Safety, Quality, and Informatics
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BSN-FP4004_TallarineSamantha_Assessment4-1.pptxInformatics And The Application Of New Knowledge
Samantha M. Tallarine
Capella University
Nursing Research & Informatics
BSN-FP4004
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A Major Change in the Nursing Field
The change entails the ability to offer services to healthcare consumers even when there exists physical distances between the patient and the nurse.
For patients with less complex health conditions, a nurse can engage them and provide over platforms provided by the new technologies.
In the last two years, the nursing practice has changed in a number of ways as a result of the emerging technologies. The change entails the ability to offer services to healthcare consumers even when there exists a physical distance between the patient and the nurse. Today, healthcare consumers must not check in facilities to receive care, there are now services called “TeleMed” or “TeleDoc” that allow you see doctors, nurses, and nurse practitioners from the comfort of your own home via mobile phone, or computer camera. This change has brought about benefits as nurses do not need to visit patients but can offer services more effectively and even for a greater number of patients.
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Telenursing
From a general point of view, Telenursing is what was previously known as counselling over the phone. However, in the modern era, technology has advanced and there are computers, visual accessories, telephones, and audio accessories that enable interactions between the nurse and the patients (Wade, Gray & Carati, 2017). They can see face-to-face hence it is easier to offer instruction and guide the patient through the various interventions and prescriptions.
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How Theory Supports Telenursing
A theory/model that supports Telenursing is the Technology Acceptance Model (TAM) which states that a user’s intention to take up or adopt a technology is usually based on two major concepts which are perceived usefulness and ease of use. In the field of Telenursing, it is seen that the two concepts correlate with intention. Patients are preferring the technology as it easy to use and is extremely useful. It is only about video communication at the convenience of the patient (Kowitlawakul, 2011).
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How Research Exploration Supports Telenursing
Research has shown consumers are continually adopting Telenursing.
Information technology research is focusing on newer technologies that will achieve even closer interactions in the future.
Research has shown that though the cost of treatment is higher, patient outcomes have improved.
Research has continued focusing on the Telenursing area where it has major in a number of areas as follows. First, research is looking into motivators that are making healthcare consumers prefer Telenursing as opposed to visiting the facilities. Second, research is focusing on newer technologies that will improve interactions between nurses and the consumers. Third, the research is focusing on the effect of Telenursing on cost of healthcare and patient outcomes. The recent results indicate an increasing cost of treatment but improved outcomes. It is however freeing up emergency rooms for actual emergencies instead of certain illnesses that can take time and resources away from life threatening situations.
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How Information Technology Supports Telenursing
Information technology is actually the major driver of Telenursing.
There are companies which are developing information technology tools for easier interactions between a nurse and the patient.
It is expected that in the future, the technology will allow even for easier interactions leading to improved results and reduced costs.
Information technology is actually the major driver of Telenursing. There are companies which are developing information technology tools for easier interactions between a nurse and the patient. Such include video and audio accessories which create visual communication between the nurse and the consumer. It is expected that in the future, the technology will allow for even easier interactions leading to improved results and reduced costs (Wade et al., 2017). More so, tools that can be used even in remote areas will be required in the future. Wi-Fi signals need to be strengthened in more rural areas to ensure that everybody is receiving the benefits that Telenursing can provide.
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Difference between Research and Evidence-Based Practice
Research – exploration, discovery, and investigation
Evidence-based Practice (EBP) – translating evidence and research, and applying it to clinical decisions.
Research whether qualitative or quantitative refers to generation of new knowledge or in some cases validation of existing knowledge majorly based on a particular theory. Research practices are systemic and scientific inquiries that aim at answering questions or testing hypothesis. In essence, a research is about exploration, discovery, and investigation. On the other hand, EBP refers to translating evidence and applying it to clinical decisions. This means that the purpose of EBP is to use evidence with the aim of making the patient-care decisions. Notably, the evidence used in most cases come from research. This is to ensure that care is being delivered in the most up to date, and patient safe way. By constantly altering the way healthcare is provided based off of evidence-based practice, we are ensuring patients are being treated effectively and safely.
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Continued….
Research is about seeking new knowledge or validating the existing one while EBP is about application of existing knowledge during clinical practice.
EBP goes beyond the evidence and includes clinical expertise as well as other aspects such as values and the preferences of the patients.
In essence, researches main aim is to develop knowledge whereas EBP is about translating best evidence into clinical practice.
From the above definitions, it is clear that research is about seeking new knowledge or validating the existing one, while EBP is about application of existing knowledge during clinical practice. Additionally, it is imperative to note that EBP goes beyond the evidence and includes clinical expertise as well as other aspects such as values and the preferences of the patients (Wade et al., 2017). Research main aim is to develop knowledge whereas EBP is about translating best evidence into clinical practice.
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How Nurse Leaders Use Communication Technologies for Stakeholder engagement
The Telenursing technologies have options for connecting with other professionals such as physicians.
In the event there is a need for an intervention by a colleague, they can quickly connect with the colleague who then connect with the patients.
The platforms allow a nurse to gather and collect data which is then shared with other professionals.
In relation to Telenursing, it is worth noting that nurses have been using the technology for enabling interprofessional stakeholder engagement. The Telenursing technologies have options for connecting with other professionals such as physicians. In the event that a nurse realizes there is a need for an intervention by a colleague, they can quickly connect with the colleague who then connect with the patients. Additionally, the interactive platforms allow a nurse to gather and collect data which is then shared with other professionals such as fellow nurses, lab experts, and physicians.
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How Nurse Leaders Use EBP
Meeting performance goals and making clinical decisions.
Oversee clinical trials
Data collection and analysis
Nurse leaders have been using EBP so as to drive realization of better outcomes. They work with researchers and scholars who provide evidence that is then acted on when meeting performance goals. They also oversee clinical trials which aim at ascertaining that a particular new approach will be effective for a particular category of patients. They monitor and assess to ensure that improved goals are being attained. Finally, the nurses are involved in data collection and analysis with the aim of finding new evidence that will be integrated in the various clinical practices (Wilmoth & Shapiro, 2014).
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Summary
Telenursing is a new and important development that is seeing improved outcomes but increased cost of care.
However, more research is undertaken so as to see realization of better approaches that are evidence-based.
More so, technological tools need to be more advanced to allow for more effective and rapid interactions between the nurse and the patients.
From the above slides, it can be seen that Telenursing is actually a new and important development that is seeing improved outcomes but increased cost of care. The physical distance barrier is not a hindrance to nursing. However, it is imperative that more research is undertaken so as to see realization of better approaches that are evidence-based. More so, technological tools need to be more advanced to allow for more effective and rapid interactions between the nurse and the patients.
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References
Kuperman, G. J., Gardner, R. M., & Pryor, T. A. (2013). HELP: A Dynamic Hospital Information System. New York, NY: Springer.
Kowitlawakul, Y. (2011). The technology acceptance model: Predicting nurses’ intention to use telemedicine technology (eICU). Comput Inform Nurs 29(1), 411-418.
Wade, V., Gray, L., & Carati, C. (2017). Theoretical frameworks in telemedicine research. Journal of Telemedicine and Telecare 23(1), 181-187.
Wilmoth, M., & Shapiro, S. E. (2014). The Intentional Development of Nurses as Leaders: A Proposed Framework. Journal of Nursing Administration 44(6), 333-338.
