NI 2000 

(The 7th International Congress of Nursing Informatics)

A personal review by Rod Ward

28 APRIL - 3 MAY, 2000

    AOTEA Centre



Day 2 - Monday 1st May

Morning - Session 1

Keynote - Dr Kathryn Hannah - Nursing Informatics: retrospective & prospective

Kathryn described some memories of friends from 20 years of Nursing Informatics, and described the move from a computer focus to an information focus, and was honest about the limited successes. The failures of Hospital Information systems were given with examples of how little had been achieved.

Funding and human resource issues were raised and led to future moves to Enterprise Health Information systems (EHIS) - although several speakers in the conference disagreed about what constituted an "Enterprise". She looked at the links and variations between organisational and technological issues. She emphasised the importance of nursing language and concept description, and the importance of nursing in a multi disciplinary setting. The question and answer session focused on collaboration.

Session 2

Dr Barbara Carty - A Collaborative model for nursing informatics education within and urban enterprise system.

Barbara gave an overview of the 2 year Nursing Informatics courses at New York University which includes 600 hours of practice in clinical settings and emphasizes the importance of liaison between faculty & clinical areas. She described the course content and health environment. Sections included; Data and Information acquisition, Knowledge discovery and information  and knowledge representation. because of the real world focus of the course, theories and hypothesize were being developed from clinical settings and data rather than classrooom/academic focus. This was a useful overview of the course objectives and structure.

Ms Denise Goldsmith Using just in time education to enhance the outcomes of care.

Denise presented the results of a study which used web based information on pain management for patients undergoing day surgery. She started with a brief overview of the literature about the informed/powerful patient, and then described the development of the web site based on earlier paper information and then the methodology of the study with 195 patients in the study. The control and intervention groups received information on paper and had access to the web site, but the intervention group had additional access to further material on the web site about pain management. Results showed that the intervention group reported less pain post operatively and for the next 24 hours.

Dr Victoria Elfink & Mrs Karen Martin Effective teaching methods for preparing to use standardised vocabularies in automated information management systems.

Karen & Vicky described the teaching about the OMAHA nursing language focussing on the taxonomy/language rather than the hardware (in this case the Nightingale Tracker) Much was based on Gagne & Briggs - principles of instructional design.

A couple of useful URLs to support this;

Mr Derek Hoy Learning systems: supporting curriculum change in Nursing Education

Derek set the context, describing the school of nursing in which he works, and then set out the aims of this project; to integrate case study scenarios into clinical skills lab work. The electronic resources are being designed in a way  to make them re-usable. The process of course building, development and integration into the curriculum was described. The intention was to develop tools for teachers and students to build courses, but at present this requires specialists. The "patient story" was presented - which seemed to have turned into a soap opera - which had led to a positive evaluation.


Session 3

Dr Linda Goodwin - Millennium issues for nursing informatics education

The NI courses at Duke University, an overview & some lessons - what worked & what didn't.

The various projects were described and what teaching was involved including the use of asynchronous online discussion seminars. Many aspects of web based learning were explored.

Masako Kanai-Pak  Development in Nursing Students Health Assessment of patients using the CAT (Computer Assisted Thinking) program.

The emphasis was on the uniqueness of each student, which can be limited by CAI. The CAT program forced students to use their own words and focus of the students thinking process. Used a Natural language Sentence Analysis & Rule navigation system. This study compared and contrasted students responses in junior and senior parts of their courses. The results showed an enhancement in the students critical thinking skills.

Nancy K Holloway Virtual vs Traditional: The state of the debate

Nancy compared traditional versus virtual learning environments. The barriers were explored, especially the lack of presence, skills competency, and cultural issues, content validity, etc. Nancy suggested that we have moved on beyond the debate and need to look at the further possibilities offered by on-line learning.

Session 4

Peter Murray The Internet and its impact on nursing: research and reflection on the benefits and pitfalls of computer mediated communication.

Peter gave a brief history of internet use in general  and more specifically in nursing. he examined personal communication rather than static information retrieval. he defined CMC and looked at shifts in expectations in what the internet can provide. Differences between psychiatric lists and nursenet were examined particularly in relation to the numbers of members and volume of traffic. Results presented described what list members gained from their membership of the list and enabled some international comparisons.

Lisa McKenna Integrating information and health care technologies in undergraduate nursing programmes.

Lisa described the history and variations in technology integration across Australia. She described how the technologies had become commonplace in practice and therefore why it was needed in the nursing education programme inclouding cognitive, affective and psychomotor domains. The course she runs is delivered as an elective in the third year of the students course. Student outcomes were described.

Ellen Harper Computer-based software training for nurses.

Ellen described the use of CBT with nurses to support the introduction of new information systems, including the wide range of IT skills on entry and the resources available. She stressed that it was important to concentrate on a problem rather than content based approach. Example screens were presented including "help", "Show me" and "why" options. Perfomance based testing is also included. It was recognised that human support is still needed.



Comments of others
Travel, Social Activities, Accommodation etc.
General thoughts, Themes and Comments

If you would like to discuss any of the issues raised please email: Rod.Ward@Sheffield.ac.uk
Page Created: 26.4.00
Last Updated: 9.11.00