Chapter 11

Caring, Communicating, and Managing with Technology

Copyright 2011 by Mosby, Inc., an affiliate of Elsevier Inc.

The Importance of Technology in Health Care

The foundation of care in the future Nurses as knowledge workers

Copyright 2011 by Mosby, Inc., an affiliate of Elsevier Inc.

Objectives

Identify new technologies in patient care. Describe the core components of informatics. Evaluate a model to change accepted practice into evidencebased practice. Describe healthcare information technology trends. Apply one structured nursing language to a nursing scenario. Analyze three types of technology for capturing data at the point of care. Discuss decision support systems and their impact on patient care. Explore the issues of patient safety, ethics, and information security and privacy within information technology. Value the use of the Internet for healthcare information.

Copyright 2011 by Mosby, Inc., an affiliate of Elsevier Inc.

Informatics
A science that combines domain science, computer science, information science, and cognitive science.

Copyright 2011 by Mosby, Inc., an affiliate of Elsevier Inc.

Two Key Issues

Evidence-based practice Types of technologies

Copyright 2011 by Mosby, Inc., an affiliate of Elsevier Inc.

Five Key Elements of EvidenceBased Practice

Ask a clinical question. Acquire the evidence. Appraise the evidence. Apply the evidence. Assess the outcomes.

Copyright 2011 by Mosby, Inc., an affiliate of Elsevier Inc.

Ask a Clinical Question

PICO

Population Intervention Comparison Outcome

PICO determines the nature of the question.

Copyright 2011 by Mosby, Inc., an affiliate of Elsevier Inc.

Acquire the Evidence

Only through computerized technologies can we search the literature in an efficient manner.

Copyright 2011 by Mosby, Inc., an affiliate of Elsevier Inc.

Appraise the Evidence

Answer these questions about the evidence found:

Is it valid? Is it important? Is it important to the patient?

Copyright 2011 by Mosby, Inc., an affiliate of Elsevier Inc.

Apply the Evidence

Depending on your organization, you need to apply the new evidence or propose a practice change to the appropriate body.

Copyright 2011 by Mosby, Inc., an affiliate of Elsevier Inc.

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Assess the Outcomes

Informatics plays an important role in the measurement of daily practices and the synthesizing of data into reports.

Copyright 2011 by Mosby, Inc., an affiliate of Elsevier Inc.

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Evidence-Based Practices
Whether you are a leader, a manager, or a follower, you have to rely on evidence-based practices to enact your profession.

Copyright 2011 by Mosby, Inc., an affiliate of Elsevier Inc.

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Types of Technologies

Biomedical Informational Knowledge

Copyright 2011 by Mosby, Inc., an affiliate of Elsevier Inc.

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Biomedical

Four types of technologies:

Physiologic monitoring Diagnostic testing Drug administration Therapeutic treatments

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Informational

Computers:

Store. Organize. Retrieve. Communicate.

Copyright 2011 by Mosby, Inc., an affiliate of Elsevier Inc.

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Knowledge
Decision support systems mimic inductive and deductive reasoning that humans would perform if they had time.

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Issues within Information Technology

Patient safety Ethics Information security Privacy

Copyright 2011 by Mosby, Inc., an affiliate of Elsevier Inc.

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Technology and Health Care: Smart Cards

Patient demographics/photo identification ICEIn Case of Emergencycontact and other key information Patient medical history: allergies, medications, immunizations, laboratory results, etc. Past care encounter summaries, including surgical procedures Patient record locations and electronic address information Ability to upload or download patient information

Copyright 2011 by Mosby, Inc., an affiliate of Elsevier Inc.

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10 Cs for Evaluating Internet Sources

Content Credibility Critical thinking Copyright Citation Continuity Censorship Connectivity Comparability Context
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Conclusion
Technology can transform what we do in practice. Our commitment is to create the programs that support what we need to do and to use the data available to us.

Copyright 2011 by Mosby, Inc., an affiliate of Elsevier Inc.

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