Understanding the use of standardized nursing terminology and classification systems in published research : a case study using the International Classification for Nursing Practice®

Background In the era of evidenced based healthcare, nursing is required to demonstrate that care provided by nurses is associated with optimal patient outcomes, and a high degree of quality and safety. The use of standardized nursing terminologies and classification systems are a way that nursing documentation can be leveraged to generate evidence related to nursing practice. Several widely-reported nursing specific terminologies and classifications systems currently exist including the Clinical Care Classification System, International Classification for Nursing Practice®, Nursing Intervention Classification, Nursing Outcome Classification, Omaha System, Perioperative Nursing Data Set and NANDA International. However, the influence of these systems on demonstrating the value of nursing and the professions’ impact on quality, safety and patient outcomes in published research is relatively unknown. Purpose This paper seeks to understand the use of standardized nursing terminology and classification systems in published research, using the International Classification for Nursing Practice® as a case study. Methods A systematic review of international published empirical studies on, or using, the International Classification for Nursing Practice® were completed using Medline and the Cumulative Index for Nursing and Allied Health Literature. Results Since 2006, 38 studies have been published on the International Classification for Nursing Practice®. The main objectives of the published studies have been to validate the appropriateness of the classification system for particular care areas or populations, further develop the classification system, or utilize it to support the generation of new nursing knowledge. To date, most studies have focused on the classification system itself, and a lesser number of studies have used the system to generate information about the outcomes of nursing practice. Conclusions Based on the published literature that features the International Classification for Nursing Practice, standardized nursing terminology and classification systems appear to be well developed for various populations, settings and to harmonize with other health-related terminology systems. However, the use of the systems to generate new nursing knowledge, and to validate nursing practice is still in its infancy. There is an opportunity now to utilize the well-developed systems in their current state to further what is know about nursing practice, and how best to demonstrate improvements in patient outcomes through nursing care

'Nursing Hours' or 'nursing' hours - a discourse analysis

This thesis is about the business of nursing; the making and remaking of nurses’ work in the context of private healthcare. Nurses in Australia, as in other countries around the world, have experienced considerable workplace changes over the past 15 years due to governments and public and private healthcare organisations seeking to reform healthcare service delivery. These reforms have significantly changed not only how private hospitals manage care, but the nursing role in practice. This ethnographic study explores the impact of these reforms on nurses’ work in one Australian acute care private hospital. It critically examines nurses’ organising practices in light of the workload measurement method used to staff the hospital, unit and ward with minimum staffing. Using Foucault’s (1972) archaeological approach and drawing upon governmentality theory as the analytical framework, I will argue that within the political rationality of neo-liberalism, ‘care’ in nursing is a technology of governance. As such, nurses’ ‘care’ transforms contemporary healthcare policy, in particular policy pertaining to private healthcare, from a macro to the micro level of everyday practice. Care is the means of producing a ‘business savvy’ nurse; someone who is not only an expert clinician with transferable skills but who knows the private health market and is able to work within a competitive business environment. Analysis reveals the contradictions and tensions that exist for nurses between the clinical and economic foci, and the economics and business of health as the nursing role is played out within the organisational imperatives of their work. This study illustrates the shifting boundaries of nurses’ work in relation to the ascendancy of business concerns in healthcare delivery. While methods of workload measurement may well represent what counts as the nursing hours in healthcare organisations, the nurses in this study spoke at length of the strategies they used to make the nursing hours ‘work’. Findings indicate that nurses employ specific discursive strategies when talking about ‘nursing hours’. When addressing their workloads, their discourses centred on the business of care delivery, of nurse-to-patient ‘allocations’ and ‘handover’, or the many instances of ‘handing over’ their work. The study challenges nurses’ professional discourses about what nursing is, what nurses actually do and the sophistication with which this is accomplished at work. Conceiving of nurses’ work in terms of ‘nursing’ hours rather than patients in the business of health service delivery provides a different way of thinking about nursing workforce issues at a time when healthcare organisations and systems worldwide grapple with the question of how many nurses and what kind of nurses they need

The Impact of Digital Technologies on Public Health in Developed and Developing Countries

This open access book constitutes the refereed proceedings of the 18th International Conference on String Processing and Information Retrieval, ICOST 2020, held in Hammamet, Tunisia, in June 2020.* The 17 full papers and 23 short papers presented in this volume were carefully reviewed and selected from 49 submissions. They cover topics such as: IoT and AI solutions for e-health; biomedical and health informatics; behavior and activity monitoring; behavior and activity monitoring; and wellbeing technology. *This conference was held virtually due to the COVID-19 pandemic

Improving Access and Mental Health for Youth Through Virtual Models of Care

The overall objective of this research is to evaluate the use of a mobile health smartphone application (app) to improve the mental health of youth between the ages of 14–25 years, with symptoms of anxiety/depression. This project includes 115 youth who are accessing outpatient mental health services at one of three hospitals and two community agencies. The youth and care providers are using eHealth technology to enhance care. The technology uses mobile questionnaires to help promote self-assessment and track changes to support the plan of care. The technology also allows secure virtual treatment visits that youth can participate in through mobile devices. This longitudinal study uses participatory action research with mixed methods. The majority of participants identified themselves as Caucasian (66.9%). Expectedly, the demographics revealed that Anxiety Disorders and Mood Disorders were highly prevalent within the sample (71.9% and 67.5% respectively). Findings from the qualitative summary established that both staff and youth found the software and platform beneficial

Geographic information systems applied to patient distribution for Family Health Teams.

Mestrado em Informática MédicaMaster Programme in Medical Informatic

The Impact of Digital Technologies on Public Health in Developed and Developing Countries

This open access book constitutes the refereed proceedings of the 18th International Conference on String Processing and Information Retrieval, ICOST 2020, held in Hammamet, Tunisia, in June 2020.* The 17 full papers and 23 short papers presented in this volume were carefully reviewed and selected from 49 submissions. They cover topics such as: IoT and AI solutions for e-health; biomedical and health informatics; behavior and activity monitoring; behavior and activity monitoring; and wellbeing technology. *This conference was held virtually due to the COVID-19 pandemic

Understanding organizational stakeholder commitment to ensure information systems/information technology benefits in portuguese hospitals: an analysis based on the theory of technological frames.

Doutoramento em GestãoThe unique context of healthcare organizations provides opportunities to develop or refine theory relating to organizational change and information systems. This research looks at the role stakeholder commitment plays in the realisation of expected benefits for an information system project in a healthcare setting. Case studies, relating to an organization-wide information systems (IS) project, were conducted in two Portuguese hospitals, allowing a study of the perceptions and behaviours of stakeholders, their commitment to the Information System and Information Technology (IS/IT), organizational change and the achievement of business benefits. A qualitative, interpretative, case-based research strategy was implemented based on semi-structured interviews and document analysis. The Three Component Model of Organizational Commitment and Technological Frames of Reference (TFR) provided the theoretical grounding for analysing the collected data. A resulting theoretical framework is proposed to reduce the many issues associated with the implementation of Healthcare Information Systems (HIS) in healthcare organizations, enabling them to quickly achieve the expected benefits. A contribution to TFR theory is made by extending the development of frame structure to include the shaping of perceptions by stakeholders. As part of the conceptual model, a set of frames is identified that healthcare professionals hold regarding Information Technology.O contexto único das organizações de saúde oferece oportunidades para desenvolver ou aperfeiçoar teoria relacionada com a mudança organizacional e sistemas de informação. Esta pesquisa, propõe uma análise do papel que o compromisso dos stakeholders desempenha na realização dos benefícios esperados com a implementação de um Sistema de Informação no sector da saúde. Nesta pesquisa, foram estudadas as percepções e os comportamentos dos profissionais de saúde, a fim de compreender o seu compromisso com os Sistemas e Tecnologias de Informação (SI/TI), a mudança organizacional e a obtenção de benefícios com os investimentos em SI/TI. Foi adoptada uma estratégia de investigação qualitativa e interpretativa, baseada em estudos de caso. A recolha de dados baseou-se em entrevistas semiestruturadas e análise documental. The Three-Component Model of Organizational Commitment e Technological Frames of Reference (TFR) fornecem a base teórica para analisar os dados recolhidos. É proposto um quadro teórico para reduzir as muitas questões associadas à implementação de Sistemas de Informação na Saúde (SIS) nas organizações de saúde, permitindo-lhes uma obtenção mais rápida dos benefícios esperados. Uma contribuição para a teoria dos TFR resulta da extensão da estrutura de frames tecnológicos dos stakeholders. Como parte do modelo conceptual, é identificado um conjunto de percepções que os profissionais de saúde detêm sobre as TI.N/