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INTERNET TOOLS FOR ADVANCED

NURSING PRACTICE

o Clinical information databases and systems must be designed for system-wide and
discipline-specific needs. To meet discipline-specific needs, the design of clinical information
databases and systems requires the input of members of each involved discipline. The reason is that
each discipline is alone responsible for its knowledge base, practice, and standards of practice.
Without this interdisciplinary approach to the development of clinical information systems, the
resultant system will be ineffective in addressing the patient needs for which it is designed and
inefficient.
Wireless applications permit Internet connectivity. Within some academic health science centers this
allows for Web-based clinical decision support, patient and clinician e-mail communication, and
point-of-care electronic health record data entry, data sharing, and messaging, including
prescription writing.

Wireless technology is electromagnetically safe. Bluetooth radio technology, on which wireless


devices rely, was found to be safe and robust even within intensive care environments (Wallin and
Wajntraub, 2004). Other issues surrounding wireless technology use are not minor (Delbanco and
Sands, 2004; Newbold, 2004).

BASIC ADVANCED INTERNET SEARCH METHODS


Regardless of search engine used, certain search methodologies, if applied correctly, increase the
efficiency of needed information.

Basic to Advanced Strategies when searching:


1.) Name the precise information being sought. If the search terms used are precisely chosen,
the searcher goes directly to the desired information.
2.)Use search strings (one or more search terms) rather than single words to increase
the preciseness of a search.
3.)Enhance search strings by using BOOLEAN or natural language methods. Use the
Boolean terms:
1.) AND- when search strings needed to be added together
2.) OR- when equivalent terms or synonyms are used to capture the information required
3.) NOT- when a specific result for searching is not desired to be included
INTERNET AVALABLE CLINICAL PRACTICE TOOLS
ASSESSMENT TOOLS:
o For comprehensive nursing assessment forms
(http://www.hospitalsoup.com/public/nursingassess2001.pdf)
o Resource information for alcohol abuse (http://www.niaaa.nih.gov)
o Domestic abuse assessment (http://www.state.vt.us/health/abuse.htm)
o For advanced nursing practice (http://ctclearinghouse.org)
o Body mass index calculator (http://nhlbisupport.com/bmi/bmicalc.htm)
o Cancer risk tools (http://www.yourcancerrisk.harvard.edu/)
o Coronary heart disease risk calculator (http://hin.nhlbi.nih.gov/atpiii.calculator.asp?
usertype=prof)
Health risk calculators (http://www.umm.edu/healthcalculators/)
DIAGNOSTIC TOOLS
Classification systems according to Knowledge-based Practice:
o Medical classification of diseases (e.g. International Classifications of Disease)
o Nursing classifications of human responses to illness and health (e.g. the NANDA
Classification of Nursing Diagnoses)
o Functional health and disability (e.g. the International Classification of Functioning in
Health and Disability)
SUMMARY OF ADVANCED CLINICAL TOOLS:
Nursing Process
o Assessment
o Diagnosis/Treatment
o Outcomes/Evaluation
v Nursing Process
Assessment:
– Assessment Forms

– Miscellaneous Screening Tools

– Population-Based Assessment, example

– Risk Assessment

– Signs and Symptoms Manifestations