METHODS: This study used a quantitative, retrospective design to compare course grades and student course satisfaction between an OER-based (n = 70) and textbook-only (n = 73) nursing informatics course. RESULTS: A Mann-Whitney U test revealed a statistically significant difference in mean course grades (P = .03, r = 0.18) for the OER group. There were no differences in course satisfaction between the textbook and OER groups (P = .41, r = 0.18). CONCLUSION: The results showed that courses designed with OER content can improve student performance in nursing informatics while maintaining course satisfaction.

A Virtual Nursing Journal Club: Bridging the Gap Between Research Evidence and Clinical Practice.

Creating a nursing journal club is an initiative to promote nurses' use of best evidence in practice. A virtual nursing journal club (VNJC) was implemented in a Magnet-designated, midsize community hospital. The VNJC fostered nurses' reading nursing research studies and subsequent interaction with other nurses. The VNJC's formation, implementation, and evaluation are described. Quantitative and qualitative research critique items and an evaluation form are included that are essential to the site's ongoing processes.

A Systems-Level Method for Developing Nursing Informatics Solutions: The Role of Executive Leadership.

Nursing leadership can play an essential role in the development of nursing informatics solutions by virtue of their broad understanding and oversight of nursing care. We describe a systems-level method for creating nursing informatics solutions with clearly defined structure and leadership from nursing executives. Based on the guiding principles of clear lines of responsibility, respect for expertise, and commitment to project aims, this allows nursing executive leadership to organize, set up, and own the development of nursing informatics solutions.

Informe sobre necesidades de formación en nuevas tecnologías de los enfermeros militares / Report on training needs in new technologies for military nurses

ANTECEDENTES: En los últimos años, la Sanidad Militar ha ido incorporando diferentes innovaciones tecnológicas para mejorar la calidad y la eficiencia asistencial y resolver las necesidades sanitarias, tanto de los centros de la Red Hospitalaria Militar como de las Unidades Sanitarias desplazadas. El enfermero militar ha tenido que adaptar su forma de trabajar a las características de los nuevos sistemas, por lo que debe desarrollar nuevos conocimientos y competencias, con la formación tecnológica adecuada y los recursos y dispositivos necesarios y más actualizados. OBJETIVOS: Hacer un sondeo sobre la formación tecnológica de los enfermeros militares y los medios de los que disponen y descubrir los problemas que se encuentran. METODOLOGÍA: Encuesta a 33 enfermeros destinados en diversas unidades de las Fuerzas Armadas sobre los medios tecnológicos de los que disponen y la formación recibida. RESULTADOS: Existen equipos y sistemas obsoletos y deficiencias en la formación de los enfermeros

ANTECEDENS: In recent years, the Military Health has been incorporating different technological innovations to improve the quality and efficiency of care and to solve the health needs of both the centers of the Military Hospital Network and the displaced Health Units. The military nurse has had to adapt his way of working to the characteristics of the new systems, so he must develop new knowledge and skills, with the appropriate technological training and the necessary and most updated resources and devices. Objectives: To carry out a survey on the technological training of the military nurses and the means at their disposal and to discover the problems that are found. Methodology: Survey of 33 nurses assigned to various units of the Armed Forces about the technological means available to them and the training received. Results: There are obsolete equipment and systems and deficiencies in the training of nurses

What Nurses Need to Know About Cybersecurity.

It's all part of protecting patients, and vigilance is key.

[Establishing a Nursing Informatics System to Improve the Completion Rate of Computed Tomography Simulation With Contrast Injection].

BACKGROUND & PROBLEMS: Problems that influence the safety and quality of the patient-positioning process during computed tomography (CT) simulation with contrast injection include: 1) inconsistent and incomplete procedures performed by medical staffs, 2) poor prevention of developer leakage and handling of side-effects, and 3) the lack of a standardized protocol. Desire to improve this situation encouraged us to do this project. Adverse events during CT simulation with contrast injection procedures are largely attributable to the lack of a standardized nursing informatics system, with other causes including nurses incorrectly performing allergy history assessments, incorrect communications with the doctor due to verbal orders given by phone, failure to perform proper patient identification and intravenous catheterization procedures, lack of assessment and knowledge about contrasts, lack of guidelines for warming contrast in the incubator, and lack of oxygen and sputum suction equipment. PURPOSE: To improve the rate of completion of CT simulation with contrast injection procedures from 65% to 95%. RESOLUTION: This project was conducted between April 2016 and December 2016. Our strategy included establishing a nursing informatics system for the CT simulation with contrast injection process. This system included a standard patient-identification procedure, protocol for the correct placement of intravenous needles, standard specifications for the using an incubator with contrast, installation of oxygen and sputum suction equipment, and implementation of a nursing education and training program. RESULTS: This project with associated strategies improved CT simulation with contrast injection completion rates in all domains from the original 65% to 95% at the end of the project period. CONCLUSIONS: This project improved significantly the completion rates of the CT simulation with contrast injection process. We want to share this experience to help other hospitals and to improve patient safety and quality of care.

La aplicación del proceso informático de enfermería: revisión integradora / A aplicação do processo de enfermagem informatizado: revisão integrative / The application of computerized nursing process: integrative review

Objetivo: Identificar en la literatura la evidencia del proceso de enfermería (PE) que se aplica al software. Metodología: Una revisión integradora, la búsqueda se realizó en las bases de datos PubMed, Lilacs y CINAHL y búsqueda inversa en el período de 28 de agosto al 09 de septiembre de 2016. Se utilizaron los descriptores enfermería, proceso de enfermería, sistemas de información en hospital, informática médica, aplicaciones de informática médica, informática en salud pública e informática aplicada a la enfermería. Muestra de 23 artículos. Resultados: Hubo un aumento en la producción a partir de 2000, la mayor parte se originó en Brasil, se caracterizaron por estudios descriptivos. Nos mostraron dos categorías de análisis: el desarrollo y uso del software. La mayoría de las publicaciones contemplan todas las etapas del PE, dos mencionan la teórica y tres utilizan el sistema para las dimensiones de atención y gestión. Las taxonomías utilizadas fueron CIPE, NANDA, NIC, NOC. Conclusión: El uso de software con el PE fortalece la práctica basada en la evidencia y consolida la enfermería como ciencia (AU)

Objetivo: Identificar na literatura evidências sobre o processo de enfermagem (PE) aplicado à softwares. Metodologia: Revisão integrativa, busca realizada nas bases de dados PubMed, LILACS e CINAHL e busca reversa, no período de 28 de agosto a 09 de setembro de 2016. Os descritores foram enfermagem, processo de enfermagem, sistemas de informação hospitalar, informática médica, aplicação de informática médica, informática em saúde pública, e informática em enfermagem. Amostra composta por 23 artigos. Resultados: Houve aumento nas produções a partir de 2000, a maioria das publicações originada do Brasil e caracterizados por estudos descritivos. Evidenciou-se duas categorias de análise: desenvolvimento e utilização de softwares. A maioria contemplava todas as etapas do PE, dois citam o referencial teórico e três utilizam o sistema para as dimensões assistencial e gerencial. As taxonomias utilizadas foram a CIPE, NANDA, NIC, NOC. Conclusão: o uso de softwares com o PE fortalece a prática baseada em evidência e consolida a enfermagem como ciencia (AU)

Objective: To identify in the literature evidences about the nursing process (PE) applied to software. Method: Integrative review, search performed in PubMed, LILACS and CINAHL databases and reverse search, from August 28 to September 9, 2016. The descriptors used were nursing, nursing process, hospital information systems, medical informatics, medical informatics application, public health informatics, and nursing informatics. The sample consisted of 23 articles. Results: There was an increase in productions from 2000, most of the publications originated in Brazil and characterized by descriptive studies. There were two categories of analysis: software development and its usage. Most contemplated all stages of the NP, two cite the theoretical reference and three use the system for the assistance and management dimensions. The taxonomies used were ICNP, NANDA, NIC, NOC. Conclusion: the software’s usage with the EP strengthens evidence-based practice and consolidates nursing as a science (AU)

¿Blogosfera enfermera? / Nurse blogosphere?

La irrupción de Internet ha transformado la sociedad actual y la enfermería no puede estar de espaldas a esta realidad. Hoy día, para adquirir conocimiento se recurre a smartphones, tabletas, etc. Existe una corriente de enfermeras que decidieron crear y compartir conocimientos a través de los blogs, para lo que crearon lo que se conoce por Blogosfera Enfermera. El objetivo principal de este artículo es conocer la utilidad de esta Blogosfera Enfermera y mostrar alguno de los blogs que la conforman. Un blog es un diario web que permite la interacción con los lectores. Esto supone una serie de beneficios tanto al profesional como a la profesión en sí. Existe una interacción natural entre los blogs y las redes sociales (RRSS) con el fin de difundir el conocimiento y generar interacción. La inmediatez y el alcance de las RRSS y blogs hace que se pierda el control de lo que se publica, por lo que hay que seguir una serie de precauciones y requisitos a la hora de difundir o compartir contenido a través de ellos. Cuando se publica en un blog, como enfermera, se actúa como referente en el ámbito de la sanidad, por lo que la responsabilidad es mayor. Se debe ser escrupuloso en la selección y fuentes del contenido. Un blog tiene infinidad de ventajas, pero, si se opta por escribir uno a nivel profesional, hay que hacerlo desde el rigor científico, el respeto a los demás y la protección de información confidencial (AU)

The emergence of Internet has transformed society. Smartphones and tablets are used to acquire new knowledge and nursing cannot turn its back on this reality. A sector of nurses has decided to create and share knowledge through blogs, creating what is known as nurse blogosphere. The main objective of this article is to determine the usefulness of the nurse blogosphere and exemplify it with some blogs that comprise it. A blog is an online log that allows for interaction with readers. This entails a number of benefits, both for nurses and the profession itself. There is a natural interrelation between blogs and Social Networks, spreading knowledge and generating interaction. The immediacy and reach of blogs and Social Networks defies control over what is published, therefore certain precautions and requirements must be followed when spreading or sharing content through them. When a nurse publishes a post in a blog, she acts as benchmark within the health field; therefore, responsibility is bigger. The selection and sources of content should be carefully chosen. A blog has numerous advantages, however choosing to write one at professional level must imply scientific rigour, respect for others and protection of confidential information (AU)

Computerization of a Nursing Chart According to the Nursing Process.

The benefits associated with the computerization of clinical records are known since a long time ago. Documentation evolution from paper to electronic format aims to always improve communication, reduce errors and facilitate continuity of care. Ideally when improvements to nursing records are contemplated, they should consider the nurses needs, new functionality workflow impacts and correspondence with representation models of standardized data that are specific to their domains practices. The aim of this study was to describe the development and implementation of computerized nursing record at Hospital Italiano de Buenos Aires.

Nursing Telehealth, Caring from a Distance.

Tele-technology in the health care system is prognosed to be able to produce better health, better care at lower cost (Triple aim). This paper will discuss the validity of this prognosis, which in many ways is considered as some sort of diagnosis of the conditions concerning triple aim in relation to Tele-technology. Tele-technology in the health care system covers three different types of technological settings: telecare, telehealth and telemedicine. This paper will disclose the different meanings of telecare, telehealth and telemedicine and discusses how nursing informatics can accomplish and gain from this disclosure. Theoretically and methodologically the paper is based on post-phenomenological readings and reflections, where use, practice, users, participants, values and knowledge systems are addressed on an equal level in order to understand technology and how we act appropriately through and with technology.