Implementation of customized health information technology in diabetes self management programs.
PURPOSE: : The project was a nurse-led implementation of a software application, designed to combine clinical and demographic records for a diabetes education program, which would result in secure, long-term record storage. BACKGROUND/RATIONALE: : Clinical information systems may be prohibitively ex...
| Publicado en: | Clinical Nurse Specialist: The Journal for Advanced Nursing Practice Vol. 25; no. 2; pp. 63 - 71 |
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| Autores principales: | , , , |
| Formato: | questionnaire/scale research Journal Article |
| Publicado: |
Lippincott Williams & Wilkins
2011 Mar-Apr
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104833859&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 104833859 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 08876274 8CC jtl: Clinical Nurse Specialist: The Journal for Advanced Nursing Practice issn: 08876274 maglogo: N pubinfo: dt: 2011 Mar-Apr vid: 25 iid: 2 pid: 5086 pub: Lippincott Williams & Wilkins place: Baltimore, Maryland artinfo: ui: 104833859 104833859 2010965937 10.1097/NUR.0b013e31820aefd6 NLM21311246 104833859 ppf: 63 ppct: 8 formats: tig: atl: Implementation of customized health information technology in diabetes self management programs. aug: au: Alexander, Susan Frith, Karen H O'Keefe, Louise Hennigan, Michael A affil: College of Nursing, University of Alabama, Huntsville, AL sug: subj: Clinical Information Systems Clinical Nurse Specialists Databases, Health Diabetes Education Systems Development Adult Aged Attitude of Health Personnel Computer Literacy Electronic Health Records Database Management Software Databases, Health Economics Descriptive Statistics Diabetic Patients Diffusion of Innovation Female Human Insurance, Health, Reimbursement Male Middle Age Nursing Theory Outcome Assessment Outpatients Private Practice Quality Improvement Southeastern United States Staff Development Surveys Adult: 19-44 years Aged: 65+ years Middle Aged: 45-64 years Female Male ab: PURPOSE: : The project was a nurse-led implementation of a software application, designed to combine clinical and demographic records for a diabetes education program, which would result in secure, long-term record storage. BACKGROUND/RATIONALE: : Clinical information systems may be prohibitively expensive for small practices and require extensive training for implementation. A review of the literature suggests that the use of simple, practice-based registries offer an economical method of monitoring the outcomes of diabetic patients. PROJECT DESCRIPTION:: The database was designed using a common software application, Microsoft Access. The theory used to guide implementation and staff training was Rogers' Diffusion of Innovations theory (1995). OUTCOMES: : Outcomes after a 3-month period included incorporation of 100% of new clinical and demographic patient records into the database and positive changes in staff attitudes regarding software applications used in diabetes self-management training. These objectives were met while keeping project costs under budgeted amounts. CONCLUSIONS: : As a function of the clinical nurse specialist (CNS) researcher role, there is a need for CNSs to identify innovative and economical methods of data collection. The success of this nurse-led project reinforces suggestions in the literature for less costly methods of data maintenance in small practice settings. Ongoing utilization and enhancement have resulted in the creation of a robust database that could aid in the research of multiple clinical issues. IMPLICATIONS: : Clinical nurse specialists can use existing evidence to guide and improve both their own practice and outcomes for patients and organizations. Further research regarding specific factors that predict efficient transition of informatics applications, how these factors vary according to practice settings, and the role of the CNS in implementation of such applications is needed. pubtype: Academic Journal doctype: questionnaire/scale research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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