Question

Identify a specific health technology that has been used within the last 10 years. Then, create a PowerPoint presentation that includes the background, the financial implications, the ethical concerns (e.g., equality, equity), and the meaningful use of the health technology. Additionally, explain the impact that the health technology has had on the healthcare industry.

Answer 1

TELE NURSING

INTRODUCTION

Telenursing is the utilization of media communications innovation in nursing to improve understanding consideration. It included the utilization of electromagnetic channels (e.g., wire, radio, and optical) to transmit voice, information and video interchanges signals. It is characterized as separation correspondence, utilizing electrical or optical transmissions among people or potentially PCs.

DEFINITION

The   practice of nursing   over   a   distance   using         telecommunication technology.

(National Council Of State Boards Of Nursing NCSBN, 1997)

TELENURSING EXAMPLES

• Phone
• Interactive Video
• Phone Triage
• Internet Support
• Remote Telemonitor

TECHNOLOGY USED

Hardware (physical computer body)

• Computers (laptops, desktops)
• Palm computers
• Telephones
• Graphic’s card
• Sound cards

Types

1.Remote

• The nurse monitors the   patient remotely from                      his/her house.
• Patient collect and   transmit data to nurses ;      the nurse plans the                   intervention.
• Used   for   handling   chronic     diseases    like            heart                 disease, diabetes, asthma etc.

2. Interactive

It involves series of interactive sessions with client via phone conversations and online communication.

Used to obtain history, physical tests, psychiatric assessments, ophthalmology evaluation

3.Store and forward nursing

Used to obtain medical images, audio or video data that can be forwarded to a   nurse at a suitable time for evaluation offline.

Areas utilized are dermatology,

    radiology and pathology

Mode of delivering

1. Point-to- point   connections using   private network
2. Web-based e-    health patient   service sites
3. Networked programs
4. Connections to   monitoring Centre   from home
5. Primary or specialty care to   the home   connections

PORTABLE COMPUTERS (LAPTOPS/PALM COMPUTERS)

• Wireless technology increases a computer’s portability
• May be used in hospitals or other community nursing settings
• Allow nurses remote access to medical records
• Allows electronic documentation in remote locations
• May be used in two way audio/video conference

SOFTWARE (PROGRAMS TO OPERATE ACOMPUTER)

• Monitor, keyboards, mouse, printer
• Web cameras, speakers, microphone
• Email,     database,     word-processing, conference call

internet,     browsing,

WIRELESS NETWORK

• Provides wireless networking between hospital computers
• Allows for wireless Internet access
• Used in Video conferencing between nurse and patient
• Used in emails, Instant messaging.

SOFTWARE EVALUATION

• Efficiency strongly depends on server
• Software design varies between medical facilities
• Usability is dependant on internet access at home

NURSE INFORMATICS

• Collecting data from Patient
• Assessing data using knowledge
• Document all retrieved data
• Utilize critical thinking skills
• Provide nursing interventions

APPLICATION OF TELE NURSING

• Home care
• Patient consultations
• Telephone triage Remote monitoring
• Chronic disease management

Benefits

For Patients

• Increase health access
• Economical
• Saves time

For Nurses

• Saves time
• More efficient seeing distant patients
• Rural providers can receive               continuing education
• Available as a specialty program

For Hospital

• Administrators save travel time and funds                by attending meetings                 via telenursing
• Addresses shortage of nurses
• Service available to more clients

Advantages

• Increase public access to health care
• Provide access in rural areas
• Decrease wait times
• Decrease unnecessary hospital visits
• Decrease healthcare costs
• Increase continuity of care
• Increase patient compliance with aftercare

Disadvantages

• Decreased face-to-face interaction
• Risk of decreasing quality of care
• May increase liability
• Concerns with security
• Concerns with maintaining confidentiality

Legal issues

• Maintaining patient privacy
• Verifying consent
• Nursing Licensure across state lines

Maintaining compliance with scope of practice

ETHICAL CONCERNS

• Maintaining autonomy (identity, privacy)
• Maintaining patient’s integrity
• Prevent harm to a patient
• Confidentiality and the law: involvement of non –clinical personnel,      hackers and cyber theft, vulnerability of transmission lines to security breaches
• Patient-nurse relationship: it is difficult to establish when a nurse- patient relationship has been established. To know when a duty of care is owed to a patient
• Patient consent to disclosure of information