Information Sharing and Privacy Protection of Electronic Nursing Record Management System

The traditional centralized storage of traditional electronic medical records (EMRs) faces problems like data leakage, data loss, and EMR misplacement. The current protection measures for patients’ privacy in EMRs cannot withstand the fast-developing password cracking technologies and frequency cyberattacks. This paper intends to innovate the information sharing and privacy protection of electronic nursing records (ENRs) management system. Specifically, the signature interception technology was introduced to EMRs, the different phases of certificateless signature interception scheme were depicted, and the validation procedures of the scheme were designed. Then, the six phases of ENR information sharing protocol based on alliance blockchain were described in detail. Finally, an end-to-end memory neural network was constructed for ENR classification. The proposed management scheme was proved effective through experiments.

Pattern Analysis of Inpatient Falls in a Tertiary Hospital

We analyzed the spatial and temporal patterns of inpatient falls in a tertiary hospital. Data were obtained from the adverse-event self-reporting system and the electronic nursing record system of the hospital. Through chart reviews we reclassified the cases. Most falls occurred by the bedside, followed by the restroom and hallway, and they occurred most often between 2 a.m. and 6 a.m. These findings indicate when and where nurses should be most alert about falls.

Organizational model in first AID

The reason why we have undertaken this type of work comes from having become aware of the profound state of discomfort experienced, and therefore it is possible to find the strength to take the real path, overcoming the current patterns, which unfortunately, still see the profession . for homework. The multicentre study, carried out on the topic of Nursing Records, significantly accelerates the timing of this historic step, so that the culture of innovation, creativity and change is enhanced and embraced. Analyzing the nursing work situation, I noted the need together with a group of colleagues and a coordinator, belonging to the same Hospital, to propose the inclusion of an innovative Nursing Record, so that a professional contribution was formed by the staff nursing and, from this, the activation of multidisciplinarity and, at the same time, the recognition of the usefulness of the role of the nursing figure and of the valid collaboration within the health team took off. The working group was formed on a specific project, focused on the design and drafting of the Nursing Record, an operational tool designed and managed by the nurse (in collaboration with the coordinator), used to collect useful information regarding each patient individually. This tool was indispensable for the elaboration of an assistance plan that takes into account the social, cultural and welfare context in which it is developed, guaranteeing the continuity of services. Since it appears necessary for a Nursing Record to be built by the team , the need arises to have common indications regarding its design and drafting.

Sharing the Burden of Strife in Chronic Illness: a Praxiological Study of Nursing Practice in a Community Context

<p><b>This inquiry is an in-depth exploration of one middle aged woman’s, Sarah, experience of strife in chronic illness and her nursing care involving four nurses (including myself) in a community context over a three-year period. The study is praxiological in that the understanding achieved is derived from practice within a ‘research as praxis’ methodology positioned in the disciplinary perspective of nursing as a practical human science. Five methodological premises inform the research processes: reflexivity, dialogue, moral comportment, re-presentation in narrative and critique. They emanate from an eclectic ontological praxiology based on the research framework constructed from Gadamerian philosophical hermeneutics, components of other philosophical praxiologies evolved from an exploration of the practical discourse in philosophy and my preferred health and nursing assumptions.</b></p> <p>The research processes include researcher journalling; summaries of Sarah’s nursing record, dialogical meetings with Sarah and the nurse co-participants to collect the research material and then co-construct it into narrative form. The narrative is developed around what Sarah viewed as the overall nursing contribution to her care; the ‘sharing of her burden of illness’. This, she maintained, enabled her to live safely in the community. Finally there occurs a critique of the narrative within a discursive framework.</p> <p>Three themes, embedded in particular discourses, emerged from the narrative both in Sarah’s and the nurses’ experience; paradox, moral meaning and metaphor. Sarah’s experience is interpreted as taking place in the ‘in-between space’ of the disease and health-illness discourses. Two main concepts which depict the tension experienced in this space are the ‘the ontological assault of illness’ and ‘entrapment in the disease discourse’. We, the nurses, ‘pushed the boundaries’ to create a space for the nursing as a caring practice discourse on the margins of nursing as a functional service discourse. Within the nursing as a caring practice space many ‘fine lines’ were walked with Sarah. Walking the ‘fine line’ of an ‘intense relationship’ was seen as advanced nursing practice. The research highlights important implications for a person and/or families who live with chronic illness and practice and educational issues for advanced nurse practitioners. Further, it promotes praxiological methodologies as advantageous for expanding nursing knowledge. This inquiry makes a twofold contribution to the discipline of nursing: it progresses the understanding of living with strife in chronic illness and it expands the practice of praxiological inquiry within nursing.</p>

Sharing the Burden of Strife in Chronic Illness: a Praxiological Study of Nursing Practice in a Community Context

<p><b>This inquiry is an in-depth exploration of one middle aged woman’s, Sarah, experience of strife in chronic illness and her nursing care involving four nurses (including myself) in a community context over a three-year period. The study is praxiological in that the understanding achieved is derived from practice within a ‘research as praxis’ methodology positioned in the disciplinary perspective of nursing as a practical human science. Five methodological premises inform the research processes: reflexivity, dialogue, moral comportment, re-presentation in narrative and critique. They emanate from an eclectic ontological praxiology based on the research framework constructed from Gadamerian philosophical hermeneutics, components of other philosophical praxiologies evolved from an exploration of the practical discourse in philosophy and my preferred health and nursing assumptions.</b></p> <p>The research processes include researcher journalling; summaries of Sarah’s nursing record, dialogical meetings with Sarah and the nurse co-participants to collect the research material and then co-construct it into narrative form. The narrative is developed around what Sarah viewed as the overall nursing contribution to her care; the ‘sharing of her burden of illness’. This, she maintained, enabled her to live safely in the community. Finally there occurs a critique of the narrative within a discursive framework.</p> <p>Three themes, embedded in particular discourses, emerged from the narrative both in Sarah’s and the nurses’ experience; paradox, moral meaning and metaphor. Sarah’s experience is interpreted as taking place in the ‘in-between space’ of the disease and health-illness discourses. Two main concepts which depict the tension experienced in this space are the ‘the ontological assault of illness’ and ‘entrapment in the disease discourse’. We, the nurses, ‘pushed the boundaries’ to create a space for the nursing as a caring practice discourse on the margins of nursing as a functional service discourse. Within the nursing as a caring practice space many ‘fine lines’ were walked with Sarah. Walking the ‘fine line’ of an ‘intense relationship’ was seen as advanced nursing practice. The research highlights important implications for a person and/or families who live with chronic illness and practice and educational issues for advanced nurse practitioners. Further, it promotes praxiological methodologies as advantageous for expanding nursing knowledge. This inquiry makes a twofold contribution to the discipline of nursing: it progresses the understanding of living with strife in chronic illness and it expands the practice of praxiological inquiry within nursing.</p>

Kemampuan Informatika Perawat Sebagai Modal Penerapan Pencatatan Keperawatan Elektronik di Rumah Sakit

The implementation of Information Technology in nursing improves the quality of care. Electronic nursing record is an innovation that enhances the efficiency of nursing care. The informatics skill is needed for nurses to adapt with the innovation of Information Technology. This paper aims to discuss the informatics skill of nurses at one public hospital in Pekanbaru, Riau, Indonesia. This study was analytical study with cross sectional approach. This study involved 237 nurses and used purposive sampling technique. The data was being taken by using self- assessed nursing informatics skill/ NICAT questionnaire which divides the informatics skill in to beginner, advance beginner, competent, proficient and expert. The result of the study showed that the majority of nurses’ informatics skill was competent (49.4%) and only 4.6% that is expert. Informatics skill of the nurses related to the sex, education level and length of work. The informatics training will help nurses to improve their informatics skill.

Effects of nursing record education focused on legal aspects at small and medium sized hospitals

Purpose: The purpose of this study was to examine the effect of nursing record education on the knowledge and performance of nursing record of nurses at small- and medium-sized hospitals.Methods: The participants were 62 nurses working in two small- and medium-sized hospitals. Thirty-two nurses comprised the experimental group, and 30 nurses comprised the control group. Nursing record education was provided for the experimental group. Data were analyzed by x2-test and t-test analysis using the IBM SPSS statistics 25.0 Program. Results: After education, the knowledge (t=2.43, p=.019), performance (t=2.19, p=.033) and behavior scores (t=2.42, p=.018) on nursing record were significantly higher in the experimental group than in the control group. Based on this result, nursing record education is an effective intervention to improve nurses’ knowledge and performance in writing nursing records in small- and medium-sized hospitals. Conclusion: We suggest the development of a systematic and standardized education program on nursing record including its legal aspects, for nurses in small- and medium-sized hospitals. The results of this study can be used as basic data for developing a nursing record education program for small- and medium-sized hospitals.

Binding communication to improve peripheral venous catheter monitoring

Background: Optimizing the monitoring of peripheral venous catheters is essential. We developed a nursing record system at bedside (Patient Smart Reader®) to track peripheral venous catheters acts. Aims: Improve peripheral venous catheter monitoring. To improve the quality of monitoring, we aimed to increase the usage rate of nursing record system at bedside. Methods: We developed a “commitment intervention” course based on binding communication paradigm. Evaluation of its performance on monitoring was analyzed using a p-chart and time series analysis. Findings: Nurses observed a significant improvement in compliance with catheter monitoring over time (shifts after shifts), ranging from 27.6% (CI = [25.3; 30.0]) of compliance before commitment intervention to 47.4% (CI = [45.0; 49.9]) after training. The commitment intervention increased the chances of carrying out monitoring through the tool for acts related to peripheral venous catheter by 2.42 (odds ratio) (CI = [1.88; 3.11]). Conclusion: Binding communication provides an effective method for changing nurses’ behaviors in terms of safe care. The determinants of engagement (individual vs. collective) can be indicators for defining future communication and training strategies in care centers for all Health care workers.

Comparison of traditional and automated nursing records in the medicine services of the Callejón de Huaylas hospitals - Peru [Comparación de los registros de enfermería tradicionales y automatizados en los servicios de medicina de los hospitales del Callejón de Huaylas – Perú]

The objective of this study was to compare the quality of traditional and automated nursing records in the medical services of four hospitals in Callejón de Huaylas - Peru. Investigation of quantitative approach quasi experimental. The population consisted of 32,940 nursing records from the medical records, and the sample consisted of 816 records, selected by stratified probability sampling. The instruments used were; Quality inventory of the nursing record and the software called the Automated Nursing Record System (SIARE) version 1.0. The results show that the difference in quality of the traditional and automated nursing records, with the student's t test obtained a mean of 7.284, a SD of 1.172, a t value = 29.815, with d.f. 22 and a p value = 0.000, resulting in significant differences between the quality scores of the traditional and automated nursing records of the medicine services of the hospitals of the Callejón de Huaylas. It is concluded that the quality (structure, continuity of care and patient safety) of the automated records is high in comparison with traditional nursing records.