Nurses' experiences in dealing with technology

Rob Fraser MN RN
University Health Network Registered Nurse PatientOrderSets.com Order Set Developer

Conflict of Interest Disclosure ! Web Advisor for Connecting Nurses (Supported by, Sanofi Aventis)

Nursing disclaimer

Outline
! ! ! ! ! Why nurses matter Development and implementation New tools Risks mitigation Measurement

What do nurses do?

Nurses are inventors

Improve the status quo Improve needle safety

Nightingale wanted EHRs

In attempting to arrive at the truth, I have applied everywhere for information, but in scarcely an instance have I been able to obtain hospital records t for any purpose of comparison. If they could be obtained...they would show subscribers how their money was being spent, what amount of good was really being done with it, or whether the money was not doing mischief rather than good... - Florence Nightingale 1863

Nurses participate in all areas of care Primary care Acute care Long-term care Home care Telehealth

Nurses are global innovators

Denmark Philippines

Cameroon

Canada

Proximity to patient

! Monitor/assess ! Implement orders ! Manage care ! Educate

Nurses insights into technology

! ! ! !

Human factors Outcomes Readiness Behavior change

New tools
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *

No magic pill

Need to think of them as tools

! Content Sharing ! Social Networks ! Collaborative Tools

Digital tools
! Content Sharing Knowledge Mobilization ! Social Networks Patient Education ! Collaborative Tools Research

Accelerate knowledge transfer

Increase transparency & accountability

Augment reality

Tools have risks

Professional advice
1. Confidentiality 2. Provider boundaries 3. Professional Image 4. Use privacy settings 5. Report harmful images 6. Develop organizational policies

Prevent mistakes

Benefit Yourself

Benefit Others
! ! ! ! ! ! ! ! Podcasts Online feedback for reports Innovation Competitions Social Media Policy Communities of Practice Event coordinating Membership Payments Twitter chats

Technology needs quality improvement

! Need more than one ! Quantitative & Qualitative ! May change over time

What can be measured?

! ! ! ! ! ! ! Website analytics User surveys Link tracking Inbound links Usability testing Health outcomes Process improvement

Engagement

Views Educational use Comments

Participation Discussion posts Email newsletter

Sharing ideas Time on site Page views Links clicked

Implementation Usage Patient information Text analysis

Summary
! ! ! ! Develop and implement Research, test and share Consider and mitigate risk Measure and improve

Questions?
! What is the next crackberry? ! What trends will affect healthcare next? Rob Fraser MN RN Contact@RobertFraser.ca NursingIdeas.ca @rdjfraser

Image Sources
! ! ! ! ! Nurse Needle Tools Image other images from iStockPhotos.com Icons from http://picons.me