Using ACHIS to Analyze Nursing Health Promotion Interventions for Vulnerable Populations in a Community Nursing Center: A Pilot Study

Hong, Woi-Hyun; Lundeen, Sally

doi:10.1016/s1976-1317(09)60024-4

Cited by 9 publications

(8 citation statements)

References 17 publications

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“…[36][37][38][39][40] Outcomes evaluation showed statistically significant improvements in knowledge, behavior, and status for most problems during the time of the student clinical practicum. This is consistent with previous studies with the elderly in Turkey 21,28 and in other countries.…”

Section: Discussionmentioning

confidence: 98%

Using the Omaha System to Describe Health Problems, Interventions, and Outcomes in Home Care in Istanbul, Turkey

Erdoğan

Seçginli

Coşansu

et al. 2013

CIN: Computers, Informatics, Nursing

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Preparing nursing students to achieve informatics competencies is essential in today's information-intensive healthcare delivery systems. This study aimed to provide hands-on informatics experience to nursing students and to identify the frequency and type of home care clients' health problems, nursing interventions, and outcomes using a standardized nursing terminology, the Omaha System. Data were collected by 159 nursing students on home visits to 598 clients, who received 8657 interventions from students and faculty for 2267 problems, in addition to the services provided by the home care centers. Skin, neuromusculoskelatal function, personal care, nutrition, and urinary function were the most common problems. The most common intervention category was teaching, guidance, and counseling (47%), followed by treatments and procedures (22%), surveillance (22%), and case management (9%). Outcomes evaluation showed significant improvement in 97.5% of the identified problems. Students gained informatics experience in the use of a standardized nursing language in electronic health records, data management, and use of nursing data at the basic practice level. This study demonstrated that the Omaha System was a useful data collection tool for evaluating problems, interventions, and outcomes in home care and a positive teaching and learning tool for baccalaureate nursing education.

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Section: Discussionmentioning

confidence: 98%

Using the Omaha System to Describe Health Problems, Interventions, and Outcomes in Home Care in Istanbul, Turkey

Erdoğan

Seçginli

Coşansu

et al. 2013

CIN: Computers, Informatics, Nursing

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“…Nurses serve as primary care givers and advocates for the population served by the CNC and promote health for all clients regardless of socioeconomic status and ethnic backgrounds by providing a comprehensive set of services [17][18][19]. A two-year trial evaluation study addressed the importance of a health care provider's role as an educator in primary settings to increase patient's knowledge about risk factors associated with HBP and to increase ability of adherence to HBP regimen [17,18].…”

Section: Discussionmentioning

confidence: 99%

“…The latest recommendations for management of HBP have considerably emphasized individual's promoting health through the modification of their lifestyle in community settings [7,20]. Although lifelong diseases such as HBP usually cannot be cured, in most cases they can be prevented and controlled toward higher level of health with healthy lifestyle modifications [5,[8][9][10][11]19]. Among the strategies used to promote health knowledge, behavior, and status, nursing practice interventions in primary health care appears to offer a promising avenue to better meet the needs of vulnerable populations with HBP [10].…”

Section: Introductionmentioning

confidence: 99%

Practice-based Evidence for Health Promotion in Underserved Clients with Hypertension in Primary Health Care Settings

Hong

2015

J Korean Acad Community Health Nurs

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Purpose: The purpose of this study was to explore practice-based evidence for health promotion in vulnerable populations with hypertension in primary health care settings. Methods: Two methodological procedures were adopted for this triangulation study. In the first phase, the sample was obtained from the computerized clinical data repository of a community nursing center. A total of 286 clients were assessed for hypertension as an actual circulation problem as coded in the Omaha System. In the second phase, a qualitative focus group was surveyed through semi-structured interviews conducted by nine advanced practice nurses who had been serving the hypertensive patients. Results: The community nurses provided essential primary healthcare services including health teaching guidance and counseling, and surveillance to vulnerable populations living in medically underserved community. There was a significant positive correlation between knowledge and behavior (r=.53, p<.01), between knowledge and health status (r=.40, p<.05), and between behavior and health status (r=.48, p<.01). Conclusion: This triangulation study encompassed not only quantitative findings from the computerized records of clients but also other information acquired from advanced practice nurses. This study contributes to understanding the importance of health promotion nursing interventions even with populations already diagnosed with chronic diseases such as hypertension.

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“…ACHIS has captured data on over 8,000 unduplicated clients, seen in over 17,500 health encounters in the past 5 years, to conduct research on community health issues and interventions (Hong & Lundeen, ). Since ACHIS was designed as a universal tool for collecting data about community health problems, interventions, and outcomes, and its coding was based on the use of a standard nursing language—the Omaha System—ACHIS was adopted by the local coalition to serve as the electronic health information system for RHI, the community health improvement initiative this article describes.…”

Section: A Public Health Nursing Informatics Improvement Projectmentioning

confidence: 99%

A Systematic Method to Document Population‐Level Nursing Interventions in an Electronic Health System

Baisch

2012

Public Health Nursing

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Many public health electronic health systems lack the specificity to distinguish between individual- and population-based levels of care provided by public health nurses. Data that describe the broad scope of the everyday practice of public health nurses are critical to providing evidence of their effectiveness in promoting community health, which may not be fully appreciated in an arena of scarce resources. This article describes a method to document population-based nursing practice by adding population-based interventions to the nursing taxonomy underlying an electronic health information system. These interventions, derived from the Intervention Wheel, were incorporated into the Omaha System taxonomy, the conceptual framework for the Automated Community Health Information System (ACHIS), which is a longstanding data system used to capture nursing practice in community nursing centers. This article includes a description of the development and testing of the system's ability to capture the practice of the district public health nurse model. This method of adapting an existing data system to capture population-based interventions could be replicated by public health administrators interested in better evaluating the processes and outcomes of public health nursing and other public health professionals.

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Using ACHIS to Analyze Nursing Health Promotion Interventions for Vulnerable Populations in a Community Nursing Center: A Pilot Study

Cited by 9 publications

References 17 publications

Using the Omaha System to Describe Health Problems, Interventions, and Outcomes in Home Care in Istanbul, Turkey

Using the Omaha System to Describe Health Problems, Interventions, and Outcomes in Home Care in Istanbul, Turkey

Practice-based Evidence for Health Promotion in Underserved Clients with Hypertension in Primary Health Care Settings

A Systematic Method to Document Population‐Level Nursing Interventions in an Electronic Health System

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