The document summarizes a study that examined nurse-midwives related factors influencing the utilization of computer technology in nursing practice in Kwale County, Kenya. The study found that self-rated computer knowledge and attitude significantly affected the utilization of computer technology among nurse-midwives. Those who rated themselves as experienced computer users were 11 times more likely to utilize computer technology than those with little experience. Additionally, the majority of nurse-midwives surveyed had a negative attitude towards utilizing computer technology in their practice.
AN IMPROVED MODEL FOR CLINICAL DECISION SUPPORT SYSTEMijaia
Misguided information in health care has caused much havoc that have led to the death of millions of people as a result of misclassification, and inconsistent health care records; hence the objective of this paper is to develop an improved clinical decision support system. This system incorporated hybrid system
of non-knowledge based and knowledge based decision support system for the diagnosis of diseases and proper health care delivery records using prostate cancer and diabetes datasets to train and validate the model. The min-max method was adopted in normalizing the datasets, while genetic algorithm was
deployed in initiating the training weights of the MLP. The result obtained in this paper yielded a classification accuracy of 98%, sensitivity of 0.98 and specificity of 100 for prostate cancer and accuracy of 94%, sensitivity of 0.94 and specificity of 0.67 for diabetes.
AN IMPROVED MODEL FOR CLINICAL DECISION SUPPORT SYSTEMijaia
Misguided information in health care has caused much havoc that have led to the death of millions of people as a result of misclassification, and inconsistent health care records; hence the objective of this paper is to develop an improved clinical decision support system. This system incorporated hybrid system
of non-knowledge based and knowledge based decision support system for the diagnosis of diseases and proper health care delivery records using prostate cancer and diabetes datasets to train and validate the model. The min-max method was adopted in normalizing the datasets, while genetic algorithm was
deployed in initiating the training weights of the MLP. The result obtained in this paper yielded a classification accuracy of 98%, sensitivity of 0.98 and specificity of 100 for prostate cancer and accuracy of 94%, sensitivity of 0.94 and specificity of 0.67 for diabetes.
A CASE STUDY ON DEVELOPING AN EFFECTIVE INFORMATION BASED HEALTHCARE SERVICES...cscpconf
The real test of technological development is to ensure whether it reaches people and the most important task is to produce, manage and deliver relevant information systems appropriately
within India. Therefore technology needs to be acquired and adapted for it to be appropriately
developed. A country like India needs to adapt and develop information systems based on their
own needs and structures, using their own methods and practices. When it comes to eGovernance projects, better cooperation is the need of the day both from public as well as
private players [1]. The Indian government is taking greater cognizance of the benefits of technology and some e-Gov projects have already been initiated and deployed in few states of
our country [1]. However, despite an improved Information Communication Technology (ICT)
in our country thanks to the efforts of our government, there are still problems which continue
to hamper the use of information and ICT in domain of healthcare in India [2]. This paper
discusses the current levels of IT and quality in health care in our country and how Information Technology (IT) might be helpful in future.
Eysenbach: eHealth: Transforming the dynamics of a complex health systemGunther Eysenbach
Keynote for the Australian 10th Annual Health Care Congress ( http://www.webcitation.org/5Vlz9j0HO ) in Sydney, 27th - 29th February 2008. Keynote contains a run-down of what ehealth is all about, and then focusses a fair bit on Personal Health Records (PHR 2.0) and Personal Health Applications. This is partly because the new Australian government under its new prime minister Kevin Rudd has set a couple of priorities for reforming health care, among them is "focussing on preventative health care and health promotion to help keep Australians healthy and out of hospital", which is a goal that can - in my opinion - be attained or at least greatly supported with Personal Health Records, or more specifically with what I call second generation PHRs or PHR 2.0. Contains screenshots of our Healthbook (TM) project, which was subsequently mentioned mentioned in the preliminary report of the 2020 Summit to the Prime Minister in Australia, see http://gunther-eysenbach.blogspot.com/search/label/healthbook
Factors Affecting the Adoption of Electronic Health Records by Nursepaperpublications3
Abstract: Electronic Health Record has potential to improve patient care by managing patient’s medical and personal information efficiently and effectively. It is easy to maintain patient information electronically compared to paper based records. Many studies have been done in other countries to study the effective use of Electronic Health Record, but a small number of studies exist in Indian situation. This study is a footstep in this route. This study has been done to know the use of electronic health records among nurses in private medium sized hospitals of Tamil Nadu, India. The objective of the study is to explore the use of Electronic Health Records and barriers in using it among nurses. This study also analyzes the factors affecting nurses to adopt electronic health record. Only a third of the nurses (33%) use electronic health record. Lack of training is the major hindrance in use electronic health record among nurses.
Effecting change by the use of emerging technologies in healthcare: A future vision for u-nursing in 2020
Michelle Honey, School of Nursing, University of Auckland, New Zealand
Karl Øyri, Interventional Centre, Rikshospitalet University Hospital, Oslo, Norway
Susan Newbold, Vanderbilt University School of Nursing, Nashville TN, USA
Amy Coenen, University of Wisconsin-Milwaukee College of Nursing, Milwaukee, WI, USA
Hyeoun-Ae Park, College of Nursing, Seoul National University, Seoul, Korea
Anneli Ensio, Department of Health Policy and Management, University of Kuopio, Finland
Elvio Jesus, Nursing Research Group of Madeira, Portugal
Startupfest 2015: DR. JONATHAN KANEVSKY - "Future of" stageStartupfest
The future of medicine
The future of medicine is bright. In the era of big data, nanotechnology, and advanced robotics, medicine is becoming more advanced than ever. Dr. Kanevsky will outline the most interesting innovations in medicine and surgery that are changing the face of healthcare.
Respond to the post bellow, offering additionalalternative ideamickietanger
Respond to the post bellow, offering additional/alternative ideas regarding opportunities and risks related to the observations shared.
Initial Post
There is no doubt that the use of technology is increasing all around us. The health care field is no different. Technology now plays a major role in the health care profession. It is almost guaranteed to continue to develop at a rapid rate (Horn, 2017). From electronic heath records to patient portals, I have utilized technology since becoming a nurse, increasing significantly over the last decade. However, at my most current place of employment, we do not use much technology at all. In fact, much of technology is prohibited as I work in a prison. After relying on technology so heavily, it has been a major adjustment to return to the era of very limited technology use. In fact, the only technology we utilize is telehealth.
Telehealth is the “delivery of health care services, where distance is a critical factor, by all healthcare professionals using information and communication technologies for the exchange of valid information for diagnosis, treatment and prevention of disease and injuries, research and evaluation, and for the continuing education of health care providers, all in the interest of advancing the health of individuals and their communities” (Koivunen, & Saranto, 2018). This method of health care delivery is seen as a means in which to improve communication and enhance patient-centered care (Cipriano, 2011; Virji, Yarnall, Krause, Pollak, Scannell, Gradison, & Ostbye, 2006). As with all technology, there are both facilitators and barriers present with the use of telehealth.
According to the study conducted by Koivunen & Saranto (2018), nurses’ skills in telehealth application were seen as a facilitator to telehealth utilization. However, the same study identified some barriers present. Some of those barriers included nursing’s discomfort with the equipment utilized with telehealth as well as lack of basic computer skills present amongst nurses (Koivunen, & Saranto, 2018). In addition, negative attitudes along with lack of support and training were identified barriers (Koivunen, & Saranto, 2018). It is obvious that the change from traditional face-to-face nursing practice to telehealth requires much support for its users. There is certainly a learning curve with any new technology with experience and attitudes playing a major role in the successful implementation. However, if the proper steps are taken, telehealth can be a cost-effective way to address health care needs and has been shown to improve clinical indicators (Shulver, Killington, & Crotty, 2016).
In addition to the barriers present, there is also negative attitudes by some clinicians in regards to telehealth. While some health care providers believe that telehealth could offer enhanced and expanded services to many, other clinicians voiced reserv ...
Availability and Utilization of Health Informatics System among Health Worker...ijtsrd
With a clear flow of information across many medical subsystems, the adoption and utility of electronic health record systems EHRs improve the healthcare system going forward. The study is about the availability and utilization of health informatics systems among health Workers in Niger State, Nigeria. In this study, the channel model was used to describe how the information is flow in the health sectors. The study adopts quantitative approaches to investigate the availability and utility of health informatics among health workers in Niger state, Nigeria. The population of the study comprised all the health workers working in public health hospitals and clinics in Niger State totalling about 3,599 health workers out of which 400 were sampled using appropriate sample size determination. The returned rate of 320 instruments was used for the analysis. The study revealed that the health informatics system was not available and as such the utilisation was relatively very low in Niger state. The study recommends among others that there is a need for the Nigerian government and health managers to make use of health informatics to improve the delivery of the healthcare system. Eucharia Hauwa, Umoru | Dr. A. H. Ibrahim | Dr. Abdulrahman M. Sani "Availability and Utilization of Health Informatics System among Health Workers in Niger State, Nigeria" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-6 | Issue-7 , December 2022, URL: https://www.ijtsrd.com/papers/ijtsrd52351.pdf Paper URL: https://www.ijtsrd.com/medicine/nursing/52351/availability-and-utilization-of-health-informatics-system-among-health-workers-in-niger-state-nigeria/eucharia-hauwa-umoru
A CASE STUDY ON DEVELOPING AN EFFECTIVE INFORMATION BASED HEALTHCARE SERVICES...cscpconf
The real test of technological development is to ensure whether it reaches people and the most important task is to produce, manage and deliver relevant information systems appropriately
within India. Therefore technology needs to be acquired and adapted for it to be appropriately
developed. A country like India needs to adapt and develop information systems based on their
own needs and structures, using their own methods and practices. When it comes to eGovernance projects, better cooperation is the need of the day both from public as well as
private players [1]. The Indian government is taking greater cognizance of the benefits of technology and some e-Gov projects have already been initiated and deployed in few states of
our country [1]. However, despite an improved Information Communication Technology (ICT)
in our country thanks to the efforts of our government, there are still problems which continue
to hamper the use of information and ICT in domain of healthcare in India [2]. This paper
discusses the current levels of IT and quality in health care in our country and how Information Technology (IT) might be helpful in future.
Eysenbach: eHealth: Transforming the dynamics of a complex health systemGunther Eysenbach
Keynote for the Australian 10th Annual Health Care Congress ( http://www.webcitation.org/5Vlz9j0HO ) in Sydney, 27th - 29th February 2008. Keynote contains a run-down of what ehealth is all about, and then focusses a fair bit on Personal Health Records (PHR 2.0) and Personal Health Applications. This is partly because the new Australian government under its new prime minister Kevin Rudd has set a couple of priorities for reforming health care, among them is "focussing on preventative health care and health promotion to help keep Australians healthy and out of hospital", which is a goal that can - in my opinion - be attained or at least greatly supported with Personal Health Records, or more specifically with what I call second generation PHRs or PHR 2.0. Contains screenshots of our Healthbook (TM) project, which was subsequently mentioned mentioned in the preliminary report of the 2020 Summit to the Prime Minister in Australia, see http://gunther-eysenbach.blogspot.com/search/label/healthbook
Factors Affecting the Adoption of Electronic Health Records by Nursepaperpublications3
Abstract: Electronic Health Record has potential to improve patient care by managing patient’s medical and personal information efficiently and effectively. It is easy to maintain patient information electronically compared to paper based records. Many studies have been done in other countries to study the effective use of Electronic Health Record, but a small number of studies exist in Indian situation. This study is a footstep in this route. This study has been done to know the use of electronic health records among nurses in private medium sized hospitals of Tamil Nadu, India. The objective of the study is to explore the use of Electronic Health Records and barriers in using it among nurses. This study also analyzes the factors affecting nurses to adopt electronic health record. Only a third of the nurses (33%) use electronic health record. Lack of training is the major hindrance in use electronic health record among nurses.
Effecting change by the use of emerging technologies in healthcare: A future vision for u-nursing in 2020
Michelle Honey, School of Nursing, University of Auckland, New Zealand
Karl Øyri, Interventional Centre, Rikshospitalet University Hospital, Oslo, Norway
Susan Newbold, Vanderbilt University School of Nursing, Nashville TN, USA
Amy Coenen, University of Wisconsin-Milwaukee College of Nursing, Milwaukee, WI, USA
Hyeoun-Ae Park, College of Nursing, Seoul National University, Seoul, Korea
Anneli Ensio, Department of Health Policy and Management, University of Kuopio, Finland
Elvio Jesus, Nursing Research Group of Madeira, Portugal
Startupfest 2015: DR. JONATHAN KANEVSKY - "Future of" stageStartupfest
The future of medicine
The future of medicine is bright. In the era of big data, nanotechnology, and advanced robotics, medicine is becoming more advanced than ever. Dr. Kanevsky will outline the most interesting innovations in medicine and surgery that are changing the face of healthcare.
Respond to the post bellow, offering additionalalternative ideamickietanger
Respond to the post bellow, offering additional/alternative ideas regarding opportunities and risks related to the observations shared.
Initial Post
There is no doubt that the use of technology is increasing all around us. The health care field is no different. Technology now plays a major role in the health care profession. It is almost guaranteed to continue to develop at a rapid rate (Horn, 2017). From electronic heath records to patient portals, I have utilized technology since becoming a nurse, increasing significantly over the last decade. However, at my most current place of employment, we do not use much technology at all. In fact, much of technology is prohibited as I work in a prison. After relying on technology so heavily, it has been a major adjustment to return to the era of very limited technology use. In fact, the only technology we utilize is telehealth.
Telehealth is the “delivery of health care services, where distance is a critical factor, by all healthcare professionals using information and communication technologies for the exchange of valid information for diagnosis, treatment and prevention of disease and injuries, research and evaluation, and for the continuing education of health care providers, all in the interest of advancing the health of individuals and their communities” (Koivunen, & Saranto, 2018). This method of health care delivery is seen as a means in which to improve communication and enhance patient-centered care (Cipriano, 2011; Virji, Yarnall, Krause, Pollak, Scannell, Gradison, & Ostbye, 2006). As with all technology, there are both facilitators and barriers present with the use of telehealth.
According to the study conducted by Koivunen & Saranto (2018), nurses’ skills in telehealth application were seen as a facilitator to telehealth utilization. However, the same study identified some barriers present. Some of those barriers included nursing’s discomfort with the equipment utilized with telehealth as well as lack of basic computer skills present amongst nurses (Koivunen, & Saranto, 2018). In addition, negative attitudes along with lack of support and training were identified barriers (Koivunen, & Saranto, 2018). It is obvious that the change from traditional face-to-face nursing practice to telehealth requires much support for its users. There is certainly a learning curve with any new technology with experience and attitudes playing a major role in the successful implementation. However, if the proper steps are taken, telehealth can be a cost-effective way to address health care needs and has been shown to improve clinical indicators (Shulver, Killington, & Crotty, 2016).
In addition to the barriers present, there is also negative attitudes by some clinicians in regards to telehealth. While some health care providers believe that telehealth could offer enhanced and expanded services to many, other clinicians voiced reserv ...
Availability and Utilization of Health Informatics System among Health Worker...ijtsrd
With a clear flow of information across many medical subsystems, the adoption and utility of electronic health record systems EHRs improve the healthcare system going forward. The study is about the availability and utilization of health informatics systems among health Workers in Niger State, Nigeria. In this study, the channel model was used to describe how the information is flow in the health sectors. The study adopts quantitative approaches to investigate the availability and utility of health informatics among health workers in Niger state, Nigeria. The population of the study comprised all the health workers working in public health hospitals and clinics in Niger State totalling about 3,599 health workers out of which 400 were sampled using appropriate sample size determination. The returned rate of 320 instruments was used for the analysis. The study revealed that the health informatics system was not available and as such the utilisation was relatively very low in Niger state. The study recommends among others that there is a need for the Nigerian government and health managers to make use of health informatics to improve the delivery of the healthcare system. Eucharia Hauwa, Umoru | Dr. A. H. Ibrahim | Dr. Abdulrahman M. Sani "Availability and Utilization of Health Informatics System among Health Workers in Niger State, Nigeria" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-6 | Issue-7 , December 2022, URL: https://www.ijtsrd.com/papers/ijtsrd52351.pdf Paper URL: https://www.ijtsrd.com/medicine/nursing/52351/availability-and-utilization-of-health-informatics-system-among-health-workers-in-niger-state-nigeria/eucharia-hauwa-umoru
The health care system has greatly changed with noticeable reforms a.docxrtodd33
The health care system has greatly changed with noticeable reforms and restructuring taking place as a result of technological advancements and innovations. The introduction and implementation of information systems in the health care system has positively impacted on service delivery ("importance of increasing health literacy content in nursing education," 2015). As a result, new roles and responsibilities have emerged in the nursing practice as the integration of information systems continues to be adopted. Information systems have proved to be an effective management tool in the health care system (Mitchell & Hull, 2020). The new roles and responsibilities have challenged nurses to seek more education on the operation of the systems and to remain relevant in the practice. The complexity and cost of different information systems as well as the rate of change in computer technology are various factors that should be considered when evaluating the appropriate information system to implement (Lin, 2017). Nurses and nurse leaders need a sound knowledge of health care information system and understanding of nursing practice to be able to obtain the computer tools relevant to the practice (Sahay, Sundararaman, & Braa, 2017).
Nursing is a critical profession in the health care system and their input cannot be ignored. Nurses interact with patients more compared to any other health care profession (Lin, 2017). Their primary goal of providing health care to patients gives them an upper hand in understanding the patients’ needs and preferences. This makes it necessary to involve nurses in the evaluation and implementation of information systems in the health care. Implementation of informatics in the health care has aided in the effective communication significantly impacting on interprofessional collaboration (Lin, 2017). As a result, better patients’ outcomes have been achieved and reduced medical and human errors. In my organization, nurses have been actively involved in the evaluation and implementation of health care systems. In the process of evaluating and implementation of these information systems nurses need to be trained and educated on a number of issues.
When introducing a new information system nurses need to be trained on the navigation of the various tools. Some of the information systems are complex and requires a wide scope of ICT knowledge ("importance of increasing health literacy content in nursing education," 2015). It is therefore necessary to equip nurses with the relevant knowledge and skills to effectively and efficiently use the information systems to offer quality services. As earlier stated, nurses interact more with patients compared to other health care professionals. In organizations that offer telehealth services patients need to be conversant with the system being used by the organization. To educate patients on how navigate the system, nurses are best placed to take them through. It is therefore necessary to equip.
Running head NURSING1NURSING 2How has nursing informa.docxtodd581
Running head: NURSING 1
NURSING 2
How has nursing informatics transformed how nurses deliver care in hospitals?
BRIANNA
Healthcare information technology has only recently began to take the healthcare industry by storm. Although many clinicians were hesitant with the implementation of technology and moving from a paper-based system to an electronic system, it is now hard to imagine how a facility can function without. Technology has made facility work flow much more efficient and effective. Not only that but it keeps patient information safe, organized, and many systems flag any accounts where medications can clash. Healthcare technology has made an impact in all areas of healthcare organizations such as nursing, administration, clinical practices, education, and research.
Nursing informatics is defined as “a combination of computer science, information science, and nursing science designed to assist in the management and processing of nursing data, information, and knowledge to support the practice pf nursing and the delivery of nursing care” (Brown, Pasupathy, & Patrick, 2019). As health information technology evolves, IT has improved the processes, enhance the patient experience and quality of care, and bridged research into nursing practices. Nursing informatics is also considered its own specialty that “integrates nursing science with multiple information management and analytical sciences to identify, define, manage, and communicate data, information, knowledge and wisdom in nursing practice” (Brown et al., 2019). Without a doubt nursing informatics has transformed how nurses deliver care by having to execute a series of tasks in a timely manner and document all important aspects of care (ex. Resolution, medications, allergies etc.). Technology has also allowed for nurses to assess patients using telehealth. Telehealth allows for physicians, nurses, and other clinicians to monitor, treat, and educate patients. Home health has recently increased in popularity because of its convenience to individuals who are unable to get transportation. Not only that but home healthcare is timely and has improve the safety and quality of care.
Brown, G. D., Pasupathy, K. S., & Patrick, T. B. (2019). Health informatics: A systems perspective (2nd ed.). Chicago, IL: Health Administration Press
LUIS
As stated in the book, "Nurses are key leaders in developing the infrastructure for effective and efficient health information technology that transforms the delivery of care. Nurse informaticists play a crucial role in advocating both for patients and fellow nurses who are often the key stakeholders and recipients of these evolving solutions" (Brown, Pasupathy, & Patrick, 2019, p. 149). When it comes to nursing informatics, nurses play four important roles: They are users of information technology, creators of information, creators of knowledge, and innovators.
With all of this, nursing informatics has helped nurses use the data and information colle.
Running head NURSING1NURSING 2How has nursing informa.docxglendar3
Running head: NURSING 1
NURSING 2
How has nursing informatics transformed how nurses deliver care in hospitals?
BRIANNA
Healthcare information technology has only recently began to take the healthcare industry by storm. Although many clinicians were hesitant with the implementation of technology and moving from a paper-based system to an electronic system, it is now hard to imagine how a facility can function without. Technology has made facility work flow much more efficient and effective. Not only that but it keeps patient information safe, organized, and many systems flag any accounts where medications can clash. Healthcare technology has made an impact in all areas of healthcare organizations such as nursing, administration, clinical practices, education, and research.
Nursing informatics is defined as “a combination of computer science, information science, and nursing science designed to assist in the management and processing of nursing data, information, and knowledge to support the practice pf nursing and the delivery of nursing care” (Brown, Pasupathy, & Patrick, 2019). As health information technology evolves, IT has improved the processes, enhance the patient experience and quality of care, and bridged research into nursing practices. Nursing informatics is also considered its own specialty that “integrates nursing science with multiple information management and analytical sciences to identify, define, manage, and communicate data, information, knowledge and wisdom in nursing practice” (Brown et al., 2019). Without a doubt nursing informatics has transformed how nurses deliver care by having to execute a series of tasks in a timely manner and document all important aspects of care (ex. Resolution, medications, allergies etc.). Technology has also allowed for nurses to assess patients using telehealth. Telehealth allows for physicians, nurses, and other clinicians to monitor, treat, and educate patients. Home health has recently increased in popularity because of its convenience to individuals who are unable to get transportation. Not only that but home healthcare is timely and has improve the safety and quality of care.
Brown, G. D., Pasupathy, K. S., & Patrick, T. B. (2019). Health informatics: A systems perspective (2nd ed.). Chicago, IL: Health Administration Press
LUIS
As stated in the book, "Nurses are key leaders in developing the infrastructure for effective and efficient health information technology that transforms the delivery of care. Nurse informaticists play a crucial role in advocating both for patients and fellow nurses who are often the key stakeholders and recipients of these evolving solutions" (Brown, Pasupathy, & Patrick, 2019, p. 149). When it comes to nursing informatics, nurses play four important roles: They are users of information technology, creators of information, creators of knowledge, and innovators.
With all of this, nursing informatics has helped nurses use the data and information colle.
Healthcare Informatics is defined as the integration of health-ca.docxpooleavelina
Healthcare Informatics is defined as "the integration of health-care sciences, computer science, information science, and cognitive science to assist in the management of healthcare information" (Saba & McCormick, 2015, p. 232). Nursing Informatics is a subset of informatics, specific to the field and the role of the nurse in the healthcare setting. The American Nurses Association (ANA) identified nursing informatics as "a specialty that integrates nursing, science, computer science, and information science to manage and communicate data, information, and knowledge in nursing practice" (ANA, 2001, p.17). Healthcare and nursing informatics are both vastly growing fields within the medical field and are continuously incorporating new and evolving technology. Both have been around for the past three decades, at least. The technology boom at the turn of the century has helped informatics and information systems further evolve. Enhanced delivery of care, improved health outcomes, and advanced patient education are just a few aspects that have improved. With any new technology or innovation there are implications, some foreseeable and some that come to light after the unveiling of the new process or product: some impacts that are most notable are clinical, managerial, and policy implications. This paper explores the implications, (both constructive and adverse), that are the most notable in today's healthcare world within the healthcare and nursing informatics fields.
Citation
Sweeney, J. (Feb, 2017). Healthcare Informatics. Online Journal of Nursing Informatics (OJNI), 21( 1), Available at http://www.himss.org/ojni
Introduction
Healthcare Informatics is defined as "the integration of health-care sciences, computer science, information science, and cognitive science to assist in the management of healthcare information" (Saba & McCormick, 2015, Pg. 232). Nursing Informatics is a subset of informatics, specific to the field and the roll of the nurse in the healthcare setting. The American Nurses Association (ANA) identified nursing informatics as "a specialty that integrates nursing, science, computer science, and information science to manage and communicate data, information, and knowledge in nursing practice" (ANA, 2001, Pg.17). Healthcare and nursing informatics are both vastly growing fields within the medical field and are continuously incorporating new and evolving technology. Both have been around for the past three decades, at least. The technology boom at the turn of the century has helped informatics and information systems further evolve. Enhanced delivery of care, improved health outcomes, and advanced patient education are just a few aspects that have improved. With any new technology or innovation there are implications, some foreseeable and some that come to light after the unveiling of the new process or product. Some impacts that are most notable are clinical, managerial, and policy implications. This paper will explore the impli ...
Running head COURSE PROJECT- ROUGH DRAFT .docxsusanschei
Running head: COURSE PROJECT- ROUGH DRAFT 1
Course Project- Rough Draft
Weltee Wolo
Rasmussen College
Author Note
This paper is being submitted on November 24, 2016, for Mischelle Pittman Henry’s
H400/HSA4191 Healthcare Information System course
COURSE PROJECT- ROUGH DRAFT
2
Technology has become very useful in many sectors. In the health care industry, it has
changed the way health care services are provided. It turns out to be a critical tool for
competition in the health care market. Quality has now been at the forefront when it comes to
shaping any health care program (Feenberg, 2012). This makes health care institutions to strive
and produces better services to its customers.
A look at surgical procedures together with state of the art proper care method, an
important position from the infirmary is represented by the technology. Compared to the past,
health care institutions have now been successful when it comes to performing a number of
lifetime harmful and critical surgical procedures (Mali, 2012). All these are attributed to
advanced models to be used in surgeries brought about by technology. There is much equipment
that has been brought about by technology advancement including 3D echocardiogram and CT
reconstruction. These two have made surgery more efficient by improving imaging capabilities
which enable surgeons to operate without hindrances on the human body (Raza, Sabik, Masabni,
Ainkaran, Lytle, W. B., & Blackstone, 2014). Healthcare services have improved too, by the
introduction of robotic surgery and teleconferencing. The latter has enabled doctors to provide
knowledge and expertise far and wide irrespective of their physical location. They can monitor,
track and communicate with their patients to help them keeping tabs on their ailments (Raza, et
al., 2014). Robotic surgery helps doctors conduct surgery remotely with the use of a machine that
can multitask and overcome some of the limitations a human doctor may have. This improves the
likelihood of an operation to be successful which benefits both the physician and the patient.
Additionally, there are Pc Served Medical procedures together with CAS, which have
been termed as computer or laptop well guided medical procedures. Most surgeons, especially
cosmetic surgeons rely on these procedures in some surgery activities on various subjects, such
COURSE PROJECT- ROUGH DRAFT
3
as orthopedic and otolaryngologic operations (Hendricks-Munoz, 2015). In clinical laboratories,
well-trained individuals are making use ...
Patient care decisions should be supported by timely clinical inform.docxssuser562afc1
Patient care decisions should be supported by timely clinical information, reflecting the best evidence possible (Institute of Medicine 2013). Present and future professional nurses must be able to use informatics and technology to facilitate critical decision-making for optimal patient outcomes (Massachusetts Department of Higher Education Nursing Initiative 2016). Nursing clinical informatics competencies involve the collection and use of patient data for analysis and dissemination. Nursing informatics with computer science was established to create innovative ways to provide quality care to our patients. Evidence based practice is a cornerstone to making NI better for the future. Without EBP there would be no such thing.
What I see for the future is that technology would be expanding at a faster rate. There would be less hands on and more robotics. What I mean by this is that robots would be administering meds at the bedside, documenting task, and even doing patient consults. I believe that this would be in the near future to come because it would cut the need for nursing staff in half and it would be cost effective for the company. The only thing that would be the downfall to this is that robots do not pose interpersonal skills so patient questions would go unanswered and in would block the communication to building a rapport. We have already advanced to telemedicine which in some cases can be beneficial to the patient being seen by the physician.
Another thing that would probably be good for the up and coming future would be if we could use the pyxis like we use Alexa and Siri. If we could give them voice commands where it could dispense patient medications that are due just by giving the first and last name of the patient would cut down on the time spent pulling meds. Instead of your taking 30mins to 1 hour pulling meds could just take about 15 to 20 mins. Modern technology is advancing so much that some of us cannot not keep up with the new demands of the workplace. In nursing we are always learning new things and we must continue to learn as we advance in our careers in order to be successful. New media offer new possibilities in teaching and learning. However, the appropriation of new knowledge and skills in dealing with technology, especially for older adults, is a critical challenge. This needs to be considered against the background of the digital divide. Which describes, among other things, the lack of information on the ability of older adults to use technology among those who have access to ICTs and new media in healthcare. In conclusion informatics will be changing for the better.
Reference
Institute of Medicine. (2013).
Core measurement needs for better care, better health, and lower costs: Counting what counts, workshop summary
. Washington, DC: National Academies Press. doi:10.17226/18333
Massachusetts Department of Higher Education Nursing Initiative. (2016).
Massachusetts nursing of the future nursing core comp.
Trauma Outpatient Center is a comprehensive facility dedicated to addressing mental health challenges and providing medication-assisted treatment. We offer a diverse range of services aimed at assisting individuals in overcoming addiction, mental health disorders, and related obstacles. Our team consists of seasoned professionals who are both experienced and compassionate, committed to delivering the highest standard of care to our clients. By utilizing evidence-based treatment methods, we strive to help our clients achieve their goals and lead healthier, more fulfilling lives.
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1. International Journal of Scientific and Research Publications, Volume 10, Issue 4, April 2020 722
ISSN 2250-3153
http://dx.doi.org/10.29322/IJSRP.10.04.2020.p10078 www.ijsrp.org
Determinants Of Nurse-Midwives Related
Factors On Computer Technology
Utilization In Nursing Practice Among
Nurse - Midwives In Kwale County, Kenya
ELVIS DAGAMRA*
Dr. Rosemary Okova *
Dr. Calvin Otieno.*
* School of midwifery*
** Mount Kenya University*
DOI: 10.29322/IJSRP.10.04.2020.p10078
http://dx.doi.org/10.29322/IJSRP.10.04.2020.p10078
Abstract- The purpose of this study was to determine Nurse-midwives related factors in the utilization of
computer technology in nursing practice amongst Nurse-midwives in Kwale County. Method used was
institution based descriptive cross-sectional design which was done in Kwale County and the targeted
population were the nurse-midwives working at Msambweni, Kwale and Kinango Hospitals with a
sample size of 141. Results Nurse- midwife related factors as my independent variable the study
showed that self-rated computer knowledge significantly affected utilization of computer technology (χ2
(1, N=141) =26.338, p=<0.001). Attitude significantly influenced utilization of computer technology (χ2
(1, N=141) =4.098, p=0.043). On conclusion Majority of the nurse-midwives had negative attitude
towards utilization of computer technology. The researcher gave his recommendation as per his
research objective on determining nurse-midwives related factors The County health committee in
conjunction with Nurse Managers and supervisors should address the issue of negative attitude amongst
the nurses through supportive supervision, provision of technical infrastructure and on job training. The
Kwale County Director of nursing services should involve the Nurse Managers and supervisors in policy
making at the higher level of management. Nurse managers/supervisors should take an initiative of
passing the knowledge of computer technology utilization to their juniors through on job training and
create room for them to train in computer application
I. INTRODUCTION
ackground information.
Good training and practice coupled with
positive attitude towards new technology
application by nurses-midwives make use of
computer technology which will assist them
promote standardised and well informed patient
care delivery; and this will actively encourage
proficient practice and secured care. (Newbold,
Klein & Douglas J. V. 2015). It is expected
that all nurses around the globe be abreast with
information communication and technology
(ICT) for their empowerment when it comes to
making the right interventions in the provision
of nursing care to patients or clients (Newbold,
et al 2015). Thus there is need to dedicate all
the resource towards computer technology
application across the board. Provision of health
services is confronted by prominent disease
condition every other time and the only way out
to cab this menace is indulging in utilization of
computer technology which is in cooperated in
information, communication and technology. It
is a fact that nursing plays a major role in any
healthcare delivery system, and therefore it
should be appreciated that nursing profession is
faced by all the challenges that come together
with all the disease conditions (Smedley, 2015).
There is always resistance in bringing change to
any professional discipline and it is necessary to
consider before the introduction of the change
as positivity or negativity will dictate the
success of that change. Introduction of ICT can
be followed by actively utilization of the service
if there is positive response as opposed to
negative perception where users may shy away
from using the technology (Bond, 2013).
According to free dictionary by Farlex, (2012)
the definition of computer technology is the
activity of designing, constructing and
programming computers. However for the
purpose of this research the operational
definition will be a scientific strategy put in
place through the use of a computer to simply
work or activities by designing, manipulating
and programming a computer to meet the
desired objectives of a person or a certain
B
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entity. During 1990s any health system in Japan
that was eager to adopt electronic medical
records (EMRs) was given incentives by the
Japanese government to encourage the efforts;
this is according to a study which was
conducted by Kuroda and others (Kuroda,
Kashiwagi, Hayashi, Nakayama, Oda, Yamase,
Nakaki, 2017). In a study which was done by
USA department of health and human services
it was realised that to boost the morale of the
health workers; USA had to give rewards to
health facilities that practiced EHRs (USA
Department of Health and Human Services
2013).
In order to ensure uptake of computer
utilization the national and state government in
Australia allocated a lot of money in health
information systems; this is according to a
study done by Eley, Soar, Buikstra, Fallon, &
Hegney (2013).
All these efforts by these governments
were aimed at bringing uniformity and
compatibility of health service delivery and all
nurses should be able to embrace this
development for them to stay relevant in the
healthy delivery systems.
In Kenya utilization of computers is not a
common practice in the nursing activities
especially in the public health institutions
though there is some evidence of utilization of
computers in private (non- governmental) and
few GOK facilities.
Nursing informatics in healthcare
service delivery gives opportunity to the nurse-
midwives to determine and do away with
nursing practices that are not maximising on
productivity and better patient care. Electronic
records can be adopted from the normal paper
recordings to coming up with clinical decision
support systems, thus promoting health service
to the recipient of care, leading to standardised
care, acceleration of decision-making, which
further promotes harmonization of actions
(Seidlitz, Blatz, Jennings, La Rocca, 2013).
In a study conducted in Canadian
hospitals, where triangulation paradigm
methodology was applied it was shown that the
use of IT, by means of palmtops, enhanced
quality of life in Job places and care of patients,
enabling the application of scientific evidence
in patient care and nursing practice (Health
Metrics Network, 2014)
II. LITERATURE REVIEW
2.2 Nurse-midwives related factors on
utilization of computer technology
2.2.1. The resistance to change-attitude of
nurse-midwives towards utilization of
computer technology.
Worldwide studies have shown that
Nurse-midwives’ resistance to change to new
information technology is expected; that was
revealed in study done by Mehdi, Iahouei,
Hassan Baba Mohhame on Nurses’ attitudes
towards the benefits of utilizing computer
technology in Iran (Mehdi Kahouei, Hassan
Baba Mohhamed, Hasamedin Askari majdadi
2014).A Module of Electronic Medical Record
for Patient Care in Two University Hospitals of
Iran they revealed that resistance to upcoming
technology among Nurse-midwives is seen as a
normal response. Determining the likely
obstacles early enough can be utilized in
coming up with methods that help in
developing computer programme on Nurses’
willingness to change (Mehdi et al, 2014). They
concluded that to adopt a new technology,
involvement of the users in the initial stages in
order to get their opinions was of paramount
importance. (Mehdi et al, 2014). Nursing
informatics which is embedded in computer
technology essentially dates back to the days of
Florence Nightingale, who realised not only the
importance of data and its relationship to
patient outcomes and quality nursing care, but
also how data could promote innovation in
health service delivery (McBride, 2016). In the
late 1980s it came into its own as a discipline of
nursing that intended to address the better use
of data and information for the improvement of
patient care. (Weaver, Delaney, Weber and Carr
RL Eds 2016). The Australian nursing body
revealed that by 2017 more than 85% nurse-
midwives utilized computer technology in their
nursing practice (Australian Nursing
Federation, 2017). Utilization of computer
technology is not solely the province of
informatics specialists, it is high time that all
nurses embrace computer technology for better
health care delivery and to be relevant to the
current trends in healthcare demands. (Cooper,
Hamer 2014). Evidence-based practice will
become the order of the day in nursing practice
and will replace the routine ways of doing
things. In Africa a study which was done in
Ebonyi state in Nigeria revealed that the
introduction of new technology is affected by
the response of the user of the technology
which may be positive or negative. Many
Nurse-midwives in Ebonyi state, like every
other citizens, resisted the introduction of new
technological developments because they felt it
would jeopardise their job or profession
(Wachter, 2016). It should be appreciated that
new innovations and know how should be in
line with imparting the right skills to the
workers to apply the new innovations. Service
providers believe that introduction of new
technology is accompanied by new ways of
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12.8%
64.5%
22.7% No
experience
at all
Little
experience
K
doing things and added reward and in the other
hand any system that is bringing the new
technology on board has high hopes that some
staff will be rendered redundant which will lead
to decreased operational costs. To reverse this
trend therefore, there is need to train the nurse-
midwives to cope with the change rather than
declaring them redundant.
2.2.3 Inadequate Trained Nurse-midwives on
Computer technology
All around the globe it has been found
that the best way to motivate nurse-midwives to
embrace utilization of computer technology is
by imparting the right knowledge to the service
provider through the formal channels and
putting the knowledge acquired into practice
(Lee, 2015). Studies have revealed that
empowering nurse-midwives by providing the
necessary logistics at their disposal enables
them to put their knowledge in practice.
(Tennet, Becker, & Kehoe. 2015).
In a study by Tennent and others (2015),
they found that, there is need for nursing
educators to be literate in utilization of
computer technology for them to pass the same
to their learners and instil confidence in them.
(Tennent, Becker & Kehoe, 2015; Warren &
Connors, 2017).
In Africa it is believed that literate work
force in computer technology is very crucial in
ensuring attainment of the required progress as
far as computer technology is concerned.
Currently the trained nursing informaticians are
few and they are sporadically distributed
(Hersh, Margolis, Quiros, Otero, 2013). In an e-
Capacity meeting which was conducted in
Bellagio in 2008 it was concluded that there
was need to come up with a general model of
empowering nurse-midwives in computer
technology application to increase the number
of trained workforce in computer technology.
(The Rockefeller Foundation, 2013).
III. MATERIALS AND
METHODOLOGY
3.1 Research Design
It was a cross-sectional descriptive
study design which employed quantitative
parameter which was done at Kwale County
and specifically in Kinango sub county
Hospital, Kwale sub county Hospital and
Msambweni County referral hospital amongst
nurse – midwives which aimed at establishing
the determinants of computer technology
utilization among nurse-midwives in nursing
practice.
Equation;
𝑛 =
𝑁
1+𝑁(𝑒)2
N was the sample size of my target
population in the 3 hospitals which was 187 and
was an equivalent to the number of Nurse-
midwives in those Hospitals.
e was the level of precision at 95% confidence
level e = 0.05
Where n was the sample size to be determined
n = 187∕1+187(0.05)2 = 127.42759 = 128
10% margin error 10% of 128 = 12.9 = 13
Sample size was 128 + 13 = 141
3.9 Data Collection Tool
A self-administered objective
questionnaire was developed and used for the
study. It was in English language as the service
providers were conversant with that language
and there was no need for translation to another
language. The questionnaire included computer
attitudes statements that were rated on a five-
point Likert scale ranging from ‘1’ (Completely
object) to ‘5’ (Completely concur). The scale
was informed by published literature (Kaya N,
2014) and took the rural African settings into
account. (Boonstra A, Broekhuis M. 2013)
Among the computer attitudes statements some
were negatively and others were positively
phrased however to avoid prejudice when it
came to giving response, the flow of the
questions were framed in a random manner.
3.13 Ethical Considerations
Approval to conduct the study was
obtained from Mount Kenya University Ethical
Committee; further consent was sorted at,
Kwale county ethics committee. Authority wasl
also be sorted from (NACOSTI). The sole
purpose of the research was to improve nursing
practice and fulfillment of academic
requirement thus the respondents were informed
that there would be no payment for their
participation and that was why it was conducted
during their normal working hours. The
participants’ were reassured that their dignity,
anonymity was upheld and no names appeared
on the questionnaires.
IV. RESULTS AND DISCUSSION
4.4 :Determinants of Nurse- midwives
related factors on utilization of computer
technology
4.4.1 Knowledge and computer technology
utilization
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Figure 4. 1: Self-rating of computer
knowledge by respondents
Figure 4.4 above shows that 18 (12.8%)
had no computer experience at all, 91(64.5%)
had little experience and 32(22.7%) were
experienced. Computer knowledge was cross-
tabulated against utilization of computer
technology.
Table 4. 1: Association between knowledge
and utilization of computer technology
Count
What is your level of
computer
knowledge?
Total
Experie
nced
Little or no
experience
Utilization
vs non-
utilization
Utilization 27 36 63
Non-
utilization
5 73 78
Total 32 109 141
Chi-Square Tests
Value df Asymp. Sig.
(2-sided)
Exact Sig.
(2-sided)
Exact Sig. (1-sided)
Pearson Chi-Square 26.388a
1 .000
Continuity Correctionb
24.351 1 .000
Likelihood Ratio 27.838 1 .000
Fisher's Exact Test .000 .000
Linear-by-Linear
Association
26.2001 .000
N of Valid Cases 141
a. 0 cells (0.0%) have expected count less than 5. The minimum expected count is 14.30.
b. Computed only for a 2x2 table
Risk Estimate
Value 95% Confidence
Interval
Lowe
r
Upper
Odds Ratio for Utilization vs non-utilization (utilization / non-
utilization)
10.950 3.892 30.806
For cohort What is your level of computer knowledge? =
Experienced
6.686 2.733 16.356
For cohort What is your level of computer knowledge? =
Little or no experience
.611 .489 .762
N of Valid Cases 141
Table 4.18 above shows that the self-
rated computer knowledge significantly
influenced utilization of computer technology
(χ2
(1, N=141) =26.338, p=<0.001) whereby,
those who rated themselves as being
experienced were 11 times likely to utilize
computer technology.
This revelation tallies very well with a study
which was conducted by Hersh et al, in Ghana
which showed that experienced computer users
who are best called Informaticians stand a better
chance in application of computer technology
utilization than those who have little knowledge
in computer operations.(Hersh, Margolis,
Quiros, Otero, 2013).
4.4.2 Attitude and utilization of computer
technology
Respondents’ attitudes towards
computer technology, was assessed using a set
of 10 likert form statements, against which they
were to respond as follows: Completely Object
(CO), Object (O), Whichever (W), Concur (C)
or Completely Concur (CC). These responses
were coded as 1,2,3,4 & 5 respectively to
facilitate mathematical operations. Statements
3, 5, 7 & 9 were negatively phrased and were
therefore reverse coded before analysis. Those
who completely objected, objected or said
“whichever,” were considered as having a
negative attitude, while those who concurred or
completely concurred were considered to have a
positive attitude.
This is illustrated below on page 60.
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36.9%
63.1%
0.0%
10.0%
20.0%
30.0%
40.0%
50.0%
60.0%
70.0%
Positive attitude Negative attitude
Respondents' attitudes
P
e
r
c
e
t
n
a
Table 4. 2: Overall attitudes towards computer technology utilization
Likert statement CO (%) O (%) W (%) C (%) CC (%)
Computer training should be included in
basic nursing training
5.7 2.1 2.1 34.8 55.3
Use of computers will make
documentation easier for nurses
7.1 6.4 3.5 73 9.9
Use of IT in health care by nurses
increase workload(reverse-coded)
10.6 22.7 3.5 42.6 20.6
Quality of health care will improve with
computerization
7.1 5.7 6.4 43.3 37.6
Only computer department staff should
be assigned to handle
computers(reverse-coded)
2.1 15.6 5.7 39 37.6
Use of IT in nursing practice increases
nursing professional status
6.4 12.1 3.5 43.3 34.8
Cost of computer use in nursing is too
expensive(reverse-coded)
3.5 22.7 1.4 47.5 24.8
Nurses should be encouraged to
specialize in computer studies
10.6 12.1 7.8 58.9 10.6
Computerizing nursing practice will
alienate nurses from clients(reverse-
coded)
6.4 10.6 2.1 53.9 27
Computer application knowledge should
be a criteria in nurse promotion
27 29.1 7.1 24.8 12.1
Table 4.19 above shows that, over 50%
of the responses either concurred or completely
concurred, which was generally indicative of a
positive attitude.
To determine the attitudes of individual
respondents, the researcher computed a variable
known as “attitude score”, by summing up all
the numerical codes assigned to the various
responses. Those who scored at least 40 out of
50 were presumed to have a positive attitude,
because, most of their responses must have
been “concur” which had code 4(4×10=40). On
the other hand, those who scored below 40 were
presumed to have a negative attitude.
Figure 4. 2: Respondents’ attitudes towards computer technology
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Figure 4.5 above shows that, 52(36.9%) of
the respondents had a positive attitude, while
majority of the respondents 89(63.1%) had a
negative attitude towards computer technology.
This demonstration agrees with a study
conducted in Iran by Hassan Baba Mohhamed
et al where they were investigating Nurses’
attitudes towards the benefits of utilizing
computer technology in Iran, which showed
that Nurse-midwives’ resistance to change to
new information technology is expected and
negativity always outweighs positivity on the
same but to them they described it as normal
response (Hassan Baba Mohhamed, Hasamedin
Askari majdadi 2014).
Table 4. 3: Association between attitude and utilization of computer technology
Count
Positive vs negative attitude Total
Positive attitude Negative attitude
Utilization vs non-utilization
Utilization 29 34 63
Non-utilization 23 55 78
Total 52 89 141
Chi-Square Tests
Value df Asymp. Sig.
(2-sided)
Exact Sig. (2-
sided)
Exact Sig. (1-sided)
Pearson Chi-Square 4.098a
1 .043
Continuity Correctionb
3.418 1 .064
Likelihood Ratio 4.097 1 .043
Fisher's Exact Test .054 .032
Linear-by-Linear Association 4.069 1 .044
N of Valid Cases 141
a. 0 cells (0.0%) have expected count less than 5. The minimum expected count is 23.23.
b. Computed only for a 2x2 table
Risk Estimate
Value 95% Confidence Interval
Lower Upper
Odds Ratio for Utilization vs non-utilization (utilization /
non-utilization)
2.040 1.018 4.085
For cohort positive vs negative attitude = Positive attitude 1.561 1.010 2.412
For cohort positive vs negative attitude = Negative
attitude
.765 .585 1.002
N of Valid Cases 141
Table 4.20 above shows that, respondents’
attitudes significantly influenced computer
technology utilization (χ2
(1, N=141) =4.098,
p=0.043) whereby, those with positive attitude
were 2 times likely to utilize computer
technology. This scenario goes in line with a
study which was done in Australian by Cooper
which demonstrated that nurses who had
positive attitude towards emerging information
technology had an uptake rate of 85% compared
to those who had negative attitude. (Cooper,
Hamer 2014).
Attitude score was correlated against utilization
score which demonstrated a positive correlation
.
Table 4. 4: Correlation between attitude and utilization of computer technology
Attitude score Utilization score
Attitude score
Pearson Correlation 1 .272**
Sig. (2-tailed) .001
N 141 141
Utilization score
Pearson Correlation .272**
1
Sig. (2-tailed) .001
N 141 141
**. Correlation is significant at the 0.01 level (2-tailed).
Table 4.21 above shows that there was a
significant positive relationship between
attitude scores and utilization scores (r (139)
=.272, p=0.001)
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4.3.8 Previous computer training and
utilization of computer technology
Majority of the respondents i.e. 85(60.3%) had
previous computer training while 56 (39.7%)
had no previous computer training. This was
cross-tabulated against utilization and chi
squared tests of associations were performed.
Table 4. 5: Association between previous
computer training and utilization of
computer technology
Count
Do you have previous computer
training?
Total
Yes No
Utilization vs non-utilization
Utilization 52 11 63
Non-utilization 33 45 78
Total 85 56 141
Chi-Square Tests
Value df Asymp. Sig.
(2-sided)
Exact Sig. (2-
sided)
Exact Sig. (1-sided)
Pearson Chi-Square 23.561a
1 .000
Continuity Correctionb
21.910 1 .000
Likelihood Ratio 24.831 1 .000
Fisher's Exact Test .000 .000
Linear-by-Linear Association 23.394 1 .000
N of Valid Cases 141
a. 0 cells (0.0%) have expected count less than 5. The minimum expected count is 25.02.
b. Computed only for a 2x2 table
Risk Estimate
Value 95% Confidence Interval
Lower Upper
Odds Ratio for Utilization vs non-utilization (utilization
/ non-utilization)
6.446 2.924 14.211
For cohort previous computer training = yes 1.951 1.470 2.589
For cohort previous computer training = no .303 .171 .535
N of Valid Cases 141
Table 4.15 on page 55 shows that previous
computer training significantly affected
computer technology utilization (χ2
(1, N=141)
=23561, p=<0.001) whereby, those who had
previous computer training were 6.5 times
likely to utilize computer technology.
After identifying the nurse-midwives related
factors that were significantly associated with
utilization of computer technology (p values of
<0.05), the researcher performed multiple
regression analysis (binary logistic regression)
to identify the nurse -midwives related factors
that contributed significantly to the overall
change in the dependent variable (utilization of
technology). Variables were entered using
forward selection method.
Table 4. 6: Regression analysis of socio-demographic characteristics influencing computer
technology utilization
Variables in the Equation
B S.E. Wald Df Sig. Exp(B)
Step 1a
Training 1.864 .403 21.348 1 .000 6.446
Constant -2.318 .558 17.266 1 .000 .098
Step 2b
Department collapsed 1.872 .719 6.770 1 .009 6.499
Training 1.863 .419 19.783 1 .000 6.446
Constant -5.870 1.549 14.350 1 .000 .003
Step 3c
Age collapsed 1.118 .495 5.102 1 .024 3.059
Department collapsed 2.190 .754 8.437 1 .004 8.935
Training 1.692 .430 15.509 1 .000 5.428
Constant -7.642 1.818 17.672 1 .000 .000
a. Variable(s) entered on step 1: training.
b. Variable(s) entered on step 2: department collapsed.
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c. Variable(s) entered on step 3: age collapsed.
Table 4.17 above shows that, previous training (wald=15.509, df=1, p=<0.001, ExP (B)=5.428), departments that respondents
were working in (wald=8.437, df=1, p=0.004, Exp (B)=8.94) and ages of the respondents (wald=5.102, df=1, p=0.024, Exp (B)=3.06)
all contributed significantly to the overall change in the utilization of computer technology.
This demonstration in this study agrees in totality with the study which was done in Wales UK by Tennent et al, they found that,
there is need for nursing educators to be literate in utilization of computer technology through proper training for them to pass the
same to their learners and instil confidence in them. (Tennent, Becker & Kehoe, 2015; Warren & Connors, 2017).
V. SUMMARY, CONCLUSIONS AND RECOMMENDATIONS
5.1 Summary of major findings
Focussing on impact of nurse- midwives related factors, majority 64.5% had little experience with regard to self-rated computer
knowledge. Self-rated computer knowledge significantly affected utilization of computer technology (χ2
(1, N=141) =26.338,
p=<0.001). Most respondents 63.1% had a negative attitude towards computer technology. Attitude significantly influenced utilization
of computer technology (χ2
(1, N=141) =4.098, p=0.043). There was a significant positive correlation between attitude and utilization
of computer technology (r (139) =.272, p=0.001)
5.2 Conclusions
1.Most of the nurse-midwives had negative attitude towards utilization of computer technology.
2.Majority of the nurse- midwives had little experience in computer operating skills
3.Nurse-midwives who had previous training in computer application skills demonstrated a better knowledge on computer
operation skills.
5.3. Recommendations.
The researcher gave his recommendation as per his research objective
To determine the impact nurse-midwives related factors in utilization of computer technology in Kwale County, Kenya.
1.The County health committee in conjunction with Nurse Managers and supervisors should address the issue of negative attitude
amongst the nurses through supportive supervision, provision of technical infrastructure and on job training.
2.The Kwale County Chief Nursing Officer (County Director of nursing services) should involve the Nurse Managers and
supervisors in policy making at the higher level of management.
3The Kwale County Chief Nursing Officer (County Director of Nursing services) through the Nurse managers/supervisors should
take an initiative of passing the knowledge of computer technology utilization to their juniors through on job training and create room
for them to train in computer applications.
4.Nurse Managers should encourage the nurse-midwives to undertake computer training to boost their knowledge in computer
application skills.
REFERENCES
[1] Bond CS. (2013) ICT capacity assessment for nurses and setbacks for nursing educators. Viewed at: http://www.ncbi.nlm.nih.gov/pubmed/17408671. Accessed
may22nd, 2018
[2] Eley R, Fallon T, Soar J, Buikstra E, Hegney D (2013):Causes of failure in the utilization of health informatics by nurses; Viewed at:
http://www.ncbi.nlm.nih.gov/pubmed/19320784. Accessed April 23, 2018
[3] Farlex clipart (2014) collections Princeton University, Farlex Inc.
[4] Health Metrics Network; (2014) Capacity assessment on the uptake of ICT: Geneva, Switzerland: World Health Organization; 2014.
[5] Hersh W, Margolis A, Quiros F, Otero P (2013). Enhancing utilization of ICT utilization in the third world countries. Health Aff (Millwood) 2013; 29 (2):274–
277. Accessed on 23rd May 2018.
[6] Kaya N. (2013) Determinants of ICT utilization by Nurses. Emerging technologies in Nursing practice pg; 29:
[7] 2014-2015
[8] Kuroda Y, Kashiwagi K, Hayashi M, Nakayama E, Oda M, Yamase H, Nakaki T(2017) An Over view of ICT utilization among nurses of Japan. J Nurs Sci.
2017, 4 (2): 79-84. Available at: http://doi.wiley.com/10.1111/j.1742-7924.2007.00076.x. Accessed April 9th, 2018 Google Scholar.
[9] Lee, T. (2015). Anxiety expressed by Nurses on the utilization of Computer technology in Taiwan. Journal of Clinical Nursing, 14, 344-353. Accessed on 20th
April 2018.
[10] McBride AB (2014) Focusing on the use of ICT utilization among nurse midwives in the future. 3rd ed. Sudbury, MA Jones and Bartlett; 2014.
[11] Newbold, S., Klein, J.O., & Douglas J. V. (2015). An overview of nursing informatics education K. J. Hannah, M. J. Ball, & M. J. A. Edwards (Eds).
Introduction to Nursing Informatics. US: Springer.
[12] Smedley A (2015): Why informtics in nursing. Comput informatics Nurs CIN. 2018, 23: 106-110 .View ArticlePubMedGoogle Scholar.
[13] Tennent, B., Becker, K., & Kehoe, J. (2015). Is the current education on e-Health addressing students’ learning objectives and their expected goals? Paper
presented at the Annual Ascilite 2015 conference, Central Queensland University.
[14] The Rockefeller Foundation (2013). Effects of computer technology on nursing service delivery. New York (NY):
9. International Journal of Scientific and Research Publications, Volume 10, Issue 4, April 2020 730
ISSN 2250-3153
http://dx.doi.org/10.29322/IJSRP.10.04.2020.p10078 www.ijsrp.org
[15] USA Department of Health and Human Services (2014): Press Release, accessed at http://www.ahadata.com/ahadata/html/AHASurvey Google Scholar on 23rd
april 2018.
[16] Wachter R. (2016). Supporting e-Health to enhance quality patient care in England. National Advisory Group on Health Information Technology report in
England.
[17] Weaver CA, Delaney CW, Weber P and Carr RL Eds (2016).An overview of the impact of Utilization in nursing practice in the current error: 2nd ed. Healthcare
Information; New York city.
AUTHORS
First Author - Elvis Dagamra , School of midwifery, Mount Kenya University
Second Author – Dr. Rosemary Okova, School of midwifery, Mount Kenya University
Third Author – Dr. Calvin Otieno, School of Information Technology-,Jomo Kenyatta University of Agriculture and Technology