Using Mobile Technologies to Transform Nursing Practice by Renee McLeod PhD, APRN, CPNP
Presented at the mHealth Initiative Spring Seminar, March 31, 2009 Boston MA
www.mhealthinitiative.org
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Nurses&Technology mHIseminar.McLeod
1. USING MOBILE
TECHNOLOGY TO
TRANSFORM NURSING
PRACTICE
Renée P. McLeod PhD, APRN, CPNP
2. To Communicate
Effectively In Today’s
World We Need To
Deprogram Ourselves, And
Look For New Ways to
Connect To Our Patients
and Families
3. Why?
Your patients and families are mobile
(2008)
Worldwide
1.1 billion use the internet
1.4 billion carry credit cards
1.5 billion have TVs
4 billion cell phone subscribers
62% of all Americans participates in digital activities
away from work, home, or school.
84% penetration of cell phones in the US population
In June 2006 (1 month) 75 million text messages
were sent; in June 2008 7.2 billion text messages
were sent.
RC Lefebvre, GWU
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4. Why?
“American families in 2008 continue to
function as units. Although they often go
their separate ways during the day, they
are connected by the internet, and even
more so, by cell phones. They
communicate socially and coordinate
activities. Few household members feel
the internet separates them.”
Pew Internet & American Life Project, 2008
5. Who Uses Mobile Technology The
Most?
73% Hispanic (84% of English speaking
Hispanics have cell phones and on a
typical day, more than half do something
the might involve sending or receiving
data)
68% Black
53% White
6. Who Uses Technology The Most?
95% of married couples living with children
89% own multiple cell phones (1/2 with 3 or more and
57% of children 7 – 17 have their own cell phone)
58% own 2 or more desktop or laptop computers.
Both spouses use the internet as do 84% of their
children age 7 – 17.
Single parents of children under the age of 18
multi-adult families not living as married who are
with or without children under the age of 18
42% of parents contact their child/children daily
using a cell phone
7. “Despite all of this technology, the majority
of adults say technology allows their family
to be as close or closer than their families
were when they grew up!”
Pew Internet & American Life Project, 2008
8. Why?
Despite fears that many Americans are isolated from
family members because of immersive personal internet
and cell phone use, most families are together at night.
Their heavy home internet use suggests that many
households are hubs of personal communication
networks, as they log on to e-mail, IM, post on social
networking sites, chat, and text.
Families of today are neither isolated individuals or your
traditional family. Rather their households are active
sites of individual activity and family togetherness.
Pew Internet & American Life Project, 2008
9. Why?
Nurses use mobile technology
67% of nurses carry two or more mobile
communication devices Spyglass Consulting, 2008
88% of nurses had three phone numbers Ascendant Systems, 2008
Nurses are mobile*
Walk an average of 3 miles (up to 5) per shift
regardless of racetrack, corridor, or radial design facility
Spend 31% of shift in the patient room
Spend 38% of shift at the nurses station
Spend 24% on the unit and 7% off the unit
* Hendrich, A, Chow, M, Skierczynski, BA & Zhenqiang. L. A 36-hospital time and motion
study: How do medical-surgical nurses spend their time? The Permanente Journal,
12(3):25-34.
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10. Why?
Nurses need access in real time; they
spend 35% of shift in documentation*
3% in the patient’s room
81% at nurses station
15% on the unit
1% off the unit
* Hendrich, A, Chow, M, Skierczynski, BA & Zhenqiang. L. A 36-hospital time and motion
study: How do medical-surgical nurses spend their time? The Permanente Journal,
12(3):25-34.
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12. Why practice must change
Information is changing
Access to information is changing
Technology is changing
Access to technology is changing
Human interaction is changing
Patient is changing
13. Why iPhone and iTouch?
It’s the only new PDA on the market
In 2008 Apple sold 14 million iPhones
AppStore has 15,000+ applications
as of 1/21/09
ATT has reported that in the first 12 days
of the release of the 3G iPhone, they sold
twice as many iPhone 3Gs as the total
number of 1st generation iPhones sold.
14. You can combine address books, and
content from different sources and
computers
iPhones can be wiped remotely in case of
loss
The iPhone can display Microsoft Office
applications and Adobe PDF files but the
ability to edit must come from a 3rd party
developer
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15. Encrypted Programs Address Security
issues
You can pay to get the camera removed if
you work in a secure facility where this
feature is not allowed.
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16. Web-linked Applications For the
Clinician
MobileMe
E-mail
Calendar
Contacts
Photo Features
iDisk online file storage
Updatable on the go in real time and Syncs
with Microsoft Outlook or the Mac
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17. WEB Based Applications
Drugs.com
Airstrip OB
Will be out for the iPhone
Ultralingua Mobile: Bilingual Dicitonaries
MyNetDiary- Track what you eat and
compare calories
18. APPLICATIONS FOR
CLINICIANS
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39. Productivity Applications
Noter
Jott Voice Service sends text to yourself or
others
reQall – voice to text converter
People- Search U. S. phone numbers
MobileMe
40. Text Messaging
• In general, fewer than 5% of adults are currently
able to communicate with their providers
electronically
• When asked 62% of adults stated that electronic
communication would influence their choice
• 75% stated they wanted to schedule
appointments electronically
• Harris Ineractive: Feb. 8, 2007
• 50% of 12 to 24 year olds send or receive text
messages
• Ipsos: 2007
41. Text Messaging
Appointments
•
Medication Reminders
•
Health Promotion
•
Patient‐Initiated Communication
•
– Need to reschedule appointment
– Need for prescription refill
42. Teensource.org
Interactive Website that allows students to
text message for information
47. Future Applications
How about applications that locate your
patient or staff in the hospital by using the
Assisted GPS
How about applications that use the
Accelerometer to measure patient activity
and send it to the healthcare provider (for
use in monitoring and research)
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48. Consider digitizing all your healthcare
videos and offering them to patients in the
waiting room or handing out a list of
healthcare games for use in the office or at
home for your patients.
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49. QUESTIONS?
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