24 Internet Tools for Advanced Nursing Practice

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CHAPTER 24: “Internet Tools for Advanced Nursing Practice”:

CHAPTER 24: “Internet Tools for Advanced Nursing Practice” PREpared by: Hanalyssa Bunac Teoxon

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Spint - is the commercial pioneer of fixed wireless broadband technology. It provides geographical mobility up to 35 miles. Both wireless and fixed wireless talk/internet time is usually limited to about 5-6 hours with standby time up to 1 week. Wireless application permit Internet connectivity. -It allows for Web-based clinical decision support, patient and clinician e-mail communication, and point-of-care electronic health record data entry, data sharing, and messaging, including prescription writing.

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Wireless technology is electromagnetically safe. Bluetooth radio technology, on which wireless devices rely, was found to be safe and robust even within intensive care environments. ( Wallin and Wajntraub , 2004)

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The Internet is increasingly an important adjunct to safe practice. The number of practical tools available on the Internet increases each year. This may result in information overload, unless the user knows how to retrieve and structure available tools. Retrieval cannot solely depend on the book marking of Web pages. They change as Web editors and designers add new information and tools.

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Basic and advanced Internet search skills are needed to adapt to a frequently changing Internet environment and to retrieve the wealth of Internet information. To facilitate adaptation, this chapter: -describes basic and advanced Internet search methods. -structures the presentation of Internet-available clinical practice tools. -discuss the eClinicaLog and its applicability to advanced practice.

“Basic and Advanced Internet Search Methods”:

“Basic and Advanced Internet Search Methods” Regardless of the search engine used, certain search methodologies, if applied correctly, increase the efficiency of retrieval of needed information. The strategies are three: -name precisely the information being sought -use search strings rather than single words and -enhance search strings by using boolean or natural language methods.

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* name precisely the information being sought. -the internet is not a book. If the search terms used are precisely chosen, the searcher goes directly to the desired information. * use search strings rather than single words to increase the preciseness of a search. -this principle may appear simple, but many fail to apply the principle when searching the Internet. * enhance search strings by using boolean or natural language methods. -use the boolean terms: AND, OR, or NOT. The term ‘AND’ is used when search terms or strings need to be added together. The term ‘OR’ is used when equivalent terms or synonyms are used to capture the information required.

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Clinical information obtained from governmental domains is likely to be less biased than information obtained from commercial sites. The credibility of content from educational Web sites varies and is likely to be directly related to the academic quality of the university the Web site represents. An organizational Web site is likely to present organizational interests and bias. There is a vast difference in quality among commercial Web sites. It is therefore incumbent on the clinician to evaluate the credibility of the information obtained.

Metasearch –is a simultaneous search of multiple search engines or database.:

Metasearch –is a simultaneous search of multiple search engines or database. -it represents a process similar to parallel, federated, broadcast, or cross-database searches. Examples of two metasearch providers are: -NLM Gateway ( http://gateway.nlm.nib.gov/gw/Cmd ) -a privately produced site Ithaki ( http://www.ithaki.net/indexu.htm ) There are also Internet sites that provide how-to information on a adding a metasearch capability to a Web site. They includes: -digital windmill (http://digitalwindmill.com/) - eMetasearch (http://emetasearch.com/)

St. John’s Wort: Four Internet Domains.:

St. John’s Wort : Four Internet Domains. *Government Domains *Educational Domains *Organizational Domains *Commercial Domains

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Conclusions: -credible information on specific clinical topics is readily available on the Internet. The type and depth of information varies by domain and by the purpose of the web site within domains. For clinical decision support purposes, it is suggested that a database of sites be kept readily available for use. With this particular search, government and university sites provided the best available information.

“Internet-Available Clinical Practice Tools”:

“Internet-Available Clinical Practice Tools” This section is divided into the most basic components of the nursing process: assessment, diagnosis, treatment, and outcomes evaluation. These components provide the outward structure for the development of a Clinical Information Database for Advanced Practice Nursing. The internet sites selected are listed within this structure.

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Although the listing is not exhaustive, it does represent carefully selected examples of the types of clinical information available on the internet. This structured approach to clinical information database development is clinically useful, helps clinicians organize their own knowledge databases, and facilitates ready access to needed information.

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*Assessment - refers to systematic collection of data needed to arrive at one or more diagnosis. The tools included in this section include forms, miscellaneous screening tools, risk assessment instrument, and information of the manifestation of signs and symptoms. *Diagnosis - Treatment is diagnostic-specific. Hence, diagnosis and treatment information categories are frequently not discreet. Practice guideline often address assessment, diagnosis, and treatment.

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The etymology of the word “diagnosis” is based in its Greek roots. “Dia” means “through” and “gnosis” means “knowledge”. Diagnosis is dependent on the knowledge base of the person diagnosing. Disease represents the knowledge base of nursing. A classification of functional health and disability terms represents a beginning step toward the elaboration of a unified health professional knowledge base. These knowledge bases are displayed within classification systems specifically:

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*Medical classification of disease, e.g., the International Classification of Disease. *Nursing classification of human responses to illness and health, e.g., the NANDA Classification of Nursing Diagnoses. *Functional health and disability, e.g., the International Classification of Functioning in Health and Disability.

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*Treatment -The term “treatment” is used here in lieu of interventions and nursing actions, because it expresses more precisely the broad clinical management focus of this section.

That’s all guys ,.,., hope you learned something… :

That’s all guys ,.,., hope you learned something… 

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