An evaluation of the use of hand-held computers for bedside nursing care

Young, Phyllis; Leung, Raymond M. W.; Ho, Lai‐Ming; McGhee, Sarah M.

doi:10.1016/s1386-5056(01)00163-0

Cited by 24 publications

(8 citation statements)

References 5 publications

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“…The type of recording task will govern the acceptability of the type of computerized bedside care support offered. Young et al [16] found that nurses in a large acute hospital preferred a penbased interface as being easier for tasks involving structured data or structured plus textual data (equally), but for tasks involving mainly textual data the keyboard was easier to use. The keyboard was preferred for accuracy, however, when the data were more structured.…”

Section: Resultsmentioning

confidence: 99%

Reviewing the evidence on nursing record systems

Urquhart

Currell

2005

Health Informatics J

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The aim of this article is to examine the relationship between nursing practice and the recording of practice. We outline the main findings of a Cochrane systematic review on nursing records, discussing the indications from the included studies that compared computerized nursing care planning with paper-based systems. Qualitative research on nursing records systems, and other survey evidence, is collated to answer questions on the format of the record (structured versus free text, for what type of practice), occasions when information exchange about nursing care may not and should not be recorded formally, and the effective organization of the nursing record. We conclude that more research is required to answer these questions, as it seems that computerization does not always bring the expected benefits, and outcomes for patient care are not clear. IntroductionA systematic review [1] of the effect of nursing record systems on nursing practice found no evidence of effects on practice attributable to changes in record systems. Although there was a paucity of studies of sufficient methodological rigour for a Cochrane review to yield reliable results in this area, it is clear from the literature that it is possible to set up randomized trials or other quasi-experimental designs needed to produce evidence for practice. The review identified a need for research into the relationship between clinical practice and its understanding and written expression by nurses.

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Section: Resultsmentioning

confidence: 99%

Reviewing the evidence on nursing record systems

Urquhart

Currell

2005

Health Informatics J

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“…18 However, with the introduction of PDAs and wireless technology into the health care setting, a viable opportunity exists to bring real-time information to the patient's side, while collecting valuable patient information in an electronic format. 3,4,12,19,20 A report by Harris Interactive indicates that approximately 26% of physicians now use handheld computers in their practice and they predict that this number may increase to 50% by 2005. 21 Study strengths include the use of a single investigator with experience in both acute pain patient assessments and in the use of PDAs.…”

Section: Me Et Th Ho Od Ds Smentioning

confidence: 99%

“…8,10 The few studies published in the nursing literature on the use of point-of-care tools for nursing documentation suggest that pointof-care tools may improve nursing documentation. 11,12 The authors are not aware of studies in the literature assessing the use of point-of-care tools by physicians for documentation of patient assessments. The purpose of this study was to assess the use of point-of-care technology for documentation of patient assessments on an acute pain management service (APMS).…”

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confidence: 99%

Using a personal digital assistant enhances gathering of patient data on an acute pain management service: a pilot study

et al. 2003

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P Pu ur rp po os se e: : Handheld computer technology provides a unique opportunity for health care professionals to access real time or near real time patient information and evidence-based resources at the point-of-care. The purpose of this study was to assess one physician's experience using acute pain assessment software on a personal digital assistant (PDA) to assess patients on an acute pain management service (APMS).M Me et th ho od ds s: : Using a historical control and a "time and motion" study design, comparisons were made on acute pain assessment time and comprehensiveness when patient assessments are documented on a PDA vs the current paper-based method.R Re es su ul lt ts s: : The study physician (a PDA-user) reported feeling comfortable with the assessment software after five patient assessments. PDA assessments were more likely to contain documentation regarding pain and side effects (e.g., nausea, pruritus, hypotension) than the paper assessments. The median time of the "assessment only" component of the patient encounter was 53 sec longer using the PDA compared to paper (P < 0.00), however, the median "total encounter" (chart review, assessment, documentation) time was 74 sec shorter using the PDA vs paper (P < 0.00).D Di is sc cu us ss si io on n: : The findings of this preliminary study suggest that the PDA is a reliable tool that meets the data management requirements within an APMS setting. This study found that patient assessments documented using acute pain software developed for use on a PDA were as efficient and content-rich as paper assessments. The PDA may even enhance the efficiency of the patient assessment process through the provision of more comprehensive digital data for research, clinical, and administrative needs. Using a personal digital assistant enhances gathering of patient data on an acute pain management service: a pilot study [L'utilisation d'un Objectif : L'ordinateur nomade offre une chance unique aux professionnels de la santé d'accéder en temps réel ou presque à des renseignements sur le patient et à des ressources cliniques sur place. Notre objectif était d'estimer l'expérience d'un médecin qui utilise le logiciel d'évaluation de la douleur aiguë sur un assistant numérique personnel (ANP) pour examiner les patients d'un service de traitement de la douleur aiguë (STDA). Méthode : Dans notre étude de type contrôle historique et tempsmouvement, nous avons comparé le temps et la représentativité de l'évaluation de la douleur aiguë pour des études de patients documentées sur ANP vs la méthode courante sur papier. Résultats : Le médecin (un utilisateur d'ANP) s'est dit à l'aise avec

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“…In order to fulfill a high health service standard, the medical staff has an extensive demand for information at a number of locations-which actually only mobile computers can supply [52]. For example, up-to-the-minute electronic patient record information is not always available at the bedside [6,68]. New orders or diagnostic results noted during rounds must be transcribed to the electronic patient records via a clinical workstation at a later time-whereas a mobile computer enables direct access [41,31].…”

Section: Introductionmentioning

confidence: 99%

Mobile computer Web-application design in medicine: some research based guidelines

Holzinger

Errath

2007

Univ Access Inf Soc

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Designing Web-applications is considerably different for mobile computers (handhelds, Personal Digital Assistants) than for desktop computers. The screen size and system resources are more limited and end-users interact differently. Consequently, detecting handheld-browsers on the server side and delivering pages optimized for a small client form factor is inevitable. The authors discuss their experiences during the design and development of an application for medical research, which was designed for both mobile and personal desktop computers. The investigations presented in this paper highlight some ways in which Web content can be adapted to make it more accessible to mobile computing users. As a result, the authors summarize their experiences in design guidelines and provide an overview of those factors which have to be taken into consideration when designing software for mobile computers. ''The old computing is about what computers can do, the new computing is about what people can do'' (Leonardo's laptop: human needs and the new computing technologies, MIT Press, 2002).

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An evaluation of the use of hand-held computers for bedside nursing care

Cited by 24 publications

References 5 publications

Reviewing the evidence on nursing record systems

Reviewing the evidence on nursing record systems

Using a personal digital assistant enhances gathering of patient data on an acute pain management service: a pilot study

Mobile computer Web-application design in medicine: some research based guidelines

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