Top Banner

Click here to load reader

Nursing meets the Millennium: Future of Nursing in the Information Age Patricia Flatley Brennan, RN, PhD, FAAN Moehlman Bascom Professor School of Nursing

Dec 24, 2015



  • Slide 1
  • Nursing meets the Millennium: Future of Nursing in the Information Age Patricia Flatley Brennan, RN, PhD, FAAN Moehlman Bascom Professor School of Nursing and College of Engineering University of Wisconsin-Madison
  • Slide 2
  • Goals zDefine nursings social role. zDescribe the present and future role of information technology in the practice of nursing zIdentify modifications in nursing practice to capitalize on information technology
  • Slide 3
  • Nursing the diagnosis and treatment of human response
  • Slide 4
  • Nursings Social Responsibility
  • Slide 5
  • diagnose and treat human responses
  • Slide 6
  • Critical Events in YOUR Nursing Life zThink of an incident during the last 4 days in which you fulfilled nursings social role yBe as explicit as possible - time of day, who involved, how you felt zNow -- identify three points in this incident at which information or communication was important zCould you get what you wanted? Express what you had to say? Know what you needed to know?
  • Slide 7
  • Informatics needed to support Nursings Social Role zIdentify & describe phenomena indicative of the human response y INFORMATICS NEED: Produce a language zDiscover & evaluate therapeutic interventions to treat human responses y INFORMATICS NEED: Create therapeutics Record interventions, Monitor responses zCollaborate with other disciplines to fulfill health care goals yINFORMATICS NEED: Communicate
  • Slide 8
  • Information Technology today zPromises almost met yComputer-based patient records xDataRepositories xFormal languages yTelemedicine xRemote access to expertise and consultation xConsumer Health Informatics zThe Challenges ySecurity yAuthentication yThe digital Divide yLegacy systems
  • Slide 9
  • Slide 10
  • Moving the site of care
  • Slide 11
  • On the horizon... Integration of different data types, with particular emphasis on time-variant data Intelligent agents and meta-data that support efficient use of knowledge resources (text, images, sound) Merging of public health and personal health data Re-engineering of clinical practice to capitalize on informatics advances
  • Slide 12
  • Promising (ie, not yet here) IT Applications zDistributed records management systems yW3EMRs and CareWeb: Web front-end to legacy information systems zAuthentication and Authorization yHealtheon zConsumer Health Informatics yCareLink yCHESS yHeartCare
  • Slide 13
  • HeartCare: Meeting the Challenges of CABG Recovery zMonitor, Manage, Mend, Motivate zDemands in the discharge encounter zPatient-centered, tailored information
  • Slide 14
  • HeartCare Evaluation Plan zRandomized Field Evaluation y6 Months experimental period y140 adults recovering from CABG surgery zThree Groups yHeartCare: WWW-based recovery support yCHIP, An Audiotape Intervention yUsual Care
  • Slide 15
  • The HeartCare Intervention zHome-based Unit: yWebTV(C) box & 19 television zServer supplies: xMonitor & Recovery Information Four periods: Wks 1-2, 3-6, 7-12, & 13-26 xProfessional & Peer contact
  • Slide 16
  • Tailoring Recovery Resources to Patients zEstablishing the tailoring model yPatient Profiles yAccess (TM) database zDelivering WWW resources on-the- fly, across the recovery period yActive server pages sorting nurse- identified or developed WWW pages
  • Slide 17
  • Patient ID Login Is Female Preferred Name DoB DoD Reading Level Information Method Patient Condition Condition Sequence Description Condition Keyword Page Patients Menu WWW Knowledge Resources URL Screen Title Male? Female? Reading Level Core CreationDate Title Organization Comments Hcare Menu Name Sequence DaysBegin DaysEnd TimePeriod Tailoring Health Information
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Contemporary Health Care rests on a successful partnership between Clinicians, Delivery Systems, and Patients
  • Slide 23
  • SMART Patients
  • Slide 24
  • z Self-assured z M otivated z A ware z R esourceful z T alented
  • Slide 25
  • Remember they may also be: z Scared z M inors! z A nxious z Reluctant z Time consuming
  • Slide 26
  • Common behaviors of SMART patients zself triage zvalues and preference clarification zparticipative zcollaborative zindependently engage in health promotion
  • Slide 27
  • What they arent : zcomplacent zquiet zunchallenging zsimilar
  • Slide 28
  • Clinicians responses to the SMART patient: z engaging z tolerant z dismissive z condescending
  • Slide 29
  • The Challenges for Clinicians zUse technology to help make patients SMART zTreat them as a resource zChange our practice activities to capitalize on their talents zReorganize our practice environments
  • Slide 30
  • Clinical Practice Issues zHenderson ...what the patient can do... zRe-examining every action yFind the right balance of workers zTrusting our colleagues zTiming of interventions yWhat must be done now, what should wait for later?
  • Slide 31
  • Nursing Roles zContent Expert zEnvision a clinical practice that makes use of the patient as a resource zRe-organize care and care activities to incorporate patients
  • Slide 32
  • Constructing a Health Care Delivery System responsive to SMART Patients rests on effective, appropriate IT!
  • Slide 33
  • Critical Event, Take II zRecall the event identified earlier yReview the information intensive and communication sensitive elements zCircle those for which todays presentation suggested a solution zStar one for action on Monday zList at least one IT-related aspect zList at least one System Level aspect zList at least one clinical aspect
  • Slide 34
  • Patient-Centered Systems zClinical Records z Network Communication zConsumer Health Informatics
  • Slide 35
  • Clinic Hospital Physician Office Pharmacy Furtive Records Dentist Patient-Centered Information Systems
  • Slide 36
  • Seen any SMART patients lately?...theyre there, everywhere!
  • Slide 37
  • zSlides and references will be available on Monday November 1 at
Welcome message from author
This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.