Browsing by Author "Doran, Diane M"
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- ItemEvidence in the palm of your hand: development of an outcomes-focused knowledge translation intervention.(2007-06-07) Doran, Diane M; Mylopoulos, John; Kushniruk, André; Nagle, Lynn; Laurie-Shaw, Brenda; Sidani, Souraya; Tourangeau, Ann E; Lefebre, Nancy; Reid-Haughian, Cheryl; Carryer, Jennifer R; Cranley, Lisa A; McArthur, GregAIM The aim of the project was to develop an electronic information gathering and dissemination system to support both nursing sensitive outcomes data collection and evidence based decision making at the point of patient care BACKGROUND With the current explosion of health related knowledge it is a challenge for nurses to regularly access information that is most current The Internet provides timely access to health information however nurses do not readily use the Internet to access practice information because of being task driven and coping with heavy workloads Mobile computing technology addresses this reality by providing the opportunity for nurses to access relevant information at the time of nurse patient contact METHOD A cross sectional mixed method design was used to describe nurses requirements for point of care information collection and utilization The sample consisted of 51 nurses from hospital and home care settings Data collection involved work sampling and focus group interviews FINDINGS In the hospital sector 40 of written information was recorded onto personal papers at point of care and later transcribed into the clinical record Nurses often sought information away from the point of care for example centrally located health records or policy and procedure manuals In home care documentation took place in clients homes The most frequent source of information was nurse colleagues Nurses top priorities for information were vital signs data information on intravenous IV drug compatibility drug references and manuals of policies and procedures IMPLICATIONS A prototype software system was designed that enables nurses to use handheld computers to simultaneously document patients responses to treatment obtain real time feedback about patient outcomes and access electronic resources to support clinical decision making CONCLUSION The prototype software system has the potential to increase nurses access to patient outcomes information and evidence for point of care decision making
- ItemSupporting evidence-based practice for nurses through information technologies.(2010-05-03) Doran, Diane M; Haynes, R Brian; Kushniruk, André; Straus, Sharon; Grimshaw, Jeremy; Hall, Linda McGillis; Dubrowski, Adam; Di Pietro, Tammie; Newman, Kristine; Almost, Joan; Nguyen, Ha; Carryer, Jennifer; Jedras, DawnPURPOSE To evaluate the usability of mobile information terminals such as personal digital assistants PDAs or Tablet personal computers to improve access to information resources for nurses and to explore the relationship between PDA or Tablet supported information resources and outcomes BACKGROUND The authors evaluated an initiative of the Nursing Secretariat Ontario Ministry of Health and Long Term Care which provided nurses with PDAs and Tablet PCs to enable Internet access to information resources Nurses had access to drug and medical reference information best practice guidelines BPGs and to abstracts of recent research studies METHOD The authors took place over a 12 month period Diffusion of Innovation theory and the Promoting Action on Research Implementation in Health Services PARIHS model guided the selection of variables for study A longitudinal design involving questionnaires was used to evaluate the impact of the mobile technologies on barriers to research utilization perceived quality of care and on nurses job satisfaction The setting was 29 acute care long term care home care and correctional organizations in Ontario Canada The sample consisted of 488 frontline nurses RESULTS Nurses most frequently consulted drug and medical reference information Google and Nursing PLUS Overall nurses were most satisfied with the Registered Nurses Association of Ontario RNAO BPGs and rated the RNAO BPGs as the easiest resource to use Among the PDA and Tablet users there was a significant improvement in research awareness values and in communication of research There was also for the PDA users only a significant improvement over time in perceived quality of care and job satisfaction but primarily in long term care settings IMPLICATIONS It is feasible to provide nurses with access to evidence based practice resources via mobile information technologies to reduce the barriers to research utilization
- ItemUsability evaluation: results from "Evaluation of mobile information technology to improve nurses' access to and use of research evidence".(2012-08-21) Di Pietro, Tammie Leigh; Nguyen, Ha; Doran, Diane MUsability evaluations are necessary to determine the feasibility of nurses interactions with computerized clinical decision support systems Limitations and challenges of operations that inhibit or facilitate utilization in clinical practice can be identified This study provided nurses with mobile information terminals PDAs and tablet PCs to improve point of care access to information The purpose of this study was to determine usability issues associated with point of care technology Eleven nurses were self selected Nurses were videotaped and audiotaped completing four tasks including setting up the device and three resource search exercises A research team member completed a usability checklist Completion times for each task success rate and challenges experienced were documented Four participants completed all tasks with an average time of 3 minutes 22 seconds Three participants were unable to complete any of the three tasks Navigating within resources caused the greatest occurrence of deviations with 39 issues among all participants Results of the usability evaluation suggest that nurses require a device that 1 is manageable to navigate and 2 utilizes a user friendly interface such as a one time log in system Usability testing can be helpful to organizations as they document issues to be cognizant of during the implementation process increasing the potential for successful implementation and sustained usability