Reputable websites

Nurses are bombarded with information and new patient cases that they have not learned about or had experience in dealing with that require further information.  Knowing reputable web sites can speed the information process.  There are common themes among web sites that provide accurate information.  A case study of  Charles encountering a rare condition leads to securing reliable resources as listed.  McGonigle & Mastrian (2015) described the most reliable sources, which contain a meta analysis without any conflicting interests.  Textbooks are valuable if up to date.  For this situation, I would refer to the http:/www.CDC.org.
Some other reliable resources include:

.edu - education sites

.gov - government sites

.org - organization sites

.com - commercial sites

.net - network infrastructures

There are other extensions, such as the abbreviation of a country, ie. .jp for Japan Retrieved from Guidelines for Evaluating Websites. http://mason.gmu.edu/~montecin/webcritique.htm This site provides reputable sources for obtaining reliable information.   https://nccih.nih.gov/sites/nccam.nih.gov/files/styles/original_squ/public/older%20woman%20and%20younger%20woman%20ipad%20ThinkstockPhotos-487910370_square.jpg?itok=y8919RSe This is an example of a .gov site that is considered reliable. Charles should stay updated on reliable sources and research situations where more knowledge is required. References McGonigle, D., & Mastrian, K.  G.  (2015). Nursing informatics and the foundation of knowledge (3rd ed.)  Jones & Bartlett Learning, Burlington, MA http://www.cdc.org

Using Computer Software for Quantitative and Qualitative Research

Using Computer Software for Quantitative and Qualitative Research

Nelson & Staggers (2008) reported on the ANA scope of practice (ANA Publishing 2008), and promotes increasing computer literacy for nurses and recommending specific technology concepts that need to be understood by nursing faculty leading out in the education of nursing students. A research investigator needs to participate in choosing the correct participants, answer the research question and using a software program that will accurately provide statistical results. 

One software that is efficient for qualitative research is Nvivo which was reinfoced by Bergin (2011) who discussed using this software to ensure accurate data analysis is reported on a study. 

For a quantitative study, a statistical databse such as SPSS, which can improve accuracy (Duffy, 2006).   Choose a software that will produce reliable results.

R

https://www.pinterest.com/pin/180636635024546570/

References

American Nurses Association.  Scopeand Standards of Nursing Informatics Practice, Washington, DC:  American Nurses Publishing, 2008.  (Pub no 978INFO).

Bergin, M.  (2011).  NVivo 8 and consistency in data analysis:  reflecting on the use of a qualitative data analysis program, Nurse Researcher, 18(3), 6-12.

Duffy, M.  E.  (2006).  Handling missing data:  A commonly encountered problem in quantitative research.  Clinical Nurse Specialist, 20(6), 273-276.

Nelson, R., & Staggers, N.  (2008).  AAN News & Opinion:  Implications of the american nurses association scope and standards of practice for nursing informatics for nurse educators:  A discussion.  Nursing Outlook, (2008), 93-94

Evidence-Based Practice

Evidence-Based Practice

http://www.journalofnursingregulation.com/cms/attachment/2032848946/2049174172/gr.jpg

The AACN levels of evidence has changed from a numbering system to letters with the highes level being A and contains Meta Analysis versus M which is the lowest and Manufacturer's recommendations only. (Retrieved from http://www.aacn.org/WD/Practice/Docs/Research/01%20-%20AACN%20Evidence%20Levels.pdf) 

   

Implementing Evidence-Based Practice requires recognition of the importance of this practice.  McGonigle & Mastrian (2015) discussed the importance of connecting research with practice while recognizing there are important factors to consider and potential obstacles that might stand in the way. 

Reference

McGonigle, D. & Mastrian, K.  G.  (2015). Nursing informatics and the foundation of knowledge (3rd ed.). Bartlett & Jones Learning. Burlington, MA. 

Survey Results

Survey results of Movenote on Simulation with teaching a new EMR system.

50% responded extremely effective presentation, 50% responded effective presentation.

50 % responded extremely knowledgeable about the subject

50% responded knowledgeable about the subject

100 % responded that the presenter had clarity

100% responded that the presenter was well-organized

50% responded that the information was extremely relevant for use in practice

50 % responded that the information was relevant for use in practice

50% responded that simulation with mannequins was their preferred method of education

50% responded that web based simulation was their preferred method of education

Comments included that the presentation was well done, that hyperlinks in power point were

an addition to the presentation and that this was an informative presentation.

This was a good experience in being evaluated and evaluating classmates.

Credible Medical Websites

Hi everyone,
Most individuals search the web for answers to everyday questions, but especially health questions.  It is important to guide individuals, but especially patients to websites that are credible.  What are some of the important features of credible websites.  When you are providing credible websites for patients, make sure that you have reviewed them before recommending.  Most health organizations associated with a chronic condition, such as the American Heart Association, The National MS Society, etc. have credible, informative websites, but make sure that you are familiar and know where you are referring patients.  You begin with understanding if the author of the web information has some authority in the field they are providing informabion on, has peer reviewed publications, is there evidence of author bias and does the author have clear connections to professional research, sources, etc.?  retrieved from (http://mason.gmu.edu/-montecin/webcritique.htm. 

Reddy (2012) described indicators of reliable quality obtained from websites and how to evaluate data.  There is support in understanding that when peer reviewed authors are presenting information, there has already been a vetting process that should withstand critiquing.  Evaluating references and scrutinizing the authors credibility will help prevent uncredible information from being used.

Abilock (2012) recommends websites for patients that tend to not be invested in a specific drug, but rather ones with scientific research such as the cdc.gov.

In the case study, when I looked up GERD in the listed websites.  Wikipedia was thorough and had references which were credible.  Visual descriptions were accurate and again, references were legitimate.  Web MD did not have references, so this would not be a recommended site.  CDC.Gov is reputable and has reliable information and resources. Typically, .edu, .org, .gov, .health net, are considered reliable, but the author and references have to be evaluated.

Retrieved http://www.credible medical websites.org

References

Abilock, D.  (2012).  True--or Not?.  Educational Leadership, 69(6), 70.

Reddy, S.  (2015).  Help patients find credible information online.  Family Practice Management,
 22(6), 40.

Reliable medical websites. Retrieved from http://www.cdc.gov.

Credible Medical Websites

Hi everyone,
Most individuals search the web for answers to everyday questions, but especially health questions.  It is important to guide individuals, but especially patients to websites that are credible.  What are some of the important features of credible websites.  When you are providing credible websites for patients, make sure that you have reviewed them before recommending.  Most health organizations associated with a chronic condition, such as the American Heart Association, The National MS Society, etc. have credible, informative websites, but make sure that you are familiar and know where you are referring patients.  You begin with understanding if the author of the web information has some authority in the field they are providing informabion on, has peer reviewed publications, is there evidence of author bias and does the author have clear connections to professional research, sources, etc.?  retrieved from (http://mason.gmu.edu/-montecin/webcritique.htm. 

Reddy (2012) described indicators of reliable quality obtained from websites and how to evaluate data.  There is support in understanding that when peer reviewed authors are presenting information, there has already been a vetting process that should withstand critiquing.  Evaluating references and scrutinizing the authors credibility will help prevent uncredible information from being used.

Abilock (2012) recommends websites for patients that tend to not be invested in a specific drug, but rather ones with scientific research such as the cdc.gov.

In the case study, when I looked up GERD in the listed websites.  Wikipedia was thorough and had references which were credible.  Visual descriptions were accurate and again, references were legitimate.  Web MD did not have references, so this would not be a recommended site.  CDC.Gov is reputable and has reliable information and resources. Typically, .edu, .org, .gov, .health net, are considered reliable, but the author and references have to be evaluated.

Retrieved http://www.credible medical websites.org

References

Abilock, D.  (2012).  True--or Not?.  Educational Leadership, 69(6), 70.

Reddy, S.  (2015).  Help patients find credible information online.  Family Practice Management,
 22(6), 40.

Reliable medical websites. Retrieved from http://www.cdc.gov.

Surveys

How many times at the end of a lecture or meetings are you asked to complete a survey and you just don't want to complete another form?  That is the beauty of using electronic surveys to capture fresh and meaningful feedback at the leisure of the participant.  One tool for creating and linking an electronic survey is through Survey Monkey.  This is easy, free to use and convenient.

Survey Monkey  Pen and Paper

Greenberg & Weiner (20140 reported on the validity of surveys when using for research.  The findings suggested that when random sampling is used in combination with accurate data analysis, there is a benefit.  McPeake, Bateson & O'Neill (2014) discussed the advantages of using electronic surveys over a paper form that might be mailed or handed out.  Increases in the volume of data is easier to manage electronically, cost is decreased, and there tends to be less bias in an electronic survey.

Tong & Chow (2013) evaluated the importance of evaluation participation in electronic class and instructor surveys.  When changes to curriculum occurred as a result of survey responses, students were more inclined to participate and complete surveys.

So put aside the pen and paper and use electronic surveying methods for your future survey needs!

Reference

Greenbery, M.  R., & Weiner, M.  D.  (2014). Keeing surveys valid:  Reliable and useful:  A tutorial.  Risk Analysis, An International Journal, 34(8), 1362-1375.  doi: 10.1111/risa.12250.

McPeake, J., Bateson, M., & O'Neill, A.  (2014).  Electronic surveys:  How to maximise success.  Nurse Researcher, 21(3), 24-26.

Tong, V.  H., & Chow, D.  L.  (2013).  A study of student participation and nonparticipation in prelecture electronic suveys.  British Journal Of Educational Technology, 44(5), 869-880.



.

How many times at the end of a lecture or meetings are you asked to complete a survey and you just don't want to complete another form?  That is the beauty of using electronic surveys to capture fresh and meaningful feedback at the leisure of the participant.  One tool for creating and linking an electronic survey is through Survey Monkey.  This is easy, free to use and convenient.

Survey Monkey  Pen and Paper

Greenberg & Weiner (20140 reported on the validity of surveys when using for research.  The findings suggested that when random sampling is used in combination with accurate data analysis, there is a benefit.  McPeake, Bateson & O'Neill (2014) discussed the advantages of using electronic surveys over a paper form that might be mailed or handed out.  Increases in the volume of data is easier to manage electronically, cost is decreased, and there tends to be less bias in an electronic survey.

Tong & Chow (2013) evaluated the importance of evaluation participation in electronic class and instructor surveys.  When changes to curriculum occurred as a result of survey responses, students were more inclined to participate and complete surveys.

So put aside the pen and paper and use electronic surveying methods for your future survey needs!

Reference

Greenbery, M.  R., & Weiner, M.  D.  (2014). Keeing surveys valid:  Reliable and useful:  A tutorial.  Risk Analysis, An International Journal, 34(8), 1362-1375.  doi: 10.1111/risa.12250.

McPeake, J., Bateson, M., & O'Neill, A.  (2014).  Electronic surveys:  How to maximise success.  Nurse Researcher, 21(3), 24-26.

Tong, V.  H., & Chow, D.  L.  (2013).  A study of student participation and nonparticipation in prelecture electronic suveys.  British Journal Of Educational Technology, 44(5), 869-880.



.

Tina Butterfield

Unit 5 Movenote Link and Survey Monkey Link


https://www.movenote.com/v/Es7AOSK2iaWK0


https://www.surveymonkey.com/r/5CB2HBM

Using Simulation in Healthcare Training

What Is Simulation And How Does It Work?

Learning is achieved by different individuals in a variety of ways.  Active learning provides an environment for safe and instructional training.  Simulation is a method of active learning that enables the student hands on learning prior to performing on live adults.  Manequins don't feel pain when the needle doesn't go in the right location and giving an incorrect drug will not cause permanent harm.  There is an opportunity to correct wrong decisions without devastating consequences.   Simulation can be conducted in a live setting or via websites such as http://ssih.org/ or
http://www.ahrq.gov/teamstepps/simulation/simulationslides/simslides.html#.  http://simman.org.

Causer, Barach, & Williams (2014) discussed advantages of using simulation training to increase proficiency and experience in healthcare in a safe and controlled environment.  Teamwork is improved and learning goals are achieved.  Wehn simulation is achieved through a reputable healthcare website, advantages are found in learning at a convenient time for the student.  Haugen (2012) discussed using simulation for EMR training.  This provides physicians and nurses an opportunity in a non stressed environment to have hands on learning and time to identify areas that need improvement for their specific practice.

McGonigle & Mastrian (2015) explored potential negative aspects of simulation.  Cost can be prohibitive and staff who are not as technologically advanced may be hesitant to participate.



Give Simulation a try!!

References

Causer, J., Barach, P., & Williams, A.  M.  (2014).  Expertise in medicine:  using the expert performance approach to improve simulation training.  Medical education, 48(2), 115-123.  doi: 10.1111/medu.12306.

Haugen, H.  (2012).  The advantages of simulation training:  How to improve EMR adoption.  Health Management Technology, 33(4), 10-11.

McGonigle, D., & Mastrian, K.  G.  (2015).  Nurisng informatics and the foundation of knowledge, (3rd ed.). Bartlett & Jones Learning.

Teaching Strategies and Methodologies

Part of the challenge of teaching something new is knowing your audience and how to best engage them.  As a nurse educator in charge of training staff to use mobile apps in the clinical setting and EHR, there is a need to select the most applicable teaching strategy.

Attitude is important for accepting new challenges and training.

https://blogelt.files.wordpress.com/2013/11/images-1.jpg

Understanding the demographics and technological knowledge of the staff stipulates that only a few have little technological experience. A power point presentation will describe the new technology, followed by simulation, which will be an underlying method of instruction. Technology needs to be experienced and practiced.  Peers proficient in each of the technologies will assist others in learning.  An evaluation will follow the educational sessions.

Rutherford-Hemming (2012) recognized the importance of simulation as a strong method of learning with technology.  There is a focus on ensuring that adult learners achieve the desired learning outcomes with this method.

Engage the staff in understanding challenges of new technology and reassure that IT assistance will be available in an ongoing time frame.  Usability will be evaluated and steps taken for improvements when possible.  The methods for educating for both indications will be the same.

Reference

Rutherford-Hemming, T.  (2012).  Simulation methodology in nursing education and adult learning theory.  Adult Learning, 23(3), 129-137.

Change Theory

There is much debate centered around the most effective way for effecting change.  What is the decision process for deciding the best method?  

Lippitt's Change Theory

Mitchell (2013) described Lippitt's theory as a democratic type of leadership, which is divided into phases. 

Phase 1 - begins with the primary focus of diagnosing the problem and providing the framework

for a suggested change.

Phase 2- Assessment of willingness and ability for change is completed.  Resistance is recognized and factors towards alleviating concerns are addressed. 

Phase 3- Evaluation of the change agent's motivation is recognized along with a realization that the change agent is possibly being a team member and not necessarily a manager,

Phase 4- The change plan is defined and approved with staff contributions incorporated into the process.  

Phase 5- The exact role of the change agent is defined.

Phase 6- The Implementation stage where motivation, education, ongoing maintenance and training is designed.

Phase 7-  The final phase involves evaluation and satisfaction with the change process and removal of the change agent follows.

https://media.licdn.com/mpr/mpr/shrinknp_800_800/AAEAAQAAAAAAAAKCAAAAJDQyY2MwN2JkLTVmNzQtNDQ3OS1iZWJmLTlmNDgwMGYwZjgzNQ.jpg

In this world of technological advances, take a little time to interact with those around you. 

Reference

Mitchell, G.  (2013).  Selecting the best theory to implement planned change.  Nursing Mangement-UK, 20(1), 32-37.

Learning Objectives: Health Informatics

You are about to take the first step toward becoming an expert in using a new Electronic Health
Record (EHR).  As a nurse, you are constantly learning about new medical breakthroughs and adjusting what you do in the field based on this new learning.  It is just as important to stay current on more advanced technological tools.

The objectives for this course are listed below:
1) Understand and explain changes in the new EHR and the implications for implementation.
2) Apply knowledge of the new EHR by inputting appropriate fictional physician orders and patient     notes.
3) Conduct a comparative analysis of the new and old EHR through the use of fictional data, including nursing document and patient data.

retrieved http://theodawson.net/?p=455

Harris & Patten (2015) provide an analogous example of using various taxonomy's to understand emerging fields in technology.

Skiba (2013) illustrated updated examples of Bloom's digital taxonomy with focus on security.

At the conclusion of this course, you will feel that updating your knowledge on a new EHR is as essential as upgrading your new smart phone.
I will continue to post different thoughts, articles, and general course information here throughout the week so please stay tuned.

Thanks,

~Tina

References

Harris, M.  A.,  & Patten, K.  P.  (2015).  Using Bloom's and Webb's taxonomies to integrate emerging cybersecurity topics into a computing curriculum.  Journal Of Information Systems Education, 26(3), 219-234.

Skiba, D.  J.  (2013).  Bloom's digital taxonomy and word clouds.  Nursing Education Perspectives, 2013(4), 277.