1

Dr.S.Kamala M.Sc. (N), Ph.D

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 “Because of the technology,

Nurses must think of different ways

of doing things

we do to provide the best patient

care,”

- Filby

3
Introduction
Technology refers to any scientific practical art using
scientific knowledge. Paul Seatter states the word,
“technology implies the use of machines, as many seem to
think, but refers to any practical art using scientific
knowledge”. Today we live not simply in an age of
technology, but in an excessive technology

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Introduction (contd..)

The technology is moving so fast that there is no way to

predict how nurses will be using the technology. The future of

technology use by nursing staff is exciting.

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Benefits of technological advancement in nursing practice

• Technology has made nurses empowered

• Improves nurses efficiency

• Create a modern image of clinic / hospital

• Better utilization of resources

• Makes the nurses to work effectively in the patient care

• Helps in smarter decision making

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Benefits of technological advancement in nursing practice

(contd..)

• Enhances strategic direction

Access

Competency

Participation

• Decreasing expenditure & saving time

• Improved professional care

• Better accuracy 7
Benefits of technological advancement in nursing practice

(contd..)

• Effective time management

• Benefits individual nurses and their clients, employers,

nursing professionals and regulatory organizations and the

nursing profession as a whole, nationally and around the

world`
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Emerging technological advancement in nursing practice

• Nursing informatics

• Hospital management system

• Clinical decision support

• Tele medicine

• Electronic health records

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Emerging technological advancement in nursing practice

(contd..)

• Genetics & Genomics

• Less invasive and more accurate tools for diagnosis &

treatment

• Robotics

• Bio metric
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A. NURSING INFORMATICS

• Nursing informatics (NI) is a speciality of health care

informatics that integrates nursing science, computer

science, and information science to manage and

communicate data, information, knowledge, and wisdom in

nursing practice

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A. NURSING INFORMATICS (contd..)

• NI supports consumers, patients, nurses, and other

providers in their decision- making in all roles and

settings.

• This support is accomplished through the use of

information structures, information processes, and

information technology
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A. NURSING INFORMATICS (contd..)

Position of nurses in nursing informatics system

• Certification for nursing informatics became available in

1995 through the American nurses credentialing centre.

• Nurse analyst

• System nurse

• System analyst

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A. NURSING INFORMATICS (contd..)

Position of nurses in nursing informatics system

• System coordinator

• Project manager

• Nursing informatics coordinator

• Director of informatics

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A. NURSING INFORMATICS (contd..)

Responsibilities

• Configuration of hardware and software

• Evaluation and testing of applications for patient care

• Translating the language of nursing to engineers and system

designers

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A. NURSING INFORMATICS (contd..)

Responsibilities

• Using applications software and computer networks

• Development of data

• System analysis and data

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A. NURSING INFORMATICS (contd..)

Application of nursing informatics

Nursing informatics is a broad field that combines nursing

skills with computer expertise

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A. NURSING INFORMATICS (contd..)

Clinical practice

• Computerized patient record system

• Automated care plans

• Helps to collect and store data

• Retrieval of patient data

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A. NURSING INFORMATICS (contd..)

Application of nursing informatics (contd..)

• Updating the record

• Helps in bed side care

• Effective tool in home care

• Helps during medical emergencies

• Patient education

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A. NURSING INFORMATICS (contd..)

Administration

• Management Information system – It helps in quality

management, unit staffing and reporting

• Nursing office automation

• Personnel files, communication networks. Budgeting,

payroll, summary report

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A. NURSING INFORMATICS (contd..)

Research

• Literature data base – MEDLINE, CINAHL, Health star

• Statistical analysis

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A. NURSING INFORMATICS (contd..)

Nursing education

• Computer assisted learning

• Computer assisted interactive video instruction

• Online education

• Mobile learning

• E Books

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A. NURSING INFORMATICS (contd..)

Nursing education

• Web based learning

• Tele health consultative linkages

• Health information online

• Self-guiding multimedia packages

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B. INTERNET TECHNOLOGY (contd..)

• Internet has emerged as one of the most powerful tool

for global communication

• Internet is connection of networks – a network of networks

– computers sharing digital information via a common set of

networking and software protocols

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B. INTERNET TECHNOLOGY (contd..)

• Internet is a collection of computer networks that connects

millions of computers around the world that exchange and

transmit data and information

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B. INTERNET TECHNOLOGY (contd..)

Types of technology in internet

• E-mail

• Voicemail

• FTP – File Transmission Protocol

• Usenet news

• Telnet

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B. INTERNET TECHNOLOGY (contd..)

Types of technology in internet (contd..)

• WWW – World Wide Web

• Social network – Facebook, Twitter, etc

• Multimedia – Graphics, video, audio, etc

• Internet relay chat

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B. INTERNET TECHNOLOGY (contd..)

Types of technology in internet (contd..)

• Bulletin board & chat

• Mailing list

• E Nursing

• E books

• E learning

• Tele medicine 28
B. INTERNET TECHNOLOGY (contd..)

Types of technology in internet (contd..)

• Tele nursing

• Archie

• Gopher

• Community Health Information Network (CHIN)

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 Slideshare
Nursing and Evidence-Based search
results

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 Blogging with Video
JS Vavoom

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 YouTube - Nursing

Nurse TV
– From Australia
– http://www.youtub
e.com/user/Water
byrdFilmz

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 Flickr

Nursing groups
search results and
flickr.nurses photos

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Slideshare: Social Tech in
EHealth

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 Wikis
Nursing Wiki

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 Support Groups & Social
Networks
Ning -
– Make your
own social
network
– Make your
own
support
group

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Social Networks: NurseLink

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Social Networks: ANA Nursing
World

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ManyEyes in Education

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 Twitter
Nurses

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B. INTERNET TECHNOLOGY (contd..)

Advantages of internet

• Online communication

• Software exchange

• Exchange of views on topics

• Posting of information

• Product information

• Feedback 41
B. INTERNET TECHNOLOGY (contd..)

Advantages of internet (Contd..)

• Customer support

• Online journal

• Online shopping

• Online magazine

• Video conferencing

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C. HOSPITAL MANAGEMENT SYSTEM

• This software targets to provide complete solution for

Hospital and related services. The software includes

following:

• Admin

• Chemist

• Laboratory

• OPD 43
C. HOSPITAL MANAGEMENT SYSTEM (contd..)

• Create/Edit User

• Backup

• Add/ Edit Doctor

• Add/Edit Supplier

• Add/Edit Medicine

• Purchase Order

• Inventory Transaction 44
C. HOSPITAL MANAGEMENT SYSTEM (contd..)

• Sales

• Add/Edit Text

• Patient Text Report

• Text Bills

• Patient registration.

• Consultancy Record

• OPD Bill 45
C. HOSPITAL MANAGEMENT SYSTEM (contd..)

• Add/Edit Finding

• Add/Edit Advise

• Conflicting Medicine composition

• Report

• Chemist

• Stock Report

• Medicine List

• Sales Report 46
C. HOSPITAL MANAGEMENT SYSTEM (contd..)

• Laboratory

• Test Report

• Account Report

• OPD
• Patient List
• Search list
• Accounts Report
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C. HOSPITAL MANAGEMENT SYSTEM (contd..)

Benefits

• Helps in improving patient care

• Helps in improving administration and control

• Assist in streamlining operations

• Assist in improving fund management

• Helps in effective revenue management

• Improving overall interpersonal relations 48

Benefits (contd..)

• Totally secured database of patients.

• Improving efficiency

• Helps in standardization of the patient records

• Good managerial tool to provide patient care

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D. CLINICAL DECISION SUPPORT

• Clinical decision support, has been defined as ‘‘any

computer program designed to help health professionals

make clinical decisions, deal with medical data about

patients or with the knowledge of medicine necessary to

interpret such data’’.

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D. CLINICAL DECISION SUPPORT (contd..)

These DS tools can be classified into:

• tools for information management,

• tools for focusing attention, and

• tools for patient-specific consultation.

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D. CLINICAL DECISION SUPPORT (contd..)
Fig: Architecture and key features of clinical decision support
System

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D. CLINICAL DECISION SUPPORT (contd..)

Electronic health record (EHR)

• Most patient information is stored in the EHR. A number of

medical devices also are interfaced to the System, and

patient vital signs, medication pump, and ventilator

information is stored automatically in the HER.

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D. CLINICAL DECISION SUPPORT (contd..)

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D. CLINICAL DECISION SUPPORT (contd..)

• Pharmacy System

• Blood Gas Reports

• Emergency Department Infection Report

• Nurse Bedside Charting

• Infectious Disease Monitor

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D. CLINICAL DECISION SUPPORT (contd..)

Using electronic health records

• Reduce the number of incorrect and unnecessary treatments

and medications

• Decrease treatment delays

• Allow for real-time communication

• e-records support client quality and safety

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D. CLINICAL DECISION SUPPORT (contd..)

Using electronic health records (contd..)

Smart cards – Health card technology

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E. TELE MEDICINE /TELE NURSING

• Telemedicine is a rapidly developing application of clinical

medicine where medical information is transferred via

telephone, the internet (or) other networks for the purpose of

communication and sometimes remote medical procedures

(or) examination.

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E. TELE MEDICINE /TELE NURSING (contd..)

• The use of electronic information and communication

technologies are useful in providing support health care

when distance separates the participants.

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E. TELE MEDICINE /TELE NURSING (contd..)

• Telemedicine often refers only to the provision of

clinical services and telehealth refers clinical and non

clinical service

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E. TELE MEDICINE /TELE NURSING (contd..)

Scope of telemedicine

• Tele consultation

• Tele education

• Tele monitoring

• Tele surgery

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E. TELE MEDICINE /TELE NURSING (contd..)

Technologies of telemedicine

• Store and forward technology

• Real time telemedicine - Video conferencing

Devices of telemedicine

• Video conferencing system

• Peripherals devices

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E. TELE MEDICINE /TELE NURSING (contd..)

Data used in telemedicine

• Text

• Audio

• Still image

• Video movie

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E. TELE MEDICINE /TELE NURSING (contd..)

Benefits of telemedicine

• Clinical service

• Communication tool

• Essential in living in isolated communities

• Monitoring a patient at home

• Resource utilization

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E. TELE MEDICINE /TELE NURSING (contd..)

Benefits of telemedicine (contd..)

• Early intervention

• Community based care

• Medical education and research

• Cost saving

• Improved patient documentation

• Increased range of care and education 65

Telenursing

• Telenursing is a component of telehealth that occurs when

nurses meet the health needs of clients, using information,

communication and web based systems.

• Telephones (land lines and cell phones)

• Personal digital assistants (PDAs)

• Virtual reality simulation 66

Telenursing (contd..)

• Facsimile machines (Faxes)

• Internet

• Video and audio conferencing

• Teleradiology

• Computer information systems

• Telerobotics 67
E. TELE MEDICINE /TELE NURSING (contd..)

Telenursing practice guidelines

• Increases access to health care

• Improves health outcomes

• Support clinical education programme

• Improves support for patients and families

• Improves the organizational procedure

• Relay vital client information 68

Telenursing practice guidelines (contd..)

• Assist travelers to obtain health care at their destinations

• Assist with client surgeries from a distant site

• Use video conferencing to provide continuing nursing

education sessions

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E. TELE MEDICINE /TELE NURSING (contd..)

Telenursing practice guidelines (contd..)

• Develop websites to provide health information

• Augment existing health care services

• Enhance optimum access

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F. GENETICS & GENOMICS
Future applications of genetics and
genomics will transform the health care
system even further
• Carrol 2011 reveals that the patient at
risk will be treated for conditions they
are likely to have
• Website 23 and Me – Saliva sampling –
Genotyping
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F. GENETICS & GENOMICS (contd..)

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F. GENETICS & GENOMICS (contd..)

• Gene therapy brings significant changes in curing cancer

and preventing birth defects

• Stem cell therapy and biological treatment also impact the

future of health care system

• Clearly having genetic data lead to better care and patient

empowerment

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F. GENETICS & GENOMICS (contd..)

Gene therapy

• Introduction of healthy gene into patient’s cells

• Works well for disorders resulting from loss of single

protein

Cloning - Nuclear transfer

• Introduction of nucleus from a body cell into an egg cell

• Produces identical organisms as donor nucleus 74

Vaccines

• A substance that produces immunity to disease. DNA

vaccine made from the DNA of a pathogen but does not

have disease-causing capabilities. Eg. AIDS, malaria, certain

cancers

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F. GENETICS & GENOMICS (contd..)

Many nurses currently in practice know little about genetics

and lack the competence needed to effectively counsel and

treat patients and in this regard

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G. LESS INVASIVE AND MORE ACCURATE TOOLS

FOR DIAGNOSIS & TREATMENT

Less invasive and more accurate tools for diagnosis &

treatment generally result in decreasing patient risk and cost

• 23 gene blood test – detecting harmful blockage in the heart

• Smart phones

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G. LESS INVASIVE AND MORE ACCURATE TOOLS

FOR DIAGNOSIS & TREATMENT (contd..)

• Tatoos – monitoring blood glucose level

• Magnets – treatment for depression

• Scanning technology –

eliminates exploratory surgery & invasive procedure

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G. LESS INVASIVE AND MORE ACCURATE TOOLS

FOR DIAGNOSIS & TREATMENT (contd..)

• Myocardial perfusion imaging - Helps in diagnostics of

heart diseases

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H. ROBOTICS

• Is an emerging field in health care

• Nano medicine – which is application of nano technology

• Surgeons use different tools attached to the robot’s arms

depending on the type of surgery.

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H. ROBOTICS (contd..)

• Nurses have to make sure the proper tools are ready

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H. ROBOTICS (contd..)

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H. ROBOTICS (contd..)

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H. ROBOTICS (contd..)

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I. BIO METRIC

• Increase the security of confidential health care information

• Eg. Finer prints, facial mark

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Nursing skills to facilitate technology uses

• Having expertise in technology

• Understanding and using skills in nursing

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Nursing leadership challenges integrating new technology

• Balancing the human element with technology

• Balancing cost and benefits

• Training the nurses on technology

• Assessing ongoing competency

• Assuring that technology is ethical

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CONCLUSION

Nurses must have innovative and critical thinking in

using technology and nursing leaders should know how

emerging technologies will change the practice of nursing

and proactively create the educational models & leadership

development programe to assure that nurses will have the

competence to meet in challenges.

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Thank you 89
5/8/2018