Sistema informatizado de Valoración Enfermera de la Urgencia Pediátrica en Atención Primaria VEUPAP y su enlace a la historia clínica informatizada de atención primaria / Computerized Nurse Assessment System for Pediatric Emergency in Primary Care VEUPAP and its link to the computerized medical record of primary care

OBJETIVO: Implementación informática del sistema de Valoración Enfermera de la Urgencia Pediátrica en Atención Primaria (VEUPAP). DISEÑO: El desarrollo de la aplicación informática de VEUPAP siguió las siguientes fases: 1. Diseño de salidas y entradas al sistema necesarias para asegurar esas salidas. 2. Programación de los algoritmos y vínculos de enlace a partir de las entradas de datos para obtener las salidas de información esperadas. 3. Obtención de versión tentativa del VEUPAP informatizado, puesta a punto y prueba piloto de su funcionamiento con las modificaciones y ajustes hasta lograr su versión definitiva. RESULTADOS: VEUPAP en versión informática para ordenador personal en entorno operativo Windows Microsoft NT Professional, con la visión general de los campos de valoración que lo conforman, especificidades de entradas de cada campo e informe clínico tipo de salida. CONCLUSIONES: VEUPAP computarizado con incorporación a la historia clínica informatizada de Atención Primaria hace transparentes y accesibles todos los datos del proceso de la actividad clínica enfermera en cuidados pediátricos urgentes, permitiendo que sean conocidos y puedan ser empleados por todos los profesionales de la atención primaria. La huella de información generada por VEUPAP permite seguir su evolución y valorar su impacto en el manejo enfermero de las urgencias pediátricas en atención primaria, con la consiguiente evaluación de la posibilidad de su extensión a nuevos campos. La implementación de VEUPAP automatizado en la práctica diaria permitiría protocolizar y desarrollar áreas de atención enfermera finalista e incorporar sistemas taxonómicos enfermeros que, en función de la prioridad asignada y considerando el diagnóstico concreto del paciente, posibiliten gradar las intervenciones específicas que permitan alcanzar los resultados óptimos en cuidados enfermeros esperados

OBJECTIVE: Design of the informatic version of the VEUPAP system (Nurse Pediatric Emergency Assessment of Primary Care). DESIGN: The development of computer application VEUPAP followed three stages: 1. Design outputs and inputs necessary to the system to ensure those outings. 2. Data entry procedures and their programming algorithms to obtain the expected outputs. 3 Getting initial computerized version for VEUPAP, its set-up and pilot proof with modifications and adjustments to achieve final version. RESULTS: Automatized VEUPAP on personal computer with Microsoft Windows NT Professional operating system, with a general overview of the fields that comprise valuation, specificities of entries in each field and clinical report type output. CONCLUSIONS: Computerized VEUPAP linked with clinical history of primary care allows that all data process of nurse clinical activity in urgent pediatric care be transparent and accessible, allowing be known and be used by all professionals in primary care. The footprint of information generated by VEUPAP allows monitor progress and assess their impact on the nursing management of pediatric emergencies in primary care, with subsequent evaluation of the possibility of its extension to new fields. The implementation of automated VEUPAP in daily practice allows to develop areas of care nurse finalist and incorporate nursing taxonomic systems, depending on the assigned priority and considering the specific diagnosis of the patient, enable to graduate specific interventions to achieve optimal results in nursing care

Evaluation of digital vaccine card in nursing practice in vaccination room.

OBJECTIVE: develop and evaluate a vaccine application for mobile devices, with update integrated with the National Immunization Program Information System, for care in vaccination rooms. METHOD: methodological research based on the Pressman System Development Life Cycle theory developed in three stages: integrative literature review, computational development, and application evaluation. The product was evaluated as to satisfaction, using a validated questionnaire, and as to usability by the System Usability Scale. RESULTS: the application functionalities were based on the survey of technological Innovations on immunization, published in the scientific literature. It displays user vaccines directly from the National Immunization Program Information System, notifies about upcoming vaccines, and enables the inclusion of vaccine cards of dependents. The evaluation resulted in users' mean score of 90.5 ± 11.1 and health professionals' mean score of 84.2 ± 19.4. CONCLUSION: the application is a technological tool with potential to improve the work process in vaccination rooms and to reach the goals of vaccine coverage. It synchronizes data with the National Immunization Program Information System, thus enabling the maintenance of people's vaccination history.

Mobile technologies in the Nursing area.

OBJECTIVE: To identify in the literature studies on mobile technologies in Nursing. METHOD: Integrative literature review in which was used the Population, Interest and Context (PICo) strategy, the tool of the National Library of Medicine for formulation of the research question, and search without a determined period of time in the following bibliographic databases: Medical Literature and Retrieval System onLine/PubMed®), Cumulative Index to Nursing & Allied Health Literature (CINAHL), SCOPUS (Elsevier), Latin American and Caribbean Literature in Health Sciences (LILACS) and Nursing Database (BDENF). Data collection period was from January to March 2017. RESULTS: Fifteen articles were selected, in which were addressed mobile technologies in Nursing for nurses, undergraduate students and patients. CONCLUSION: Mobile technologies in Nursing are a recent theme and enable care data sharing, experience acquisition by undergraduate students and patient empowerment.

Mobile technologies in the Nursing area / Tecnologías móviles en el área de Enfermería / Tecnologias móveis na área de Enfermagem

ABSTRACT Objective: To identify in the literature studies on mobile technologies in Nursing. Method: Integrative literature review in which was used the Population, Interest and Context (PICo) strategy, the tool of the National Library of Medicine for formulation of the research question, and search without a determined period of time in the following bibliographic databases: Medical Literature and Retrieval System onLine/PubMed®), Cumulative Index to Nursing & Allied Health Literature (CINAHL), SCOPUS (Elsevier), Latin American and Caribbean Literature in Health Sciences (LILACS) and Nursing Database (BDENF). Data collection period was from January to March 2017. Results: Fifteen articles were selected, in which were addressed mobile technologies in Nursing for nurses, undergraduate students and patients. Conclusion: Mobile technologies in Nursing are a recent theme and enable care data sharing, experience acquisition by undergraduate students and patient empowerment.

RESUMEN Objetivo: Identificar en la literatura estudios sobre tecnologías móviles en el área de Enfermería. Método: Revisión de la literatura en que se utilizó la estrategia Población, Interés y Contexto (PICo), herramienta de la National Library of Medicine para la formulación de la cuestión de la investigación y la búsqueda sin recorte temporal en las siguientes bases de datos bibliográficos: Medical Literature and Retrieval System onLine (MEDLINE/PubMed®), Cumulative Index to Nursing & Allied Health Literature (CINAHL), SCOPUS (Elsevier), Literatura Latinoamericana y del Caribe en Ciencias de la Salud (LILACS) y Base de Datos en Enfermería (BDENF). El período de la recolección de datos fue de enero a marzo de 2017. Resultados: Se seleccionaron 15 artículos, que abordaron tecnologías móviles en el área de Enfermería para enfermeros, estudiantes y pacientes. Conclusión: Las tecnologías móviles en el área de Enfermería son tema reciente y posibilitan compartir datos en la asistencia, adquisición de experiencia por estudiantes y empoderamiento del paciente.

RESUMO Objetivo: Identificar na literatura estudos sobre tecnologias móveis na área de enfermagem. Método: Revisão integrativa da literatura, utilizando a estratégia População, Interesse e Contexto (PICo), ferramenta da National Library of Medicine para formulação da questão de pesquisa e busca sem recorte temporal nas bases de dados bibliográficas: Medical Literature and Retrieval System onLine (MEDLINE/PubMed®), Cumulative Index to Nursing & Allied Health Literature (CINAHL), SCOPUS (Elsevier), Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS) e Base de Dados em Enfermagem (BDENF). A coleta de dados ocorreu no período de janeiro a março de 2017. Resultados: Foram selecionados 15 artigos, que abordaram tecnologias móveis na área da enfermagem para enfermeiros, graduandos e pacientes. Conclusão: As tecnologias móveis na área da enfermagem são tema recente e possibilitam compartilhamento de dados na assistência, aquisição de experiência por graduandos e empoderamento do paciente.

Satisfacción de las enfermeras de Osakidetza con las aplicaciones móviles para el cuidado enfermero / Satisfaction among Osakidetza nurses with mobile applications for nursing care

OBJETIVO: explorar la satisfacción de las enfermeras de Osakidetza con las aplicaciones informáticas móviles para el cuidado enfermero, así como su valoración sobre la formación recibida para su utilización, la facilidad de su uso, las características de la información gestionada y el impacto sobre el cuidado del paciente. MÉTODO: estudio descriptivo transversal. Población objeto de estudio: enfermeras de Osakidetza que trabajaban con aplicaciones informáticas móviles. VARIABLES: sociodemográficas y laborales, de usabilidad, formación y soporte recibidos, impacto, satisfacción con las aplicaciones móviles incluidas. Fueron recogidas mediante cuestionario diseñado adhoc. Se realizó un análisis estadístico descriptivo y un análisis bivariantes, mediante el test Chi cuadrado. RESULTADOS: se recibieron 518 cuestionarios (33,5%). El 37,8% refirió satisfacción a nivel general con las aplicaciones utilizadas, el 27,2% mayor agilidad al efectuar el trabajo con tableta y el 36,1% una mejor realización del trabajo. La aplicación con mayor satisfacción fue la que facilita el registro de constantes (61,8%). Un 74,8% refirió impacto positivo sobre la seguridad del paciente. Se encontraron diferencias estadísticamente significativas según la función desempeñada (mayor satisfacción en las enfermeras gestoras; p= 0,023), según nivel de utilización en la vida diaria (mayor satisfacción en utilización media y alta; p= 0,036), y en función del turno de trabajo (mayor satisfacción en turno fijo; p= 0,021). CONCLUSIONES: el nivel de satisfacción con las aplicaciones móviles para el cuidado es discreto. Para conocer el impacto de estas herramientas y la satisfacción general con ellas, se recomienda ser valoradas cuando el despliegue realizado en las organizaciones esté consolidado

OBJECTIVE: to explore the satisfaction among Osakidetza nurses with the mobile applications for nursing care, as well as their evaluation of the training received for their use, ease of use, characteristics of the information managed, and impact on patient care. METHOD: a descriptive cross-sectional study. Population object of the study: Osakidetza nurses working with mobile applications. VARIABLES: sociodemographical and occupational, usability, training and support received, impact, satisfaction with the mobile applications included; these were collected through a questionnaire designed ad hoc. Descriptive statistical analysis was conducted, as well as bivariate analysis, through Chi Square Test. RESULTS: in total, 518 questionnaires (33.5%) were received; 37.8% reported overall satisfaction with the applications used, 27.2% reported that working with the tablet was faster, and 36.1% stated that their work was better conducted. The application with the highest satisfaction level was the one that provides vital sign records (61.8%); 74.8% of participants reported a positive impact on patient safety. Statistically significant differences were found depending on the role played (higher satisfaction among nurse managers; p= 0.023), according to the level of use in daily life (higher satisfaction in medium and high use; p= 0.036), and based on the working shift (higher satisfaction in regular shifts: p= 0.021). CONCLUSIONS: there is a moderate level of satisfaction with mobile applications for patient care. In order to understand the impact of these tools and the overall satisfaction with them, it is recommended to assess them once the display conducted in agencies has been firmly established

Nurses' use of computerised decision support systems affects drug monitoring in nursing homes.

AIM: To describe variations in nurses' perceptions of using a computerised decision support system (CDSS) in drug monitoring. BACKGROUND: There is an increasing focus on incorporating informatics into registered nurses' (RNs) clinical practice. Insight into RNs' perceptions of using a CDSS in drug monitoring can provide a basis for further development of safer practices in drug management. METHOD: A qualitative interview study of 16 RNs. Data were analysed using a phenomenographic approach. RESULTS: The RNs perceived a variety of aspects of using a CDSS in drug monitoring. Aspects of 'time' were evident, as was giving a 'standardisation' to the clinical work. There were perceptions of effects of obtained knowledge and 'evidence' and the division of 'responsibilities' between RNs and physicians of using the CDSS. CONCLUSION: The RNs perceived a CDSS as supportive in drug monitoring, in terms of promoting standardised routines, team-collaboration and providing possibilities for evidence-based clinical practice. IMPLICATIONS: Implementing a CDSS seems to be one feasible strategy to improve RNs' preconditions for safe drug management. Nurse managers' engagement and support in this process are vital for a successful result.

'A whole world of opportunity'.

Last year, NHS England announced that 74 trusts had been awarded a total of around £30 million from the Nursing Technology Fund. This is for projects to support nurses, midwives and health visitors make better use of digital technology for safer, more effective and efficient care.

Web Site de Insuficiencia Cardiaca como propuesta de educación en salud / Web Site de Insuficiência Cardíaca como proposta de educação em saúde / Website of heart failure as a proposal of education for health

Es un estudio que propone como alternativa de intervención de enfermería la creación de un sitio web, con informaciones educativas para pacientes con insuficiencia cardiaca. Tuvo como objetivos específicos describir el proceso de la creación del sitio de web y validar el contenido por profesionales de la salud y pacientes. Para esto, utilizó una metodología descriptiva con abordaje cualitativo dividido en tres fases: definición del contenido, estructuración y validación del sitio web. El resultado general de las evaluaciones de los profesionales del área de la salud demostró la puntuación media de 51,25 (93,18%) y para los pacientes la puntuación media fue de 44,25 (98,33%). Por lo tanto, fue clasificada como bien elaborada y logró los objetivos propuestos. Se puede concluir que el sitio web es una alternativa de intervención para aumentar la adhesión al tratamiento y mejorar la calidad de vida de pacientes con insuficiencia cardiaca. Así, podrán reducirse las hospitalizaciones y posibles complicaciones derivadas de la insuficiencia cardiaca a través de la difusión de las informaciones y en la educación de la población (AU)

Trata-se de uma pesquisa que propôs como alternativa de intervenção de enfermagem a criação de um web site, com informações educativas para pacientes com Insuficiência Cardíaca. Teve como objetivos específicos descrever o processo de criação do web site e validar o conteúdo por profissionais de saúde e pacientes. Para isso, utilizou metodologia descritiva com abordagem qualitativa dividida em 3 fases: definição do conteúdo, estruturação e validação do web site. O resultado geral das avaliações dos profissionais da área de saúde demonstrou o escore médio de 51,25 (93,18%) e para os pacientes o escore médio foi de 44,25 (98,33%). Portanto, foi classificado como bem elaborado e atingiu os objetivos propostos. Conclui-se que o site é uma alternativa de intervenção para aumentar a adesão ao tratamento e melhorar a qualidade de vida de pacientes com insuficiência cardíaca. Assim, poderá reduzir as internações e possíveis complicações decorrentes da insuficiência cardíaca através da difusão das informações e na educação da população

It is a study that proposes as an alternative of intervention of nursing the creation of a website, with educative information to heart failure patients. Objectives: To describe the process of the creation of the website and to validate the content by health professionals and patients. It was carried out a descriptive methodology with qualitative boarding divided in three phases: definition of content, structure and validation of the website. The general result of the evaluation of the professionals in the field of health showed the average score of 51.25 (93.18%), and for the patients the average score was 44.25 (98.33%). Therefore, it was classified as well elaborated and it achieved the proposed objectives. To conclude, it can be said that the website in an alternative of intervention to increase the acceptance of the treatment and to improve the quality of life of heart failure patients. In this way, the hospitalizations and the possible complications from the heart failure could be reduced through the diffusion of the information and the education of the population (AU)

A informática em enfermagem nos sistemas de informação: revisão sistemática de literatura / La informatica en enfermería en los sistemas de información: una revisión sistemática de la literatura / Nursing in computer information systems: a systematic review of the literature

Objetivo: Identificar produções científicas sobre sistema de informação, preferencialmente o prontuário eletrônico e suas relação com a enfermagem. Metodologia: Trata-se de um levantamento bibliográfico computadorizado, com análise sistemática, nas bases de dados BDENF, LILACS e Scielo, onde foram selecionados 10 artigos e destacadas suas idéias principais. Foram realizadas análise crítica e discussão dos resultados encontrados. Resultados: Os resultados evidenciaram que a informática favorece as tomas de decisão e possibilitam um maior aproveitamento da assistência, mas há uma maior necessidade de tecnologias voltadas para sistematização da enfermagem. Conclusão: Há necessidade da participação da enfermagem na produção das tecnologias em saúde, para que tenhamos um sistema informatizado para enfermagem e que haja incentivo na graduação. Nas bases científicas existem poucas publicações referentes o prontuário eletrônico na enfermagem

Objective: to identify scientific productions on information systems, preferably the electronic medical record and its relationship with nursing. Methodology: This is a bibliographic computerized, with systematic analysis in databases BDENF, LILACS and SciELO, where 10 articles were selected and highlighted its main ideas. We performed a critical analysis and discussion of results. Results: The results showed that the computer favors takes of decision and allow a better use of assistance, but there is a greater need for technologies for systematization of nursing. Conclusion: There is need for the involvement of nursing in the production of health technologies, so that we have a computerized system for nursing and there is incentive graduation. In scientific basis there are few publications concerning the electronic medical record in nursing

Objetivo: Identificar las producciones científicas sobre sistemas de información, preferiblemente la historia clínica electrónica y su relación con la enfermería. Metodología: Se trata de un sistema informatizado bibliográfica, el análisis sistemático de las bases de datos BDENF, LILACS y SciELO, donde se seleccionaron 10 artículos y destacó sus principales ideas. Se realizó un análisis crítico y discusión de los resultados. Resultados: Los resultados mostraron que el equipo favorece la decisión tomas y permitir un mejor uso de la asistencia, pero hay una mayor necesidad de tecnologías para la sistematización de la enfermería. Conclusión: Existe la necesidad de la participación de la enfermería en la producción de tecnologías de la salud, por lo que contamos con un sistema computarizado para la enfermería y no hay graduación de incentivos. En base científica existen pocas publicaciones acerca de la historia clínica electrónica en la enfermería

Tablet technology for nurses.

A guided tour of uses, potential uses, and pitfalls, plus a closer look at two leading contenders.

Keeping the patient focus: using tablet technology to enhance education and practice.

Nurses are busy. Technology places a vast amount of information at their fingertips.

A basic study on application of voice recognition input to an electronic nursing record system -evaluation of the function as an input interface-.

As computerization in the nursing field has been recently progressing, an electronic nursing record system is gradually introduced in the medical institution in Japan. Although it is expected for the electronic nursing record system to reduce the load of nursing work, the conventional keyboard operation is used for information input of the present electronic nursing record system and it has some problems concerning the input time and the operationability for common nurses who are unfamiliar with the computer operation. In the present study, we conducted a basic study on application of voice recognition input to an electronic nursing record system. The voice input is recently introduced to an electronic medical record system in a few clinics. However, so far the entered information cannot be processed because the information of the medical record must be entered as a free sentence. Therefore, we contrived a template for an electronic nursing record system and introduced it to the system for simple information entry and easy processing of the entered information in this study. Furthermore, an input experiment for evaluation of the voice input with the template was carried out by voluntary subjects for evaluation of the function as an input interface of an electronic nursing record system. The results of the experiment revealed that the input time by the voice input is obviously fast compared with that by the keyboard input and operationability of the voice input was superior to the keyboard input although all subjects had inexperience of the voice input. As a result, it was suggested our method, the voice input using the template made by us, might be useful for an input interface of an electronic nursing record system.

Experience of using a personal digital assistant in nursing practice - a single case study.

AIM: The aim of this study was to describe one nurse's experience of using a personal digital assistant (PDA) in nursing practice. BACKGROUND: Nurses handle large amounts of information and a PDA may contain valuable information that nurses need in their daily work. METHODS: In this qualitative single case study, data were collected through an open-ended interview with one registered nurse and were analysed by content analysis. RESULTS: The findings show that the PDA provides immediate access to information anywhere and at anytime, with advantages for both the nurse and for her patients. The PDA increased her confidence and efficiency in practice; it was easier to keep up-to-date and spend more time with the patient. Furthermore, the PDA was perceived as improving patient safety and patient participation. CONCLUSIONS: The PDA requires improved content and more functions. Ease of use should also be improved. This study indicates that PDAs could be valuable and may inspire further research. IMPLICATIONS FOR NURSING MANAGEMENT: The incorporation of a multifunctional PDA is an important issue for nursing management, as it could both change and provide new possibilities for nursing practice. The use of PDAs could also aid decision-making, improve patient safety and benefit patient outcomes.

Evaluation of the content coverage of SNOMED CT representing ICNP seven-axis version 1 concepts.

OBJECTIVES: The purpose of this study is to evaluate the ability of SNOMED CT (Systematized Nomenclature of Medicine Clinical Terms) to represent the concepts of the ICNP version 1--the seven-axis model. METHODS: The first author mapped 1658 concepts of the ICNP version 1 to SNOMED CT using CLUE browser 5.0. The second author from SNOMED Terminology Solutions--with a team of SNOMED CT experts--and the third author from the ICN with a team of ICNP experts validated the mapping result. If there was any disagreement during the validation process, the three of us convened online meetings to reach a consensus. RESULTS: In total, SNOMED CT covered 1331 out of 1658 (80%) ICNP seven-axis model concepts ranging from a 61% coverage rate of the Actions Axis concepts to a 94% coverage rate of the Judgment axis concepts. CONCLUSIONS: SNOMED CT can represent most (80%) of the ICNP version 1 concepts. However, improvements in the ICNP version 1 in terms of concept naming and definition, and the addition of missing concepts to SNOMED CT, would lead to a greater harmonization of the ICNP seven-axis model version 1 concepts with SNOMED CT.

Adoption of a PDA-based home hospice care system for cancer patients.

This study describes a systematic and efficient point-of-care home hospice information system, which can effectively manage patient information and can easily be incorporated into a home hospice service using wired and/or wireless communications and mobile computing technology. To help with the design of a portable home hospice information system, we analyzed the services provided by visiting nurses and the opinions of users, based on the 2005 Guidelines for Cancer Patient Management Program of the Ministry of Health and Welfare of Korea. We performed a service trial with three experienced visiting nurses. A visiting nurse can use a PDA, implementing the hospice information system, to accomplish tasks that range from registering a new patient to performing nursing services based on the patient's condition, as well as accessing guidelines and searching past information for better nursing performance. The system resulted in a saving of 8.5 minutes in recoding time. We expect the findings of this study to help field workers in community nursing care by reducing unnecessary paperwork and by enabling improvements in the quality of point-of-care services.