Advancement in technology Now the world is changing at high speed so technology is also changing. Trends and issue in Nursing

1. Advancement in
technology
Prepared by
DIKSHA PAUDEL
MN 1ST YEAR (7TH BATCH)
Roll no. 4

2. Technology
• Technology is changing the world at high
speed and this has been more evident in
healthcare setting.
• The general public believes that technology
will improve the health care efficiency, quality,
safety and cost.
• However, few people consider that these
same technologies may introduce errors and
adverse events.

3. Contd..
• Patient care technologies of interest to nurses
range from relatively simple devices, such as
catheters and syringes, to highly complex devices
such as barcode medication administration
systems and electronic health records.
• Given that nearly 5,000 types of medical devices
are used by millions of health care providers
around the world, device-related problems are
inevitable.

4. Contd…
• Patient care technology has become
increasingly complex, transforming the way
nursing care is conceptualized and delivered.
• Before the use of technology, nurses relied
heavily on their senses of sight, touch, smell
and hearing to monitor patient’s status and to
detect changes.

5. Contd…
• For example, before the invention and wide
spread use of pulse oxymetry, nurses relied on
subtittle changes in mental status and skin color
to detect early changes in oxygen saturation and
they used arterial blood gasses (ABG) analysis to
confirm their suspicions.
• These days, pulse oxymetry allows nurses to
identify decreased oxygenation before clinical
symptoms appear, and thus more promptly
diagnose and treat underlying causes.

6. Contd…
• While technology has the potential to improve
care, it is not without risks.
• Technology has been described as both part of
the problem and part of the solution for safer
health care, and some observers warned of
the introduction of yet-to-be errors after the
adoption of new technologies.

7. History
Nursing innovation during 1850 to 1900
• Introduction of bedpans, surgical splints,
hospital beds foot cradles, syringe.
• In 1950 to 1960 technological
advancements involving new medicines
(particularly antibiotics), IV therapy and
administration of blood products became
available.

8. • From 1965 to 1980 machines of all kinds-
from dialysis to cardiac monitors to fetal
monitors, ventillators and automatic
recording devices were introduced.
• From 1980s to present technological
advancements include computers in health
care, safer medication administration and
patient safety monitoring devices; wireless
charting devices; robotic assistants; clinical
decision making tools and tele-health
services.

9. Types of Technologies:
Clinical Information Systems: These systems
bring together an organization's patient
records, lab results, pharmaceutical data,
medical research resources and other
information, providing nurses and other
caregivers with integrated, PC-based tools to
help them input and retrieve information.

10. • Electronic Health Records:prevent conflicts over
prescriptions and tests. Patient records in this
format provide instant access to a patient's
medical history, improve communication between
caregivers and offer alerts to
• Drug Retrieval-and-Delivery Systems: These utilize
several technologies, including bar codes and
automated dispensing machines, to ensure
patients receive the correct medications and
dosages.

11. • Medical Devices: Devices such as infusion
delivery systems and ventilators often have
"brains built into them," These electronic
brains assist nurses by flagging problems
and helping to avoid errors.
• Personal Digital Assistants: PDAs with add-
on software can help nurses research
conditions and check medication doses.

12. Contd…
• Tablet Computers, Wall-Mounted Personal
Computers and Mobile:
These computer-based tools allow nurses to
enter and retrieve information housed in a
facility's information system without leaving
the bedside. The systems can operate
wirelessly and connect to databases
containing care guidelines and other clinical
resources.

13. Computers
• Science has best owed health care delivery system
with excellent technological innovations.
• One of the such innovations is the computerization of
the entire health care delivery system.
• Computerization has contributed towards the
reduction of medical errors and the problems
associated with such errors.

14. Contd…
• Computer have moved from the real of a “nice
to know” luxury item to a “need to know”
essential resource for professional practice.
Nurses are knowledge workers who require
accurate and up-to –date information for their
professional work.

15. • Every professional nurse must be computer
literate.
• Computer literacy is defined as the knowledge and
understanding of computer combined with the
ability to use them effectively.
• For healthcare professionals, computer literacy
requires having an understanding of system used in
clinical practice, education, and research setting.
• In clinical practice e.g. Electronic patient records
and clinical information systems effectively.

16. Seven emerging Technologies that will
change the Practice of Nursing
Seven Emerging Technologies that Are Changing the Practice of Nursing
Technology Benefits Challenges
Genetics and
Genomics
The majority of disease
risk, health conditions and
the therapies used to treat
those conditions have a
genetic and/or genomic
element influenced by
environmental, lifestyle,
and other factors
therefore impacting the
entire nursing profession.
Many nurses currently in
practice know little about
genetics and genomics and
lack the competence
needed to effectively
counsel and teach patients
in this regard.

17. Less Invasive and
More Accurate Tools
for Diagnostics and
Treatment
Non-invasive and
minimally invasive tools
for diagnostics and
treatment generally result
in lower patient risk and
cost.
The rate at which
noninvasive and minimally
invasive tools are being
introduced makes ongoing
competency regarding
their use a challenge for
nurses.
3-D Printing Bioprinters, using a "bio-
ink" made of living cell
mixtures can build a 3D
structure of cells, layer by
layer, to form human tissue
and eventually human
organs for replacement.
Healthcare is just beginning
to explore the limits of this
technology. There are limits
to the materials which can
be used for printing.

18. Robotics Robotics can provide
improved diagnostic
abilities; a less invasive
and more comfortable
experience for the patient;
and the ability to do
smaller and more precise
interventions . In addition,
robots can be used as
adjunct care providers .
More research is needed
on comparative
effectiveness of robotics
and human care providers.
Many healthcare providers
have expressed concern
about the lack of emotion
in robots, suggesting that
this is the element that
will never replace human
caregivers
Biometrics Biometrics increase the
security of confidential
healthcare information and
eliminate the costs of
managing lost passwords
The measurement of
biometric markers may occur
in less than ideal situations in
healthcare settings and in a
rapidly changing workforce,
cost may become an issue.

19. Electronic Healthcare
Records (EHR)
Healthcare providers have
access to critical patient
information from multiple
providers, literally 24
hours a day, 7 days a week,
allowing for better
coordinated care.
Implementation costs,
getting computers to talk
to each other and debates
about who “owns” the
data in the EHR continue
to challenge its required
implementation.
Computerized
Physician/Provider
Order; Entry (CPOE)
and Clinical Decision
Support
CPOE and clinical decision
support fundamentally
change the ordering
process resulting in lower
costs, reduced medical
errors, and more
interventions based on
evidence and best
practices.
The introduction of CPOE
and clinical decision
support requires providers
to alter their practice.
Resistance is common due
to the time spent on order
entry. Implementation and
training costs are often
significant.

20. Effects of technology on nursing
• A good information system can give
nurses access to data information,
standards and other reference information
to support and management decision.
• It enhance the quality of patient care by;
– providing more timely response to patient
need.
– providing accuracy and completeness of
documentation
– improving discharge planning and teaching

21. • Computerized data system reduces the
paper work burden of nurses as they use
computers rather than pen and paper to
record notes and vitals about patients.
• Documentation of the patient's record and
care in computer save time, gives access
to move, timely date and information and
decrease the forgetting document and vital
information.

22. • Assist in personalized patient care
• Empower to patient and their family for better
health through information and education
which is cheap and easy to access.
• Improve patient safety and patient care
• Cost-savings investment for healthcare facility
• Establishes best practices evidence-based
nursing.

23. Issues
• It reduces the mental capacity and
increasing dependability to technology.
• Technical problem make people
handicapped.
• Nurses must be aware of how these
technologies fit into the delivery of patient
care and the strategic plan of the
institution or corporation.
• Potential for breaches in confidentiality

24. • The question arises that many people will
manage their personal health through
home computer and access to this
knowledge.
• Affects nursing care because nurses
assume responsibility for monitoring the
data generated by these devices and
assessing their effectiveness.
• Right of privacy

25. • They must be aware of the latest technology
for the monitoring of patient’s physiological
status, diagnostic testing, drug administration
and therapeutic treatments.
• Dehumanizes patient care.
• May be perceived as replacing critical
thinking/problem solving skills

26. References:
Catalano, Joseph T.(2007), Nursing Now! Today’s Issues, Tomorrow’s
Trends, 4th edition by Davis Company India.
Bhattarai Sabitri, (2010) Trends and Issues in Nursing by Makalu
publication.
Huston, C. The impact of emerging technology on nursing care: warp
speed ahead. (2013). Online Journal of Issues in Nursing 18(2).
American Society of Registered Nurses. Computers and Nursing
Practice. (2008). The Journal of Advance practice nursing.
Greenword, B. How are Computers Used in the Nursing Profession?.
(2014). Covington, B. et al. (2007).
The use of technology to assist nurses in caring for patients. Maryland
Nursing Workforce Commission. Retrieved from
http://www.mbon.org/commission2/use_of_tech_to_assist_nursing.pdf
Retrieved from
http://work.chron.com/computers-used-nursing-profession-3402.html