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Health informatics theory

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The present study is primarily aimed at an audience of evolutionary biologists in the broad sense for Parts 1-3, as well as at scientists from other professional disciplines looking for new approaches to explore phenomena in nature. However, the content is in general not written as technical text or filled with equations that make it utterly incomprehensible for 'normal' people, although they would have to skip strictly professional biochemical and biological terms that are a constituent part of the evidence in a scientific sense...
2016: Studies in Health Technology and Informatics
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The European Federation for Medical Informatics (EFMI) Association is the leading organisation in medical informatics in Europe as a federation of national societies of 30 countries. EFMI is organized as a non-profit organization concerned with the theory and practice of information science and technology within health and health science in a European context. The objectives of the EFMI are: • To advance international co-operation and dissemination of information in medical informatics at the European level; • To promote high standards in the application of medical informatics; • To promote research and development in medical informatics; • To encourage high standards in education in medical informatics; • To function as the autonomous European Regional Council of IMIA...
2016: Studies in Health Technology and Informatics
Philip J Scott, Andrew Georgiou, Hannele Hyppönen, Catherine K Craven, Michael Rigby, Jytte Brender McNair
A scientific approach to health informatics requires sound theoretical foundations. Health informatics implementation would be more effective if evidence-based and guided by theories about what is likely to work in what circumstances. We report on a Medinfo 2015 workshop on this topic jointly organized by the EFMI Working Group on Assessment of Health Information Systems and the IMIA Working Group on Technology Assessment and Quality Development. We discuss the findings of the workshop and propose an approach to consolidate empirical knowledge into testable middle-range theories...
2016: Studies in Health Technology and Informatics
Tünde Mako, Pernilla Svanäng, Kristofer Bjerså
BACKGROUND: Patients in surgical care have reported a fear of being discharged prior to sufficient recovery and a lack of control of their situation. Establishing the patient-nurse relationship is essential in the context of the care. The Swedish National Board of Health and Welfare has established indicators for good care for comparison, evaluation and improvement of the quality of the health care system. These indicators are knowledge-based, appropriate, safe, effective and equal health care, as well as care within a reasonable time and patient-centred care...
2016: BMC Nursing
Laura-Maria Peltonen, Dari Alhuwail, Samira Ali, Martha K Badger, Gabrielle Jacklin Eler, Mattias Georgsson, Tasneem Islam, Eunjoo Jeon, Hyunggu Jung, Chiu-Hsiang Kuo, Adrienne Lewis, Lisiane Pruinelli, Charlene Ronquillo, Raymond Francis Sarmiento, Janine Sommer, Jude L Tayaben, Maxim Topaz
Nursing informatics (NI) can help provide effective and safe healthcare. This study aimed to describe current research trends in NI. In the summer 2015, the IMIA-NI Students Working Group created and distributed an online international survey of the current NI trends. A total of 402 responses were submitted from 44 countries. We identified a top five NI research areas: standardized terminologies, mobile health, clinical decision support, patient safety and big data research. NI research funding was considered to be difficult to acquire by the respondents...
2016: Studies in Health Technology and Informatics
Sally Remus
Limited informatics competency uptake is a recognized nursing leadership challenge impacting digital practice settings. The health system's inability to reap the promised benefits of EHRs is a manifestation of inadequate development of informatics competencies by chief nurse executives (CNEs) and other clinicians. Through the application of Transformational Leadership Theory (TL), this discussion paper explains how informatics competencies enable CNEs to become transformational nursing leaders in digital health allowing them to meet their accountabilities to lead integrated, high-quality care delivery through evidence based practices (EBPs)...
2016: Studies in Health Technology and Informatics
Valerie M Herbert, Helen Connors
Technology is increasing the complexity in the role of today's nurse. Healthcare organizations are integrating more health information technologies and relying on the electronic health record for data collection, communication, and decision making. Nursing faculty need to prepare graduates for this environment and incorporate an academic electronic health record into a nursing curriculum to meet student-program outcomes. Although the need exists for student preparation, some nursing programs are struggling with implementation, whereas others have been successful...
August 2016: Computers, Informatics, Nursing: CIN
M J Ball, J S Silva
The authors highlight IMIA's progress over the past twenty years as a key bridging organization that translates health informatics theory into practice. In contrast, they describe that electronic health record (EHR) systems built in the 20th Century are not meeting the needs of clinical users. Moreover, these EHRs are not architected to keep pace with the rapid changes in the evolving health ecosystem. They conclude that 21st Century health IT systems need to be architected into an ecosystem-wide suite of interacting complex adaptive systems that support individuals, clinicians, managers and policy-makers with the high value/high usability computing paradigm that dominates the Internet today...
2016: Yearbook of Medical Informatics
Philip J Scott
This contribution offers an overview of the 'third research paradigm', its historical roots and its relevance for health informatics. Using illustrative studies, we explore the concepts of triangulation and integration of quantitative and qualitative data and refute common philosophical objections to mixing different types of knowledge. We consider how the mixed method paradigm relates to two programme design and evaluation frameworks that are important for health informatics: realist evaluation and Theory of Change...
2016: Studies in Health Technology and Informatics
Gregory W Hruby, Konstantina Matsoukas, James J Cimino, Chunhua Weng
Electronic health records (EHR) are a vital data resource for research uses, including cohort identification, phenotyping, pharmacovigilance, and public health surveillance. To realize the promise of EHR data for accelerating clinical research, it is imperative to enable efficient and autonomous EHR data interrogation by end users such as biomedical researchers. This paper surveys state-of-art approaches and key methodological considerations to this purpose. We adapted a previously published conceptual framework for interactive information retrieval, which defines three entities: user, channel, and source, by elaborating on channels for query formulation in the context of facilitating end users to interrogate EHR data...
April 2016: Journal of Biomedical Informatics
Sunmoo Yoon, Jonathan A Shaffer, Suzanne Bakken
Healthcare environments are increasingly implementing health information technology (HIT) and those from various professions must be competent to use HIT in meaningful ways. In addition, HIT has been shown to enable interprofessional approaches to health care. The purpose of this article is to describe the refinement of the Self-Assessment of Nursing Informatics Competencies Scale (SANICS) using analytic techniques based upon item response theory (IRT) and discuss its relevance to interprofessional education and practice...
2015: Journal of Interprofessional Care
Richard G Booth, Mary-Anne Andrusyszyn, Carroll Iwasiw, Lorie Donelle, Deborah Compeau
Actor-Network Theory is a research lens that has gained popularity in the nursing and health sciences domains. The perspective allows a researcher to describe the interaction of actors (both human and non-human) within networked sociomaterial contexts, including complex practice environments where nurses and health technology operate. This study will describe Actor-Network Theory and provide methodological considerations for researchers who are interested in using this sociotechnical lens within nursing and informatics-related research...
June 2016: Nursing Inquiry
Shaimaa Lazem, Mary Webster, Wayne Holmes, Motje Wolf
Here we review 18 articles that describe the design and evaluation of 1 or more games for diabetes from technical, methodological, and theoretical perspectives. We undertook searches covering the period 2010 to May 2015 in the ACM, IEEE, Journal of Medical Internet Research, Studies in Health Technology and Informatics, and Google Scholar online databases using the keywords "children," "computer games," "diabetes," "games," "type 1," and "type 2" in various Boolean combinations. The review sets out to establish, for future research, an understanding of the current landscape of digital games designed for children with diabetes...
March 2016: Journal of Diabetes Science and Technology
Timothy Jay Carney, Geoffrey P Morgan, Josette Jones, Anna M McDaniel, Michael T Weaver, Bryan Weiner, David A Haggstrom
RESEARCH OBJECTIVES: Nationally sponsored cancer-care quality-improvement efforts have been deployed in community health centers to increase breast, cervical, and colorectal cancer-screening rates among vulnerable populations. Despite several immediate and short-term gains, screening rates remain below national benchmark objectives. Overall improvement has been both difficult to sustain over time in some organizational settings and/or challenging to diffuse to other settings as repeatable best practices...
October 2015: Journal of Biomedical Informatics
Christian Nøhr, Elizabeth M Borycki, Andre W Kushniruk, Craig E Kuziemsky
Context is a key issue when designing, implementing, and evaluating health information technology. Advanced and well-designed systems may not achieve desired outcomes because of complex contextual issues, and unintended consequences are often reported in the literature. The conference introduced in this article integrates sociotechnical and human factors based theories and methods for analysis and evaluation of complex health information technologies in diverse environments demanding high context sensitivity...
2015: Studies in Health Technology and Informatics
Jens H Weber, Morgan Price, Iryna Davies
A lack of data quality (DQ) is often a significant inhibitor impeding the realization of cost and quality benefits expected from Clinical Information Systems (CIS). Attaining and sustaining DQ in CIS has been a multi-faceted and elusive goal. The current literature on DQ in health informatics mainly consists of empirical studies and practitioners' reports, but often lack a holistic approach to addressing DQ 'by design'. This paper seeks to present a general framework for clinical DQ, which blends foundational engineering theories with concepts and methods from health informatics...
2015: Studies in Health Technology and Informatics
Jean F Wyman, Susan J Henly
Preparing nursing doctoral students with knowledge and skills for developing science, stewarding the discipline, and educating future researchers is critical. This study examined the content of 120 U.S. PhD programs in nursing as communicated on program websites in 2012. Most programs included theory, research design, and statistics courses. Nursing inquiry courses were evidenced on only half the websites. Course work or research experiences in informatics were mentioned on 22.5% of the websites; biophysical measurement and genetics/genomics were mentioned on fewer than 8% of program websites...
July 2015: Nursing Outlook
Ting-Ting Lee
The rapid and continual advance of healthcare technology makes ensuring that this technology is used effectively to achieve its original goals a critical issue. This paper presents three methods that may be applied by healthcare professionals in the evaluation of healthcare technology. These methods include: the perception/experiences of users, user work-pattern changes, and chart review or data mining. The first method includes two categories: using interviews to explore the user experience and using theory-based questionnaire surveys...
June 2015: Hu Li za Zhi the Journal of Nursing
Lena Mamykina, Arlene M Smaldone, Suzanne R Bakken
BACKGROUND: Self-monitoring is an integral component of many chronic diseases; however few theoretical frameworks address how individuals understand self-monitoring data and use it to guide self-management. PURPOSE: To articulate a theoretical framework of sensemaking in diabetes self-management that integrates existing scholarship with empirical data. METHODS: The proposed framework is grounded in theories of sensemaking adopted from organizational behavior, education, and human-computer interaction...
August 2015: Journal of Biomedical Informatics
Karl Wegscheider, U Koch-Gromus
Health care research focuses on the description and analysis of the health care system and its requirements. Research-derived innovations are the subject of trials and evaluation of the transfer to daily routine. For this purpose health care research has developed a broad theory-based spectrum of methods. On the other hand, the concept of big data is an new informatics-driven approach to large data sets independent of content. With its technical vocabulary the concept of big data does not easily fit into traditional health care research...
August 2015: Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz
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