There is evidence that nurses have been involved in, or have been affected by health-related computer projects since the mid-1960's. Since those early years nurses have made many significant contributions to the wider bio-health informatics agenda. This article reflects on the evolution of Nursing Informatics, from attempts to define the discipline, through the development of support systems, to the current state-of-the-science for one particular and important field of study, namely clinical terminologies. The article concludes with a call for increased professionalisation of Nursing Informatics.
Humans ; Informatics ; Nursing Informatics* ; Nursing*

Studies demonstrate that there is a dearth of literature published in the local context regarding competencies in nursing informatics in Saudi Arabia. This study employs mixed method design (specifically, a sequential explanatory approach) in documenting the nursing informatics competencies of nurses. A total population was used for the quantitative aspect and purposive sampling was used for the qualitative. There were 295 nurses as respondents. This study commenced with the approval of the Ethics Review Board of the University of Hail. The study was conducted from October 2016 to March 2017 at King Khalid Hospital, Kingdom of SaudiArabia. The results show that nurses are competent in computer literacy (3.38), informatics management (3.49), and informatics literacy (3.27). Nationality and area of assignment proved to be significant in relation to nurses’ competencies. Three themes and six subthemes emerged which included: (a) uncertainty, with the subthemes of diffident and reticent; (b) uncovering the meaning of technology, with the subthemes of value for patients and technology for nurses; and, (c) streamlining Continuing Nursing Education, with the subthemes of competency perspective and the missing link. Nurses acknowledged the significance of nursing informatics in promoting safety and quality care to the patient. However, there can be improvement in the impact of the results of this study by focusing on what the nurses consider as contributory factor in the full achievement of competence in nursing informatics.
Computer Literacy ; Nursing Informatics

The Purpose of this study was to obtain data needed for nursing informatics education through analysis of experiences about application of WBI Nursing Informatics Education Program for Graduate Students which was developed by software engineering and nursing educators. This study was conducted on WBI Graduate Nursing Informatics Education Program which was developed for nursing informatics course, dept. of nursing, C university. The WBI Graduate Nursing Informatics Education Program was developed and operated after taking consideration into the level of computer skills and needs about 3 credits nursing informatics course of 28 graduate nursing students. It was identified that most of graduate nursing students were satisfied with WBI Nursing Informatics Education Program, especially system features of this program that were consisted of system approach and interface design. In conclusion, it is considered that CAUNMCC-WBI System is useful teaching-learning program for graduate nursing informatics course. And also it is suggested that this WBI graduate nursing informatics course provided by interdisciplinary faculties could be a alternative for graduate nursing informatics education.
Education* ; Humans ; Nursing Informatics* ; Nursing* ; Students, Nursing

PURPOSE: The aim of the study was to identify nursing informatics competencies of nurses working for public health centers in Chungcheongnam-do. METHODS: Data were collected from June 10 to July 25, 2012 using the Nursing Informatics Competencies Questionnaire (NICQ). Data were analyzed by descriptive statistics, t-test, chi2-test, ANOVA and Pearson's correlation coefficient. RESULTS: Nursing informatics competencies of the subjects showed a mean score of 3.3+/-1.0 out of 5. As for scores of individual categories, the score for computer skills competencies was 3.3+/-1.0, informatics knowledge competencies 3.4+/-0.9, and informatics skills competencies 3.0+/-0.9. Nursing informatics competencies were positively correlated with the subjects' ages (r=.65, p<.001), computer usage hours (r=.23, p = .015), levels of demand for informatics knowledge (r=.51, p<.001), and informatics skills education (r=.78, p<.001). CONCLUSION: Nursing informatics is required to be connected with job training or in-service education on account of its growing necessity for public health nurses. It is also essential to develop programs for strengthening informatics competencies reflecting sub-categories of educational needs.
Informatics ; Nursing Informatics ; Public Health ; Public Health Nursing ; Surveys and Questionnaires

OBJECTIVE: The purpose of this study was to develop and evaluate a web-based instructional program for a nursing informatics course. METHODS: The course subject, nursing informatics, was formed by a computerized instructional module using the website. The program was developed with consideration for the level of competence and knowledge of the nursing student subjects. It was based on 10-steps CAI module developed by Alessi and Trollip(1991). The subjects consisted of 46 undergraduate nursing students taking a nursing informatics course. RESULTS: Most of the undergraduate nursing students were satisfied with the web-based instructional program, especially with the system features of this program consisting of a system approach and course contents. CONCLUSION: This program was very useful for increasing the effectiveness of learning and the motivation of the students.
Humans ; Learning ; Mental Competency ; Motivation ; Nursing Informatics* ; Nursing* ; Students, Nursing

The purpose of this study is to investigate and evaluate the effects of a Web-based Virtual Class applied to graduate level Nursing Jnformatics. TopClass, a Virtual Class Platform provided by the Virtual University at Seoul National University, was used in this study to implement a web-base learning environment. Lecture and discussion strategies were used for the class. Additional functions including e-mail, offline chatting, BBS, quiz pooi, online exam, image upload and new message alarm were used to facilitate the class operation. Twenty-one graduate students participated in virtual class and received virtual lecture on the Internet. They were asked to rate their knowledge, actual use and capability of computer and Internet and write their expectation and feedback on the course at the beginning and at the end of the course. There were significant differences in knowledge, actual use, and capability of computer and Internet between pre and post. Students indicated that repeat learning beyond time and space, improvement of communication between students and professor, immediate professor' s feedback and improvement of understanding and ability to use computer and Internet and computer, were addressed as useful aspects of virtual class. Lack of active participation in discussion session, the need to have a group work and heavy load of assignment were pointed out as dissatisfaction.
Electronic Mail ; Humans ; Internet ; Learning ; Nursing Informatics* ; Nursing* ; Seoul

PURPOSE: The purpose of this study was to develop an instrument for measuring nursing information literacy competency, and then to examine the validity and reliability of the instrument. METHODS: The developmental process of the instrument includes construction of a conceptual framework, generation of initial items, verification of content validity, preliminary study, extraction of final items, and psychometric testing. Its content validity was verified by three experts from nursing and nursing informatics. Its construct, convergent, and discriminant validity was examined in confirmatory factor analysis. Finally, its criterion validity was measured with Pearson's correlation. The tool's reliability was examined by Cronbach's α. The participants include 382 nurses from four hospitals and one university hospital. RESULTS: Twenty seven items in total were selected for the final scale, and the results of the confirmatory factor analysis were supported with acceptable model fit, which were named competency for identifying problem, potential sources for information, searching fine information, evaluating information, acquising and managing of information, using information ethically, and integrating new information. The convergent, discriminant and criterion validities were also supported. The Cronbach's α coefficient was .93. CONCLUSION: The instrument is valid and reliable to comprehensively assess nurses' information literacy competency, and to provide a basic direction for developing nursing information literacy program.
Information Literacy ; Literacy ; Nursing Informatics ; Nursing ; Psychometrics ; Reproducibility of Results

PURPOSE: This study aimed to identify the effectiveness of educational Electronic Nursing Record System in terms of nursing process preparation ability and satisfaction about the system itself. METHODS: A one group pre-post experimental study design was utilized in this study. The effectiveness of the system was examined through quality of nursing diagnoses, interventions, and outcomes and electronic nursing record system satisfaction inventory. Junior and senior nursing students were the potential study respondents and evaluation instruments were applied only for the one who agreed to participated in the study. Education about nursing process and electronic nursing record system was carried out as part of regular classes and students were guided to prepare nursing process upon the scenarios developed earlier. RESULTS: 29 juniors and 33 seniors prepare nursing process documentation related to each scenario and both groups showed significant improvement upon nursing process documentation (t=7.53, p<.001, t=3.23, p=.003, respectively) compared to paper based nursing process preparation. Satisfaction about system itself was 2.78(0.81). CONCLUSION: Educational electronic nursing record system seems to be effective to train nursing students for nursing process preparation ability. Effort to enhance its utility are called in the area of education and system itself.
Education ; Humans ; Informatics ; Nursing Diagnosis ; Nursing Process ; Nursing Records* ; Nursing* ; Personal Satisfaction ; Students, Nursing* ; Surveys and Questionnaires

OBJECTIVES: To investigate the factors associated with the timeliness of electronic nursing documentation using the entry time on the Electronic Medical Record (EMR) system. METHODS: As a retrospective study, data were extracted from January 1 to February 28, 2014 from a hospital EMR system and a nurses’ personnel information system. The timeliness of instances of nursing documentation was categorized into ‘timely’ or ‘untimely’ according to whether the entry time was time-stamped within the working hours during each day, evening, or night shift. Factors associated with the timeliness of the electronic nursing documentation were included in the logistic regression models as nurse- and patient-associated factors. RESULTS: Among 1,700,247 instances of electronic nursing documentation, 79.3% (n = 1,347,711) were completed within the working hours. Years of nursing experience, nursing shift, days of the week, patients’ age, and medical department had a statistically significant associated with the timeliness of nursing records. Nurses with experience of more than 1 year entered nursing records over 2 times more during their working hours than did less experienced nurses. During the evening and night shifts, nurses were 1.49 times and 9.19 times more likely to enter nursing documents in a timely manner, respectively, as compared to those in the day shift. CONCLUSIONS: Nursing documentation was typically completed outside of working hours when a nurse had little experience, worked during the day shift or weekdays, and when tasks were unpredictable. This shows that new nurses need support to familiarize them with various tasks and the overall workflow.
Electronic Health Records ; Information Systems ; Logistic Models ; Nursing Informatics ; Nursing Process ; Nursing Records ; Nursing* ; Retrospective Studies

PURPOSE: The remarkable progress in information and communication technology has had a great effect on the healthcare delivery system. The development of smart phone applications is a new field. The aim of our research was to provide assistance in developing smart phone applications for community health nursing. METHODS: Based on an informative approach, this study developed persona and site maps, followed by a storyboard as a way of analyzing users' requirements and designing responses in the context of smart phone application development methodology. RESULTS: We developed persona, user interface and database design successfully, and then seven nurses selected four nursing problems (income, residence, pain, and digestion hydration). The search time in seconds for the 2005 English OMAHA guidelines to find three nursing interventions for these problems was used to evaluate the effectiveness of the smart phone application. The results showed that smart phone applications' search was 21 times faster on the average than book guidelines. CONCLUSION: An English version of the OMAHA system application was developed for the Android smart phone market. It is hoped that smart phone applications such as this will be used internationally for nursing education.
Community Health Nursing ; Delivery of Health Care ; Digestion ; Education ; Education, Nursing ; Hope ; Nursing ; Nursing Informatics ; Smartphone