Browsing by Author "Currie, Leanne M"
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- ItemThe effect of a mobile clinical decision support system on the diagnosis of obesity and overweight in acute and primary care encounters.(2009-08-26) Lee, Nam-Ju; Chen, Elizabeth S; Currie, Leanne M; Donovan, Mary; Hall, Elizabeth K; Jia, Haomiao; John, Rita Marie; Bakken, SuzanneThe purpose of the study was to compare the proportion of obesity related diagnoses in clinical encounters N 1874 documented by nurses using a personal digital assistant based log with and without obesity decision support features The experimental group encounters in the randomized controlled trial had significantly more P 000 obesity related diagnoses 11 3 than did the control group encounters 1 and a significantly lower false negative rate 24 5 vs 66 5 P 000 The study findings provide evidence that integration of a decision support feature that automatically calculates an obesity related diagnosis increases diagnoses and decreases missed diagnoses and suggest that such systems have the potential to improve the quality of obesity related care
- ItemHealth literacy screening instruments for eHealth applications: a systematic review.(2012-06-08) Collins, Sarah A; Currie, Leanne M; Bakken, Suzanne; Vawdrey, David K; Stone, Patricia WOBJECTIVE To systematically review current health literacy HL instruments for use in consumer facing and mobile health information technology screening and evaluation tools DESIGN The databases PubMed OVID Google Scholar Cochrane Library and Science Citation Index were searched for health literacy assessment instruments using the terms health literacy computer based and psychometrics All instruments identified by this method were critically appraised according to their reported psychometric properties and clinical feasibility RESULTS Eleven different health literacy instruments were found Screening questions such as asking a patient about his her need for assistance in navigating health information were evaluated in seven different studies and are promising for use as a valid reliable and feasible computer based approach to identify patients that struggle with low health literacy However there was a lack of consistency in the types of screening questions proposed There is also a lack of information regarding the psychometric properties of computer based health literacy instruments LIMITATIONS Only English language health literacy assessment instruments were reviewed and analyzed CONCLUSIONS Current health literacy screening tools demonstrate varying benefits depending on the context of their use In many cases it seems that a single screening question may be a reliable valid and feasible means for establishing health literacy A combination of screening questions that assess health literacy and technological literacy may enable tailoring eHealth applications to user needs Further research should determine the best screening question s and the best synthesis of various instruments content and methodologies for computer based health literacy screening and assessment
- ItemIntegrating mobile devices into nursing curricula: opportunities for implementation using Rogers' Diffusion of Innovation model.(2014-03-31) Doyle, Glynda J; Garrett, Bernie; Currie, Leanne MOBJECTIVES To identify studies reporting mobile device integration into undergraduate and graduate nursing curricula To explore the potential use of Rogers Diffusion of Innovation model as a framework to guide implementation of mobile devices into nursing curricula DESIGN Literature review and thematic categorization DATA SOURCES Literature published up until June 2013 was searched using EBSCO PubMed and Google Scholar REVIEW METHOD The literature was reviewed for research articles pertaining to mobile device use in nursing education Research articles were grouped by study design and articles were classified by 1 strategies for individual adopters and 2 strategies for organizations Rogers Diffusion of Innovation theory was used to categorize reported implementation strategies RESULTS Fifty two research studies were identified Strategies for implementation were varied and challenges to integrating mobile devices include lack of administrative support and time funding to educate faculty as well as students Overall the use of mobile devices appears to provide benefits to nursing students however the research evidence is limited CONCLUSION Anticipating challenges and ensuring a well laid out strategic plan can assist in supporting successful integration of mobile devices
- ItemMobile decision support for advanced practice nurses.(2006-11-14) Bakken, Suzanne; Chen, Elizabeth; Choi, Jeeyae; Currie, Leanne M; Lee, Nam-Ju; Roberts, Wm Dan; Soupios, MichaelMobile Decision Support for Advanced Practice Nurses MODS APN is a PDA based decision support tool designed to assist APNs in the diagnosis and management of smoking cessation obesity and depression It is currently being tested in a randomized controlled trial RCT in a sample of APN students to determine the effect on adherence to clinical practice guideline CPG recommendations Tools such as MODS APN have the potential to increase CPG adherence enhance evidence based practice promote patient safety and in the long term improve patient outcomes
- ItemPredictors of depression screening rates of nurses receiving a personal digital assistant-based reminder to screen.(2010-07-09) Schnall, Rebecca; Currie, Leanne M; Jia, Haomiao; John, Rita Marie; Lee, Nam-Ju; Velez, Olivia; Bakken, SuzanneThe purpose of this study was to determine if race ethnicity payer type or nursing specialty affected depression screening rates in primary care settings in which nurses received a reminder to screen The sample comprised 4 160 encounters in which nurses enrolled in advanced practice training were prompted to screen for depression using the Patient Health Questionnaire PHQ 2 PHQ 9 integrated into a personal digital assistant based clinical decision support system for depression screening and management Nurses chose to screen in response to 52 5 of reminders Adjusted odds ratios showed that payer type and nurse specialty but not race ethnicity significantly predicted proportion of patients screened