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WHAT IS THE RELATIONSHIP, IF ANY, BETWEEN NURSE INVOLVEMENT IN THE DEVELOPMENT, DESIGN AND SELECTION OF A HOSPITAL INFORMATION SYSTEM (HIS) AND SUBSEQUENT UTILIZATION OF THAT SYSTEM? (SYSTEM DESIGN, COMPUTER USE).

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      • Source: Dissertation Abstracts International, Volume: 54-04, Section: A, page: 1130.Thesis (D.B.A.)--NOVA UNIVERSITY, 1993.School code: 0166.

        Statementnodata
        Publishersnodata
        Classifications
        LC Classifications1993
        The Physical Object
        Paginationxvi, 126 p. :
        Number of Pages88
        ID Numbers
        ISBN 10nodata
        Series
        1nodata
        2
        3

        In the mid 1970s, nursing entered a new era of professionalism and consumerism sparked by the quality assurance movement and by the recognition that the nurses must exercise authority and accountability for their practice. Additionally, the nursing profession was transitioning to the integration of professional practice with computer technology. During the early 1980s nurses recognized the need to shed outdated attitudes, the need to establish their identity, face new and critical decisions related to computer integration into nursing practice and decisions to support educationally, computerize medical information systems into nursing practice and to evaluate the impact of computer technology on nursing practice. This study researches the relationship between nurse involvement in the development, design, selection of a hospital information system (HIS) and subsequent utilization of that system. Review of the literature did not produce a suitable survey tool, therefore, a questionnaire consisting of 34 questions was developed. The Nursing Care Plan Computer survey measured the degree nurse involvement in the enhancement of a hospital information system is associated with (1) the degree nurses utilize computers in performing general work-related tasks, (2) patient care tasks and (3) administrative tasks, (4) the degree nurses training was associated with their perceptions of effective computer usage. Four hypotheses were developed to measure the degree nurse involvement is associated with the degree nurses utilize computers. A total of 100 surveys were distributed and the response rate represented 61% of the 200 surveys returned. The chi-square two tailed t-test was respectively used for hypothesis testing that was based on categorical and continuous scale data. Statistical significance was established with probability values less than 0.05. Involvement measures related to utilization for general work related tasks were not found to be significantly related. Involvement measures related to patient care tasks, administrative tasks, were found to be significantly related. Recommendations for additional research were suggested. File Size: 5MB.


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WHAT IS THE RELATIONSHIP, IF ANY, BETWEEN NURSE INVOLVEMENT IN THE DEVELOPMENT, DESIGN AND SELECTION OF A HOSPITAL INFORMATION SYSTEM (HIS) AND SUBSEQUENT UTILIZATION OF THAT SYSTEM? (SYSTEM DESIGN, COMPUTER USE). by nodata Download PDF EPUB FB2


Critical challenges: Revitalizing the health professions for the twenty-first century. [30 Some of the specific costs that may be restraining forces include lack of experience and expertise, cultural silos, deficient infrastructure, and inadequate or absent reimbursement. [44] In reality, the practice of putting patients and families on health care teams is daunting.

Data already suggest that referrals from primary care providers to specialists rose dramatically from 1999 to 2009. Unpublished white paper presented at the ABIM Foundation meeting to Advance Team-Based Care for the Chronically Ill in Ambulatory Settings. Members of health care teams often come from different backgrounds, with specific knowledge, skills and behaviors established by standards of practice within their respective disciplines.

Building on foundations established by earlier reports from the IOM [17] and the Pew Health Professions Commission, [18] team-based care has gained additional momentum in recent years in the form of legislative support through the Patient Protection and Affordable Care Act of 2010 and the emergence of substantial interprofessional policy and practice development organizations, such as the Patient-Centered Primary Care Collaborative and the Interprofessional Education Collaborative IPEC.

The following section describes each of the principles in detail, provides examples from the teams we interviewed, and considers organizational factors to support development of teams that cultivate these five principles, as well as the values that support high-quality team-based health care.

Achiever Essays

Team members may need to coach each other, including patients and families, in succinct and clear contributions. [25,26,27] Analyses of the quality and cost of team-based care do not yet provide a comprehensive, incontrovertible picture of success. The teams we interviewed considered three types of processes and outcomes: patient outcomes, patient care processes that lead to improved patient outcomes, and value outcomes.

LDI Issue Brief 9 6 :1-4. High-functioning teams have been formed in a variety of practice environments, including both primary and acute care settings. The NQF publication Preferred Practices and Performance Measures for Measuring and Reporting Care Coordination: A Consensus Report 2010 outlines many of the specific steps that can help patients and clinicians achieve the principles of effective team-based care within the context of practicing care coordination.

This is from our high-quality papers written from scratch and thus producing original content. The following are five personal values that characterize the most effective members of high-functioning teams in health care.