International Telemetering Conference Proceedings / October 26-29, 1992 / Town and Country Hotel and Convention Center, San Diego, California / Within the Aerospace industry, the operational community is facing staff reductions, reduced skill levels, and greater complexity of space assets and space missions. This combination requires that techniques be developed that more efficiently interface a human operator with a complex computer system. Operational support of complex space systems will be greatly facilitated by better presentation of information. The presentation and distribution of complex data must evolve towards formats that are easily and naturally embraced by our sensory systems. Some of the information technologies/techniques that facilitate the presentation of complex dynamic graphical data fall into a category called integrated media. The cost of implementing integrated media (IM) architectures has decreased substantially within in the past five years. While implementation costs continue to recede, the quality and value of information that can be presented using IM technologies continues to improve. Today's IM architect can select a variety of components including digital interactive video, 3D Navigable Worlds, Multimedia Authoring Systems, standardized compressors for IM data, low cost high volume storage systems, and operating system extensions for temporal data management. Together, these components form a solid foundation for the development of a variety of compelling IM architectures. Existing satellite support and mission data processing architectures typically present tabular data for assessment. Some "advanced" systems include 2D graphical projections of the data. System experts are generally trained to correlate relationships between tabular data items. The training required to "learn" these complex relationships is tedious and time consuming. This complexity impedes productivity and as space systems increase in sophistication, these techniques for data assessment are quickly becoming antiquated. The development of a prototype decision support system explores the utility of an integrated media documentation system as part of a full-featured decision support architecture for satellite operations.

abstract: The American Heart Association recommended in 1997 the data elements that should be collected from resuscitations in hospitals. (15) Currently, data documentation from resuscitation events in hospitals, termed ‘code blue’ events, utilizes a paper form, which is institution-specific. Problems with data capture and transcription exists, due to the challenges of dynamic documentation of patient, event and outcome variables as the code blue event unfolds. This thesis is based on the hypothesis that an electronic version of code blue real-time data capture would lead to improved resuscitation data transcription, and enable clinicians to address deficiencies in quality of care. The primary goal of this thesis is to create an iOS based application, primarily designed for iPads, for code blue events at the Mayo Clinic Hospital. The secondary goal is to build an open-source software development framework for converting paper-based hospital protocols into digital format. The tool created in this study enabled data documentation to be completed electronically rather than on paper for resuscitation outcomes. The tool was evaluated for usability with twenty nurses, the end-users, at Mayo Clinic in Phoenix, Arizona. The results showed the preference of users for the iPad application. Furthermore, a qualitative survey showed the clinicians perceived the electronic version to be more accurate and efficient than paper-based documentation, both of which are essential for an emergency code blue resuscitation procedure. / Dissertation/Thesis / Masters Thesis Computer Science 2015

The dissertation on Project of Electronic Nursing Documentation in the eHealth (worldwide concept of electronic healthcare) Context analyses use of information technology in healthcare focusing on electronic healthcare documentation and also analyses means of information technology implementation using project management. The dissertation goal is to create a plan of the Project of Electronic Nursing Documentation at University Hospital Plzeň using standardized methods of the IPMA Project Management focusing on risk analysis and management and use of acquired knowledge in the eHealth context. Software development and implementation of the new clinical information system module utilizes agile methods of software development. The dissertation states the definition of project and project management within its standardized methods, presents means of healthcare documentation in compliance with current legislation and terms of healthcare documentation use in its electronic form, describes the hospital information systems, data security policy and mentions the National Healthcare Information System.

This diploma thesis focuses on the problem of implementation of information systems for electronic documentation in health care, especially in rehabilitation. The theoretical part describes the nature and meaning of managerial changes in general, reviews various types of changes, discusses what causes these changes and how they affect their surroundings, and describes the key steps and models for effective handling of these managerial changes. The second part deals with problems of introducing electronic documentation and information systems in a special case of the Czech Republic. The empirical part focuses on implementation of information system in the rehabilitation institute Kladruby. Using qualitative research methods a sequence of interviews was carried out with the staff of the rehabilitation department. The result of the research presented in this thesis is a summary of advantages and disadvantages of the information system, attitudes of respondents to the implementation of the information system, and recommendations how to further optimize the information system. The second part describes the feedback of four rehabilitation centers in the USA with a long-term experience with the implementation of information systems and a simple comparison of respondents' experience in the USA and the...

This thesis portrays a research study undertaken to explore the unknown concept of electronic interprofessional documentation. Academic literature largely centers on multidisciplinary electronic documentation yet clinicians provide care using an integrated interprofessional model. Current design of electronic health records (EHRs) continue to propagate a deluge of data resulting from disparate siloed documentation. End users report challenges with finding data. Additionally, care planning and decision making are delayed. To bridge the gap between electronic design and interprofessional delivery of care, more understanding of shared documentation is required. The provenance of the design of this study is based on the concept of common ground and the framework for complex diverse data. Common ground is a shared communication space within a team with a shared purpose (Cioffi, Wilkes, Cummings, Warne, & Harrison, 2010). The framework for complex diverse data posits that data must be linked to other interconnected data; linked data enables connection of diverse pieces and insight-sharing within a team. A descriptive qualitative study was designed to answer the research question: What are the common data elements between disciplines? A case scenario of a patient with a fractured hip was created; participants generated clinical notes based on the video and patient record. The clinical notes were coded and results indicated numerous diverse common data elements. These were analyzed and major findings such as categories appropriate for use by all disciplines on admission and design implications for care planning throughout an acute care stay were identified. Further, as disciplines and care team members do have different documentation patterns, it is suggested attendance to differences in the entry of data yet maintaining a common ground in the display of patient information is vital. Finally suggestions such as duplicate checking for documentation through a common care plan that tracks assessments and completed interventions alongside planned interventions are made. Creation of a standardized interprofessional terminology is key in building the road leading to interprofessional electronic documentation. / Graduate

Bakgrund: Florence Nightingale ligger till grund för omvårdnadsdokumentation som är en del av omvårdnadsprocessen och en av legitimerade sjuksköterskors skyldigheter. Ofullständig omvårdnadsdokumentation är ett återkommande problem. Den vårdsökande personens delaktighet samt sjuksköterskors attityder och förhållningssätt påverkar omvårdnadsdokumentationen.  Syfte: Syftet var att beskriva sjuksköterskors erfarenheter av omvårdnadsdokumentation inom öppenvård och slutenvård.  Metod: En litteraturöversikt med induktiv ansats genomfördes där tolv artiklar med kvalitativ metod analyserades i fem steg av Friberg. Resultat: Analysen ledde till en huvudkategori: Utmaningar vid omvårdnadsdokumentation, två kategorier: Genomförande av elektronisk omvårdnadsdokumentation och Annat som styr omvårdnadsdokumentationen samt fem underkategorier. Sjuksköterskor i sluten- och öppenvård hade erfarenheter av att utföra omvårdnadsdokumentation. Genomförande av elektronisk omvårdnadsdokumentation upplevdes nödvändig då den gav tillgång till viktig information. Elektronisk omvårdnadsdokumentation upplevdes som tidskrävande särskilt vid tekniska fel eller vid användning av nya dokumentationssystem. Individuella idéer, lagar, arbetsmiljö och chefens påverkan var bidragande till sjuksköterskors erfarenheter av omvårdnadsdokumentation.   Slutsatser: Sjuksköterskor upplevde olika utmaningar vid omvårdnadsdokumentation. Utbildningar i användning av, forskning på arbetsmiljö och ledarens påverkan på omvårdnadsdokumentation kan vara betydelsefull för utvecklingen av området. / Background: Florence Nightingale laid the basis of nursing documentation. Nursing documentation is part of the nursing process and is an obligation of registered nurses. Incomplete nursing documentation is a recurring problem. Participation of the person seeking care and nurses' attitudes influence nursing documentation. Aim: To describe nurses' experiences of nursing documentation in inpatient and outpatient care. Method: A literature review with an inductive approach that analyzed twelve qualitative articles using the five steps of analysis according to Friberg. Results: The analysis gave a main category: challenges in nursing documentation two categories: implementation of electronic nursing documentation and other things controlling nursing documentation and five sub-categories. Nurses in inpatient and outpatient care had experience in nursing documentation. Implementation of electronic nursing documentation was considered necessary as it provided access to important information. Electronic nursing documentation was experienced as time-wasting especially because of technical errors and when new documentation systems were used. Individual ideas, laws, working environment and leaders’ influence contributed to nurses' experiences. Conclusion: Nurses experienced challenges during nursing documentation. Training in the use of electronic documentation systems, research on the influence of the work environment and leadership on nursing documentation could be important for the development of the field.

Problématique : L’avènement de la documentation infirmière des soins dans les dossiers cliniques informatisés (DCI) engendre des changements dans la pratique infirmière actuelle. Le personnel infirmier devra acquérir les habiletés et savoirs nécessaires pour documenter électroniquement la démarche de soins infirmiers. À cet effet, des chercheurs de l’Université de Sherbrooke, en collaboration avec une compagnie informatique, ont développé un logiciel de simulation nommé Environnement Virtuel d’Apprentissage (EVA). Ce dernier vise à permettre aux personnes étudiantes infirmières, au moyen d’un simulateur sur écran, de pratiquer, à partir d’histoires de cas, l’évaluation clinique, l’examen physique, de même que la documentation électronique de la démarche de soins infirmiers, tout en se familiarisant avec une terminologie infirmière standardisée. But : Cette étude visait à évaluer l’impact du système EVA sur le sentiment d’auto-efficacité d'étudiants et étudiantes en sciences infirmières concernant leur performance clinique associée à la documentation électronique de la démarche de soins infirmiers. Méthodologie : Un devis quasi-expérimental avant-après a permis de décrire le sentiment d’auto-efficacité du groupe témoin et expérimental. Une appréciation concernant les fonctionnalités d’EVA a aussi été documentée par le groupe expérimental. Analyses et résultats : L’échantillon était composé majoritairement de femmes entre 21 et 30 ans ayant moins d’un an d’expérience en soins infirmiers. Un total de 63 personnes étudiantes ont rempli le questionnaire d’enquête au pré-test. Les résultats sur le sentiment d’auto-efficacité initial étaient similaires chez les groupes témoin et expérimental. En raison d’une importante perte de sujets, les calculs en post-test et pour la comparaison des groupes dans le temps ne sont pas significatifs. Une présentation graphique et une comparaison descriptive des données de quatre sujets ont été possibles pour décrire l’évolution du sentiment d’auto-efficacité dans le temps. Conclusion : Malgré quelques embûches concernant la participation du groupe expérimental, nous avons décrit le sentiment d’auto-efficacité avant et après l’utilisation du logiciel, effectué des comparaisons inter et intra groupe et fourni une rétroaction au développeur du logiciel. / Abstract : Issue: The advent of nursing care documentation in computerized clinical records generates changes in the current nursing practice. Nurses will need to acquire the skills and knowledge required to electronically document the nursing process. To this end, researchers at the University of Sherbrooke, in collaboration with an IT company, have developed a simulation software called Environnement Virtuel d’Apprentissage (EVA). The purpose of this program is to enable nursing students, using a simulation software, to practice, from case histories, clinical assessment, physical examination, as well as electronic documentation of the nursing process while becoming familiar with the nursing terminology. Purpose: This study aimed to assess the impact of the software EVA on the self-efficacy of nursing students about their clinical performance associated with electronic documentation of the nursing process. Methods: A quasi-experimental design before and after allowed to describe the feeling of self- efficacy in the control and experimental sample. An appreciation regarding EVA’s features was described by the experimental sample. Findings: The sample was predominantly composed of females between 21 and 30 years of age with less than one year of experience in nursing. A total of 63 students completed the survey questionnaire in the pretest. The results for the initial self-efficacy measure were similar in for the control and experimental group. Due to a significant loss of participants, our calculations regarding the post-test and comparison of groups over time were not significant. A graphic presentation and a descriptive comparison of four subjects was possible to describe the evolution of self- efficacy over time. Conclusion: Despite some difficulties concerning the participation of the experimental sample, we described the feeling of self-efficacy before and after using the software, made inter and intra-group comparisons and provided feedback to the software developer.

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