Chapter 28
Emerging
Technologies and
the Generation
of Knowledge
Objectives
• Outline the history of technology
development and informatics applications.
• Describe some of the state of t...
Thoughts About the Future
• We envisage a future with a high degree of continuing
technological development and general wo...
Looking Back From the Future
• Visions of societies of the future, both utopias
and dystopias, have been produced by many
...
Historical Overview
• From the early 1900s through the 1950s, a number of
hardware developments emerged with respect to
co...
Historical Overview
• This shift of information access, acquisition, and
interpretation, for both provider and patient, ma...
Some technologies we have today
• Computerized decision support systems
• Wireless speech recognition and touch screen tri...
What Will Affect the Future
• Among the key issues that emerged from the discussions that are
important for the internatio...
Some Emerging Technologies
and other Issues that will
Impact Nursing and Health Care
• Information and communications tech...
Communities of Practice (CoP)
Wenger (n.d.) defines a CoP: “Communities of
practice are groups of people who share a
conce...
Communities of Practice (CoP)
Nursing is a profession that is particularly suited to
the development of CoPs, especially i...
E-Portfolio for
Professional Development
• To support professional networking involves a
predetermined and focused purpose...
Professional E-Portfolio
is evidence based and uses this evidence to
make a case that highlights one’s capacity to
not onl...
E-Portfolio Process
4 steps involved in developing an e-portfolio are
recursive in nature in that during the process one
c...
4 Steps
1. Collect
2. Select
3. Reflect
4. Connect
A Technology Wish List
1. The kind of computer interface used in the film Minority Report: no
mouse, no keyboard, just ges...
Summary
• We know that the future will be different; however, it is
likely that, in the foreseeable future, let us say the...
Thought Provoking Questions
• This chapter raises several important issues related to
nursing knowledge, not the least of ...
Thought Provoking Questions
• What would be the top five pieces of evidence that you
would select to be featured in your o...
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Chapter 28

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Chapter 28

  1. 1. Chapter 28 Emerging Technologies and the Generation of Knowledge
  2. 2. Objectives • Outline the history of technology development and informatics applications. • Describe some of the state of the art technologies of today. • Predict the evolution of technology and its impact on knowledge generation in nursing.
  3. 3. Thoughts About the Future • We envisage a future with a high degree of continuing technological development and general worldwide economic growth, and an absence of some of the possibilities that might bring much of our global infrastructure crashing down around our ears. • We assume there will not be widespread global social breakdown, the predicted possible pandemics of avian and swine influenza, and other problems, will not happen, or catastrophic climate change will not produce as rapid effects as the worst prognostications suggest. However, we are aware many of these things could happen, to some degree or other. • We do know that change is coming, and much of it is far enough advanced as to be virtually unavoidable.
  4. 4. Looking Back From the Future • Visions of societies of the future, both utopias and dystopias, have been produced by many people. • The future will be on us more rapidly than many expect, and, as nurse informaticians, we need to be at least aware of, if not directly involved in determining, the many new emerging technologies and their possibilities for use within our domains of interest and practice.
  5. 5. Historical Overview • From the early 1900s through the 1950s, a number of hardware developments emerged with respect to computing – Colossus – Mark I – Electronic Numerical Integrator and Computer (ENIAC) – Universal Automatic Computer (UNIVAC). • Technology applications “exploded” in the 1990s with the advent of increasingly sophisticated hardware, software, cheaper memory and speed, and the decreased cost of digital computer technology.
  6. 6. Historical Overview • This shift of information access, acquisition, and interpretation, for both provider and patient, may result in overload in terms of content and comprehension. • Managing this overload will increasingly consume both providers and patients. • How this issue will be managed is of great concern whether by an increased use of technology or a regression away from technology.
  7. 7. Some technologies we have today • Computerized decision support systems • Wireless speech recognition and touch screen triage support systems in emergency departments in Taiwan • Nurse-managed telehealth services in United Kingdom dermatology clinics • Use of open-source software for development of Web- based nursing informatics education in Germany • Nurse-led development of a personal health record system in the United States • Demonstrated uses of wireless biomedical sensors for invasive monitoring in Norway
  8. 8. What Will Affect the Future • Among the key issues that emerged from the discussions that are important for the international nursing informatics community to explore in coming years were: – The development of the concept, and a possible model, of u-nursing (ubiquitous nursing), which, as well as having implications for the practice of nursing, also has profound implications for all aspects of the education and continuing professional development of nurses – The role of the nurse changing to become more of a knowledge professional, working in partnership with the patients and their other caregivers – The continuing growth of patient informatics, perhaps as a growth and evolution of the current concept of consumer health informatics, and with the increasing centrality of the patient as the controlling force in the whole enterprise – The vast impact that genomics will have on all aspects of life, and in particular health care
  9. 9. Some Emerging Technologies and other Issues that will Impact Nursing and Health Care • Information and communications technologies • Clinical Decision support systems • Nanotechnology • Beyond Web 2.0 • ePortfoilios • Communities of practice
  10. 10. Communities of Practice (CoP) Wenger (n.d.) defines a CoP: “Communities of practice are groups of people who share a concern or a passion for something they do and learn how to do it better as they interact regularly" (¶1).
  11. 11. Communities of Practice (CoP) Nursing is a profession that is particularly suited to the development of CoPs, especially in light of the new knowledge generated and disseminated every day. The many nursing List-Servs are evidence of the growing practice of sharing knowledge in a CoP. Caring, a nursing informatics organization, has a very active List-Serv where members post questions to other members and request information and experiences related to informatics.
  12. 12. E-Portfolio for Professional Development • To support professional networking involves a predetermined and focused purpose • Fosters better communication between oneself and a mentor • Establish how what a nurse is doing fits into the goals of the institution or perhaps an institution for which the individual would like to work.
  13. 13. Professional E-Portfolio is evidence based and uses this evidence to make a case that highlights one’s capacity to not only perform but also grow and develop professionally within one’s chosen field.
  14. 14. E-Portfolio Process 4 steps involved in developing an e-portfolio are recursive in nature in that during the process one can backtrack to fill in missing pieces or reevaluate earlier decisions that were made
  15. 15. 4 Steps 1. Collect 2. Select 3. Reflect 4. Connect
  16. 16. A Technology Wish List 1. The kind of computer interface used in the film Minority Report: no mouse, no keyboard, just gesture-based interactions with virtual images projected into a vertical space at head height. 2. Ubiquity of computational devices to the extent that conversation and discussion of these devices will disappear from everyday social interactions – the technology will be transparent or invisible. 3. The ability to access information when and where we want it, irrespective of modality thereby maximizing mobility and other personal resources. This may lead to cell phones becoming the main avenue of access for more than text messages, speech, and video clips. Knowledge acquisition and utilization will then become ubiquitous and pervasive; new work roles will emerge to cope with this new and different technology.
  17. 17. Summary • We know that the future will be different; however, it is likely that, in the foreseeable future, let us say the next 10–15 years, many of the changes that are likely to occur are already in development or will be extrapolations of current developments and trends. There is always, however, the possibility of new developments, or unexpected consequences, of the development of emerging technologies. • In an ideal world, we would like to see solutions to see the development of easy to use tools for nurses to manage the coming knowledge “explosion” as more information becomes available to support diagnosis, treatment, and care.
  18. 18. Thought Provoking Questions • This chapter raises several important issues related to nursing knowledge, not the least of which might be the uniqueness of nursing knowledge. Is this uniqueness requisite for future care by nurses or nursing informatics specialists? • Given that the future is relatively unpredictable, what might be said regarding what can be predicted and to what degree of certainty? • Will the new tools and technologies that nurses might use to manage the “knowledge explosion” be sufficient on their own, and how will they need to interact with human factors?
  19. 19. Thought Provoking Questions • What would be the top five pieces of evidence that you would select to be featured in your own portfolio? Why did you select these pieces of evidence? What was it about them that made you think they would represent who you are? • Some institutions that require students to develop e- portfolios as a part of their program of study also may use this evidence of student learning to evaluate the - program quality or generate evidence for accreditation reports. What do you think should be the driving purpose behind requiring e-portfolios—professional development planning or institutional evaluation? What are the merits of each approach?

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