Abstract: Meaningful use of electronic health records to coordinate care requires skillful synthesis and integration of subjective and objective data by practitioners to provide context for information. This is particularly relevant in the coordination of care for children with complex special healthcare needs. The purpose of this article is to present a conceptual framework and example of meaningful use within an innovative telenursing intervention to coordinate care for children with complex special healthcare needs. The TeleFamilies intervention engages an advanced practice nurse in a full-time care coordinator role within an existing hospital-based medical home for children with complex special healthcare needs. Care coordination is facilitated by the synthesis and integration of internal and external data using an enhanced electronic health record and telehealth encounters via telephone and videoconferencing between the advanced practice nurse and the family at home. The advanced practice nurse’s ability to maintain an updated plan of care that is shared across providers and systems and build a relationship over time with the patient and family supports meaningful use of these data.

Abstract: BACKGROUND: Hip fracture is a serious health problem among older adults and often results in serious consequences such as disabilities. Informal caregivers (CGs) are particularly important for the successful recovery of older adult patients with hip fractures while they undergo surgical procedures and extensive rehabilitation therapies. In a previous study, we developed a comprehensive theory-based online hip fracture resource center for CGs and conducted a feasibility study. The 8-week online hip fracture resource center, including learning modules, moderated-discussion boards (DB), Ask-the-Experts, and virtual libraries, was used by CGs. PURPOSE: This study reports findings from a qualitative analysis of DB postings. METHODS: The data were analyzed using content analysis in conjunction with an inductive coding approach. The analyses yielded 6 themes and 3 categories related to hip fracture care (e.g., specific types of care provided by CGs). RESULTS/CONCLUSION: Findings suggest that DB forums can serve as a medium for CGs to share their experiences and to obtain support. Furthermore, DB forums can assist healthcare providers in identifying further opportunities to assist CGs. The study is limited to a small sample size in one hospital. Further studies are needed with larger samples in diverse settings.

Abstract: Karen A. Monsen, RN, PhD, FAAN1, Eunice M. Areba, BSN, RN1, David M Radosevich, PhD, RN3, Joan K. Brandt, PhD, RN4, Amy B. Lytton, MS, RN1,4, Madeleine J. Kerr, PhD, RN1,2 Karen E. Johnson, BSN, RN1, Oladimeji Farri, MBBS2, Karen S. Martin, RN, MSN, FAAN5 1School of Nursing, University of Minnesota, 2University Of Minnesota Institute for Health 3University Of Minnesota Department of Surgery, 4St. Paul-Ramsey County Public Health, Minnesota, 5Martin Associates, Omaha, Nebraska, U.S.A.

Abstract: Introducción y objetivo. La aparición de las tecnologías de la información y las comunicaciones (TIC), constituyen una oportunidad para el desarrollo del trabajo colaborativo y aprendizaje en Red. En el marco del Congreso de Enfermería 2011 se presentaron los resultados de dos redes ENSI y ENFI y se constituyeron 10 redes más. En la actualidad existen 15 redes nacionales que utilizan la virtualidad como medio de comunicación e intercambio. Se pretende describir la experiencia cubana en el surgimiento y fortalecimiento de redes virtuales en la profesión de enfermería y la utilización de las TIC como soporte para su desempeño profesional. Método. Se analizó el uso intensivo y progresivo de las tecnologías en las competencias profesionales de enfermería, bajo un enfoque histórico lógico. Resultados y discusión. Se presentan los diferentes desarrollos tecnológicos realizados por enfermería, desde la puesta en marcha de las estrategias de informatización del sector de salud. Se presentan las experiencias del trabajo en red, principalmente aquellas que se encuentran enlazadas al Campus Virtual de la Salud Pública. Se analiza la presencia de enfermería en eventos y congresos y el diseño de figuras de postgrado para el desarrollo de enfermeras y enfermeros en el uso intensivo de las TIC en sus competencias profesionales. Conclusiones. Las TIC y el trabajo en red son utilizadas como parte del desarrollo profesional y como potencial del trabajo colaborativo y aprendizaje en red. Existen en la actualidad 15 Redes de enfermería cubanas, que a su vez ya se integran a las redes homólogas internacionales.

Abstract: Nurses’ conceptualization and learning of health technology used in practice: An Actor-Network Theory analysis Richard G. Booth, RN, MScN, PhD(c), Mary-Anne Andrusyszyn, RN, EdD, Carroll Iwasiw, RN, EdD, Lorie Donelle, RN, PhD, Deborah Compeau, HBA, PhD The University of Western Ontario, Arthur Labatt Family School of Nursing, London, Canada; The University of Western Ontario, Richard Ivey School of Business, London, Canada Abstract Conceptualizations of health technology in the nursing profession have traditionally been presented in essentialized fashions, favouring either socially-centric, or, techno-centric perspectives. In this qualitative research study, an Actor-Network Theory lensed analysis was used to explore how nurses conceptualize and learn about health technology utilized in practice. Insights and preliminary results stemming from the initial stages of the research study are presented. Background

Abstract: The purpose of this paper is to describe how to evaluate the spread, sustainability and impact of RHIS during its five years use in one hospital district area We conducted a retrospective, longitudinal five-year follow-up study and also interviewed both health care professionals and administrative staff, altogether n=43 and patients, n=10 We gathered both qualitative and quantitative data Both statistical analysis and content analysis were used Background There are demands to evaluate how beneficial different information systems are like eg the Regional Health Information System (RHIS) To get a broader understanding we used the Mixed Methods approach, however having both conceptual and practical challenges Furthermore, measurements of the impact of RHIS on health outcomes should be part of the implementation process 1 Examining the improvements in healthcare can be derived from RHIS investment and through providing information that supports health decision-makers at consumer, service provider, regional and national levels 1-3 Objective The purpose of this paper is to describe how to evaluate the spread, sustainability and impact of RHIS during its five years use in one hospital district area of those 20 district areas in Finland Material and Methods The utilization rates of RHIS (to measure the spread and sustainability) were collected yearly based on retrospectively from implementation period 2004 to 2008 in primary and special health in all municipalities of the hospital district We conducted also a retrospective, longitudinal five-year follow-up study based on few selected outcomes for all the federations of municipalities in the selected hospital district in Finland Additionally, to measure the impact of RHIS the outcomes received were evaluated by interviewing both health care professionals and administrative staff (altogether n=43) and patients (n=10) Both statistical analysis and content analysis were used Results We got data both qualitative and quantitative one, numerical cut point data from each of the five years the RHIS has been in used and also verbal data after the system has been in use for five years Conclusion The use of mixed methods through the research process is not just collecting qualitative and quantitative data The challenge is to understand when you can really say that you used Mixed Methods References 1 Shapiro JS Evaluating public health uses of health information exchange J Biomed Inf 2007; 40(6):46-9 Page 1 of 2

Abstract: Tiina Mäenpää, PhD student, Paula Asikainen, PhD Tarja Suominen, PhD, professor University of Tampere, Department of Nursing Science, Finland; 2 Administrative Head Nurse, Satakunta Hospital District, Finland Abstract The purpose was to find out people’s experiences of a Regional Health Information System (RHIS) after five years’ usage. Thematic interviews were held with the professionals, and administrative staff who used RHIS the most N=43, and with patients N=10, in spring 2010. The data was analyzed by inductive content analysis. After being in use for five years in one hospital district, RHIS had changed the flow of information and collaboration, and indicates operational changes.

Abstract: The objective of this study is to identify the effectiveness of two different educational modalities in an online course on pressure ulcers by comparing the degree of knowledge and level of satisfaction of nursing undergraduate students. The result will ground the adoption of Information and Communication Technologies in the teaching process in nursing.