digital future

1. NURSING AND THE DIGITAL
FUTURE
Malar Kodi.S
Assistant Professor
AIIMS, Rishikesh

2. Flow of presentation
This presentation will focus on :
o Introduction
o Statistics
o Future Digital technologies: benefits
 Nursing practice
 Nursing education
 Nursing administration
 Nursing research
o Digital technologies: benefits
o Challenges
11/10/2022
2

4. Introduction
• The digitization of healthcare has enabled health
services to be more accessible and available daily.
• The effect of digital technology has been increasing
in the nursing sector.
• Healthcare digitization including robotic systems
and artificial intelligence, the reliance on the
internet, mobile and web applications, and social
media has increased the dependence on telehealth
and virtual healthcare services.
• Furthermore, with challenges faced with
technology and nursing care, COVID-19 has
boosted this particular response of dependency for
more inclusive healthcare services.

5. Statistics of digital health
o In two years, 91% of Nurses could access EMR.
oLab diagnostic results (88% ) using a mobile device.
oa survey of 600 nurses show that 82% believe that technology positively
impacts patient care.
oThroughout the pandemic, remote monitoring, virtual visits, and patient-
engagement tools have proved effective and have efficiently reduced foot
traffic at clinics and hospitals.
oCurrently, 35% of patient interactions are digital.

6. Digital Future of Nursing
Digital healthcare isn’t the future; it is here and now

7. Digital technologies: benefits
The nursing literature contains many analyses of digital technologies used to
support or extend the profession, including
• Practice: hospital information systems, electronic health records,
monitoring systems, decision support, telehealth)
• Education: e-Learning, virtual reality, health games; and, rehabilitative and
personalized healthcare approaches (e.g., assistive devices sensors, ambient
assisted living).
• Administration: Electronic medication administration, Patient and Staff
Identification Systems, Real-Time Location Systems for Nurses
• Research: Online Research, Data Handling, Online Data collection, Online
Data collection, Digital data management.

8. Digital Future of Nursing
Nursing Practice

9. Exciting technologies that are changing
nursing practice
Digital OPD
Digital
IP/Nursing
module
Wearable
Devices
Electronic
Health
Records
Telehealth
and apps
IoT in Healthcare
( Internet of
Things) Real-
Time Location
Point of
Care
Technology
Smart TV’s
Automated
Equipment
E.g.. IV pumps
Robotics/
Delivery
robots
Portable
Monitors
Smart beds
STETHEE
‘SMART’
Stethoscope
digital%20nursing/Digital%20Health%20Trends%202021%20-%20IQVIA.html

10. 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, Billing
• Voice typing, Prescriptions digitally connected to pharmacy
• Reduces medication errors and Alerts sent for follow up visits to patients

11. 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…

12. 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
• Improves clinical communication and Patient satisfaction

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
digital%20nursing/Digital%20nurses_%20Taking%20the%20NHS%20into%20the%2021st%
20century.html

15. 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

16. Point of Care Technology
• Point-of-Care Technologies is a set of
technologies used at the location of
patient care helping improve healthcare
outcomes.

17. Electronic Health Records(EHR)
Electronic health
records allow nursing
experts to document
care provided to
patients, and retrieve
information that can
help prioritize care.

18. SMART TV
 TVs with smart technology can now provide information on upcoming
treatments and deliver instructions for medication or post-discharge care.

19. 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.
 The system utilizes software that embeds
medication information into barcodes so
nurses can be better informed,
administer the correct medication, and
help prevent these dangerous mistakes.

20. 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.

21. Smart beds
 Smart bed technology gives nurses a
constant monitor in a room that facilities
with regular updates and
communications on a patient’s activities.
 Nurses also spend less time coming in and
adjusting supplies and medical
equipment.
 As the future bed becomes increasingly
sophisticated, it will become an even more
critical component of a digital services
infrastructure that helps professionals run
more cost-efficient operations without
sacrificing the health of patients.

22. Wearable devices

23. Telehealth and Apps

24. Virtual ICU(vICU)

25. Robotics
• High-Quality Patient Care
• Operational Efficiencies
• Safe Work Environment
The role of robots in healthcare:
o Cleaning and disinfection
o Surgery
o Rehabilitation

27. Delivery Robots
• A research by American Nurse
Today, more than 53 percent of a
nurse’s time is spent on tasks
completely unrelated to patient care,
such as managing supplies, looking
for supplies, filling out reports,
handling patient check-ins etc..
• The delivery robots can be
programmed to fetch medicine from
the pharmacy, package drugs, bring
clean linens to patient rooms, deliver
meals, take specimens to the lab, and
perform other tasks that keep nurses
from spending time with their
patients.

28. STETHEE ‘SMART’ Stethoscope

29. mintti ‘SMART’ Stethoscope

30. 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. Artificial intelligence (AI) aims to mimic human cognitive
functions and It is bringing a paradigm shift to healthcare

31. DIGITAL TECHNOLOGIES IN NURSING
EDUCATION

32. 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"

33. Need to “bridge the gap” between
education and technology
Teacher
Student
Interaction
Quality
Learning
Environment

34. TECHNOLOGY IN NURSING EDUCATION

35. Digital Tools for Nursing education
Theory:
Online Education:
• Zoom, G-suite, Google meet,
WebEx
• Computer-assisted Learning
• V- class room, virtual conference
• Digital learning software
• app module/training
• E library
• 3D printing of anatomical models
• Wearable Technologies
• Social Media etc…

36. Skills:
• Simulated Environments
• Human Patient Simulation
• Task Trainer
• Standardized Patients
• Virtual Reality (VR) simulation
• Virtual patients
• 3D videos/ live surgery

37. Evaluation:
• Pexa lite exam Software
• Google forms
• Simulated Environments
• Wheel box safe exam browser
• virtual simulation exam

38. PROS AND CONS OF TECHNOLOGY IN
NURSING EDUCATION

39. DIGITAL TECHNOLOGIES IN NURSING
ADMINISTRATION

40. DIGITAL TECHNOLOGIES IN NURSING
ADMINISTRATION
• Clinical nurse leaders are expected to handle a number of other
responsibilities.
• These health care professionals should not have the added stress of
tracking down needed equipment and constantly worrying about patients’
safety while trying to perform their jobs to the best of their abilities.
• Thankfully, the advancement of technology in nursing practice has
improved how nurses perform their daily duties. In fact, more connections
between nursing and technology help nurses spend less time with menial
tasks and more time with patients. It’s the implementation of these
technologies by nursing that helps increase the efficiency of the nurses in
their units.

41. Real-Time Location Systems for Nurses-
RTLS
• RTLS technology in nursing practice
that reduces this problem is real-time
location systems.
• Health care facilities can cut down
unnecessary resources nurses are
quickly able to locate exactly where
something or someone is within a
facility and spent on actual patient
care.
• A report showed that 95 percent of
organizations that put RLTS into effect
saw operational efficiency gains.

42. Wireless Patient Monitoring

43. 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.
• Hospitals are implementing the Ava Sys
Tele Sitter video observation system to
improve patient safety and lower
staffing costs.

44. 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.

45. DIGITAL TECHNOLOGIES IN NURSING
RESEARCH

46. DIGITAL TECHNOLOGIES IN NURSING RESEARCH
Online Data collection
Data Handling
Digital data management
Big Data
Virtual Clinical Trials

47. ONLINE RESEARCH METHODS (ORMS)
Online Content Analysis
Online focus groups
Online interviews/Questionnaire
Big Data
Social network analysis
Web-based experiments

48. ONLINE RESEARCH TOOLS
• Todoist
• EndNote
• Medendely
• EduGeeksClub
• Zotero
• RefWorks
• DataElixir
• Paperpile
• Plagiarism Checker.

49. Advantages
of online
Research
Access to
data across
the globe
Cost effectiveness
Easy to use for
participants/resear
chers
Easy Data
Analysis and
Reporting
Anytime,
Anywhere
Candid
Responses
Large
Sample
Sizes

50. Dis
advantages of
online
Research
Online
Limitations
Close-Ended
Question
Limitations
Non-Response
Bias
Missed
Responses

51. Benefits of Technology for Nurse
Increased
Patient Safety
Improved
Scheduling/
Decreased
Human Error
Reduced Test
and Procedure
Redundancy
Efficient Care
Coordination
Faster Lab
Results
Increased
Patient
Information
Accessibility
Enhanced
Performance
Analysis
Streamlined
Records
Administration
Reduced
Hospital Stays
Reduced
Operational
Costs

52. Challenges Faced with Technology in Nursing
Care
Booth R G, Strudwick G, McBride S, O’Connor S, Solano López A L. How the nursing
profession should adapt for a digital future BMJ 2021; 373 :n1190 doi:10.1136/bmj.n1190
•Cybersecurity risks
• Risk related to breach of protected health information
• Risk related to alteration of data that may be used to make wrong healthcare decisions
• Risk related to alteration of device functionality that results in adverse events
•Impersonal patient-doctor interaction / patient isolation
• Patients interact with technology instead of a live care provider
• Lack of empathy
• Lack of Therapeutic bonds
• Risk of miscommunication
•Frustration with poor implementation
• Clinicians spend more time struggling with technology rather than patient care
• Too much reliance on technology – specifically on poor AI implementation that don’t
produce good outcomes.
• slow progress and lacking in leadership and investments.

54. Theonlyconstantfeatureinthisworld isCHANGE
Whileallchange maynotleadto progress,therecanbeno progress
withoutCHANGE
Take home message