4 results
Search Results
2. Staff experiences within the implementation of computer-based nursing records in residential aged care facilities: a systematic review and synthesis of qualitative research.
- Author
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Meißner, Anne and Schnepp, Wilfried
- Subjects
NURSE administrators ,HOSPITAL personnel ,COMPUTER systems ,ELDER care ,NURSING care facilities - Abstract
Background Since the introduction of electronic nursing documentation systems, its implementation in recent years has increased rapidly in Germany. The objectives of such systems are to save time, to improve information handling and to improve quality. To integrate IT in the daily working processes, the employee is the pivotal element. Therefore it is important to understand nurses' experience with IT implementation. At present the literature shows a lack of understanding exploring staff experiences within the implementation process. Methods A systematic review and meta-ethnographic synthesis of primary studies using qualitative methods was conducted in PubMed, CINAHL, and Cochrane. It adheres to the principles of the PRISMA statement. The studies were original, peer-reviewed articles from 2000 to 2013, focusing on computer-based nursing documentation in Residential Aged Care Facilities. Results The use of IT requires a different form of information processing. Some experience this new form of information processing as a benefit while others do not. The latter find it more difficult to enter data and this result in poor clinical documentation. Improvement in the quality of residents' records leads to an overall improvement in the quality of care. However, if the quality of those records is poor, some residents do not receive the necessary care. Furthermore, the length of time necessary to complete the documentation is a prominent theme within that process. Those who are more efficient with the electronic documentation demonstrate improved time management. For those who are less efficient with electronic documentation the information processing is perceived as time consuming. Normally, it is possible to experience benefits when using IT, but this depends on either promoting or hindering factors, e. g. ease of use and ability to use it, equipment availability and technical functionality, as well as attitude. Conclusions In summary, the findings showed that members of staff experience IT as a benefit when it simplifies their daily working routines and as a burden when it complicates their working processes. Whether IT complicates or simplifies their routines depends on influencing factors. The line between benefit and burden is semipermeable. The experiences differ according to duties and responsibilities. [ABSTRACT FROM AUTHOR]
- Published
- 2014
- Full Text
- View/download PDF
3. Contemporary issues in transfusion medicine informatics.
- Author
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Sharma, Gaurav, Parwani, Anil V., Raval1, Jay S., Triulzi, Darrell J., Benjamin, Richard J., and Pantanowitz, Liron
- Subjects
BLOOD transfusion ,BLOOD banks ,BAR codes ,PATHOLOGICAL laboratories ,INFORMATION science - Abstract
The Transfusion Medicine Service (TMS) covers diverse clinical and laboratory-based services that must be delivered with accuracy, efficiency and reliability. TMS oversight is shared by multiple regulatory agencies that cover product manufacturing and validation standards geared toward patient safety. These demands present significant informatics challenges. Over the past few decades, TMS information systems have improved to better handle blood product manufacturing, inventory, delivery, tracking and documentation. Audit trails and access to electronic databases have greatly facilitated product traceability and biovigilance efforts. Modern blood bank computing has enabled novel applications such as the electronic crossmatch, kiosk-based blood product delivery systems, and self-administered computerized blood donor interview and eligibility determination. With increasing use of barcoding technology, there has been a marked improvement in patient and specimen identification. Moreover, the emergence of national and international labeling standards such as ISBT 128 have facilitated the availability, movement and tracking of blood products across national and international boundaries. TMS has only recently begun to leverage the electronic medical record to address quality issues in transfusion practice and promote standardized documentation within institutions. With improved technology, future growth is expected in blood bank automation and product labeling with applications such as radio frequency identification devices. This article reviews several of these key informatics issues relevant to the contemporary practice of TMS. [ABSTRACT FROM AUTHOR]
- Published
- 2011
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- View/download PDF
4. Effect of computer support on younger women with breast cancer.
- Author
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Gustafson, David H., Hawkins, Robert, Pingree, Suzanne, McTavish, Fiona, Arora, Neeraj K., Mendenhall, John, Cella, David F., Serlin, Ronald C., Apantaku, Funmi M., Stewart, James, Salner, Andrew, Gustafson, D H, Hawkins, R, Pingree, S, McTavish, F, Arora, N K, Mendenhall, J, Cella, D F, Serlin, R C, and Apantaku, F M
- Subjects
COMPUTER software ,BREAST cancer ,YOUNG women ,QUALITY of life ,DISEASES ,BLACK people ,BREAST tumors ,COMPARATIVE studies ,INFORMATION services ,LONGITUDINAL method ,RESEARCH methodology ,MEDICAL cooperation ,MEDICALLY underserved areas ,MULTIVARIATE analysis ,PATIENT education ,REGRESSION analysis ,RESEARCH ,RESEARCH funding ,STATISTICAL sampling ,PATIENT participation ,SOCIAL support ,EVALUATION research ,RANDOMIZED controlled trials ,CANCER & psychology - Abstract
Objective: Assess impact of a computer-based patient support system on quality of life in younger women with breast cancer, with particular emphasis on assisting the underserved.Design: Randomized controlled trial conducted between 1995 and 1998.Setting: Five sites: two teaching hospitals (Madison, Wis, and Chicago, Ill), two nonteaching hospitals (Chicago), and a cancer resource center (Indianapolis, Ill). The latter three sites treat many underserved patients.Participants: Newly diagnosed breast cancer patients (N = 246) under age 60.Interventions: Experimental group received Comprehensive Health Enhancement Support System (CHESS), a home-based computer system providing information, decision-making, and emotional support.Measurements and Main Results: Pretest and two post-test surveys (at two- and five-month follow-up) measured aspects of participation in care, social/information support, and quality of life. At two-month follow-up, the CHESS group was significantly more competent at seeking information, more comfortable participating in care, and had greater confidence in doctor(s). At five-month follow-up, the CHESS group had significantly better social support and also greater information competence. In addition, experimental assignment interacted with several indicators of medical underservice (race, education, and lack of insurance), such that CHESS benefits were greater for the disadvantaged than the advantaged group.Conclusions: Computer-based patient support systems such as CHESS may benefit patients by providing information and social support, and increasing their participation in health care. These benefits may be largest for currently underserved populations. [ABSTRACT FROM AUTHOR]- Published
- 2001
- Full Text
- View/download PDF
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