http://hdl.handle.net/2160/164 2013-06-19T19:42:51Z http://hdl.handle.net/2160/6098 Home uterine monitoring: A case of telemedicine failure? Urquhart, Christine; Currell, Rosemary The aim of the article is to explore and explain some of the controversies around home uterine monitoring, using a socio-technical interaction networks (STIN) approach. A Cochrane systematic review identified 15 included studies. A critique of these studies, using the eight components of the STIN framework, illustrated very clearly the different assumptions made about the purpose of home uterine monitoring, and helped to explain the different outcomes. The final mapping stage suggested that systems architecture choices included that of the role of monitoring support, to complement patient education or to enhance education for provider and patient. A similar choice concerned the type and extent of patient—care-provider contacts to be used. Using the STIN framework provided a useful perspective on the telemedicine aspects of home uterine monitoring, providing value beyond the systematic review conclusions alone. Christine Urquhart and Rosemary Currell (2010). Home uterine monitoring: A case of telemedicine failure? Health Informatics Journal, 16, 165-175. 2010-09-01T00:00:00Z http://hdl.handle.net/2160/1803 Nursing record systems: effects on nursing practice and health care outcomes Currell, Rosemary; Urquhart, Christine Objectives To assess the effects of nursing record systems on nursing practice and patient outcomes. Search strategy We searched The Cochrane Library, the EPOC trial register (October 2002), MEDLINE, Cinahl, Sigle, and databases of the Royal College of Nursing , King's Fund, the NHS Centre for Reviews and Dissemination, and the Institute of Electrical Engineers up to August 1999; and OCLC First Search, Department of Health database, NHS Register of Computer Applications and the Health Visitors' Association database up to the end of 1995. We hand searched the Journal of Nursing Administration (1971-1999), Computers in Nursing (1984-1999), Information Technology in Nursing (1989-1999) and reference lists of articles. We also hand searched the major health informatics conference proceedings. We contacted experts in the field of nursing informatics, suppliers of nursing computer systems, and relevant Internet groups. To update the review the Medline, Cinahl, British Nursing Index, Aslib Index to Theses databases were all searched from 1998 to 2002. The Journal of Nursing Administration, Computers in Nursing, Information Technology in Nursing were all hand searched up to 2002. The searches of the other databases and grey literature included in the original review, were not updated (except for Health Care Computing Conference and Med Info) as the original searches produced little relevant material. Selection criteria Randomised trials, controlled before and after studies and interrupted time series comparing one kind of nursing record system with another, in hospital, community or primary care settings. The participants were qualified nurses, students or health care assistants working under the direction of a qualified nurse and patients receiving care recorded and/or planned using nursing record systems. Data collection and analysis Two reviewers independently assessed trial quality and extracted data. Main results Eight trials involving 1497 people were included. In three studies of client held records, there were no overall positive or negative effects, although some administrative benefits through fewer missing notes were suggested. A paediatric pain management sheet study showed a positive effect on the children's pain intensity. A computerised nursing care planning study showed a negative effect on documented nursing care planning, although two other computerised nursing information studies showed an increase in recording but no change in patient outcomes. Care planning took longer with these computerised systems, but the numbers of patients and nurses included in these studies was small. A controlled before-and-after study of two paper nursing record systems showed improvement in meeting documentation standards. Authors' conclusions No evidence was found of effects on practice attributable to changes in record systems. Although there is a paucity of studies of sufficient methodological rigour to yield reliable results in this area, it is clear from the literature that it is possible to set up randomised trials or other quasi-experimental designs needed to produce evidence for practice. The research undertaken so far may have suffered both from methodological problems and faulty hypotheses. Qualitative nursing research to explore the relationship between practice and information use, could be used as a precursor to the design and testing of nursing information systems. Urquhart, Christine, Currell, Rosemary, (2008) 'Nursing record systems: effects on nursing practice and health care outcomes', The Cochrane Library (4) pp. 1-45 RAE2008 2008-01-01T00:00:00Z http://hdl.handle.net/2160/1786 Transferability of knowledge and use of electronic information systems between secondary education and further and higher education sectors in the UK Lonsdale, Ray; Armstrong, Chris; Eyre, Gayner Eyre, Gayner, Lonsdale, Ray, Armstrong, Chris, 'Report to the Joint Information Services Committee on the Scoping Study into the Transferability of Knowledge and Use of Electronic Information Systems between the Secondary Education and the Further and Higher Education Sectors in the UK' (University of Wales and Centre for Information Quality Management, 2002) 38pp. RAE2008 2002-01-01T00:00:00Z http://hdl.handle.net/2160/648 Assessing the impact of a health library service. Best practice guidance Weightman, Alison; Urquhart, Christine This draft guidance provides evidence-based advice on conducting surveys and interviews to assess the impact of health library services on outcomes related to patient care. Urquhart, C. & Weightman, A. (2008). Assessing the impact of a health library service. Best Practice Guidance. Based on research originally funded by LKDN, now sponsored by National Library for Health. Aberystwyth: Department of Information Studies, Aberystwyth University. The guidance relates to a project report, Developing a toolkit for assessing the impact of health library services on patient care (also available in CADAIR). A version of this item is available as an online appendix to a paper in Health Information and Libraries Journal entitled: The value and impact of information provided through library services for patient care: developing guidance for best practice (Weightman, A., Urquhart, C. et al) available electronically prepublication Sponsorship: LKDN/NLH 2008-01-01T00:00:00Z