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Búsqueda : F01.100.100 [Categoria DeCS]
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  1 / 4329 MEDLINE  
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PMID:29424207
Autor:Mirskaya NB; Sinyakina AD; Kolomenskaya AN
Título:[Shaping a healthy lifestyle as necessary condition for prevention of disorders and diseases of visual organ in younger schoolchildren].
Fuente:Gig Sanit; 95(5):466-70, 2016.
ISSN:0016-9900
País de publicación:Russia (Federation)
Idioma:rus
Resumen:Purpose. Study of the lifestyle and identification of behavioral risk factors negatively affecting on the state of the visual organ in primary school children. Patients and methods. There was performed a questionnaire survey of parents of 384 younger schoolchildren in Moscow. Questionnaire specially designed by authors included questions relating to lifestyle and behavioral risk factors that affect vision. Results. More than 46% of the younger schoolchildren in the mode of the day have no daily walks in the fresh air, including during daylight hours in 51.6%; time daily needed for this age on air is spent by only 32.8% of schoolchildren. Among younger schoolchildren every day 57.2%, 44.8% and 39.5% spend longer time than needed for homework, TV and computer correspondingly; all the time only 9.4% keepproperfit at their desk, 15.6% at the computer, 20.8% - when watch television; 40.6% do not constantly comply with the requirements for proper illumination while watching TV; 45.8% sometimes read in lyingposition , 9.9% - in transport. Conclusion. Identified in junior schoolchildren of the city of Moscow a high prevalence of behavioral risk factors that negatively affect their visual organ and health in general, requires the elimination of these factors by means of hygienic education and shaping a healthy lifestyle in schoolchildren since 1st grade.
Tipo de publicación:JOURNAL ARTICLE


  2 / 4329 MEDLINE  
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PMID:29194338
Autor:Bristol AA; Nibbelink CW; Gephart SM; Carrington JM
Dirección:School of Nursing, Loma Linda University, Loma Linda, California (Dr Bristol); and College of Nursing, The University of Arizona, Tucson (Drs Nibbelink, Gephart, and Carrington).
Título:Nurses' Use of Positive Deviance When Encountering Electronic Health Records-Related Unintended Consequences.
Fuente:Nurs Adm Q; 42(1):E1-E11, 2018 Jan/Mar.
ISSN:1550-5103
País de publicación:United States
Idioma:eng
Resumen:As organizations adopt electronic health records (EHRs), nurses frequently encounter system barriers and difficulty performing role expectations. This article describes nurses' experiences with unintended consequences emerging from the use of an EHR. In some situations, nurses were positively deviant when encountering unintended consequences relating to EHRs to accomplish patient care or protect patient safety. Nurses engaged in work-arounds to provide patient care when the EHR did not meet their needs, sometimes in positively deviant ways. Qualitative data were collected from 5 open-ended questions at the end of a quantitative survey. Analysis included coding of responses and organization of processes in line with the triangle model, a human factors framework, to identify overarching themes. Five themes emerged: (1) User support after implementation of EHR; (2) User satisfaction with EHR; (3) Communication for patient care, quality, and safety; (4) Effort to complete tasks; and (5) Areas for improvement. Nurses' ability to adopt positive deviance as they experience unintended consequences offers opportunities for organizations to engage nursing perspectives in improving the EHR and engineer it to be more resilient to nursing work.
Tipo de publicación:JOURNAL ARTICLE


  3 / 4329 MEDLINE  
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PMID:28837566
Autor:Tsai TH; Chang HT; Chen YJ; Chang YS
Dirección:Department of Industrial Design, College of Management, Chang Gung University, Taoyuan, Taiwan.
Título:Determinants of user acceptance of a specific social platform for older adults: An empirical examination of user interface characteristics and behavioral intention.
Fuente:PLoS One; 12(8):e0180102, 2017.
ISSN:1932-6203
País de publicación:United States
Idioma:eng
Resumen:The use of the Internet and social applications has many benefits for the elderly, but numerous investigations have shown that the elderly do not perceive online social networks as a friendly social environment. Therefore, TreeIt, a social application specifically designed for the elderly, was developed for this study. In the TreeIt application, seven mechanisms promoting social interaction were designed to allow older adults to use social networking sites (SNSs) to increase social connection, maintain the intensity of social connections and strengthen social experience. This study's main objective was to investigate how user interface design affects older people's intention and attitude related to using SNSs. Fourteen user interface evaluation heuristics proposed by Zhang et al. were adopted as the criteria to assess user interface usability and further grouped into three categories: system support, user interface design and navigation. The technology acceptance model was adopted to assess older people's intention and attitude related to using SNSs. One hundred and one elderly persons were enrolled in this study as subjects, and the results showed that all of the hypotheses proposed in this study were valid: system support and perceived usefulness had a significant effect on behavioral intention; user interface design and perceived ease of use were positively correlated with perceived usefulness; and navigation exerted an influence on perceived ease of use. The results of this study are valuable for the future development of social applications for the elderly.
Tipo de publicación:JOURNAL ARTICLE


  4 / 4329 MEDLINE  
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PMID:28834804
Autor:Berg GM; LoCurto J; Lippoldt D
Dirección:Author Affiliations: Director, Trauma Research and Leadership Development (Dr Berg), and Director, Trauma Services (Ms Lippoldt), Wesley Medical Center, Wichita, Kansas; and Research Associate (Dr LoCurto), University of Kansas School of Medicine-Wichita.
Título:Stages of Adoption Concern and Technology Acceptance in a Critical Care Nursing Unit.
Fuente:J Nurs Adm; 47(9):441-447, 2017 Sep.
ISSN:1539-0721
País de publicación:United States
Idioma:eng
Resumen:OBJECTIVE: The aim of this study is to examine the stages of concern (self, task, and impact) and usability (trust, perceived usefulness, and ease of use) shifts experienced by nurses adopting new technology. BACKGROUND: Patient care processes in critical care units can be disrupted with the incorporation of information technology. New users of technology typically transition through stages of concern and experience shifts in acceptance during assimilation. METHODS: Critical care nurses (N = 41) were surveyed twice: (1) pre, immediately after training, and (2) post, 3 months after implementation of technology. RESULTS: From presurvey to postsurvey, self-concerns decreased 14%, whereas impact concerns increased 22%. Furthermore, there was a 30% increase in trust and a 17% increase in perceived usefulness, even with a 27% decrease in ease of use. CONCLUSION: Adoption of new technology requires critical care nurses to adapt current practices, which may improve trust and perceived usefulness yet decrease perceptions of ease of use.
Tipo de publicación:JOURNAL ARTICLE


  5 / 4329 MEDLINE  
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PMID:28720917
Autor:Al-Jumaili AA; Al-Rekabi MD; Alsawad OS; Allela OQB; Carnahan R; Saaed H; Naqishbandi A; Kadhim DJ; Sorofman B
Dirección:University of Iowa College of Pharmacy, Iowa City, Iowa.
Título:Exploring Electronic Communication Modes Between Iraqi Faculty and Students of Pharmacy Schools Using the Technology Acceptance Model.
Fuente:Am J Pharm Educ; 81(5):89, 2017 Jun.
ISSN:1553-6467
País de publicación:United States
Idioma:eng
Resumen:To explore for the first time the extent to which Iraqi pharmacy students and faculty use Facebook and university email for academic communications, and to examine factors influencing utilization within the framework of the Technology Acceptance Model (TAM). An electronic survey was administered to convenience samples of students and faculty of six Iraqi public schools and colleges of pharmacy in 2015. Responses included 489 student and 128 faculty usable surveys. Both students and faculty use Facebook more than university email for academic communications. Less than a third of the faculty used university email. Students used Facebook for academic purposes twice as much as faculty. Absence of university email in Iraqi schools and colleges of pharmacy makes Facebook essential for faculty-student communications. The majority (71.1% to 82%) of respondents perceived that Facebook was easy to use. Three TAM variables (intention to use, attitude toward use and perceived usefulness) had significant positive associations with actual use of both Facebook messaging and university email.
Tipo de publicación:JOURNAL ARTICLE


  6 / 4329 MEDLINE  
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PMID:28594611
Autor:Telford M; Senior E
Dirección:Senior Lecturer, Northumbria University, Newcastle.
Título:Healthcare students' experiences when integrating e-learning and flipped classroom instructional approaches.
Fuente:Br J Nurs; 26(11):617-622, 2017 Jun 08.
ISSN:0966-0461
País de publicación:England
Idioma:eng
Resumen:This article describes the experiences of undergraduate healthcare students taking a module adopting a 'flipped classroom' approach. Evidence suggests that flipped classroom as a pedagogical tool has the potential to enhance student learning and to improve healthcare practice. This innovative approach was implemented within a healthcare curriculum and in a module looking at public health delivered at the beginning of year two of a 3-year programme. The focus of the evaluation study was on the e-learning resources used in the module and the student experiences of these; with a specific aim to evaluate this element of the flipped classroom approach. A mixed-methods approach was adopted and data collected using questionnaires, which were distributed across a whole cohort, and a focus group involving ten participants. Statistical analysis of the data showed the positive student experience of engaging with e-learning. The thematic analysis identified two key themes; factors influencing a positive learning experience and the challenges when developing e-learning within a flipped classroom approach. The study provides guidance for further developments and improvements when developing e-learning as part of the flipped classroom approach.
Tipo de publicación:JOURNAL ARTICLE


  7 / 4329 MEDLINE  
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PMID:28548983
Autor:Staggers N; Elias BL
Dirección:Nancy Staggers is the president of Summit Health Informatics and an adjunct professor, Biomedical Informatics and College of Nursing, at the University of Utah College in Salt Lake City, Utah. Beth L. Elias is a term associate professor, School of Nursing, at Virginia Commonwealth University in Richmond, Va.
Título:Cross the nursing and HIT divide.
Fuente:Nurs Manage; 48(6):21-23, 2017 06.
ISSN:1538-8670
País de publicación:United States
Idioma:eng
Tipo de publicación:JOURNAL ARTICLE


  8 / 4329 MEDLINE  
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PMID:28541263
Autor:Higgins LW; Shovel JA; Bilderback AL; Lorenz HL; Martin SC; Rogers DJ; Minnier TE
Dirección:Wolff Center at UPMC, Pittsburgh, Pennsylvania (Dr Higgins and Mss Shovel, Martin, Rogers, and Minnier and Mr Bilderback); and University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania (Mss Lorenz and Minnier).
Título:Hospital Nurses' Work Activity in a Technology-Rich Environment: A Triangulated Quality Improvement Assessment.
Fuente:J Nurs Care Qual; 32(3):208-217, 2017 Jul/Sep.
ISSN:1550-5065
País de publicación:United States
Idioma:eng
Resumen:The aim of this project was to describe hospital nurses' work activity through observations, nurses' perceptions of time spent on tasks, and electronic health record time stamps. Nurses' attitudes toward technology and patients' perceptions and satisfaction with nurses' time at the bedside were also examined. Activities most frequently observed included documenting in and reviewing the electronic health record. Nurses' perceptions of time differed significantly from observations, and most patients rated their satisfaction with nursing time as excellent or good.
Tipo de publicación:JOURNAL ARTICLE


  9 / 4329 MEDLINE  
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PMID:28432040
Autor:Lauritsen L; Andersen L; Olsson E; Søndergaard SR; Nørregaard LB; Løventoft PK; Svendsen SD; Frøkjær E; Jensen HM; Hageman I; Kessing LV; Martiny K
Dirección:Psychiatric Center Copenhagen, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.
Título:Usability, Acceptability, and Adherence to an Electronic Self-Monitoring System in Patients With Major Depression Discharged From Inpatient Wards.
Fuente:J Med Internet Res; 19(4):e123, 2017 Apr 21.
ISSN:1438-8871
País de publicación:Canada
Idioma:eng
Resumen:BACKGROUND: Patients suffering from depression have a high risk of relapse and readmission in the weeks following discharge from inpatient wards. Electronic self-monitoring systems that offer patient-communication features are now available to offer daily support to patients, but the usability, acceptability, and adherence to these systems has only been sparsely investigated. OBJECTIVE: We aim to test the usability, acceptability, adherence, and clinical outcome of a newly developed computer-based electronic self-assessment system (the Daybuilder system) in patients suffering from depression, in the period from discharge until commencing outpatient treatment in the Intensive Outpatient Unit for Affective Disorders. METHODS: Patients suffering from unipolar major depression that were referred from inpatient wards to an intensive outpatient unit were included in this study before their discharge, and were followed for four weeks. User satisfaction was assessed using semiqualitative questionnaires and the System Usability Scale (SUS). Patients were interviewed at baseline and at endpoint with the Hamilton depression rating scale (HAM-D17), the Major Depression Inventory (MDI), and the 5-item World Health Organization Well-Being Index (WHO-5). In this four-week period patients used the Daybuilder system to self-monitor mood, sleep, activity, and medication adherence on a daily basis. The system displayed a graphical representation of the data that was simultaneously displayed to patients and clinicians. Patients were phoned weekly to discuss their data entries. The primary outcomes were usability, acceptability, and adherence to the system. The secondary outcomes were changes in: the electronically self-assessed mood, sleep, and activity scores; and scores from the HAM-D17, MDI, and WHO-5 scales. RESULTS: In total, 76% of enrolled patients (34/45) completed the four-week study. Five patients were readmitted due to relapse. The 34 patients that completed the study entered data for mood on 93.8% of the days (872/930), sleep on 89.8% of the days (835/930), activity on 85.6% of the days (796/930), and medication on 88.0 % of the days (818/930). SUS scores were 86.2 (standard deviation [SD] 9.7) and 79% of the patients (27/34) found that the system lived up to their expectations. A significant improvement in depression severity was found on the HAM-D17 from 18.0 (SD 6.5) to 13.3 (SD 7.3; P<.01), on the MDI from 27.1 (SD 13.1) to 22.1 (SD 12.7; P=.006), and in quality of life on the WHO-5 from 31.3 (SD 22.9) to 43.4 (SD 22.1; P<.001) scales, but not on self-assessed mood (P=.08). Mood and sleep parameters were highly variable from day-to-day. Sleep-offset was significantly delayed from baseline, averaging 48 minutes (standard error 12 minutes; P<.001). Furthermore, when estimating delay of sleep-onset (with sleep quality included in the model) during the study period, this showed a significant negative effect on mood (P=.03). CONCLUSIONS: The Daybuilder systems performed well technically, and patients were satisfied with the system and had high adherence to self-assessments. The dropout rate and the gradual delay in sleep emphasize the need for continued clinical support for these patients, especially when considering sleep guidance.
Tipo de publicación:JOURNAL ARTICLE; OBSERVATIONAL STUDY


  10 / 4329 MEDLINE  
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PMID:28325751
Autor:Nguyen KT; Olgin JE; Pletcher MJ; Ng M; Kaye L; Moturu S; Gladstone RA; Malladi C; Fann AH; Maguire C; Bettencourt L; Christensen MA; Marcus GM
Dirección:From the Division of Cardiology (K.T.N., J.E.O., M.N., R.A.G., C.M., A.H.F., C.M., L.B., M.A.C., G.M.M) and Department of Epidemiology and Biostatistics (M.J.P.), University of California, San Francisco; Ginger.io, San Francisco, CA (L.K., S.M.).
Título:Smartphone-Based Geofencing to Ascertain Hospitalizations.
Fuente:Circ Cardiovasc Qual Outcomes; 10(3), 2017 Mar.
ISSN:1941-7705
País de publicación:United States
Idioma:eng
Resumen:BACKGROUND: Ascertainment of hospitalizations is critical to assess quality of care and the effectiveness and adverse effects of various therapies. Smartphones, mobile geolocators that are ubiquitous, have not been leveraged to ascertain hospitalizations. Therefore, we evaluated the use of smartphone-based geofencing to track hospitalizations. METHODS AND RESULTS: Participants aged ≥18 years installed a mobile application programmed to geofence all hospitals using global positioning systems and cell phone tower triangulation and to trigger a smartphone-based questionnaire when located in a hospital for ≥4 hours. An in-person study included consecutive consenting patients scheduled for electrophysiology and cardiac catheterization procedures. A remote arm invited Health eHeart Study participants who consented and engaged with the study via the internet only. The accuracy of application-detected hospitalizations was confirmed by medical record review as the reference standard. Of 22 eligible in-person patients, 17 hospitalizations were detected (sensitivity 77%; 95% confidence interval, 55%-92%). The length of stay according to the application was positively correlated with the length of stay ascertained via the electronic medical record ( =0.53; =0.03). In the remote arm, the application was downloaded by 3443 participants residing in all 50 US states; 243 hospital visits at 119 different hospitals were detected through the application. The positive predictive value for an application-reported hospitalization was 65% (95% confidence interval, 57%-72%). CONCLUSIONS: Mobile application-based ascertainment of hospitalizations can be achieved with modest accuracy. This first proof of concept may ultimately be applicable to geofencing other types of prespecified locations to facilitate healthcare research and patient care.
Tipo de publicación:JOURNAL ARTICLE



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