Computerized hospitals: an attraction or deterrent to recruitment in nursing?

This article describes a survey of 202 nursing recruits at an 850 bed hospital newly computerized with an Integrated Hospital Information System (IHIS). The nurses answered questions concerning their demographic characteristics, their experience with computers, their attitudes to computers and whether the fact that the hospital was computerized affected their decision to apply for employment. Results of this study suggest that the nurses' decision to apply to this setting for employment did not depend upon the factor of computerization. The majority of recruits held positive attitudes towards computers and it appeared that nurse recruits might be part of an ever increasing computer-literate population. Those having less experience with computers indicated greater anxiety. Implications for recruitment strategies and education are that while no major deterrents may exist for recruitment, new nurses with no computer experience require special attention because they may have higher levels of anxiety about computers. In orientation they may need clarification of what computers can be expected to do in a nursing environment so that they do not form unrealistic expectations. They may need to be informed as to whether a hospital is using a more general Hospital Information System which serves the needs of all departments, or a Nursing Information System which is more closely directed to the nurses' own daily work, since it is the latter which will most affect their degree of contact with computers.     

A study of hospital nurses' attitudes toward continuing education in Kaohsiung City, Taiwan

The purpose of this study was to investigate hospital nurses' attitudes toward continuing education. Continuing education was defined as non-credit organized educational programs designed for nurses by hospitals, nursing institutions, or other related organizations to maintain or improve professional competence. It included "in-service education", "on-the-job training", and other synonymous educational activities. Six hundred and seventy-four randomly selected hospital nurses in Kaohsiung City participated in this study. The data was collected by delivering a 34-statement questionnaire through the directors of nursing. Cronbach's Alpha Coefficient was applied to determine the reliability with a value of 0.79. Factor analysis and a group of experts' suggestions were applied to determine the validity. Frequency distribution, Analysis of Variance, Scheffe' test, and Multiple Regression Analysis were conducted to analyze the research questions. The level of significance was set at 0.05 or less. The results indicated that the majority of nurses (92.65%) hold positive attitudes toward continuing education (M = 86.32). Nurses' attitudes toward continuing education were related to selected personal and professional characteristics, and hospital policies regarding continuing education. To maintain nurses' positive attitudes and to develop positive attitudes for those who hold negative attitudes, some strategies for continuing education should be considered by nursing administrators.     

Semi-quantitative RT-PCR for comparison of mRNAs in cells with different amounts of housekeeping gene transcripts

There is a need for more information about research utilization and other related research activities among nurses in the U.K. This article reports on data from a large scale survey of nurses in Northern Ireland, in particular their self-reported extent of research utilization, their attitudes to research, research projects carried out and their frequency of accessing research information. A questionnaire was administered to a convenient sample of 2600 nurses from 23 hospitals in 14 Trusts. The number of responses was 1368 (52.6%). The findings show that although respondents held positive attitudes to research, only about a third reported utilizing research 'frequently/all the time' and less than 40% reported that they had implemented research findings in the two years prior to the survey. These figures were, however, higher for degree nurses. The implications of these and other findings are discussed.     

Can a Web-based family problem-solving intervention work for children with traumatic brain injury?

Objective: To examine the feasibility and efficacy of a Web-based intervention for children with traumatic brain injury (TBI). Participants: 6 families comprising 8 parents, 5 siblings, and 6 children with TBI (mean age=10.5 years). Intervention: Families received computers, Web cameras, and Internet access. Participants completed 7-11 online sessions and accompanying weekly videoconferences with the therapist. Main Outcome Measures: Outcomes included child behavior problems, social competence, executive function skills, and parent-child conflict. Results: Children with TBI rated Web site content as very to extremely helpful and reported high overall satisfaction. There was a trend for children with TBI to rate the videoconferences as less helpful than did other family members and relative to a face-to-face visit. Parents reported improvements in antisocial behaviors, and children with TBI reported reductions in conflict with parents regarding school. Conclusions: Web-based interventions hold promise for improving child outcomes following pediatric TBI. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Nursing on-line for continuing education credit

BACKGROUND: The Internet was evaluated as a source of continuing education credit for RNs. METHOD: Using the search engines Alta Vista, Excite, Magellan, and Infoseek, 600 World Wide Web sites were reviewed for on-line programs that would lead to the receipt of a continuing education (CE) certificate of completion for a varying number of CE hours. RESULTS: Five sites provided CE programs online and one site used e-mail to deliver the program to personal computers. All sites offered certificates and were approved to offer continuing nursing education credit through a state board of nursing or through the agency sponsoring the Internet site. The CE hours were also approved by the American Nurses Credentialing Center's Commission on Accreditation. CONCLUSION: The findings indicate the Internet is a source of CE units (hours) for nurses that may be used to satisfy requirements of state boards of nursing. The sites are easily accessible and eliminate travel and great expenses. The Internet is a rich source of current health-related information not approved for CE units but pertinent to health care professionals.     

Impact of computers on professional practice: A survey of current practices and attitudes.

Surveyed 227 practicing psychologists to explore the impact of computers on the everyday practice of psychology and practitioners' attitudes toward specific uses of computers. Whereas more than half of the respondents reported using computers in their practices, most restricted their use to clerical applications. Few practitioners used their computer for more clinical applications. Reasons most frequently reported for not using computers related to lacking the necessary skills and experience and to financial considerations. Overall, practitioners had positive attitudes toward a variety of specific applications of computers. Implications of these findings for facilitating the appropriate use of computers by practitioners are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Health nurses: attitudes towards treating AIDS patients

Many nurses working in hospitals, especially in the wards, as well as nurses in community clinics have been involved in treating AIDS sufferers. In spite of clear and widespread information available to professionals, strong apprehensions still exist as to the contagious nature of the disease. A survey was carried out in order to assess the attitudes of nurses in this regard. Participants were drawn from the nursing profession, all were Registered Nurses (R.N.) The survey was carried out in the centre of the country and involved 137 participants, 69 of whom were hospital nurses and 68 community health nurses. Their average age was 43 years with an average professional experience of 10 years. A questionnaire was issued containing 24 closed questions, based on professional knowledge, clinical experience, professional literature, and attitudes towards treatment, as well as obligations involving information to family members and other institutions and commitment to HIV patients.     

Development of a hypermedia program designed to assist patients with localized prostate cancer in making treatment decisions

The Prostate Centre, a hypermedia program integrating CD-ROM and Internet technology, was developed to help patients with localized prostate cancer access detailed and current information about available treatment options. Personal interviews with ten patients confirmed the need for more specific information examining the diagnosis and treatment of prostate cancer, as well as the suitability of computers for conveying this information. Sample screen designs effectively determined patients' visual preferences and were a useful springboard for conversation about a number of other relevant topics. Pilot testing of the resulting prototype elicited a positive response about the program from this sample audience. Patients regarded the program as useful, relevant to their needs, and navigable. Although the small sample size limited the study's generalizability, the method of involving patients in the design process successfully guided the program's development toward a greater fit with the users' needs.     

Rural school nurses' attitudes about AIDS and homosexuality

The AIDS epidemic has spread to rural areas of the United States. Conservative rural communities are facing the challenge of having children with HIV entering school. School nurses, as the only health care providers in the schools, are in a strong position to facilitate the education of children with HIV and to provide AIDS education to students, faculty, and parents. School nurses' knowledge and attitudes about AIDS and people with AIDS influence their effectiveness in prevention activities and care of HIV-infected children. This study examined the relationship between specific demographic, practice, and cultural variables and rural school nurses' attitudes about AIDS and homosexuality. Sixty-nine school nurses responded to a mailed questionnaire as part of a larger study of rural nurses. Results indicate attitudes about homosexuality were related to nurses' homosexual knowledge and religious beliefs while attitudes about AIDS were related to nurses' willingness to care for people with AIDS and feeling prepared to do so.     

Application of Web Services for Structural Engineering Systems

The Internet has revolutionized the way computing is done and the way software systems work. Many systems, such as search engines and PC games, have utilized Web-related technologies for Web-based systems. However, the application of Web-based engineering software is still in its infancy, especially regarding engineering computing. This paper presents a prototype development of Web-based structural engineering systems by utilizing modern computer graphics and information technology to provide Web-based analytical services. The system design emphasizes platform-independence, graphical interface, system performance, and a multiple-user environment. The user needs only an Internet-connected machine to access high-performance services provided at remote sites over the Web. This framework will provide users a powerful tool to efficiently perform analysis with minimal computer resource requirements. The user will always have access to the most up-to-date and functional system with no client-side updates or maintenance required. Two Web-based system implementations are given as examples in this paper.     

Waiting list guarantee between medicine and bureaucracy

The traditional autonomy of the health professions is being eroded by external bureaucratic regulations of health care services, implemented to control costs and secure equitable access to services. This is an international trend. The guaranteed maximum waiting time in Norway is an example of such regulations. Introduced in 1990 and revised in 1997, it regulates the maximum waiting time for hospital admittance for patients who meet certain criteria. The regulation limits physicians' scope for setting priorities according to traditional criteria such as disease severity and admittance on a first come, first served basis. At issue here is whether the waiting time guarantee is compatible with established professional norms for setting priorities. We explored this issue of regulation versus professional norms through a postal survey among 152 physicians and nurses in charge of allocating patients to waiting lists. The results indicate that most respondents do not think that the reform has led to more equitable priorities. Health professionals seem to follow professional norms more than externally imposed rules. Difficulties in interpreting the rules and infringements of the guarantee in respondents' departments led to negative attitudes towards the guarantee. Physicians were more negative than nurses in their attitudes.     

Nutrition knowledge in urban Blacks

A simple questionnaire has been presented to Blacks at Baragwanath Hospital and in Soweto to test their current knowledge of basic nutrition and some related attitudes. The survey of 400 persons included nurses, schoolchildren, and a group of others whose standard of general education was lower. The vast majority had received nutrition instruction, were aware of basic requirements, and, given a free choice, could select reasonable diets. Fatness is no longer considered a desirable attribute in these urban Blacks but reasons for this vary.     

A remote conference system for image diagnosis on the World-Wide Web

OBJECTIVE: The World-Wide Web on the Internet enables an exchange of multimedia information among remote desktop computers. Therefore, a teleradiology system using the Web would allow remote consultation with expert radiologists. Our objective was to establish a Web-based prototype system for image interpretation. CONCLUSION: Our system allows a physician to transmit clinically useful images to an expert radiologist at a different location, who can see them on a Web browser and discuss diagnoses with the physician.     

Euthanasia among US critical care nurses. Practices, attitudes, and social and professional correlates

OBJECTIVES: The authors sought to identify associations between critical care nurses' self-reported participation in euthanasia, their social and professional characteristics, and their attitudes toward end-of-life care. METHODS: Data were collected through an anonymous mail survey of 1,560 US critical care nurses, of whom 1,139 (73%) responded. Nurses were asked to report whether they had received requests to engage in euthanasia and whether they had engaged in euthanasia. In addition, nurses were asked to respond to items assessing their attitudes toward end-of-life care. RESULTS: Of 852 nurses who identified themselves as practicing exclusively in adult intensive care units, 164 (19%) reported that they had engaged in euthanasia, 650 (76%) reported that they had not engaged in euthanasia, and 38 (4%) could not be classified. Only 30% of respondents believed that euthanasia is unethical. Logistic regression indicated that older nurses, more religious nurses, nurses practicing in cardiac care units, and nurses with less favorable attitudes toward euthanasia were significantly less likely to report having engaged in euthanasia, although the effects of age and religious beliefs appear to have been mediated by attitudes. CONCLUSIONS: These results help explain why some US critical care nurses engaged in euthanasia despite legal and professional prohibitions against it. Because critical care nurses may have a special understanding of the needs of critically ill patients, these results may indicate that current guidelines for end-of-life care are inadequate.     

Sexual behavior of HIV-seropositive young men with congenital coagulopathies. Hemophilia Behavioral Intervention Projects (HBIEP) Study Group

The purpose of this study was to investigate the attitudes towards attempted suicide patients among registered nurses involved in the somatic care of such patients, and to compare them with those of psychiatric nurses. The attitudes were measured on a newly constructed scale, the Understanding of Suicide Attempt Patients Scale (USP-Scale), and three brief clinical vignettes with the answer format of a visual analogue scale (VAS). The nurses working within the psychiatric services were more understanding and more willing to nurse suicide attempt patients than nurses in somatic disciplines. Among all the nurses, older personnel were more favourably disposed than the younger, and more frequent contact with suicide-prone patients was related to more positive attitudes. The perceived need for further training in suicidology was significantly stronger among the nurses in the general hospitals. This suggests that their 'negative attitudes' may to some extent be a result of lack of knowledge and uncertainty rather than a hostile attitude. The nurse has a responsibility to create a positive climate in the patient's encounter with the health services. Knowledge and understanding are needed to enable the nurse to provide professional care for a difficult and challenging patient group.     

District nurses' perceptions of palliative care at home

A postal survey of 148 district nurses (DNs) was carried out to explore their experiences of terminal care and their views of the palliative care team. Information was also gathered on DNs' perceived educational needs in relation to palliative care. The high response rate of 87% and the additional comments that many nurses offered illustrates their desire to provide high-quality care. Factors that appeared to hinder achievement of this goal and led to stress included size of caseload, lack of knowledge and experience in managing difficult symptoms as well as time constraints. High levels of satisfaction with the palliative care team were recorded but a need for further education and improved communication were identified.     

Computer-assisted learning in dentistry. A view from the UK

OBJECTIVES: The objectives of this paper are to review the development and impact of computer assisted learning (CAL) in dentistry with emphasis on the UK. DATA SOURCES: This is a wide ranging review of dental, medical and technical literature. STUDY SELECTION: An attempt has been made to evaluate present knowledge in an objective manner and to make some prediction as to the future development and use of computer-based teaching methods in dentistry. CONCLUSIONS: The introduction of computers as an educational tool in dentistry and the provision of CAL is having an impact not only on how dentists are trained but also on the skills they will need to acquire in the future to keep pace with this new technology. It is suggested that there is a great potential for computer-based continuing professional education for dental practitioners, and that the Internet will provide access to such material.     

Transcultural therapy. 2: Mental health and learning disabilities

The first article in this two-part series (Vol 7(15): 901-6) examined the issues surrounding healthcare provision in the context of the UK as a multicultural society in relation to mental health and learning disabilities. This second article considers the development of psychotherapy, theory and skills of working in terms of its impact and influence upon the education and practice of community mental health nurses and community nurses in learning disability within the UK. The major schools of influence in psychology will be examined in relation to their limitations for practice with clients from various cultures. In addition, three multicultural models of counselling which address cultural diversity will be appraised. Finally, the need for educational systems and service providers to foster and develop positive cultural attitudes among nurse practitioners will be emphasized. Both individual practitioners and employment organizations will need to be much more responsive and committed to developing multicultural services as we approach the millennium.