APN Access to Electronic Resources for Safety & Quality

描述(由申请人提供)：在护理地点获得信息资源是提供安全和高质量的高级实践护理(APN)护理的必要先决条件。拟议的项目建立在哥伦比亚大学护理学院成功的学生临床日志项目的基础上，在该项目中，APN学生在个人数字助理(PDA)上记录临床遭遇，并访问驻留在PDA上的选定患者安全相关资源。APN访问安全与质量电子资源(APN ACES Resources for Safe&Quality)的目的是为APN学生、教师和教师提供定制的桌面和无线访问，以访问与患者安全和护理质量相关的基于Web的信息资源。从我们的学生临床日志项目文件中汇总的数据显示，大约60%的APN学生的临床接触是来自种族或少数民族群体的人，主要是非裔美国人和西班牙裔美国人。许多人的社会经济地位也很低。APN Ace Resources for Safe&Quality的需求评估表明，记录烟草滥用、肥胖和抑郁症的诊断和管理的接触次数远远低于服务人群中的流行率。此外，目前APN学生临床日志中没有记录不良事件和险些发生的事件。未得到满足的信息需求与患者安全问题和与最佳证据不一致的护理有关。因此，该项目有可能改善服务不足人口，特别是少数族裔和城市贫民的安全和护理质量。该项目的主要目标是：1.开发和实施针对服务不足人群中患者安全和质量护理的选定网络资源的定制界面，包括供患者使用的低识字率材料。2.提高APN学生、教员和讲师与服务不足人群中患者安全和质量护理相关的信息检索能力，包括与无线接入相关的能力。3.评估ACES安全与质量资源的使用、可用性和有用性项目评估方法包括可用性测试(启发式评估和有声思考协议)、资源使用日志文件分析、调查(培训课程评估、ACES安全与质量资源的感知可用性和感知可用性、这些服务包括：信息和信息学能力)、自我报告(不良事件和险些发生)、遭遇审计(不良事件和险些发生)和数据库查询(戒烟、肥胖管理和抑郁的护理质量)。将使用相关和回归分析来检验资源使用、护士行为和病人护理之间的关系。

DESCRIPTION (provided by applicant): Access to information resources at the point of care is a necessary prerequisite to the provision of safe and high quality advanced practice nursing (APN) care. The proposed project builds upon Columbia University School of Nursing's successful student clinical log project in which APN students document clinical encounters on personal digital assistants (PDAs) and access selected patient safety-related resources resident on their PDAs. The purpose of APN Access to Electronic Resources for Safety & Quality (APN AcE Resources for Safety & Quality) is to provide tailored desktop and wireless access to web-based information resources related to patient safety and quality of care for APN students, faculty, and preceptors. Aggregate data from our student clinical log project document that approximately 60% of APN students' clinical encounters are with persons from racial or ethnic minority groups, primarily African Americans and Hispanics. Many are also of low socioeconomic status. The needs assessment for APN AcE Resources for Safety & Quality suggests that the number of encounters in which the diagnosis and management of tobacco abuse, obesity, and depression is documented is far below the prevalence in the population served. Moreover, adverse events and near misses are not currently documented in the APN student clinical log. Unmet information needs have been linked to patient safety issues and care that is inconsistent with the best evidence. Consequently, the project has the potential to improve the safety and enhance quality of care in underserved populations, particularly racial and ethnic minorities and the urban poor. The primary project objectives are to: 1. Develop and implement a tailored interface to selected web-based resources for patient safety and quality care in underserved populations, including low literacy materials for use with patients 2. Enhance the information retrieval competencies, including those related to wireless access, of APN students, faculty, and preceptors related to patient safety and quality care in underserved populations 3. Evaluate the use, usability, and usefulness of AcE Resources for Safety & Quality Project evaluation methods include usability testing (heuristic evaluation and think aloud protocol), analysis of resource usage log files, surveys (training session assessments, perceived usability and perceived usefulness of AcE Resources for Safety & Quality, and informatics competencies), self-reports (adverse events and near misses), encounter audits (adverse events and near misses) and database queries (quality of care for smoking cessation, obesity management, and depression). The relationships among resource use, nurse behavior, and patient care will be examined using correlational and regression analyses.