Factors influencing health information technology adoption in Thailands community health centers Ap.docx

Factors influencing health information technology adoption in Thailands community health centers Ap.docx

《Factors influencing health information technology adoption in Thailands community health centers Ap.docx》由会员分享，可在线阅读，更多相关《Factors influencing health information technology adoption in Thailands community health centers Ap.docx（18页珍藏版）》请在冰豆网上搜索。

FactorsinfluencinghealthinformationtechnologyadoptioninThailandscommunityhealthcentersAp

Attitudesofnursingstafftowardselectronicpatientrecords:

Aquestionnairesurvey  OriginalResearchArticle

InternationalJournalofNursingStudies

Background

Agrowingnumberofhealthcareorganizationsareimplementingasystemofelectronicpatientrecords（EPR）.Thisimpliesachangeinworkroutinesfornursingstaff,butitcouldalsoberegardedasanopportunitytoimprovethequalityofcare.

Objective

TheobjectiveofthispaperistoobtainmoreinsightintotheusefulnessofEPRasperceivedbynursingstaffandtoclarifythedeterminantsofnursingstaff'sacceptanceofEPR.DeterminantsweretestedusinganextendedversionoftheTechnologyAcceptanceModel.

Design

Nursingstaffmembers（NAsandRNs）completedasurveyquestionnaireabouttheuseofEPRinhealthcare,andtheirexperiences,perceptionsandattitudesregardingEPR.

Settings

AllnursingstaffmemberswereworkinginDutchhospitals,psychiatricorganizations,careorganizationsformentallyretardedpeople,homecareorganizations,nursinghomesorhomesfortheelderly.

Participants

ThestudypopulationisanationallyrepresentativeDutchresearchsample,furtherreferredtoastheNursingStaffPanel.ThePanelconsistsofapermanentgroupofNursingAssistants（NAs）andRegisteredNurses（RNs）,whoarepreparedtofillinapostalquestionnairetwiceayearonaverage.InJanuary2009,685participantscompletedthequestionnaire.

Results

NursingstaffmembersassociateEPRwithimprovedcare,especiallyqualitativelybetterandsafercare.Theyalsoexpectanincreaseincostsofcare,whileanticipatingonlyarelativelysmallriseinthenumberofpatientsthatcanbecaredfor.Ingeneral,theeffectsofEPRontheworkcircumstancesofnursingstaffareexpectedtobenegative.Job-relatedcharacteristicswerefoundtobedeterminantsofattitudestowardsusingEPR.ArelativelypositiveattitudetowardsEPRwasfoundinthreecategoriesofnursingstaffinparticular,i.e.staffworkingatleast30 hperweek,staffalreadyusingEPRandstaffworkinginhospitals.Nursingstaffinmanagementpositionsalsotendtohaveamorepositiveattitude.WhentheTechnologyAcceptanceModelwastested,attitudestowardsEPRwereprimarilyassociatedwithjob-relatedcharacteristicsandperceivedusefulnesswithrespecttoqualityofcare.

Conclusions

TheimplementationstrategiesforEPRneedtotakeaccountofthejobcharacteristicsoftheintendedfutureusers.Ifimplementationistobesuccessful,itisimportantthattheusersunderstandthebeneficialeffectsofEPRonthequalityofcare.

ArticleOutline

1.Introduction

1.1.Aimofthepaper

2.Methods

2.1.Participants

2.2.Questionnaire

2.3.Statisticalanalyses

3.Results

3.1.PerceivedusefulnessofEPR

4.Discussionandconclusion

4.1.Discussionoffindings

4.2.Methodologicalconsiderations

4.3.Theoreticalimplications

4.4.Practicalimplications

4.5.Conclusion

References

CapstoneExperience:

AnalysisofanEducationalConceptforNursing  OriginalResearchArticle

JournalofProfessionalNursing

theUnitedStates,nursingeducationpreparesregisterednursesforpracticethroughgenericprogramsofstudythatvaryinlengthfrom2to4years.Allhavedifferinggraduationrequirementsandpurportedstudentoutcomes.Often,baccalaureate-preparednurseswithaliberalartsfoundationarerequiredtocompleteacomprehensive“capstoneexperience,”whichmayfacilitatedegreedifferentiationupongraduation.However,thereislittleconsensusinhighereducationregardingthedefiningaspectsofsuchanexperience.Thepurposeofthisarticleistoanalyzeandclarifytheconceptofcapstoneexperienceinthecontextofbaccalaureatenursingeducation.Usingatraditionalapproachofconceptanalysis[Walker,L.O.,&Avant,K.C.（2004）.Strategiesfortheoryconstructioninnursing（4thed.）.UpperSaddleRiver,NJ:

Pearson],anextensivereviewofpertinentliteraturewascompleted.Asaresult,criticalordefiningattributes,antecedents,andconsequencesofcapstoneexperiencesweredetermined.Caseexamples,includingarealmodelcase,highlighttheseaspects,andadefinitionofcapstoneexperienceisoffered.Implicationsfornursingeducation,research,andpracticeareprovided,andausefullistofevaluativecriteriaforcapstoneexperiencesispresented.

ArticleOutline

Background

Approach

IdentificationofAllPossibleUsesoftheConcept

ReviewoftheLiterature

AntecedentsandConsequences

PresentationofCases

ModelCase

BorderlineCase

ContraryCase

EmpiricalReferents

ImplicationsforNursing

Education

Research

Practice

Conclusion

Acknowledgements

References

HealthITSuccessandFailure:

RecommendationsfromLiteratureandanAMIAWorkshop  OriginalResearchArticle

JournaloftheAmericanMedicalInformaticsAssociation

WiththeUnitedStatesjoiningothercountriesinnationaleffortstoreapthemanybenefitsthatuseofhealthinformationtechnologycanbringforhealthcarequalityandsavings,soberingreportsrecallthecomplexityanddifficultiesofimplementingevensmaller-scalesystems.Despitebestpracticeresearchthatidentifiedsuccessfactorsforhealthinformationtechnologyprojects,amajority,insomesense,stillfail.Similarproblemsplagueavarietyofdifferentkindsofapplications,andhavedonesoformanyyears.TenAMIAworkinggroupssponsoredaworkshopattheAMIAFall2006Symposium.Itwasentitled“AvoidingTheF-Word:

ITProjectMorbidity,Mortality,andImmortality”andfocusedonthisunder-addressedproblem.Participantsdiscussedcommunication,workflow,andquality;thecomplexityofinformationtechnologyundertakings;theneedtointegrateallaspectsofprojects,workenvironments,andregulatoryandpolicyrequirements;andthedifficultyofgettingallthepartsandparticipantsinharmony.Whilerecognizingthattherestillaretechnicalissuesrelatedtofunctionalityandinteroperability,discussionaffirmedtheemergingconsensusthatproblemsareduetosociological,cultural,andfinancialissues,andhencearemoremanagerialthantechnical.Participantsdrewonlessonsfromexperienceandresearchinidentifyingimportantissues,actionitems,andrecommendationstoaddressthefollowing:

what“success”and“failure”mean,whatcontributestomakingsuccessfulorunsuccessfulsystems,howtousefailureasanenhancedlearningopportunityforcontinuedimprovement,howsystemsuccessesorfailuresshouldbestudied,andwhatAMIAshoulddotoenhanceopportunitiesforsuccesses.Theworkshoplaidoutaresearchagendaandrecommendedactionitems,reflectingtheconvictionthatAMIAmembersandAMIAasanorganizationcantakealeadershiproletomakeprojectsmorepracticalandlikelytosucceedinhealthcaresettings.

ArticleOutline

Introduction

WorkshopDevelopment

WorkshopThemes

What“Success”Is

WhatMakesItSoHard—Communication,Workflow,andQuality

WhatWeKnow—LessonsfromExperience

AMIAActionRecommendations

ResearchandPublication

BestPractices

Advocacy

Education

Certification

DatabasesandKnowledgeIntegration

Conclusions

Acknowledgements

References

AssessmentofMedicalImagingandComputer-AssistSystems:

LessonsfromRecentExperience  OriginalResearchArticle

AcademicRadiology

Inthelast2decadesmajoradvanceshavebeenmadeinthefieldofassessmentmethodsformedicalimagingandcomputer–assistsystemsthroughtheuseoftheparadigmofthereceiveroperatingcharacteristic（ROC）curve.Inthemostrecentdecadethismethodologywasextendedtoembracethecomplicationofreadervariabilitythroughadvancesinthemultiple–reader,multiple–case（MRMC）ROCmeasurementandanalysisparadigm.Althoughthisapproachhasbeenwidelyadoptedbytheimagingresearchcommunity,someinvestigatorsappearaversetoit,possiblyfromconcernthatitcouldplaceagreaterburdenonthescarceresourcesofpatientcasesandreaderscomparedtotherequirementsofalternativemethods.Thepresentcommunicationargues,however,thattheMRMCROCapproachtoassessmentinthecontextofreadervariabilitymaybethemostresource–efficientapproachavailable.Moreover,alternativeapproachesmayalsobestatisticallyuninterpretablewithregardtoestimatedsummarymeasuresofperformanceandtheiruncertainties.TheauthorsproposethattheMRMCROCapproachbeconsideredevenmorewidelybythelargercommunitywithresponsibilitiesfortheintroductionanddisseminationofmedicalimagingtechnologiestosociety.Generalprinciplesofstudydesignarereviewed,andimportantcontemporaryclinicaltrialsareusedasexamples.

ArticleOutline

•Background

•Industry/FDAExperiencewithDigitalMammography

•ROCAnalysis

•MRMCROCMeasurementParadigm

•MRMCROCandDigitalMammography

•TheArrivalofSystemsforComputer–AssistedReading

•InBehalfoftheIndirectDesign

•LimitationsoftheIndirectDesign

•CADforDetectionofSolitaryPulmonaryNodulesonChestFilms

•ResourceRequirements:

IndirectDesignversusMRMCROC

•BackgroundforSizingMRMCROCStudies

•FromFundamentalEssentialstoBestPractices

•FundamentalEssentials

•SomeResourcesAvailableforIndustrySponsors

•Toward“BestPractices”

•AContemporaryBias

•TheLifeCycleandtheLargerPicture

•Conclusions

•References

Nursingstudent–patientrelationship:

Experiencesofstudentsandpatients  OriginalResearchArticle

NurseEducationToday

Thisstudydealtwithnursingstudents’andpatients’experiencesoftheirrelationship.Qualitativedatawerecollectedconductingsemi-structuredinterviewswith30nursingstudentsand30patientsonmedical