This work aims to describe the inception and design for a hospital simulator based on data and cases provided by teachers and other randomized data. The main goal is to develop a computer software tool that simulates a hospital as a tool for nursing student. The system is based on a multi-agent model and multi threaded parallel processing. Other parts includes the interfaces for teacher and student, reports and fixed constraints like Laws and other rules. This is a work in progress project and will be released as open source software after the final validation.
This proposed study will be conducted in Telangana and Tamil Nadu states in India. Mapping of Health care Professionals by a web-based Delphi technique followed by Focus Group Discussion and Evaluation of Knowledge, Attitude, Practise and Adoption among Health Care Professionals for informatics/computerised technology systems by using structured questionnaire for knowledge and practice and for Attitudes toward Computers in Healthcare (P.A.T.C.H.) Scale will be used to collect the data. This study results will create evidence on present and relevant informatics/computerized technology systems needs and help the research team to develop informatics competencies list and design an online or offline skill up gradation programs for health professionals in India according to their diverse roles in the health care system. The researcher team believes these results will have National relevance to the current focus areas of Government of India and to strengthen the Health Informatics Program offered in IIPH, Hyderabad.
This study is conducted in order to clarify, however practice and get or sharing information in the Radiation Therapy Nursing of Certified Nurses. We have the group interviews from the four members the Certified Nurses in Radiation Therapy Nursing. It was found that Certified Nurses in Radiation Therapy Nursing felt that don't have the information about the patients who receives radiation therapy. In addition, they thought not able to even determine about whether time required, and not provide the professional nursing care practice. They say that we need the time, place and information. They were determined to be there to be necessary in for exhibiting their abilities. In particular, the most important problems that there aren't systematic information of the patients who receives radiation therapy. It's mean that, not have described the information for Radiation Therapy Nursing, and not obviously structure of nursing process or important assessment's, yet.
Chun-Ja Kim, Na-Jin Park, JiYeon Choi, Dong-Soo Shin
1001 - 1002
Purpose: To examine the mediating role of occupational stress on the relationship of anger expression to cardiovascular disease (CVD) risk using Framingham risk score equation in Korean adults with metabolic syndrome.
Methods: This cross-sectional study was a secondary analysis of baseline data from a longitudinal study conducted in 91 Korean male workers. Psychological variables were assessed using structured questionnaires.
Results: Occupational stress was significantly predictive of CVD risk (β=.278, p=.008). The inclusion of occupational stress non-significantly decreased the standardized beta by 33.6% for anger expression as a predictor of CVD risk (β=.152, p=.163). The Sobel test showed a significant mediating effect between occupational stress and CVD risk (p<0.01).
Conclusion: This mediating role of occupational stress has important clinical implications as interventions designed to manage anger expression to reduce CVD risk in this population.
Sri Lanka is planning to move towards an Electronic Health Record (EHR) system. This research argues that the public preparedness should be considered in order to implement a functioning and an effective EHR system in a country. When asked about how concerned the participants were about the security of their health records, 40.5% stated they were concerned and 38.8% were very concerned. They were asked to rate the ‘level of trust’ they have on health institutes in Sri Lanka on a scale from 1 to 10 (1 lowest level of trust and 10 highest), 66.1% rated at level 5 or less.
The purpose of study was to evaluate satisfaction with and usability of mobile academic electronic medical records (AEMR) for undergraduate nursing students' clinical practicum. After an AEMR application on mobile devices was applied to the experimental group while a PC-based EMR system was used for the control group as usual in the fall semester, 2014. Two items of practicum satisfaction such as preparation of lab test and understanding of the results, and nursing intervention and documentation were significantly higher in the experiment group. The findings of usability survey showed that students in the experiment group consider the use of mobile AEMR in their job would increase their productivity.
Heather Carter-Templeton, Mangala Krishnamurthy, Ramona Nelson
1007 - 1008
Many health professional believe that social media tools can play a pivotal role in sharing and facilitating the use of evidence-based information with patients and other healthcare providers. By understanding how social media tools function, healthcare professionals can capitalize on these interactive platforms to improve the health of others. However, limited information exists to guide nurse educators in preparing healthcare professionals to engage patients or share evidence-based information among peers. The purpose of this literature review was to determine the extent to which professional development programs using social media for sharing evidence-based information have reported their research and/or experience in the published literature.
Ana Paula Noronha Zucatti, Cecília Dias Flores, Luíza Maria Braga da Silveira
1009 - 1010
Distance Learning, among other advantages, encourages the development of autonomy and social construction of knowledge, both essential in continuing health education. For the development of competencies needed at work, the use of simulation can be an alternative so that knowledge, skills and attitudes are put into practice through simulated situations with a pedagogical and educational structure. Therefore, it has been proposed the creation of simulation with the aim of promoting competencies related to the leading role played by nurses of a hospital. The present study briefly describes its creation process with this purpose, which was developed as part of a Master's Thesis of one of the authors. It is expected to highlight the improvement of skills associated with leadership practices through this methodology.
Seyed-Masoud Hosseini, Abbas Heydari, Hossein Karimi Moonaghi
1011 - 1012
In recent years, there has been a fast spread of using new technologies and software in health management areas. Nursing education should be accommodated with this change to provide qualified nurses. There are little studies on novice nursing faculty challenges to perform their new roles in relation to IT literacy, specifically in Iran. Qualitative approach may provide first hand data to understand novice nursing faculty perceptions on their new roles that can be used to develop an actual empowerment program. A qualitative design was applied to explore novice nursing faculty experiences to perform their new roles in Mashhad nursing school (Iran). Data were gathered by in depth unstructured interviews from nine eligible participants. Two main themes related to IT competencies emerged from data as: “Efficiency concern” and “Importance of support”. Findings support that novice faculty should be familiarized with new systems and software in health management.
Siobhan O'Connor, Joe Gallagher, Nathalis Wamba, Chris Moyo, Griphin Baxter Chirambo, John O'Donoghue
1013 - 1014
The capacity of developing countries to implement nursing informatics education, research and practice is limited. Therefore, an international partnership was established to provide teaching and research opportunities in the field of eHealth for nursing faculty at Mzuzu University, Malawi. This resulted in staff development and capacity building with nursing faculty undertaking mHealth research and beginning doctoral studies as well as the creation of an online repository of educational resources to teach nursing informatics to undergraduate students. Collaborative international partnerships can assist in building nursing informatics capacity in low resource settings.
Person-centred decision support combines the best available information on the considerations that matter to the individual, with the importance the person attaches to those considerations. Nurses and other health professionals can benefit from being able to draw on this support within a clinical conversation. A case
study and storyline on four siblings facing a transplant coordinator's call to donate stem cells to their brother  is ‘translated’ and used to demonstrate how an interactive multi-criteria aid can be developed for each within a conversational mode. The personalized dialogue and decision aid are accessible online for interaction. Each sibling's decision exemplifies the communication including physical and psychosocial complexities within any decision cascade from call-to-test and to donate, if compatible. A shared template can embrace the informational and ethical aspects of a decision. By interactive decision support within a clinical conversation, each stakeholder can gain a personalised opinion, as well as increased generic health decision literacy .
Yonghee Lee, Sunho Kim, Kangwoo Lee, Soonseok Kim, Dongho Kim
1018 - 1019
This study proposes MFER design, an international standard for saving measured vital signs while simultaneously monitoring, for health care. The proposed method does not record vital signs as a single file, but rather, after setting header information on vital signs, it reads the measured signs in regular intervals, which are shown in a screen and saved along with header information. Shorter the interval of saving, more similar it becomes to real time monitoring. After measurement is complete, the file fragments are aggregated into a single file, including the header information. MFER constructed in this study in real time monitoring design shows that it can be efficiently used in monitoring and saving of vital signs for health care.
There are many vetted technical and semantic standards promulgated within the United States and the United Kingdom to operationalize eHealth interoperability in order to improve care outcomes, manage population health, and provide efficient information exchange between providers, services, patients and consumers. However, consideration must be given to the complex real world use cases in which the data and information will be exchanged between a wide variety of interested parties, including the consumer or patient. In many instances, community based use cases need development in order to serve as the model. These use cases can only be accurately described and created by using a wide lens viewpoint such as community-planning engages, which requires that all interested parties be actively involved. This poster will introduce models of community planning that can be developed and led by the Nurse Informatician.
The aim of this study is to test the applicability of the International Standards Organization (ISO) Reference terminology model (RTM) for nursing action to describe Detailed Clinical Models (DCMs) for nursing action. All verb and target terms were mapped to ‘Action’ and ‘Target’ category of RTM for nursing actions. Among 72 attributes qualifying the verb terms, 50 attributes were mapped to Means, Route, Timing, or Site categories of the nursing action model. Among 142 attributes qualifying the target terms, 20 attributes were mapped to Means, Timing, or Site categories of the nursing action model and 6 attributes were mapped to Degree or Judgment categories of the nursing diagnosis model. The findings suggest the need for an integrated RTM for nursing.
Nurse educators are exploring different mobile technologies to provide additional support to nursing students in clinical practice. However, the view of nursing students on the use of smartphone applications (apps) to enhance clinical education has not been explored. This proposed study will use a self-reported questionnaire to examine the opinions of nursing students on the current and potential use of smartphone apps when training in clinical settings. Descriptive and inferential statistics will be performed on the quantitative data. Qualitative data from open ended questions will be thematically analysed using the framework approach. This will be the first study to examine the use of smartphone apps as a support in clinical teaching from a students' perspective. Their opinion is vital if the right mobile technology is to be designed and implemented.
Kavita Radhakrishnan, Paul Toprac, Matt O'Hair, Randolph Bias, Mike Mackert, Bo Xie, Miyong Kim, Paul Bradley
1026 - 1027
Effective self-management can decrease up to 50% of heart failure (HF) hospitalizations. However, self-management by patients with HF remains poor. We describe the development and usability testing of an interactive digital e-health game (IDEG) for older patients with HF in Central Texas, USA. Majority of the participants (5 out of 6) who participated in the usability testing found the game interesting, enjoyable and helpful to play. Developing an IDEG that is satisfying and acceptable to older adults with HF is feasible.
Siobhan O'Connor, Matt-Mouley Bouamrane, Catherine A. O'Donnell, Frances S. Mair
1028 - 1029
Mobile applications can be used to help manage different aspects of long-term illnesses but many are not designed to meet the specific needs of people with dementia or their carers. This case study explores the barriers experienced when co-producing a memory and reminiscence app. A focus group and interviews were conducted with patient/carer dyads, an occupational therapist, project manager and software engineer involved in the design of the app. Data was analysed thematically using the framework approach. Several limitations such as poor technical knowledge and skills, negative attitudes and inaccurate perceptions of people with dementia slowed down or changed how the mobile app was developed. Compromises also had to be made over the final design of the app. More research to explore how mobile apps are co-designed with patients is needed.
To examine current status and quality of CVD related apps available for download in China, a total of 151 apps from the top popular six app stores were analyzed. Data analysis uncovered a range of issues including missing of key variables in the pre-formatted daily records, no platform for interaction with relevant healthcare professionals and undesirable user-interface design. More importantly, these apps had low levels of adherence to internationally recognized guidelines in CVD management. Overall quality score of these apps was below the average (8.08/20). This study identified areas for improvement concerning the existing CVD related apps. Information may guide the further advancement of CVD related apps and benefit CVD management in China.
This study aimed to explore the willingness of using physical activity smartphone apps among patients with chronic diseases. 218 outpatients from a tertiary hospital in Beijing were involved using a questionnaire. Over half of the patients (53.7%) were willing to use smartphone apps to promote physical activities. The individuals more likely to use physical activity apps tended to be younger (≤44 years), be more educated, perceiving their disease need exercise instruction or professional support, current smartphone user, having previous experience of using physical activity apps, and accepting paid apps (P<0.05). The results could help health educator suggest chronic disease patients to use apps to do more exercises. Further research could be focus on evaluate the effects of using physical activity apps in chronic disease patients.
Victoria L. Tiase, Marissa Licata, Elaine M. Fleck
1034 - 1035
NewYork-Presbyterian Hospital partnered with Noom Health to pilot the virtual delivery of the proven National Diabetes Prevention Program (NDPP) to prediabetic patients. Goals were to understand if the patients can use a mobile device to receive the NDPP content, perform tasks and communicate with a virtual health coach. This poster describes our preliminary findings and responses from patients and staff.
Yisi Liu, Polun Chang, Nan Li, Karen V. Lamb, Jiani Wang, Xiuxiu Huang, Yi Wang, Ying Wu
1036 - 1037
The quality of Chinese cardiovascular disease medication apps was evaluated and compared to those in the Google Play Store. Only 21% of 257 CVD medication apps covered medication issues, but the quality is in question. The quality of top 10 CVD medication apps from China was inferior to international apps. An app quality assurance mechanism is needed to ensure patient safety.
We conducted assessment tests for clinical training, analyzing the usage of the electronic textbooks and the tablet functions from the log information of the terminal tablets. Results revealed that usage of the terminal tablet and digital nursing dictionary (ver. 2), by which users can enjoy free access to electric textbooks during clinical training, was effective as learning support.
Yanyan Cui, Chen Fu, Hong Chang, Ying Wu, Polun Chang
1040 - 1041
We conducted a study to evaluate what apps could people get and what quality these apps were when different searching keywords were used to search in different platforms. We took Stroke apps as an example with “Stroke” “Cerebrovascular Disease” and “Zhongfeng” (in Chinese) as the keywords. Two reviewers evaluated apps independently with revised MARS scale. It was interesting to see that people would get different apps from different platforms with different keywords. The results show that a good mechanism is needed to safeguard people obtain right apps from any source with any term in China.
We introduced medical devices with RFID tags and the terminal with RFID reader in our hospital. Time study was conducted in two phases. In phase I, nurses round as usual, and in phase II, the nurse round the ward with a terminal installed on a cart. This study concluded that RFID system shortens the time for vital sign documentation. However, deploying the terminals at every bedside did not contribute the more time reduction.