Nurses&Technology mHIseminar.McLeod

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Using Mobile Technologies to Transform Nursing Practice by Renee McLeod PhD, APRN, CPNP

Presented at the mHealth Initiative Spring Seminar, March 31, 2009 Boston MA

www.mhealthinitiative.org

Published in: Health & Medicine
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Nurses&Technology mHIseminar.McLeod

  1. 1. USING MOBILE TECHNOLOGY TO TRANSFORM NURSING PRACTICE Renée P. McLeod PhD, APRN, CPNP
  2. 2. To Communicate Effectively In Today’s World We Need To Deprogram Ourselves, And Look For New Ways to Connect To Our Patients and Families
  3. 3. Why? Your patients and families are mobile  (2008) Worldwide  1.1 billion use the internet  1.4 billion carry credit cards  1.5 billion have TVs  4 billion cell phone subscribers  62% of all Americans participates in digital activities  away from work, home, or school. 84% penetration of cell phones in the US population  In June 2006 (1 month) 75 million text messages  were sent; in June 2008 7.2 billion text messages were sent. RC Lefebvre, GWU 1/29/09 Office of Transformational Technologies 3 & Organizations
  4. 4. Why? “American families in 2008 continue to  function as units. Although they often go their separate ways during the day, they are connected by the internet, and even more so, by cell phones. They communicate socially and coordinate activities. Few household members feel the internet separates them.” Pew Internet & American Life Project, 2008
  5. 5. Who Uses Mobile Technology The Most? 73% Hispanic (84% of English speaking  Hispanics have cell phones and on a typical day, more than half do something the might involve sending or receiving data) 68% Black  53% White 
  6. 6. Who Uses Technology The Most? 95% of married couples living with children  89% own multiple cell phones (1/2 with 3 or more and  57% of children 7 – 17 have their own cell phone) 58% own 2 or more desktop or laptop computers.  Both spouses use the internet as do 84% of their  children age 7 – 17. Single parents of children under the age of 18  multi-adult families not living as married who are  with or without children under the age of 18 42% of parents contact their child/children daily  using a cell phone
  7. 7. “Despite all of this technology, the majority  of adults say technology allows their family to be as close or closer than their families were when they grew up!” Pew Internet & American Life Project, 2008
  8. 8. Why? Despite fears that many Americans are isolated from  family members because of immersive personal internet and cell phone use, most families are together at night. Their heavy home internet use suggests that many households are hubs of personal communication networks, as they log on to e-mail, IM, post on social networking sites, chat, and text. Families of today are neither isolated individuals or your  traditional family. Rather their households are active sites of individual activity and family togetherness. Pew Internet & American Life Project, 2008
  9. 9. Why? Nurses use mobile technology  67% of nurses carry two or more mobile  communication devices Spyglass Consulting, 2008 88% of nurses had three phone numbers Ascendant Systems, 2008  Nurses are mobile*  Walk an average of 3 miles (up to 5) per shift  regardless of racetrack, corridor, or radial design facility Spend 31% of shift in the patient room  Spend 38% of shift at the nurses station  Spend 24% on the unit and 7% off the unit  * Hendrich, A, Chow, M, Skierczynski, BA & Zhenqiang. L. A 36-hospital time and motion study: How do medical-surgical nurses spend their time? The Permanente Journal, 12(3):25-34. 1/29/09 Office of Transformational Technologies 9 & Organizations
  10. 10. Why? Nurses need access in real time; they  spend 35% of shift in documentation*  3% in the patient’s room  81% at nurses station  15% on the unit  1% off the unit * Hendrich, A, Chow, M, Skierczynski, BA & Zhenqiang. L. A 36-hospital time and motion study: How do medical-surgical nurses spend their time? The Permanente Journal, 12(3):25-34. 1/29/09 Office of Transformational Technologies 10 & Organizations
  11. 11. Information for everyone No dummies 
  12. 12. Why practice must change Information is changing  Access to information is changing  Technology is changing  Access to technology is changing  Human interaction is changing   Patient is changing
  13. 13. Why iPhone and iTouch? It’s the only new PDA on the market   In 2008 Apple sold 14 million iPhones  AppStore has 15,000+ applications as of 1/21/09  ATT has reported that in the first 12 days  of the release of the 3G iPhone, they sold twice as many iPhone 3Gs as the total number of 1st generation iPhones sold.
  14. 14. You can combine address books, and  content from different sources and computers  iPhones can be wiped remotely in case of loss  The iPhone can display Microsoft Office applications and Adobe PDF files but the ability to edit must come from a 3rd party developer 14 2/3/09 Office of Transformational Technologies & Organizations
  15. 15. Encrypted Programs Address Security  issues You can pay to get the camera removed if  you work in a secure facility where this feature is not allowed. 15 2/3/09 Office of Transformational Technologies & Organizations
  16. 16. Web-linked Applications For the Clinician MobileMe   E-mail  Calendar  Contacts  Photo Features  iDisk online file storage  Updatable on the go in real time and Syncs with Microsoft Outlook or the Mac 16 2/3/09 Office of Transformational Technologies & Organizations
  17. 17. WEB Based Applications Drugs.com   Airstrip OB  Will be out for the iPhone Ultralingua Mobile: Bilingual Dicitonaries   MyNetDiary- Track what you eat and compare calories
  18. 18. APPLICATIONS FOR CLINICIANS 18 2/3/09 Office of Transformational Technologies & Organizations
  19. 19. Skyscape References
  20. 20. Lexi‐Comp References
  21. 21. Unbound Medicine, Inc.
  22. 22. Drug Programs
  23. 23. EMR on the iPhone
  24. 24. Search PubMed (Pub Search is a free application)
  25. 25. Medical Calculators like ABG
  26. 26. Medical Calculators
  27. 27. Clinical Tools Based On Current  Guidelines
  28. 28. Health Education Tools
  29. 29. Radiology Cases
  30. 30. Pharmacology Flash Cards
  31. 31. Specialty Applications 
  32. 32. Speech Recognition Tools For  Immediate Dictation Capability
  33. 33. Patient Programs
  34. 34. Practice Tools
  35. 35. Preventive Care Guidelines
  36. 36. Productivity Applications Noter   Jott Voice Service sends text to yourself or others  reQall – voice to text converter  People- Search U. S. phone numbers  MobileMe
  37. 37. Text Messaging • In general, fewer than 5% of adults are currently  able to communicate with their providers  electronically • When asked 62% of adults stated that electronic  communication would influence their choice  • 75% stated they wanted to schedule  appointments electronically • Harris Ineractive:  Feb. 8, 2007 • 50% of 12 to 24 year olds send or receive text  messages • Ipsos:  2007
  38. 38. Text Messaging Appointments • Medication Reminders • Health Promotion • Patient‐Initiated Communication • – Need to reschedule appointment – Need for prescription refill
  39. 39. Teensource.org Interactive Website that allows students to  text message for information
  40. 40. Digital Books
  41. 41. E‐Readers • The Kindle 
  42. 42. The Kindle 2 • Instant access to  Newspapers – Internet – Blogs – Books – Journals –
  43. 43. Netbooks
  44. 44. Future Applications How about applications that locate your  patient or staff in the hospital by using the Assisted GPS  How about applications that use the Accelerometer to measure patient activity and send it to the healthcare provider (for use in monitoring and research) 47 2/3/09 Office of Transformational Technologies & Organizations
  45. 45. Consider digitizing all your healthcare  videos and offering them to patients in the waiting room or handing out a list of healthcare games for use in the office or at home for your patients. 48 2/3/09 Office of Transformational Technologies & Organizations
  46. 46. QUESTIONS? 49 2/3/09 Office of Transformational Technologies & Organizations

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