NURSING,MIDWIFERY, AND

TECHNOLOGYDR. MARILYN R. COLADILLA

LearningOutcomes

Reflecton

the pros and cons oftechnology in nursing andmidwifery

Considerhow modern technologieshave enhancedhealthcare delivery

Explorethe roles of midwives andnurses in the healthcaredelivery

LearningOutcomes

Consider future technological trendsin nursing and midwifery

GAIN

a greater understanding oftechnology in nursing andmidwifery evidence-basedpractice.

MIDWIFERY AND NURSING SERVICESIN THE HEALTHCARE DELIVERY

Nurses andMidwives

are ◦ .

Globally, nursing and midwifery services sharecommon attributes that include:

1. Caring for, supporting and comfortingclients;

2. Continuously assessing and monitoringhealth needs and responses tointerventions

3. Advocacy and education of clientsand communities

4. Identifying the care gaps anddeveloping appropriate responses

5. Delivering and coordinating healthservices across the care spectrum

IMPLICATION◦ Failure to strengthen theprovision of nursing andmidwifery services willseriously impair thequality of health care,access to services, well-being of practitioners,and the achievement ofthe national and globalhealth goals.

NURSING, MIDWIFERY, ANDTECHNOLOGY IN THE CARE OF

CLIENTS

◦Currently, all professionsare using informationcommunicationtechnology (ICT)innovations that aretransforming the 21stcentury learningenvironment.

◦Nurses and midwivesmust now be tech savvyto navigate onlinecharting systems,update health records,schedule care andmore.

Efficient use ofhealthcaretechnology

systems have animportant roles inorganization andmanagement of

nursing andmidwiferyservices

(Langowski, 2005; A y, 2007;Barton, 2010; Lammint

akanen, Saranto, & Kivinen,.2010).

A. In recording, storingand sharing the patient

information

B. In alertingchanges of patient

condition

C. In standardizationof nursing care

planningD. A verting medical

complications

E. In decreasing thepatient care costs

F. In facilitatingclinical decision

making

G. In speedingup the

communicationnetwork

H. In statisticalevaluation anddevelopment

I. In identifyingpossible future

diseases

J. In escalationof maintenance

time

PROS AND CONS OF TECHNOLOGYIN NURSING AND MIDWIFERY

PROS AND CONS of Technology inNursing and Midwifery

PROS

oImproves patient safetyand careoTime-saving for nursesoCosts- saving investmentfor healthcare facility

CONS◦Dehumanizes patientcare◦Not viewed as time-saving by all nurses◦Generational gaps inlearning and learningstyles

PROS

oEstablishes “BestPractices” evidence-based nursing/midwiferyoEnables on/offsite-skills-building and increasedproficiencyoResponse tonursing/midwiferyshortage

CONS

◦Maybe perceivedreplacing criticalthinking/problemsolving skills◦Potential for breachesin confidentiality

TECHNOLOGY TOOLS TO SUPPORTBEST PRACTICES OF NURSES AND

MIDWIFES IN THE HEALTHCAREDELIVERY

The nursing and midwiferyprofessions are rapidly

changing to keep up withadvancements and new

challenges in thehealthcare field.

◦ Since Nightingale's work inimproving healthcareconditions, the progress ofevidence based practicehas evolved over time.Effective nursing andmidwifery cares rely on thegathering and use ofnursing and midwiferyevidences.

If the startingpoint for betterchoices isbetterevidence,then thechallenge ofEBP boils downto at leastthreerequirements:

Evidence-based decision makers must besupported to do the following:1. Know what to do—best evidence about

best practices informs decision making.2. Do what is known—they recognize

problems, formulate questions, selectresources, and apply knowledgeappropriately.

3. Understand what is done—health choicesand outcomes are iteratively validated

Healthinformationtechnologysupports theevidence-

basedpractice in

different ways:3. It also supports research that can

unravel findings to inform andimprove healthcare practices.

2. It reduces the time of findinginformation to make decisions on

healthcare.

1. It can help to locate, manage andutilize the information they require inhealthcare practice (Umscheid et

al., 2010).

6. Health information technology helps in implementing researchfindings (Jamal et al, 2009).

5. It provides with quick and easy access to trusted evidence-basedinformation and education tools.

4. It offers various modes for gathering information, keeping andprocessing data, as well as analyzing the information.

Nurses and midwives arenecessary to adopt the useof health informationtechnology in order to:

◦ Improve patient care andminimize health costs.◦Operate at a level of high

quality and efficiencyaccording to expectations ofpatients and healthcareexperts.

◦ Reduce concernsrelated to thequality of patients’care, incidences ofimproper medicaltreatment, andincrement of healthcosts

THE FUTURE OF TECHNOLOGY INNURSING AND MIDWIFERY

The Futureof NursingandMidwiferyTechnologyis Exciting(http://blog.diversitynursing.com/blog/the-future-of-nursing-technology-is-exciting)

◦Technologycontinues torevolutionizehealthcare and haveentered an excitingnew frontier of state-of-the-art gadgetsand high-techcommunicationsystems.

◦ Some of these changesare made possible by ourgrowing ability to utilizebig data to improveoutcomes through thefield of health informatics

◦These innovativetechnologies cansignificantly help driveefficiency andproductivity andempower healthcareproviders by providingreal time data andclinical interpretation"

◦Others by awe-inspiringadvancements inmedical science,telecommunications,and even robotics.

STATE-OF-THE-ARTGADGETS AND

HIGH-TECHCOMMUNICATION

SYSTEMS

VEINFINDING

TOOL

◦ Is designed for Nurses insertingperipheral IV catheters by providingan immediate and clear image ofveins using just two-button controls.The easy-to-use device for adults andpediatrics.

VEINFINDING

TOOL

STETHEESTETHOSCOPE

◦ Is a wireless stethoscope that letsyou listen, see and feel your ownheartbeat.◦Pair it to your phone or bluetoothheadset for high-quality audio ofheart, lungs, and other bodysounds.

STETHEESTETHOSCOPE ◦ .

CHIPMONITORS

BLOODSUGARLEVELS

◦An artificial intelligence (AI)solution to monitor critically illdiabetes patients.◦ It's a tiny chip that can monitorblood sugar levels in real timeand trigger software toadminister insulin or glucose viaa drip that a patient is hookedup to.

CHIPMONITORS

BLOODSUGARLEVELS

A NEW VISION FOR NURSING ANDMIDWIFERY, IN A DIGITAL AGE

(HTTPS://WWW.RCN.ORG.UK/-/MEDIA/ROYAL-COLLEGE-OF-NURSING)

1. Betteroutcomes

for patients

◦ Data, information,knowledge andtechnology had thepotential to improveservices for peoplereceiving care, andfor populations, sothat they had betterexperiences andachieved betterhealth andwellbeing outcomes.

2. Betterexperiences

for staff

◦ The working lives of nurses andmidwives could be improved andexperience increased levels ofsatisfaction and empowerment intheir roles.

3. Moreefficientways ofworking

◦Nursing and midwifery care could bedelivered more efficiently and free todevote more time to the people andpopulations who need their services.

Implications for Improving Qualityand Safety◦Return to bedside for additional direct care time◦Reduce opportunities for error◦Medication administration◦Communication◦ Timely acquisition of equipment/supplies◦Patient identification

Summary◦ Technology solutions can eliminate repetitive andmundane tasks◦Nurses and midwives will be able to spend more time ondirect patient care.◦Development and testing of technology by nurses andmidwives will speed adoption and reduce learningproblems.◦ Technology transforms and innovates the health caredelivery system.

Parting Words◦ “I believe technology will continue

to evolve —both mobile anddesktop—to allow staff to bettercommunicate with each other,”◦ Additionally, “I think there is a rising

trend of technology being used togive patients better access to theirplan of care and communicatewithout the face-to-faceinteraction with the health careprofessionals.”

QUESTIONS