call girls in Kamla Market (DELHI) 🔝 >༒9953330565🔝 genuine Escort Service 🔝✔️✔️
Management semiar no 2
1. E NURSING,TELE NURSING,TELE MEDICINE,DECISION
MAKING , CRITICAL THINKING AND STRESS
MANAGEMENT
PRESENTED BY,
Ms.MEGHNA V.D
IInd YEAR M.SC NURSING
2.
3. E NURSING
DEFINITION
E nursing involves the use of computers or electronic
devices in some way to provide training education and learning
material - Derk Stockley
E Nursing has been defined as the learning facilitated online
through network technology.
4. GOALS OF E-NURSING
Enhances overall
development
Self paced learning
online and offline
Group based e-
learning
synchrousouly
Group based e-
learning
asynchrousouly
GOALS
5. LEARNING STYLES IN E-NURSING
Offline and online activities
Synchronous and asynchronous activities
Different multimedia assets
Different didactical interaction
Different ways of delivering content
Self study and collaborative learning
11. DEFINITION
Telemedicine is the delivery of health care services where distance is a
critical factor by the health care professional using information and
communication technologies for the exchange of valid information for
diagnosis , treatment and prevention of diseases and injuries and for
continuing education of healthcare providers as well as researchers and
evaluations on all in the interest of advancing the health of individual and
technology - WHO
12. LANDMARKS OF TELE MEDICINE
1844- Public telegraph
1876-invention of telephone
1877-telephonic conversation in field of medicine
1906-ECG transmission through phone
1923-sahlgrens university hospital offered medical advice to trade ship
using morse code
1927-Experimental television transmission transmission was
undertaken
13. 1929-Jean Talon hospital used television to perform X-ray data transmission
1957-First interactive video link take place
1961-First radio telemetry
1967-Service at airport through an electronic link
1972 India tele service was launched
20. CHALLENGES OF TELEMEDICINE
Infrastructure
Tele communication
Medical technology
Quality
Hardware and software compatibility
Cost
Dispersion of liability
Privacy and confidentiality
Acceptance
Reimbursement
23. DEFINITION OF TELE NURSING
Tele nursing refers to the use of information technology in the provision
of nursing services whenever physical distance exists between patient and
nurse, or between any number of nurses. As a field, it is part of telemedicine
and has many points of contacts with other medical and non-medical
applications, such as telediagnosis , tele consultation, and tele monitoring
24. BENEFITS OF TELE NURSING
REMOTE
SERVICE
DELIVERY
PATIENT
COMFORT
IMPROVED BED
ALLOCATION
FINICAL SAVINGS
EMPLOYMENT
ACCESSIBILITY
25. oTele ICU
oTele triage
oTele trauma
oTele stroke
oTele pediatrics
oTele mental health
oTele cardiology
oTele home care
oTele rehabilitation
oForensic tele nursing
SCOPE OF PRACTICE
26. TYPES OF TELE NURSING
REMOTE
MONITORING
STORE AND
FORWARD
TELENURSING
SPECIALIST
INTERACTIVE
TELENURSING
27. ADVANTAGES OF TELE NURSING
Minimize the risk
Minimize the discomfort
Help to keep patient out of the hospital
Job satisfaction
Problem solving
Cost efficient
Time saving
Reduces length of stay
Reduces distance
28. DISADVANTAGES OF TELE NURSING
Fear
Valuable time cannot be replaced
Legal implication
Pay of services
Technical issues
Standardization
False diagnosis
Security and identification
False diagnosis
Skill cannot be assessed
29. The process of actively and skillfully ,conceptualizing applying
analyzing synthesizing and evaluating information to reach an answer
to conclusion .Disciplined thinking that is clear rational and open
minded an evidence based.
30.
31. A decision is a choice made between two or more available alternatives.
Decision making is the process of choosing the best alternative for
reaching objectives. (Samuel C. Certo, 2003)
Decision making can be defined as a process of choosing between
alternatives to achieve a goal. It is the process by which an individual
chooses one alternative from several to achieve a desired objective.
(Manmohan Prasad, 2003)
32. TYPES OF DECISION
Basic Decision or Strategic Decisions
All basic decision is strategic decisions involving large
range commitments and large investments.
33. ADMINISTRATIVE DECISIONS
Programmed decision: It involves organizations which an develop specific
process for handling these decision. • E.g. standing operating procedures and
policies.
Non – Programmed Decisions: They relate to general problem solving
process. They involve judgment, intuition and creativity.
Organisational or Personal Decisions
Organizational decisions reflect company policy. They can be delegated of
transferred to others.
34. Policy of Decisions
Policy decisions are taken by the top, management.
Individual & Group Decisions
The decisions taken by the an individual in the organization is known as
individual decisions
Routine Decisions
The type of decisions made when problems are relatively well defined and
common & when established rules, policies and procedures can be used to
solve them
35. Adaptive Decisions
The type of decisions made when problems and alternative solutions are
somewhat unusual and only partially understood.
37. CHARACTERSTIC OF DECISION MAKING PROCESS
From various courses of action, it is a process of choosing a particular course of
action.
It is a human process which involves the application intellectual abilities.
It is a rational process which is proceeded by deliberation and reasoning. It may also
be called as end process.
It is always related to situation in which a manager may take one decision in a
particular set of circumstances and another in a different set of circumstances.
This involves certain specific purpose in which these may just be decisions not to
decide.
40. STEPS IN DECISION MAKING
Making the diagnosis
Analyzing the problem
Searching alternatives
Selecting best possible solution
Putting the decision in to effort
Follow up the decision
41. MODELS OF DECISION MAKING
Normative Model
Seven steps are identified in the analytical precise model.
1. Define and analyze the problem
2. Identify alternative alternatives
3. Evaluate pros and cons
4. Rank alternative
5. Select alternative
6. Implement
7. Follow up
42. Decision tree model
Every path through the tree corresponds to a possible sequence of actions and
events, each with its own distinct consequences. Probabilities of both positive
and negative consequences of each action and event are estimated and
recorded on the appropriate branch
43. Possible events
Increased demand
for procedures
Decreased demand
for procedures
Increased demand
staff
Decreased demand
for staff
Alternative events
Hire regular staff
Pay over time and
on call wages
Decision
point
44. THE DESCRIPTIVE MODEL
The decision model is based on the assumption that the decision makes is a
rational person looking for acceptable solution based on known
information.
Establish acceptable goals
Define subjective perception
Select alternative
Implement decision
Follow up
59. Stress management techniques: evidence-based procedures that reduce stress and promote
health
Liza Varvogli* and Christina Darviri
According to the World Health Organization, stress is a significant problem of our times and affects both
physical as well as the mental health of people. Stress is defined as a situation where the organism‘s
homeostasis is threatened or the organism perceives a situation as threatening. Stress coping methods
are the cognitive, behavioral and psychological efforts to deal with stress. Method: After a thorough
literature review in major databases (MEDLINE, Scopus, Science Direct) the following techniques
were identified and are presented and briefly discussed here: progressive muscle relaxation, autogenic
training, relaxation response, biofeedback, emotional freedom technique, guided imagery,
diaphragmatic breathing, transcendental meditation, cognitive behavioral therapy, mindfulness-based
stress reduction and emotional freedom technique. These are all evidence-based techniques, easy to
learn and practice, with good results in individuals with good health or with a disease.
60. Effects and Effectiveness of Telemedicine
The use of telemedicine has recently undergone rapid growth and proliferation. Although
the feasibility of many applications has been tested for nearly 30 years, data concerning
the costs, effects, and effectiveness of telemedicine are limited. Consequently, the
development of a strategy for coverage, payment, and utilization policy has been
hindered. Telemedicine continues to expand, and pressure for policy development
increases in the context of Federal budget cuts and major changes in health service
financing. This article reviews the literature on the effects and medical effectiveness of
telemedicine. It concludes with several recommendations for research, followed by a
discussion of several specific questions, the answers to which might have a bearing on
policy development.
61. Perspectives of Nurses Toward Tele health Efficacy and Quality of Health
Care: Pilot Study
The primary objective of this pilot study was to examine whether tele health
technology impacts the perceived level of internal service quality delivered
by nurses within a tele health organization. To address this research goal, the
notion of tele health nursing service quality (TNSQ) is empirically tested and
validated with a survey instrument. The findings of this survey research were
positive, based on mean differences between expectations and perceptions of
TNSQ. This indicates satisfaction with TNSQ and shows that the quality of
the service is higher than what the respondents expect.
