APN Access to Electronic Resources for Safety & Quality

描述（由申请人提供）：在护理点获取信息资源是提供安全和高质量高级护理实践（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，并访问其pda上的选定患者安全相关资源。APN安全与质量电子资源访问（APN AcE安全与质量资源）的目的是为APN学生、教师和导师提供量身定制的桌面和无线访问与患者安全和护理质量相关的基于网络的信息资源。来自学生临床日志项目文件的汇总数据显示，大约60%的APN学生的临床接触来自种族或少数民族群体，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安全与质量资源的需求评估表明，对烟草滥用、肥胖和抑郁症的诊断和管理记录在案的接触次数远远低于所服务人群的患病率。此外，不良事件和未遂事件目前没有记录在APN学生临床日志中。未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的安全和提高护理质量，特别是种族和族裔少数群体和城市贫民。主要的项目目标是：1。开发和实施针对选定的网络资源的定制界面，为服务不足的人群提供患者安全和优质护理，包括为患者提供低识字率的材料2。提高APN学生、教师和教师的信息检索能力，包括与无线接入相关的能力，这些能力与服务不足人群的患者安全和高质量护理有关。评估AcE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（启发式评估和大声思考协议）、资源使用日志文件分析、调查（培训课程评估、AcE安全与质量资源的感知可用性和感知有用性，以及信息学能力）、自我报告（不良事件和未遂事件）、偶遇审计（不良事件和未遂事件）和数据库查询（戒烟、肥胖管理和抑郁症的护理质量）。资源使用、护士行为和病人护理之间的关系将使用相关分析和回归分析进行检验。

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.