Theory development in nursing and healthcare informatics: a model explaining and predicting information and communication technology acceptance by healthcare consumers.

About 110 million American adults are looking for health information and services on the Internet. Identification of the factors influencing healthcare consumers' technology acceptance is requisite to understanding their acceptance and usage behavior of online health information and related services. The purpose of this article is to describe the development of the Information and Communication Technology Acceptance Model (ICTAM).

Description of practice as an ambulatory care nurse: psychometric properties of a practice-analysis survey.

Changes within nursing demand that a specialty conduct periodic, appropriate practice analyses to continually validate itself against preset standards. This study explicates practice analysis methods using ambulatory care nursing as an exemplar. Data derived from a focus group technique were used to develop a survey that was completed by 499 ambulatory care nurses.

Methods in informatics: Development of a multiattribute utility questionnaire for feeding decisions in the neonatal intensive care unit.

Evidence that guides practice is gleaned from objective data and from the inherent value set of the decision maker. This study depicts the construction and initial testing of a multiattribute utility (MAUT) instrument for discerning feeding choices of neonatal nurse practitioners (NNPs) for the clinical problem of choosing between early enteral feeds and late enteral feeds for premature infants in a neonatal intensive care unit. Based on an individual's preferences, a decision may vary from that recommended by the objective data in the literature yet may represent a choice that is internally consistent with individual knowledge and values.

Methods in informatics: using data derived from a systematic review of health care texts to develop a concept map for use in the neonatal intensive care setting.

A qualitative systematic review of textbooks and clinical guidelines identified assessment criteria for initiation of nipple feeds in premature infants cared for in the neonatal intensive care unit (NICU) setting. Using a structured method for text source selection and data extraction, 43 health care texts were systematically reviewed yielding 153 separate statements related to assessing premature infants' feeding readiness. Following this procedure, a pile sort method was conducted wherein an expert neonatal nurse practitioner (NNP) grouped the statements according to similarity in meaning.

Building an expert system: a systematic approach to developing an instrument for data extraction from the literature.

When building an expert system that will be acceptable to clinicians in their practice, it is imperative that the knowledge engineer identifies, defines, and describes a clinical problem precisely. This can be accomplished by eliciting private knowledge from expert clinicians or by analyzing public knowledge available in the scientific literature. This study describes a systematic method for examining public knowledge found in health care textbooks and practice guidelines surrounding the concept of oral feeding in premature infants in a neonatal intensive care unit.