It is indisputable that information technology plays an ever-increasing role in the delivery of healthcare, and quality improvement is a crucial element in this constantly changing environment of providing nursing care with the help of advanced technology.
This book presents papers from the 14th International Congress on Nursing and Allied Health Informatics (NI 2018), held in Guadalajara, Mexico, in June 2018. The theme of the conference – Information and Communication Technology to Improve Quality & Safety at the Point of Care – stresses the increasing importance of the role played by technology in modern healthcare, and the topics featured here cover the use of information and communication technologies for nursing and all allied healthcare professionals in the form of papers, posters, panels and workshops.
The book will be of interest to all those professionals who must navigate the ever-changing world of modern healthcare delivery.
We are proud to welcome the Nursing Informatics Community to Guadalajara, Mexico for the “light” conference where you can learn, network, and help evolve nursing care by discussing and spreading the knowledge of the latest informatics research, experiences and questions.
Be engaged and inspired by the many presentations, panels and posters that cover important areas of development in nursing informatics: Point of Care Solutions, Models and Devices; Big Data Analytics and Decision Support; Meaningful Use of Electronic Information Systems; Quality, Safety and Ethics; Patient Participation and Citizen Involvement; Education, Competences and Capacity Building.
Arranging a conference like this requires a lot of hard work and there are many colleagues involved. We would like to thank them all for their hard work and solid contributions.
In particular, the editorial committee would like to acknowledge the colleagues supporting the editing work. Thank you so much for your great contribution.
Janine Sommer, Mariana Daus, Mariana Simon, Daniel Luna
3 - 6
The technologies and communication advances, contributed to new tools development who allows patient to have an active role in their own health. In the light of paradigms changes and information needs about health, the patient self-manage their care. This line of care focuses in patient, specific portals come up to people with particular requirements like pregnant womens. Thinking in a portal design to this sector of the population, in September 2016 a survey was made to users with the objective to knowing and understanding information needs at the moment to use a pregnant's app . Also, prototypes of the portal's features was designed to try and validate with users, using the human-centered design methodology. Investigations have made possible the identification of this population's needs and develop a tool who try to satisfy, providing timely information for each part of pregnancy and allowing the patients to make a physical check and to follow up pregnancy seeking advices from our obstetricians.
Tang Guanxiu, Yin Hang, Yang Shuping, Xiao Meili, Yan Pingping, Liu Wei, Lin Wanli, Lei Jun
7 - 10
With the increasing demands of professional rehabilitation training for home caregivers, to develop a mode of training with widespread applicability has been emphasized. In order to improve life quality of the impaired elderly, we developed an online training system for the home caregivers to learn knowledge and skills for caring the elderly. We also assessed the acceptance and acceptance factors of the online training system. The results showed that our training system was well accepted by the participants. The perceived usefulness and perceived ease of use were the dominant factors influencing the acceptance of the online course. Therefore, quality management and easy to use, rapid to capture the system are essential for the users to accept the training courses or health information better. An online training system with professional and standard protocols may be popular and well accepted for home caregivers.
Veronica A. Alvarez-Tobón, Ivan F. Luna-Gómez, Ever A. Torres-Silva, Jose F. Florez-Arango, Paula T. Rivera-Mejia, Andrea Higuita Usuga
11 - 13
Objective: To explore the demographic factors and the level of knowledge related to information and communication technologies of potential users of a palliative care information system.
Methods: The Task, User, Representation, Functionality (TURF) framework was applied to characterize potential users (patients and caregivers) of an information system for palliative care in a private clinic in Medellin, Colombia, through a survey.
Results: We analyzed 35 patients and 39 caregivers. The majority were women, that lived in urban area and belonged to middle-income socioeconomic stratum. Caregivers, in contrast to patients, are common users of information and communication technologies.
Conclusion: An information system should focus on the needs of caregivers, and it would be targeted to subjects facing challenges related to technology adoption; information and communication technologies are interesting and important tools for the improvement of health team.
In a Norwegian health region, patients have online access to their own electronic health record and they can also read the nursing documentation. This paper presents a qualitative study made at a university hospital to investigate how patient accessible electronic health records impact on nursing documentation practices. Semi-structured interviews were made with 12 informants from 5 cardiology departments at one hospital regarding how they used electronic nursing documentation in their daily practice and how they experienced patient accessible nursing documentation. The nurses emphasized that they focused on a clear and well-written nursing documentation, but in some situations, they were hesitant to write sensitive information. The study concluded that the implementation of patients' reading access to the electronic health record had limited impact on the nursing documentation and the daily practice at the departments, but the nursing handover had an even more important function for oral exchange of information.
Ju Wang, Jing Wang, Hongyu Miao, Michael Marschollek, Klaus-Hendrik Wolf, Kerry A. Lynch, Yang Gong
19 - 23
Seniors expect to age in place, which means living in their own homes as long as possible with familiar facilities and environments. Due to the capability of continuous and unobtrusive monitoring, the sensor-enhanced in-ho monitoring is regarded as a promising solution to support aging in place. In this paper, by reviewing three influential projects in this field of in-home monitoring for aging in place, we present our opinions and suggestions on the development of informatics-supported aging in place for its practical application in healthcare such as diagnosis and nursing in the era of data science. To promote the practical usage of in-home monitoring in aging, we highlight the gap between demands and available approaches. We conclude that in the next stage we should design demand-oriented system, conduct evidence-based research and accelerate interdisciplinary collaboration.
Jessica Juarez García, Adriana Jordán Morales, Lizbeth García Fernández, Reyna Rosas Negrete, Mario Enrique Rendón Macias, Sylvia Claudine Ramírez Sánchez
24 - 25
The use of a venoclysis in hospitalized pediatric patients is a necessity, a procedure perceived by children as painful, so that distraction techniques have been suggested to attenuate this suffering. Evaluating the implementation of a distraction method with an uncontrolled trial with pre and post maneuver evaluation without control group.
Susan Hull, Gillian Strudwick, Sarah Collins, Patricia Dykes, Kumiko O. Schnock, Min Jeoung Kang
26 - 27
Benefits have been demonstrated when patients and family members have been meaningfully engaged in all stages of research beginning with topic generation. When this engagement is done well, research becomes more relevant to those receiving health services, and there is an increased sense of accountability and transparency provided. However, health informatics researchers have not consistently used patient and family member engagement methods despite their many potential benefits. This panel will outline various methods that can be used to engage patients and family members in all stages of the research process in a health informatics context. In addition to these strategies, this panel will provide real–life examples of how patients and family members have been engaged in health informatics research in both Canada and the United States.
Patient portals are secure online websites that allow patients access to their medical information from a particular healthcare organization. Currently, it is unknown how this technology can best be used to support patients with mental illness, and what types of indicators of portal adoption are meaningful to these patients. This study addresses this gap in our knowledge by obtaining the perspectives on this topic from patients, family members and Peer Support Workers.
Rebecca Schnall, Lisa Kuhns, Marco Hidalgo, Sabina Hirshfield, Cynthia Pearson, Asa Radix, Uri Belkind, Joshua Bruce, D. Scott Batey, Robert Garofalo
31 - 31
The MyPEEPS Mobile intervention is a novel evidence-driven intervention using mobile technology to deliver HIV prevention information. This is the first study to test the efficacy of a scaled-up, mobile version of an existing HIV prevention intervention originally developed, designed, and piloted for, a diverse group of YMSM. We used an iterative design process incorporating feedback from experts and end-users to update the user-interface and content of the MyPEEPS Mobile Intervention.
Sarah Iribarren, George Demiris, Bill Lober, Cristina Chirico
32 - 32
A mobile application to support individuals receiving treatment for active tuberculosis (TB) by self-administration is being developed with TB experts and patients in active TB treatment using agile development methods to meet the needs of endusers.
This paper aimed to analyze the concept “internet well-being in adolescents” using Walker and Avant's method. We analyzed concept use, it's attributes, antecedents, and consequences. We identified three attributes (e.g., self-help), three antecedents (e.g., internet access), and four consequences (e.g., feeling safe on the internet). This concept analysis will help guide developing effective interventions for adolescents.
Students expect to use technology in their study just as they use technology in other aspects of their life. Technology is embedded in the day-to-day work of nursing, and therefore needs to be integrated in education to prepare students to assume professional roles and develop skills for lifelong learning. A quantitative descriptive study, using an anonymous survey, explored how undergraduate student nurses from one New Zealand school of nursing, access information and communication technologies for their learning. In total 226 completed questionnaires were returned (75%). Nearly all students (96%) have smart phones, all students have a computer and 99% use the university learning management system daily or several times a week. The search engine most commonly used to find information for assignments was Google Scholar (91%), with only 78% using subject specific academic databases. Implications from this study include the need for charging stations and further education on information searching.
Nursing practice conducted in a clinical setting remains within the facility, giving no opportunities to be shared widely. This study was conducted to record practical knowledge of clinical nursing, to build a video database for nursing skills education to share that knowledge, and to assess the systematic operation of such a database. We conducted pilot practice for simplified creation of teaching material contents and for evaluation of the Saei system operation. Saei means “to scrutinize self-made videos”. In Saei, as regular submissions for academic journals, we presupposed that nursing skill videos of one's own creation would be submitted to make them available to others. We assumed that the skill videos to be submitted are “mainly video manuals for nursing or medical care skills, recognized their safety and reliability, and shot to be a reference for clinical nursing, nursing skills training and nursing education using methods to satisfy ethically considered Nursing Art”. This report describes relevant results.
In this study, we aimed to teach elementary school students how to practically deal with elderly people with dementia and developed and evaluated teaching materials using a communication robot called Pepper. The teaching material used the robot to model representative symptoms seen in elderly people with dementia in a realistic context. We applied the two principles of Merrill's first principle and the ARCS model to achieve learning objectives and sustain learning motivation. Furthermore, to verify the effectiveness of the teaching materials, we conducted a questionnaire survey on five experts in community welfare. As a result, it was speculated that by using Pepper, motivation for learning increases and learning can be effectively accomplished. In the future, we aim to introduce the function to the teaching materials based on the evaluation and introduce it to kids' dementia supporter training course.
Pain in child population is presented as a vital process which produces a variation in capacities and needs of care. That pain has an impact on the child's develpoment and therefore on his self-care agency acquisition. That is why the care provided to people with these characteristics are presented as a priority for the nursing professional. From a disciplinary framework, the nursing professional appears as a figue with knowledge for the development of new technological tools (such as robotics) to treat pain in children. In this way, a robotic system that incorporates a program for the assessment of pain in children has been designed using deductive methodology and guided by Software Requirements Specification ANSI/IEEE 830. Finally, this robotic system was implemented according to the construction phases of an Expert System.
Doctor of Nursing Practice (DNP) programs are proliferating around the US as advanced practice nursing programs evolve to build capacity by adding content on professional leadership, policy, and quality improvement to the traditional clinical content. One of the eight “Essentials” for DNP education is “Information systems/technology and patient care technology for the improvement and transformation of health care.” A required graduate course was revised and updated in 2017 to provide a foundation in clinical informatics for DNPs, as well as for nursing informatics specialists. Components of the online course, assignments, and free online resources linked to the DNP Essentials are described in this paper.
Judy Murphy, Michelle Honey, Susan Newbold, Patrick Weber, Ying (Helen) Wu
58 - 59
This presentation will be in a workshop format with a panel of presenters representing four countries. All speakers are authors and will address various aspects from the content of the book published as a result of the NI 2016 Post Conference in Switzerland, Forecasting Informatics Competencies for Nurses in the Future of Connected Health , before inviting the audience to discuss and share their views. The discussion will be focused on defining the informatics competencies for nurses in practice and the requirements for informatics training in nursing programs around the world.
The curriculum associated with nursing informatics (NI) education is not standardized, therefore the perspectives of new and emerging nurse informaticians is important. How these curricula differences affect career opportunities of new nursing informaticians, and in turn influenced current career choices will be explored. Synthesizing opinions with themes extracted from a 2014 international study—Advancing nursi informatics in the next decade: Recommendations from an international survey will be summarized.
Laura-Maria Peltonen, Joyce Sensmeier, Kaija Saranto, Susan K. Newbold, Claudine Ramírez
62 - 64
The advancement of Nursing Informatics (NI) in practice differs between regions and there is a need to support the advancement of NI all over the world. Exemplifying means that have been successful in supporting NI in practice could be used to guide the development of NI in other places as well. To address this need, the IMIA-NI SIG Student and Emerging Professionals (SEP) group proposes a panel of pioneers in the field to discuss means of how to support NI in practice throughout the continuum - from places where the field is just emerging to those where NI today is more advanced. The discussion will cover issues such as NI roles, requirements, competencies and education. Discussed ideas will be collected and reported in the future.
Ming-Chuan Kuo, Marion Ball, Diane J. Skiba, Heimar Marin, Toria Shaw, Polun Chang
65 - 66
This session will describe the TIGER Initiative journey, its evolution and accomplishments nationally and internationally. A powerful demonstration of the TIGER Virtual Learning Environment (VLE) will be highlighted along with case studies from around the world, with emphasis on global competencies and opportunities for engagement in all current TIGER activities and future plans.
This poster will provide an overview of an internship and learning plan designed to support the development of relevant competencies for future nursing leaders. The internship activities were determined based on a learning plan to support the development of knowledge and skill from two informatics competency frameworks, and occurred over a period of six months. The intern engaged in a variety of projects, activities, and self-directed learning, which will be described in the poster.
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