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DIGITAL AGE AND FUTURE OF
NURSING
Dr. Latha Venkatesan
Principal
Apollo College of
Nursing, Chennai.
Digital age
• India’s active mobile users reached 1,026.37 mn: TRAI
on February 21, 2019
• Indians are mostly using their phones to shop,
socialize.More Indians access the Internet on their
mobile phones than PCs
• Around 54 percent of the Indian internet user base was
between 20 and 39 years old in early 2019. People over
the age of 40 formed the lowest share, while youngsters
in the age group of 12 to 15 years made up a good 14
percent share of the total internet user base.
• India had over 720 million internet users that year,
ranking second in the world in terms of the number of
people with internet access
FUTURE OF MOBILE TECHNOLOGY
(Research Evidence)
• 98 percent of healthcare delivery systems plan to
have a mobile device policy by 2022.
• 77 percent of patients reported positive feelings
toward clinicians using mobile devices in their
care.
• 95 percent of patients are willing to share
electronic health metrics with clinicians.
• 97 percent of hospitals expect dynamic workflow
notifications to be sent to mobile devices by
2022. ( Cara Livernois,2018)
Digital age and Future of
Nursing
• Nursing Practice
• Nursing Education
• Nursing research
Digital OPD
• Check appointments
• Calendar feature allows to see appointments
• Details of previous OPD visits
• Integration with IPD records
• Previous lab results, Radiology findings, medication orders,
discharge summary can be accessed
• Risk scores calculated automatically based on assessment data
entered..eg. Cardiac risk
• Time trends of lab results, can set up favourite tests
• Copy and paste information from previous visits..saves time
• Interfaced investigation requests, Biiling
• Voice typing, Prescriptions digitally connected to pharmacy
• Reduces medication errors
• Alerts sent for follow up visits to patients
Digital IP Module
• Doctor Module (OPD & IPD) –Patient history, Daily
assessment,ordering tests, viewing test results,
Medication ordering, case summary, links between
doctors, no.of patients in wards/discharged etc..
• Emergency Module
• Nursing Module
• Medication prescription module
• Lab service Modules
• Hospital services Module (Billing,Stores)
• Telehealth module
• Patient module
• Home care Module etc…
Digital Nursing Module
• Easy access to patient data
• Make timely clinical decisions
• Daily assessments
• Integrated drug administration system with option to scan the drug
and record
• Lab tests, pharmacy, Radiology, Dietary modules
• Manpower management :Patient assignment to nurses, temporary
transfers to other units
• Safe handing over
• Data Security, data retrieval
• Improves clinical communication and Patient satisfaction
INTRODUCTION
Wireless Communication Systems
IoT in Healthcare( Internet of Things)
Real-Time Location Services
Wireless Patient Monitoring
Point of Care Technology
Smart TV’s
Automated Equipments Eg. IV pumps
EXCITING DIGITAL TECHNOLOGIES THAT ARE
CHANGING NURSING PRACTICE
EXCITING TEHNOLOGIES THAT ARE
CHANGING NURSING PRACTICE
Wearable
Devices
Electronic
Health
Records
Centralized
Command
Centers
Telehealth and
apps
Patient and
Staff
Identification
Systems
Robotics
STETHEE
‘SMART’
Stethoscope
Portable
Monitors,
Smart beds
Virtual ICU
Wireless Communication Systems
• Wireless badges or headsets integrate what were
once multiple communication methods — such as
phones and pagers — into one seamless
technology, reducing response times.
Six Ways Wireless Technology Is
Transforming Health Care
1. Managing Staff workflow
2. Tracking Medical Equipment
3. Automating Environmental Monitoring
4. Monitoring Hand hygiene Compliance
5. Analysing Operational Data
6. Increasing Security
Six Ways Wireless Technology Is
Transforming Health Care
Six Ways Wireless Technology Is
Transforming Health Care
IoT in Healthcare( Internet of Things)
IoT in Healthcare( Internet of Things)
• IoT is a combination of hardware and software
technology that produces trillions of data through
connecting multiple devices and sensors with the
cloud and making sense of data with intelligent
tools. (Eg)
• Closed-loop (automated) insulin delivery
• Connected inhalers
Real-Time Communication System
• This is a perfect example of how work gets done
more efficiently by integrating real time voice,
video and messaging into an application that
helps diagnose a patient within minutes,
Wireless Patient Monitoring
Point of Care Technology
Point of Care Technology
• Point-of-Care Technologies is a set
of technologies used at the location of patient
care helping improve healthcare outcomes.
• Blood glucose monitors, urine dipsticks,
pregnancy tests, rapid strep tests, rapid HIV
tests, hemoglobin level tests are
common examples of PoCT
Electronic Health Records
Electronic health records allow
nursing experts to document
care provided to patients, and
retrieve information that can
help prioritize care.
SMART TV
 TVs with smart technology can now provide
information on upcoming treatments and deliver
instructions for medication or post-discharge
care.
Automated IV Pumps
 It control the dosages and drips
given to patients.
 Software and medical tech allows
nurses to change the drip
amounts and medication doses so
patients aren’t waiting for
changes.
Portable Monitors
 Portable devices monitor vital
signs, ECG, respiratory rates,
and oxygen saturations while
transmitting the information
back to a central monitor.
 This means that nurses will
get an alarm notification if
there is any emergency.
Smart beds
 Smart bed technology gives
nurses a constant monitor in a
room that provides them with
regular updates and
communications on a patient’s
activities.
 Nurses also spend less time
coming in and adjusting
supplies and medical
equipment
Wearable devices
• .
Centralized Command Centers
• One of the newest ideas for hospitals is
centralized command centers.
• This is done through software applications such
as dashboards that provide real-time updates
for an organization.
Telehealth and Apps
Virtual ICU(vICU)
Patient and Staff Identification Systems
 Bar codes, wristbands and
radio frequency identification
(RFID), all work to track and
identify patients in an effort to
reduce errors while also
keeping the hospital
population safe.
Patient Monitoring System Reduces Fall
Rates
Hospitals are implementing
the AvaSys TeleSitter video-
observation system to
improve patient safety and
lower staffing costs.
Robotics
STETHEE ‘SMART’ Stethoscope
• The newly launched, FDA-
cleared Stethee Pro
features technology to
capture and analyze heart
and lung sounds and data
via Bluetooth, operating
around smartphone.
Artificial Intelligence
• Artificial intelligence (AI) refers to the simulation
of human intelligence in machines that are
programmed to think like humans and mimic
their actions.
DIGITAL TECHNOLOGIES IN
NURSING EDUCATION
Transitions today…..
• Chalkboards have transitioned to
SMART boards
• Reading out of textbooks to reading
leveled readers
• Paper and pencil to digital learning
and teaching digital "citizenship"
Need to “bridge the gap” between
education and technology
Teacher
Student
Interaction
Quality
Learning
Environment
DIGITAL LEARNING
Books
with
CD
Smart
class
rooms
E- books
Smart
board
Virtual
learning
TECHNOLOGY IN NURSING EDUCATION
Online
Education
Pexa lite exam
software
Wheebox safe
exam browser
Simulated
Environments
Virtual Patient
Simulation
Human Patient
Simulation
Task Trainer
Standardized
Patients
Social Media
Mobile
Technology
ONLINE EDUCATION
• Online education operates through a Learning
Management System (LMS).
• These software programs handle all facets of the
e-learning process, including delivering content,
handling registration for courses, and tracking
and reporting.
TRADITIONAL LITERACY VS DIGITAL LITERACY
Traditional Literacy Digital Literacy
Finding Information Vetting Information
Reading Skimming( Searching for
solution)
Note Taking Curating
Transcribing Linking
Learn from teachers Self learning
Permanence Change
Online Nursing education –
Implementation in TamilNadu
Content Creation
Creation of what’s app group of students
192 colleges grouped into 56 clusters
Google classroom app installation by students and faculty
Weekly timetable and Broadcasting of contents including ppts, assignments, video links, OSCE,
Old question papers
Bodhi Health education – clinical procedures
Daily attendance reports, weekly attendance reports
PEXA LITE & WHEEBOX EXAM
SOFTWARE
• Exams – from – Home, once
an unimaginable proposition,
has become a necessity
• PEXA Lite is a device
agnostic solution, designed to
deliver exams on student
laptops, tabs and smartphones
– at home.
SIMULATED PRACTICE
PROS AND CONS OF TECHNOLOGY IN
NURSING
DIGITAL TECHNOLOGIES IN NURSING
RESEARCH
• Online Research
• Data Handling
• Online Data collection
• Digital data management
• Big Data
ONLINE RESEARCH METHODS (ORMS)
Online Content Analysis
Online focus groups
Online interviews
Online qualitative research
Online questionnaires
Social network analysis
Web-based experiments
Online Clinical Trials
ONLINE RESEARCH TOOLS
• Todoist
• EndNote
• EduGeeksClub
• Zotero
• RefWorks
• DataElixir
• Paperpile
• DeepDyve
• ContentMine
• Plagiarism Checker.
ADVANTAGES OF ONLINE
RESEARCH
Access to data across the globe
Minimum investment of time and
resources
Central pool of facts and figures
Capable tool for collecting
information
THE FUTURE OF TECHNOLOGY IN
NURSING
• In two years, 91 percent of Nurses
could access EMR.
• Medical and drug database references (92
percent).
• Lab diagnostic results (88 percent) using a
mobile device.
How will technology change nursing in
the future
• According to the Bureau of Labor Statistics,
Registered Nursing is one of the top
occupations for job growth through 2028,
expected to grow by 12% (much faster than
average).
• The BLS reports 371,500 new RN jobs will be
added by the year 2028
• Nurses will need to be more technologically
savvy.
• The field of health informatics will become
more mainstream.
The only constant feature in this world is CHANGE
While all change may not lead to progress, there can be no
progress without CHANGE
Take home message
CONCLUSION
 The technology involved in nursing today would
likely surprise even the most devoted gadget
freak.
 Nurses must increasingly master a host of
complex technologies, from "smart" medical
devices.
 Technology continues to revolutionize healthcare
and we have entered an exciting new frontier of
state-of-the-art gadgets and high-tech
communication systems.
Digital age and future of nursing 26.6.2020

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Digital age and future of nursing 26.6.2020

  • 1. DIGITAL AGE AND FUTURE OF NURSING Dr. Latha Venkatesan Principal Apollo College of Nursing, Chennai.
  • 2.
  • 3. Digital age • India’s active mobile users reached 1,026.37 mn: TRAI on February 21, 2019 • Indians are mostly using their phones to shop, socialize.More Indians access the Internet on their mobile phones than PCs • Around 54 percent of the Indian internet user base was between 20 and 39 years old in early 2019. People over the age of 40 formed the lowest share, while youngsters in the age group of 12 to 15 years made up a good 14 percent share of the total internet user base. • India had over 720 million internet users that year, ranking second in the world in terms of the number of people with internet access
  • 4. FUTURE OF MOBILE TECHNOLOGY (Research Evidence) • 98 percent of healthcare delivery systems plan to have a mobile device policy by 2022. • 77 percent of patients reported positive feelings toward clinicians using mobile devices in their care. • 95 percent of patients are willing to share electronic health metrics with clinicians. • 97 percent of hospitals expect dynamic workflow notifications to be sent to mobile devices by 2022. ( Cara Livernois,2018)
  • 5.
  • 6.
  • 7. Digital age and Future of Nursing • Nursing Practice • Nursing Education • Nursing research
  • 8. Digital OPD • Check appointments • Calendar feature allows to see appointments • Details of previous OPD visits • Integration with IPD records • Previous lab results, Radiology findings, medication orders, discharge summary can be accessed • Risk scores calculated automatically based on assessment data entered..eg. Cardiac risk • Time trends of lab results, can set up favourite tests • Copy and paste information from previous visits..saves time • Interfaced investigation requests, Biiling • Voice typing, Prescriptions digitally connected to pharmacy • Reduces medication errors • Alerts sent for follow up visits to patients
  • 9. Digital IP Module • Doctor Module (OPD & IPD) –Patient history, Daily assessment,ordering tests, viewing test results, Medication ordering, case summary, links between doctors, no.of patients in wards/discharged etc.. • Emergency Module • Nursing Module • Medication prescription module • Lab service Modules • Hospital services Module (Billing,Stores) • Telehealth module • Patient module • Home care Module etc…
  • 10. Digital Nursing Module • Easy access to patient data • Make timely clinical decisions • Daily assessments • Integrated drug administration system with option to scan the drug and record • Lab tests, pharmacy, Radiology, Dietary modules • Manpower management :Patient assignment to nurses, temporary transfers to other units • Safe handing over • Data Security, data retrieval • Improves clinical communication and Patient satisfaction
  • 11. INTRODUCTION Wireless Communication Systems IoT in Healthcare( Internet of Things) Real-Time Location Services Wireless Patient Monitoring Point of Care Technology Smart TV’s Automated Equipments Eg. IV pumps EXCITING DIGITAL TECHNOLOGIES THAT ARE CHANGING NURSING PRACTICE
  • 12. EXCITING TEHNOLOGIES THAT ARE CHANGING NURSING PRACTICE Wearable Devices Electronic Health Records Centralized Command Centers Telehealth and apps Patient and Staff Identification Systems Robotics STETHEE ‘SMART’ Stethoscope Portable Monitors, Smart beds Virtual ICU
  • 13. Wireless Communication Systems • Wireless badges or headsets integrate what were once multiple communication methods — such as phones and pagers — into one seamless technology, reducing response times.
  • 14. Six Ways Wireless Technology Is Transforming Health Care 1. Managing Staff workflow 2. Tracking Medical Equipment 3. Automating Environmental Monitoring 4. Monitoring Hand hygiene Compliance 5. Analysing Operational Data 6. Increasing Security
  • 15. Six Ways Wireless Technology Is Transforming Health Care
  • 16. Six Ways Wireless Technology Is Transforming Health Care
  • 17. IoT in Healthcare( Internet of Things)
  • 18. IoT in Healthcare( Internet of Things) • IoT is a combination of hardware and software technology that produces trillions of data through connecting multiple devices and sensors with the cloud and making sense of data with intelligent tools. (Eg) • Closed-loop (automated) insulin delivery • Connected inhalers
  • 19. Real-Time Communication System • This is a perfect example of how work gets done more efficiently by integrating real time voice, video and messaging into an application that helps diagnose a patient within minutes,
  • 21. Point of Care Technology
  • 22. Point of Care Technology • Point-of-Care Technologies is a set of technologies used at the location of patient care helping improve healthcare outcomes. • Blood glucose monitors, urine dipsticks, pregnancy tests, rapid strep tests, rapid HIV tests, hemoglobin level tests are common examples of PoCT
  • 23. Electronic Health Records Electronic health records allow nursing experts to document care provided to patients, and retrieve information that can help prioritize care.
  • 24. SMART TV  TVs with smart technology can now provide information on upcoming treatments and deliver instructions for medication or post-discharge care.
  • 25. Automated IV Pumps  It control the dosages and drips given to patients.  Software and medical tech allows nurses to change the drip amounts and medication doses so patients aren’t waiting for changes.
  • 26. Portable Monitors  Portable devices monitor vital signs, ECG, respiratory rates, and oxygen saturations while transmitting the information back to a central monitor.  This means that nurses will get an alarm notification if there is any emergency.
  • 27. Smart beds  Smart bed technology gives nurses a constant monitor in a room that provides them with regular updates and communications on a patient’s activities.  Nurses also spend less time coming in and adjusting supplies and medical equipment
  • 29. Centralized Command Centers • One of the newest ideas for hospitals is centralized command centers. • This is done through software applications such as dashboards that provide real-time updates for an organization.
  • 32. Patient and Staff Identification Systems  Bar codes, wristbands and radio frequency identification (RFID), all work to track and identify patients in an effort to reduce errors while also keeping the hospital population safe.
  • 33. Patient Monitoring System Reduces Fall Rates Hospitals are implementing the AvaSys TeleSitter video- observation system to improve patient safety and lower staffing costs.
  • 35.
  • 36. STETHEE ‘SMART’ Stethoscope • The newly launched, FDA- cleared Stethee Pro features technology to capture and analyze heart and lung sounds and data via Bluetooth, operating around smartphone.
  • 37. Artificial Intelligence • Artificial intelligence (AI) refers to the simulation of human intelligence in machines that are programmed to think like humans and mimic their actions.
  • 39. Transitions today….. • Chalkboards have transitioned to SMART boards • Reading out of textbooks to reading leveled readers • Paper and pencil to digital learning and teaching digital "citizenship"
  • 40. Need to “bridge the gap” between education and technology Teacher Student Interaction Quality Learning Environment
  • 42. TECHNOLOGY IN NURSING EDUCATION Online Education Pexa lite exam software Wheebox safe exam browser Simulated Environments Virtual Patient Simulation Human Patient Simulation Task Trainer Standardized Patients Social Media Mobile Technology
  • 43. ONLINE EDUCATION • Online education operates through a Learning Management System (LMS). • These software programs handle all facets of the e-learning process, including delivering content, handling registration for courses, and tracking and reporting.
  • 44. TRADITIONAL LITERACY VS DIGITAL LITERACY Traditional Literacy Digital Literacy Finding Information Vetting Information Reading Skimming( Searching for solution) Note Taking Curating Transcribing Linking Learn from teachers Self learning Permanence Change
  • 45. Online Nursing education – Implementation in TamilNadu Content Creation Creation of what’s app group of students 192 colleges grouped into 56 clusters Google classroom app installation by students and faculty Weekly timetable and Broadcasting of contents including ppts, assignments, video links, OSCE, Old question papers Bodhi Health education – clinical procedures Daily attendance reports, weekly attendance reports
  • 46. PEXA LITE & WHEEBOX EXAM SOFTWARE • Exams – from – Home, once an unimaginable proposition, has become a necessity • PEXA Lite is a device agnostic solution, designed to deliver exams on student laptops, tabs and smartphones – at home.
  • 48. PROS AND CONS OF TECHNOLOGY IN NURSING
  • 49. DIGITAL TECHNOLOGIES IN NURSING RESEARCH • Online Research • Data Handling • Online Data collection • Digital data management • Big Data
  • 50. ONLINE RESEARCH METHODS (ORMS) Online Content Analysis Online focus groups Online interviews Online qualitative research Online questionnaires Social network analysis Web-based experiments Online Clinical Trials
  • 51. ONLINE RESEARCH TOOLS • Todoist • EndNote • EduGeeksClub • Zotero • RefWorks • DataElixir • Paperpile • DeepDyve • ContentMine • Plagiarism Checker.
  • 52. ADVANTAGES OF ONLINE RESEARCH Access to data across the globe Minimum investment of time and resources Central pool of facts and figures Capable tool for collecting information
  • 53. THE FUTURE OF TECHNOLOGY IN NURSING • In two years, 91 percent of Nurses could access EMR. • Medical and drug database references (92 percent). • Lab diagnostic results (88 percent) using a mobile device.
  • 54. How will technology change nursing in the future • According to the Bureau of Labor Statistics, Registered Nursing is one of the top occupations for job growth through 2028, expected to grow by 12% (much faster than average). • The BLS reports 371,500 new RN jobs will be added by the year 2028 • Nurses will need to be more technologically savvy. • The field of health informatics will become more mainstream.
  • 55.
  • 56. The only constant feature in this world is CHANGE While all change may not lead to progress, there can be no progress without CHANGE Take home message
  • 57. CONCLUSION  The technology involved in nursing today would likely surprise even the most devoted gadget freak.  Nurses must increasingly master a host of complex technologies, from "smart" medical devices.  Technology continues to revolutionize healthcare and we have entered an exciting new frontier of state-of-the-art gadgets and high-tech communication systems.

Notas del editor

  1. Wireless Communication Systems Real-Time Location Services, Wireless Patient Monitoring, Smart TV’s, Point of Care Technology, Automated IV pumps Portable monitors, Smart beds
  2. These systems can also alert various health care professionals in case of emergencies as well as foster collaboration and communication in time-sensitive situations.
  3. These systems can also alert various health care professionals in case of emergencies as well as foster collaboration and communication in time-sensitive situations.
  4. These systems can also alert various health care professionals in case of emergencies as well as foster collaboration and communication in time-sensitive situations.
  5. These systems can also alert various health care professionals in case of emergencies as well as foster collaboration and communication in time-sensitive situations.
  6. Chips and sensors can be integrated into beds, blankets, and mattress pads to monitor and report on weight, blood pressure, movement, and more during sleep, serving as an extra layer of observation. This technology can help patients avoid bedsores and falls, and alerts nurses to any changes in patients’ status, whether dramatic or slow building.
  7. Nurses and other health care professionals may wear or carry technology that scans a barcode, which immediately sends vital patient information and medical history — such as a list of current medications, test results, and allergies — to a notebook or smartphone, or even a wearable device such as Google Glass.
  8. These systems can also alert various health care professionals in case of emergencies as well as foster collaboration and communication in time-sensitive situations.
  9. Wearable devices and mobile apps are transforming the healthcare industry. Devices that help track heart rates, exercise, sleep, respiration, and more, are helping people take their health into their own hands
  10. Telehealth is a new and valuable element in healthcare. Hospitals and clinics allow patients to virtually video-chat with a doctor or nurse. Patients are able to describe their symptoms, or show doctors things like rashes or bumps. This allows patients to quickly be diagnosed, without leaving the comfort of their own home.
  11. Robotics can provide improved diagnostic abilities; a less invasive and more comfortable experience for the patient; and the ability to do smaller and more precise interventions. In addition, robots can be used as adjunct care providers for some physical and mental health care provision.
  12. Another use of technology in nursing education is simulations with electronic, training mannequins. Instructors can program the mannequins to mimic scenarios nurses might see in clinical practice. Students can take vital signs and make decisions based on the mannequin’s symptoms. It is a safe environment where students can practice their critical thinking and decision-making skills, knowing the mannequin will not stay dead if it dies, according to an article at Advance for Nurses. Simulation-based nursing education is an increasingly popular pedagogical approach. It provides students with opportunities to practice their clinical and decision-making skills through various real-life situational experiences. However, simulation approaches fall along a continuum ranging from low-fidelity to high-fidelity simulation. 
  13. These devices are becoming more important in the health care environment with an advantage of providing a compendium of drug, nursing procedures and treatments