Luis Fernandez-Luque, Yelena Mejova, Miguel-Angel Mayer, Per Erlend Hasvold, Surabhi Joshi
607 - 609
Millions of people living with diabetes are using mobile phones, Internet and social media to socialize with other patients, share experience or search information relevant for their self-management. This phenomena is leading towards a new paradigm of hyper-connected diabetes digital self-management. This is also leading towards an explosion on data, a large amount of data is collected on populations around the world. This panel will address the opportunities this data presents, discuss the latest research that uses it, and the limitations and other concerns.
The Canadian Association of Schools of Nursing and Canada Health Infoway recently launched a national project to facilitate the integration of digital and consumer health solutions into undergraduate nursing programs across Canada. Led by eleven nursing faculty members with expertise in informatics, the Digital Health Nursing Faculty Peer Network provided a forum for mentorship and support to other nursing faculty (72) across Canada and facilitated the development of a number of strategies to advance the incorporation of digital health content into undergraduate nursing curricula (e.g., the creation of a Faculty Toolkit for teaching Consumer Health Solutions). In this panel presentation, contextual and regional influences as well as specific perspectives related to the experience of each of the panelists within the Faculty Peer Network project will be outlined and discussed.
A mentoring program was designed to promote conduction, completion and dissemination of undergraduate research among Nursing and Allied Health students in Sri Lanka. Several social media platforms were used; mainly the Facebook, YouTube and Google Hangouts. Knowledge sharing, interaction and collaboration were promoted. Student motivation was also done. Research presentation skills and applying for conferences was also facilitated. Over 90% of the participated 262 students completed a research project and close to 50% presented them both locally and internationally.
In recent years, endless stream of news for medical violence to make Nurse-Patient Relationship (NPR) was valued. This study is using Multimedia Situation Teaching (MST) to intervene in Nursing training process keep 6 months, probe the effects of new nurses to establish of NPR. Choose 11 new nurses in a medical ward for the study. Using Therapeutic Interpersonal substantive capacity questionnaire survey effects of new nurses establish NPR. After intervention, 94.45% of new nurses can use positive attitude to establish NPR, 90.90% of new nurses represent MST can effectively convey the right attitude in a clinical situation. Using MST can effectively improve new nurses established NPR, we can further enhance the quality of Nursing care, reduce the incidence of medical violence.
To encourage the use of social media, Finnish Nurses Association worked on social media guidelines. The aim was to strengthen the use of social media as a tool for nurses for sharing of professional knowledge as well as the acquisition of knowledge in their free time and in the work field. Guidelines were based on Nurses Ethical Guidelines and was supplemented by literature review. To enforce the guidelines into action, was nursing twitter chat, #HOIchat, started. In addition, yearly held Finnish Nurses conference had a workshop where anybody could come for detailed information of social media tools and platforms as well as personal lessons how to get started and how to use various social media tools in everyday nursing.
Swallowing problems have significant affect the health outcome of some residents in long-term care facilities. Nursing staff who care these residents should have the ability of assessing dysphagia. However, nursing continued education to improve the performance of dysphagia assessment is still challenged. To enhance nurses' capability of dysphagia assessment, a Multimedia Dysphagia Assessment learning System was developed for nursing staff in long-term care institutions. This system was evaluated by performing a user usability test.
Sophie Huey-Ming Guo, Chia-Wen Lee, Chien-Ming Tsao, Hung-Chun Hsing
621 - 622
Social media, a communication tool, is increasingly used to facilitate the engagement of experts (such as a health provider) and other participants in a wide range of programs. However, social media requires study to elucidate its applications under women health-related conditions. This work develops a social media-based mindful yoga program for pregnant women, and delivers media content by ways of Facebook platform and DVD. The results of pilot testing revealed users' preference of using Facebook platform. Developing experience and uses' responses can provide valuable information for further implement socialmedia based interventions.
The use of smart mobile devices has been getting increasingly popular. The focus of this study is an attempt to explore the development of mobile medical App by medical centers and regional hospitals of Taiwan and the function of the App for comparison. The results show indicated that many hospitals developed Apps for the public for mobile medical service, of which 26 medical centers (100%) and 72 regional hospitals (84.7%) availed appointment making service via Apps. The result indicated variance at significant level (p < 0.01). There are 23 medical centers (88.5%) and 74 regional hospitals (87.1%) availed Apps for checking service progress. The result indicated insignificant variance level (p > 0.01). We can see that mobile medical service is gradually emerging as a vital issue. Yet, this is a new domain in medical service. With the mushrooming of medical applications in smart mobile devices, the medical service system is expected to be installed in these devices to enhance interactive mode of operation and inquiry services, such as medication and inquiries into physical examination results. By then, people can learn the status of their health with this system.
Tele-Nursing is a kind of virtual visits, to our nursing professional developed as a new future, based on Who's policy that is to deal with nursing shortage in the worldwide. Then how to connect the clinical phenomena to synthesis concept is top urgent. The systemic review method and case manager interview to collect the clinical phenomena, the concepts analyzed by Norris Method to analyze the virtual visit. Finally the results of research finding were five categories which were available; security; science and technology derived consequences for nursing; to monitor quality of nursing care; support from social network. The Virtual Visit of Tele-Nursing's concept will be leading nursing knowledge to theory.
David-Zacharie Issom, Gunnar Hartvigsen, Stefano Bonacina, Sabine Koch, Christian Lovis
627 - 628
Sickle cell disease (SCD) is the most prevalent blood inherited disorder in the world. Patients suffer from several chronic issues, comorbidities and high-mortality rates. Despite its prevalence, the disease remains largely ignored. A literature review was conducted and a questionnaire was sent to patients in order to understand the potential of e-health tools to support people with SCD. Additionally, focus groups have been conducted to detail respondents' answers. The results showed that patients felt isolated and misunderstood. They also highlighted patients' wishes for a social network able to make them feel less scattered. Using participatory-design techniques, we designed a prototype of user-centric interface for an online self-supportive SCD patient community. The mock-ups include chatrooms, forums and videoconferences capabilities. They illustrate how SCD patients' social networking and caregivers-patient relationship needs could be met. Future work will focus on the implementation and evaluation of the system.
Patient Engagement is a critical and fundamental driver in the transformation of healthcare. Patient involvement through interactive care is a proven approach for improved health outcomes; however, a single strategy to achieve success will not suffice. An interactive patient engagement system design, as a multi-tactic landscape of solutions, is necessary to effectively engage patients.
Eunju Choi, Youngshin Lee, Eunjung Yang, Jihui Kim, Yeonhee Kim, Hyeoun-Ae Park
637 - 638
Introduction: The purpose was to identify fall risk factors between admission day and fall occurred day using electronic nursing records and the Morse Fall Scale (MFS).
Methods: The MFS and fall related data were obtained through retrospective chart review from June 1, 2014 to May 31, 2015. Descriptive statistics and McNemar test were used for statistical tests.
Results: Fall was evaluated in 447 events, 16 patients experienced recurrent fall. Pain, emotional distress, urinary problems and fever were significant differences between admission day and fall occurred day. There were explored significant MFS risk factors in risk group, history of falling, second diagnosis, IV catheter status, medication concerning fall risk, mental status, general weakness and gait in MFS subscales.
Discussion: Routine fall screening is important for early detection of fall. Identification of high-risk group and using fall prevention guidelines could improve prevention of fall.
Youngshin Lee, Eunju Choi, Eunjung Yang, Jihui Kim, YeonHee Kim, Hyeoun-Ae Park
639 - 640
Purpose: Many fall prevention strategies have been used for reducing fall rates. The purpose was to evaluate fall prevention nursing against clinical practice guidelines and effectiveness of preventing strategies according to risk group.
Methods: We developed fall survey form after securing consistencies (Fleiss Kappa = .83). The EHRs of 447 events from June 1, 2014 to May 31, 2015 were reviewed. Descriptive statistics and Chi-square test were used for statistical tests.
Results: There were recorded ‘Keep bed with brakes locked’ in 272 patients (60.9%). Compared with clinical practice guidelines, ‘instruction of patients to ask for help actively’ and ‘keep patients care areas uncluttered.’ actions were few in EHRs. There were significant differences between risk groups in 28 nursing actions.
Discussion: This study shows that fall prevention strategies according to risk groups are insufficient to prevent falls. Instruction about critical time that patients should ask for help should be considered.
Jacquelyn W. Blaz, Alexa K. Doig, Kristin G. Cloyes, Nancy Staggers
641 - 642
Acute care nurses commonly use personalized cognitive artifacts to organize information during a shift. The purpose of this content analysis is to compare information content across three formats of cognitive artifacts used by acute care nurses in a medical oncology unit: hand-made free-form, preprinted skeleton, and EHR-generated. Information contained in free-form and skeleton artifacts is more tailored to specific patient context than the NSR. Free-form and skeleton artifacts provide a space for synthesizing information to construct a “story of the patient” that is missing in the NSR. Future design of standardized handoff tools will need to take these differences into account for successful adoption by acute care nurses, including tailoring of information by patient, not just unit type, and allowing a space for nurses to construct a narrative describing the patients “story.”
Marziye Meraji, Nahid Ramazan Ghorbani, Sanaz Mahmoodian, Mahnaz Samadbeik
643 - 644
In this ever-changing health care environment, nurses employ technologies and information systems to accomplish the intentions of the practice of nursing. Information technology supports the basic and advanced nursing practices in all settings. This review provides evidence about applications of information technology in Iranian nursing. We systematically searched all papers about applications of information technology in nursing in Iran that were indexed in SID, Magiran, Iran medex, PubMed and scopus databases. This study indicated that 12 (%52) studies used information technologies in the nursing education domain. Also, in 6 (%26) studies telenursing was used for patient care. 3 (13%) of the articles were related to the impact of the use of computer-based information system on nursing practice. In 2 (%9) papers the researchers developed computerized software for nursing processes. The results of this study indicate the use of information technology in nearly every aspect of nursing in Iran.
We develop the Virtual Patient Creation Format to perform the process online and to verify the operational effects. Having nursing students create virtual patients by themselves enabled us to imagine patients in the nursing process.
Dawood Al-Masslawi, Lori Block, Charlene Ronquillo
649 - 653
Adoption of new health information technology is shown to be challenging. However, the degree to which new technology will be adopted can be predicted by measures of usefulness and ease of use. In this work these key determining factors are focused on for design of a wound documentation tool. In the context of wound care at home, consistent with evidence in the literature from similar settings, use of Speech Recognition Technology (SRT) for patient documentation has shown promise. To achieve a user-centred design, the results from a conducted ethnographic fieldwork are used to inform SRT features; furthermore, exploratory prototyping is used to collect feedback about the wound documentation tool from home care nurses. During this study, measures developed for healthcare applications of the Technology Acceptance Model will be used, to identify SRT features that improve usefulness (e.g. increased accuracy, saving time) or ease of use (e.g. lowering mental/physical effort, easy to remember tasks). The identified features will be used to create a low fidelity prototype that will be evaluated in future experiments.
Yvann Argentin, Florent Gluck, Christian Lovis, Frederic Ehrler
654 - 655
Accessing patients' data at the point of care has the potential to ease the workflow of nurses and to improve the documentation. We have launched an initiative to develop a mobile assistant focused on managing nurses' daily intervention. The design has required the involvement of many stakeholder and has followed a user centered design process. The evaluation is planned in two stages with an increasing level of ecology. The solution is a client server application displaying a contextualized view on nurses' interventions. It allows to validate and comment each intervention presented as an item in a list. Deploying mobile client applications in healthcare is a challenging task not only from a technical point of view but also regarding organizational factors and human factors.
Hamdi Hagberg, Johan Siebert, Alain Gervaix, Peter Daehne, Christian Lovis, Sergio Manzano, Frederic Ehrler
656 - 657
The fast preparation of drugs during pediatric resuscitation is of utmost importance. The influence of the patient's weight on the drug doses requires to perform complex calculations and is a source of errors. A technological solution could be a real help in avoiding these kinds of mistakes. Relying on a user centered approach we have developed an application supporting drug preparation. It has been tested in simulations with predefined scenario. The developed tool consists of a screen displaying a list of drug that can be administered. When the user select a drug, the instructions regarding its preparation are displayed with all dosage precisely calculated. The tool has demonstrated a significant reduction of errors associated to administration, a speeding up the overall process and has been well received by the nurses.
Frederic Klein, Cassandra Severijns, Daniela Albiez, Eugen Seljutin, Marko Jovanović, Milad Eyvazi Hesar
658 - 662
Addressing the correlation of hospital acquired infections and insufficient hand hygiene, we propose a supportive system to enhance the individual hygiene habits of health care workers. By applying gamification to incentivize health care professionals while maintaining a high standard of privacy and usability, the system focuses on technical simplicity by using concepts like bring your own device in a scaleable proof of concept implementation.
Christopher Moufawad el Achkar, Constanze Lenoble-Hoskovec, Kristof Major, Anisoara Paraschiv-Ionescu, Christophe Büla, Kamiar Aminian
663 - 667
Activity monitoring in daily life is gaining momentum as a health assessment tool, especially in older adults and at-risk populations. Several research-based and commercial systems have been proposed with varying performances in classification accuracy. Configurations with many sensors are generally accurate but cumbersome, whereas single sensors tend to have lower accuracies. To this end, we propose an instrumented shoes system capable of accurate activity classification and gait analysis that contains sensors located entirely at the level of the shoes. One challenge in daily activity monitoring is providing punctual and subject-tailored feedback to improve mobility. Therefore, the instrumented shoe system was equipped with a Bluetooth® module to transmit data to a smartphone and perform detailed activity profiling of the monitored subjects. The potential applications of such a system are numerous in mobility and fall risk-assessment as well as in fall prevention.