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Adoption of a PDA-Based Home Hospice Care System for Cancer Patients

HONG, HAE SOOK PhD, RN; KIM, IL KON PhD; LEE, SUNG HEE PhD, RN; KIM, HWA SUN PhD, RN

CIN: Computers, Informatics, Nursing: November/December 2009 - Volume 27 - Issue 6 - pp 365-371
doi: 10.1097/NCN.0b013e3181bcab43
Feature Article

This study describes a systematic and efficient point-of-care home hospice information system, which can effectively manage patient information and can easily be incorporated into a home hospice service using wired and/or wireless communications and mobile computing technology. To help with the design of a portable home hospice information system, we analyzed the services provided by visiting nurses and the opinions of users, based on the 2005 Guidelines for Cancer Patient Management Program of the Ministry of Health and Welfare of Korea. We performed a service trial with three experienced visiting nurses. A visiting nurse can use a PDA, implementing the hospice information system, to accomplish tasks that range from registering a new patient to performing nursing services based on the patient's condition, as well as accessing guidelines and searching past information for better nursing performance. The system resulted in a saving of 8.5 minutes in recoding time. We expect the findings of this study to help field workers in community nursing care by reducing unnecessary paperwork and by enabling improvements in the quality of point-of-care services.

Author Affiliations: College of Nursing and Research Institute of Nursing Science (Drs Hong and Lee), School of Electrical Engineering & Computer Science (Dr I. K. Kim), and Department of Medical Informatics, College of Medicine (Dr H. S. Kim), Kyungpook National University, Daegu, South Korea.

Corresponding author: Hwa Sun Kim, PhD, RN, School of Medicine, Department of Medical Informatics, Kyungpook National University, Dongin-dong 2-101, Jung-gu, Daegu, 700422, South Korea (pulala@paran.com).

© 2009 Lippincott Williams & Wilkins, Inc.