involving students in omaha system partnership research: a view from istanbul, turkey
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Involving Students in Omaha System Partnership Research: A View from Istanbul, Turkey. Selda Secginli, PhD, Assistant Professor, Istanbul University, Nursing Faculty, Public Health Nursing Department, Istanbul, Turkey. June 26 , 201 2 - PowerPoint PPT PresentationTRANSCRIPT
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Involving Students in Omaha System Partnership Research:
A View from Istanbul, Turkey
Selda Secginli, PhD, Assistant Professor,
Istanbul University, Nursing Faculty, Public Health Nursing Department,
Istanbul, Turkey
June 26, 201211th International Congress on Nursing Informatics
Agenda
4.
2. Omaha System Partnership
5. Questions
3. Researchs in Omaha System Partnership
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Omaha System Partnership Benefits
1. Omaha System
Today Today
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EHR which focus on the individual, computer-based,
and easily accessible when needed has become a core
in health information systems
Computer- compatible
Hierarchical
Used by my faculty team for more than ten years
Simple
Multidimensional
Omaha System was designed to be relatively;
Known Benefits of Partnership Studies
An optimal environment in which to enhance practice,
evaluate programs, measure outcomes, and improve
population health
Opportunities for shared knowledge and skills
Provide new ways of working
Generate new knowledge using large data sets.
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Three components of the Omaha System Partnership for Knowledge Discovery and Health Care Quality
1. multidisciplinary scientific teams of researchers with experience in advanced data
analysis and data mining techniques
2. affiliate members from Turkey to contribute Omaha
System data and work together with the scientific team
on research projects
3. a warehouse of de-identified clinical Omaha System data including client problems,
signs/symptom, interventions, and knowledge, behavior, and status outcomes
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Omaha System PartnershipOmaha System Partnership
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Researches from Turkey in the Partnership
I- Using the Omaha System to Describe Health Problems, Interventions, and Outcomes in Home care in Istanbul, Turkey: A Student Informatics Research Experience (under review)
II- Attitudes of Health Professionals Towards Electronic Health Recording in Primary Health Care Settings: A Questionnaire Survey (under writing)
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Using the Omaha System to Describe Health Problems, Interventions, and Outcomes in
Home care in Istanbul, Turkey: A Student Informatics Research Experience
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Co Principal Investigators: Erdogan S, Secginli S. et al. Istanbul University, Nursing Faculty
Purpose: To provide hands-on informatics experience to nursing students; to identify the frequency and type of home care clients' health problems, nursing interventions, and outcomes using the Omaha System
Table of Contents
IntroductionMethods
Results
Discussion
Conclusions
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Home Care Services in Turkey
In 2010, Turkish government included home care services
in the Health Transformation Program for the purpose of
mainly enable medical care and rehabilitation of the
bedridden clients to be performed at home.
Home care services are not integrated to the health care
and social care sytems of the country, and are not covered
by government health insurance held by 90% of the
population.
Few private sector providers and municipalities offered
these services which are generally limited to the larger
cities. 11
Table of Contents
Introduction
MethodsResults
Discussion
Conclusions
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Approval was obtained from the university institutional review board, 2011/ 393-462 and municipal health services and home health centers directors
A software based on Omaha System was used for documentation. Students received training in use of the Omaha System, software program, home visits, and family assessment
159 students visited the clients at home with nurses and did face-to-face interviews in the households
Table of Contents
Introduction
Methods
ResultsDiscussion
Conclusions
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The mean age was 66.13 years (SD=18.65)
Two-third of the clients had no education/low education (66%)
Data were collected from 598 clients
Clients received 8657 interventions for 2267 problems
Skin, Neuro-musculo- skelatal function, Personal care, and Nutrition were the
most common problems
Sample and Omaha System Problems
The Ten Most Problems and The Intervention Categories
The intervention categories were:
Teaching, guidance and counseling (47 %),
Treatments and procedures (22 %), Surveillance (22 %)
and the Case management (9 %)
The most frequent targets were:
Dressing change/wound care (776), sign/symptoms-
physical (770), skin care (623), positioning (563) and
continuity of care (520)
The Intervention Categories and The Most Frequent Targets
Interventions Category According To The Omaha System Domains
Average Knowledge, Behaviour and Status
Final Ratings
Table of Contents
Introduction
Methods
Results
DiscussionConclusions
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Some Points to Discuss- I
Three of the 42 Omaha system problems were not addressed within this population (exceptions with Sexuality, Pregnancy, and Postpartum)
Home care services (including nursing student and educator visits) may positively affect client knowledge, behavior, and status related to the identified health problems
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Some Points to Discuss- II
The evidence-based care plan of the most common home care problems identified in this study have developed
The developed evidence-based care plans could be used in future studies of home care intervention effectiveness
The integration of information technology within the curriculum enabled the educators to meet information technology requirements as a component of home care practicum experience
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Limitations
Observational data sets, especially systematic bias that may
be introduced through use of students in data collection
Inability to randomize clients, and thus inability to attribute
causation of outcomes to the interventions of students and
educators
Study findings may not be generalizable to a broader
population and limited comparisons due to the lack of
relevant literature on similar programs and settings in Turkey
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Table of Contents
Introduction
Methods
Results
Discussion
Conclusions
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This study mainly demonstrated that
1- Using the Omaha System provides a foundation for
evidence-based nursing education in home care and
informatics.
2- Omaha System is an useful data collection tool for
evaluating problems, interventions, and outcomes in home
care,
3- A positive teaching and learning tool for baccalaureate
nursing education.
Acknowledgements
Municipality home care teams
Undergraduate nursing students
Department research assistants
Florence Nightingale Nursing Schools and Hospitals
Foundation
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Built a support network by identifying people involved
with information technology in my university and let
them know about the Project
Dissemination of tools to other researchers
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Omaha System Partnership Benefits- I
Stimulates nurses in home health care team in
professional thinking. And the health care teams gained
awareness of the importance of nursing documentation
and the use of a standardized nursing terminology
Students employed nursing informatics at the basic
practice level to improve health care delivery and
outcome evaluation
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Omaha System Partnership Benefits- I
Gave better insight on delivered care and
improved documentation and practice quality
Scientific publications
A poster was submitted for the 2nd International Public
Health Nursing Conference in Minnesota in October 2011
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Omaha System Partnership Benefits- II
Presentation of Omaha System outcomes at national and international professional meetings
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Omaha System Partnershıp Benefits- III
A scientific program with international visitors from America and Holland in the faculty
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Omaha System Partnershıp Benefits- III
Foremost, helped us to recognize once that it was very important to embrace new practice models for nursing students such as informatics. And a new course “Nursing Informatics” is going to start in the faculty next year
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Omaha System Partnershıp Benefits- III
Roadmap ?
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Future research in Omaha System Partnership
in collaboration with
The health care teams and postgraduate students
Build a support network by identifying more people from
Turkey involved with information technology in other
universities and let them know about the Partnership Project
Disseminate our partnership outcomes and share our
experiences especially in other nursing schools in Turkey
