Studies in health technology and informatics
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Stud Health Technol Inform · Jan 2009
A pilot study exploring the clinical benefits when using a Mobile Clinical Assistant, the Motion C5 in medical wards.
Hand held computers and point of care devices have been identified as tools that can support more efficient safe care delivery. This paper describes a pilot which evaluates this technology for usage by the nursing and the wider clinical team. ⋯ The findings were reviewed qualitatively, and thematically analysed. The pilot highlighted significant benefits, the support of the delivery safer more effective care to patients in NHS Lothian.
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Nursing informatics competency lists can provide a clear picture of required skills, knowledge, and attitudes needed for today's nursing workforce in a high-tech environment. Many stakeholders such as employers and educators have a vested interest in defining nursing informatics competencies for nurses. The primary objective of this paper was to compare and contrast published nursing informatics competencies. ⋯ Findings revealed that there is variation among published informatics competencies in regard to content, presentation, and audience. A general list of competencies that can be utilized by nurses at all levels is needed. As a result nurses could operationalize and measure the skills, knowledge, and attitudes necessary to execute safe and effective nursing care in today's health care setting.
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Stud Health Technol Inform · Jan 2009
The electronic health record in Austria: physicians' acceptance is influenced by negative emotions.
Negative emotions like anxiety and fear due to a lack of information may cause change barriers and drag physicians' acceptance of the national electronic health record (ELGA) in Austria. Qualitative, problem-centric interviews were conducted with eight physicians. ⋯ They fear unknown changes, increased costs, workload and surveillance without having advantages from using electronic health records in their daily practice. Impartial information campaigns, tailored to the physicians' needs and questions as well as comprehensive cost-benefit analysis could benefit the physicians' opinion of ELGA.
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Stud Health Technol Inform · Jan 2009
Developing an immersive ultrasound guided needle puncture simulator.
We present an integrated system for training ultrasound guided needle puncture. Our aim is to provide a cost effective and validated training tool that uses actual patient data to enable interventional radiology trainees to learn how to carry out image-guided needle puncture. ⋯ Force measurements have been made on real tissue and the resulting data is incorporated into the simulator. Respiration and soft tissue deformations are also carried out to further improve the fidelity of the simulator.
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Stud Health Technol Inform · Jan 2009
Remote videolaryngoscopy skills training for pre-hospital personnel.
Videolaryngoscopy (VL) is a novel technology that can facilitate rapid acquisition of intubation skills with simultaneous teacher and learner visualization of laryngeal structures. Videolaryngoscopy improves laryngeal visualization, and improves intubation success in difficult airway management compared to standard direct laryngoscopy. First responders need enhanced airway management tools to improve intubation success rates in civilian pre-hospital and military battlefield settings. ⋯ User acceptance was good. Remote training paradigms for advanced technology solutions such as videolaryngoscopy can accelerate the diffusion of life-saving new technologies, especially when there is limited access to specialized training. Videolaryngoscopy visualization and difficult airway intubation success rates were better than direct laryngoscopy.