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Premium member Presentation Transcript TELE NURSING : TELE NURSINGPowerPoint Presentation: Telenursing refers to the use of telecommunications and information technology for providing nursing services in health care whenever a large physical distance exists between patient and nurse, or between any number of nurses. As a field it is part of Tele health, and has many points of contacts with other medical and non-medical applications, such as tele diagnosis, tele consultation, tele monitoring, etc. Telenursing is achieving a large rate of growth in many countries, due to several factors: the preoccupation in driving down the costs of health care, an increase in the number of aging and chronically ill population, and the increase in coverage of health care to distant, rural, small or sparsely populated regions DEFINITIONS OF TELENURSING: “Telenursing” can be defined as using telecommunication devices to provide nursing care, utilising the nursing process to care for individuals or specific patient populations, such as isolated groups of people. Telehealth focuses on delivery management and coordination of services and care. The term ”Telenursing ”refers to the use of technology for delivering nursing care from a distance. As technologies like multimedia, imaging, and telecommunications have advanced and become more affordable, telenursing has become more and more feasible. Its primary benefits are reduced costs, improved quality of care, and the ability to see more patients more efficiently DEFINITIONS OF TELENURSINGPRINCIPLES OF TELENURSING: : There are guidelines to provide clear direction to RNs who engage in practice or plan to engage in this practice to enhance their ability to provide safe,competent,compassionate and ethical care. - Effective telenursing should be:- Augment existing healthcare services. Enhance optimum access,where appropriateand necessary,provide immediate acess to health care services. Follow position descriptions that clearly define comprehensive,flexible roles and rresponsibilities . Improve and enhance quqlity of care. Reduce delivery of unnecessary health services. Protect the confidentiality and security of information related to nurse client interactions PRINCIPLES OF TELENURSING: FUNCTIONS: Telenursing can perform the following functions : Monitoring patients who are suffering from a chronic disease Coordinating care for patients with complicated diseases or conditions, or numerous Co-morbidities Teaching patients to manage their disease sympto ms FUNCTIONS ADVANTAGES: Some of the advantages of utilizing telenursing are: Nurses can help more patients in less time due to the fact that there is no travel involved for the nurse Less nurses are required to reach more people Emergency room visits and hospitalizations may be decrease as patients don’t have to wait as long to be “seen” Patients can be monitored more closely Providers can collaborate more easily via the use of technology, saving both money and time Telenursing can improve patient compliance to prescribed care Patients who are discharged early from the hospital can be monitored at home for complications ADVANTAGESDISADVANTAGES OF TELENURSING: Decrease face –face interaction. Security of data. Risk of decreasing quality of care. Increase liability. Concerns with maintaining confidentiality. Likelihood of technology failure. Dehumanising effects. Knowledge base of nurse. Inability for patient to use equipment. Malfunctioning of equipment DISADVANTAGES OF TELENURSINGFUTURE OF TELENURSING: : The application of telemedicine for nurses include the following. Patient consultations :- These can range from a simple follow-up session after a procedure, to patient education as part of a disease management program, to more involved consultations that involve diagnosis and treatment Remote monitoring :- Devices used by the patient at home can collect and transmit medical data to clinicians for interpretation, so a medical intervention can be planned Education and career opportunities:- skills and competencies required by traditional bedside nursing. You’ll still be performing nursing assessments and taking on the role of patient advocate. It’s just that technology adds another piece to the puzzle – you should be skilled with healthcare informational technology (HIT). It’s an added bonus if you can help to design or refine technology-based delivery model. FUTURE OF TELENURSINGE-NURSING: E-NURSINGE-NURSING: e-nursing management suite is afull fledged solution which automates the day to day processes in your nursing care facilities like: Patients application Admission process Tackling daily health status Staff rostering Nurse schedule inquiry Daily nursing assessment Patient billing E-NURSING e-NURSING IN NURSING : e-NURSING IN NURSING PATIENT APPLICATION: Capture Patient Bio Data, medical condition and important contact information details.. With these, you will be able to ascertain the level of suitability of patient as well as the potential means of your organization in caring for the patient. PATIENT ADMINISTRATION AND MANAGEMENT: Admission preparation, bed assignment, norm charges details, patient care plan management and billing, all these functions can be easily accessed by your team, real-time, anytime, anywhere. .: STAFF ROSTERING: Working on lean resources? Perform effective planning of staff roster and functional duties scheduling so as to optimise your staff and at the same time, achieve optimal staff to resident ratio. NURSE SCHEDULE ENQUIRY: To lighten the already taxing demand of your healthcare specialists, TaskHub's Nursing Management suite allows your nurses to perform real-time inquiries on tasks required for the shift, instead of having the need to remember what needs to be done. This will allow your staff greater control of their tasks for the day and what is the respective status for duties to be carried out: PATIENT BILLING : Billing could be performed easily, with human errors being reduced. Hence, based on the norm costs, utilization of consumable items and services, recurring charges, monthly billing could be carried out GLOBAL ACCOUNTS PAYABLE MANAGEMENT Global accounts payable management system allows user to review at the corporate headquarter level, the list of outstanding supplier invoices versus the fully paid invoices, across individual entities. Hence, this helps your finance department better manage the payables and cash flow matters within your organization: DAILY NURSING ASSESSMENT: Critical patient details can be captured real-time and electronically. Designed to meet the common requirements of most inpatient care facilities, documentation of the patients' input ( eg : food, medication) and output ( eg : bowel movements, urine, vomitus ), vital signs like blood pressure, heart rate, etc,NURSING INFORMATICS: NURSING INFORMATICSDEFINITION: Nursing informatics is a specialty that integrates nursing science, computer science, and information science to manage and communicate data, information, knowledge, and wisdom in nursing practice. Nursing informatics facilitates the integration of data, information, knowledge, and wisdom to support patients, nurses, and other providers in their decision-making in all roles and settings. This support is accomplished through the use of information structures, information processes, and information technology which organize data information and knowledge for processing by computers. American Nurses Association (2008 ) DEFINITIONNURSE INFORMATICIST: : NURSE INFORMATICIST: Are expert clinicians with extensive clinical practice background *experiencing in utilising and implementing nursing process. Are expert nursing clinicians in utilising the nursing process * expert analytical and critical thinking skills. *understand patient care deliveryworkflow and integration points for automated documentation Have additional education and experience in information systems *are excellent project managers because of similarity between project management process and nursing process. NURSE INFORMATICIST: THE VALUE OF NURSE INFORMATICIST: : Support nursing work processes using techology Design systems to match clinical workflows Tele health Home health Ambulatory care Long term care Acute care all specialities Out patient settings Software development Redesign workflows Increase the accuracy and completeness of nursing documentation. Improve the nurses workflow Eliminate the redundant documentation Automate the collection and reuse of nursing data Facilitate analysis of clinicl data THE VALUE OF NURSE INFORMATICIST : ROLES OFNURSEINFORMATICIST: : Vendors * sales * software development * implementation * education to train clients/users Hospital systems * staff nurse super user * analyst – support or implement systems * directors / managers of nursing informatics * project managers * chief information officer Consultant *software implementation * process improvement * project management Other * education /research * public/policy * insurance organisation ROLES OFNURSEINFORMATICIST:FORENSIC NURSING: FORENSIC NURSINGFORENSIC NURSE: A Forensic nurse is a nurse with specialized training in forensic evidence collection, criminal procedures, legal testimony expertise, and more. The Forensic nurse becomes that liason between the medical profession and that of the criminal justice system. When you combine the medical training of a nurse, with the investigative prowess of police detectives and the legal training of a lawyer, you have created a formidable enemy for criminals. Forensic nursing is a relatively new aspect of the nursing field. While forensic nursing is a rapidly growing segment of the nursing profession, many nursing schools have yet to provide significant coursework in forensic nursing FORENSIC NURSEHOW IS FORENSIC NURSING EDUCATION DIFFERENT FROM OTHER NURSING EDUCATION PROGRAMS: Forensic nursing is different from other types of nursing education because students acquire the in-depth knowledge and skill that interfaces nursing with the law, law enforcement, forensic science, mental health and the health care and judicial systems. In addition to learning basic theory and concepts, students are introduced to the real-world aspects of forensic nursing and interacting with the law enforcement and legal systems. CSU’s program is structured so that students receive the core courses in the MSN: Specialized Population major. This allows students to gain a strong foundation in population health as well as theory and research. In addition, the students are required to take courses specifically related to the population of victims/perpetrators of crime, violence, or traumatic events. Students get hands-on experience in the second phase of the program which can include stints in local coroner’s offices, hospital ERs and critical care units, law offices, police departments, correctional facilities or other places forensic nurses could end up working. HOW IS FORENSIC NURSING EDUCATION DIFFERENT FROM OTHER NURSING EDUCATION PROGRAMSANA NURSING STANDARDS FOR FORENSIC NURSES : : There are many acronyms that are often used interchangeably when it comes to forensic nursing. There currently is not a national standard when it comes to the licensing and designation of a Forensic Nurse, so each state may have a different acronym. Each of the following are all quite similar, but each certification may have greater areas of focus on certain topics: SANE - Sexual Assault Nurse Examiner SAE - Sexual Assault Examiner SAFE - Sexual Assault Forensic Examiner FNE - Forensic Nurse Examiner SANC - Sexual Assault Nurse Clinician ANA NURSING STANDARDS FOR FORENSIC NURSES CAREER SPECIALTIES FOR FORENSIC NURSES : SANE (Sexual Assault Nurse Examiner) Medical Examiner's office Medical Legal Consultant Emergency Room Nursing Medico legal death investigator Evidence collection trainer Law enforcement teams CAREER SPECIALTIES FOR FORENSIC NURSES SPACE NURSING : SPACE NURSINGINTRODUCTION: The challenge is to have man living and working in a permanently based space station. Nursing is on the threshold of expanding the health care role to man's adaptation in outer space. Elements of man's physiologic and psychologic responses are involved in determining the most productive use of man and machines in the space environment. Curricular considerations for a career in space nursing are being explored. The projection of possibilities for practice of space nursing can produce effective contributions toward health care maintenance of the space station personnel. The challenge for nursing is to become a collaborating team participant in the exploration of living and working in space. INTRODUCTIONFIRST NURSE TO NASA'S FIRST ASTRONAUTS" : “Dee O'Hara Dee O'Hara was born in Nampa, Idaho in 1935. Dee was with the first seven Mercury astronauts and continued on with the other astronauts through the Gemini, Apollo and Skylab programs. During the last Skylab mission, she transferred out to Ames Research Center in Mountain View, California. The flight crews invited her back to participate in the Apollo- Soyez Test Program (ASTP) and the first shuttle flight in 1983. Dee saw all the launches from the first Mercury launch through the first shuttle launch. FIRST NURSE TO NASA'S FIRST ASTRONAUTS" : HOW DO WE MAINTAIN GRAVITY: The human body was developed to thrive under the force of gravity. This is why our muscular and skeletal systems are shaped the way they are. Over time , in a zero g or weightless environment, the bones of the body become brittle and certain muscles, like those in the thigh actually weaken. There are also worries about its effect on the circulatory system as well So if a voyage with the latest propulsion technology to Mars takes 11 months or more coming and going, there is a concern that the long amount of time in space might have even more detrimental effects, like making it impossible for astronauts to safely return to Earth . So scientist and even science fiction writers have been thinking about how to create gravity in space. There are several proposals some already proven and others that are still theory. The first is to us the centripetal force of a rotating hull. This is method is the most trustworthy as the effect has been observed on Earth : HOW DO WE MAINTAIN GRAVITYCONT….: Every object in the universe wants to go in a straight line. In the case of planets, its the pull of gravity from an object with great mass that curves most celestial object’s paths. In the case of a space craft it would be the hull itself. Since you can’t walk through solid walls the force of your body wanting to go in a straight line would resemble gravity. This theory has drawbacks. First, the amount of gravity you feel would vary depending on how close you are to the center of the craft. Scientists believe that the longer the radius of the spacecraft the less the effect will be felt. The other challenge is nausea. You are still basically on something like a huge merry go round. Like on its namesake, some people will be able to handle it and others will experience nausea. But in most cases its believed that if if the space craft rotates at 1 rotation per minute the nausea won’t be an issue. The other method of maintaining gravity is to constantly accelerate a spacecraft at 9.8 m/s, Earth’s acceleration due to gravity. The problem with this is that due to limitations imposed by fuel there is no spacecraft that can maintain this rate of acceleration more than 7 minutes. This idea might become possible if a more reliable source of propulsion is found. CONT….NURSING CARE IN SPACE: : Nurses can contribute meaningfully in the development of healthcare teams in space using their experience from Earth. For example a group of 64 perioperative and postanesthesia nurses, with an average 10 years experience, were informally asked to prepare a surgical suite in a space station. They had the same concerns found in space literature18 . Although this was informal research, it confirms that nurses can meaningfully contribute to the space program. Nurses finally may have a significant role in space. Although nurses have applied to participate in the astronaut program, none have been selected, and the reasons are speculative. One reason often cited is the multiple levels of education that dilute and confound nursing’s credibility. The entry level for most recognized professional careers is a Bachelor’s Degree with engineering now pushing for a Master’s Degree. NURSING CARE IN SPACECONT… : With that said, however, the best fit in the proposed healthcare team may be an advanced practice nurse; possibility an advanced practice nurse with perioperative and recovery experience. These nurses would be technically able to perform emergency procedures, understand and use aseptic techniques, be easier to guide through telerobotic or telesurgery than other crew members without healthcare backgrounds, have general nursing skills, familiar with recovery from anesthetics, able to multi-task, thus they are cost effective. These nurses would also need a solid background in infection control due to the closed-loop design of space craft. Infections allowed to contaminate the life support systems could seriously endanger the entire crew. It is easy to envision these nurses becoming central members of the space crew. CONT… INNOVATIONS IN NURSING EDUCATION : INNOVATIONS IN NURSING EDUCATIONINTRODUCTION:: In modern world we are confronting with four major problems that have an impact on education. Information explosion: explosion of knowledge. Horizon of human knowledge and understanding is expanding very fast. Communication explosion: this has made significant transformations in industry, agriculture, medicine, nursing, engineering etc. Information and communication technology: has the potential to transform education where and how learning takes place and roles of learner and teacher in learning process. A shift from instruction paradigm to learning paradigm. EDUCATIONAL TECHNOLOGY: Technology is the application of science to the needs of man and society. Educational technology is the application of many fields of science to meet the educational needs of individual and society as a whole. It include the entire process of setting goals, continuous reforms of curriculum, try out of new methods, materials, evaluation process and innovation. INTRODUCTION:IMPLICATIONS OF TECHNOLOGY ON NURSING STUDENTS: Nursing students are required to : Technologically literate. Willing to acquire the latest skill in use of technology Proficient in computer based multimedia. Able to access the technological appliances. Able to participate and take responsibility for own learning IMPLICATIONS OF TECHNOLOGY ON NURSING STUDENTSIMPLICATIONS OF TECHNOLOGY ON NURSING EDUCATORS: The Nursing Faculty must: Have the knowledge and skill in the use of Technology. Capable of interactive ,adaptive and reflective communication skills. Identify the areas of motivation. Provide structured and essential instruction. Provide discussion and feed back IMPLICATIONS OF TECHNOLOGY ON NURSING EDUCATORSIMPLICATIONS OF TECHNOLOGY ON EDUCATIONAL ADMINISTRATION: Shared vision – Pro – active leadership and administrative support Access – good infrastructure content standard and curriculum resources. Skilled faculty Provision of CNE. Technical Assistance. Budget. Supportive Policies IMPLICATIONS OF TECHNOLOGY ON EDUCATIONAL ADMINISTRATIONIMPLICATIONS OF TECHNOLOGY ON NURSING RESEARCH: Selection of problems (Research Questions) Review of literature – Books, Journal, editorial, websites, direct instruction with author Standardized scale for collecting data. CINHAL DATA BASE Participants in Research Software for data analysis SPSS Package IMPLICATIONS OF TECHNOLOGY ON NURSING RESEARCHPowerPoint Presentation: Bridging the gap between Nursing Education & PracticePowerPoint Presentation: Gaps identified in clinical Nurses : Failure to update and apply their knowledge in their daily practice. Ignorance or the rigid system in which they work or because they choose to ignore it. Lack of commitment to follow instructions, protocols etc.PowerPoint Presentation: Gaps identified in Nurse Educators : Teach outdated knowledge They are not taking enough efforts to know about the latest information on policies, protocols, procedures ect .PowerPoint Presentation: Gaps identified in Nursing Students : Failure to link knowledge to practice. Follow instructions but confused with the differences between what were learned and practiced which turns to reality shock .WHY ARE THE GAPS? : Nurse Practitioners little opportunity to attend CNE sessions - lack of staff lack of commitment to follow instructions, protocols, etc too many activities to be completed before the shift is over job has to be done asap failure to prioritise the importance of theoretical knowledge in practice short cuts are becoming habitual under pressure – stress – demotivated Nurse Educators busy with academic life and research – not enough time to go for clinical attachment, etc lack of commitment on clinical placement to update self WHY ARE THE GAPS?BRIDGING THE GAPS: Continuing nursing education. Tertiary education for nurses. Collaboration between nurse practitioners and educators. Clinical attachment for nurse educators. Performance assessment BRIDGING THE GAPSPowerPoint Presentation: Continuing Education: Collaboration between nurse practitioners and educators. Clinical attachment for nurse educators. Performance assessment. More critical in their thinking Increase competence and autonomy .PowerPoint Presentation: Teaching-Learning Approaches: Lectures, Tutorials, Discussions, Problem Based Learning, E-learning. Self directed learning, seminars, practical skills sessions, role plays. Patients simulations, research, field visits Clinical placementsPowerPoint Presentation: Opportunities for learning new knowledge: Lifelong learning is regarded as an essential component of professionalism. To maintain competencies and enhance quality of care for self advancement.PowerPoint Presentation: Circle of LearningMENTORING IN EDUCATION : MENTORING IN EDUCATIONINTRODUCTION: A mentor is an individual with expertise who can help develop the career of a mentee. The mentor guides, trains, advises, and promotes the career developmentof the mentee. Mentoring is a process of improving individual knowledge, work efficiency, and way of thinking. It is also about maximizing the individual’s potential, but this can be an off-line procedure, which means that the mentor may not necessarily be your boss or your supervisor Mentoring is a development partnership through which one person share knowledge , skills, information,and perspective to foster te personal and professional growth of someone else . INTRODUCTIONWhat is a mentor: A mentor facilitates personal and professional growth by sharing the knowledge and insights that have been launched through the years. *teacher: share your knowledge and experience *problem solver- refers mentees to resources and offers options *motivator-it is done through encouragement ,support and incentives. *coach – Coaching is a process of enabling individual learning and development, so performance and skills are enhanced What is a mentorPowerPoint Presentation: This is a very common type of coaching and mentoring especially in the workplace setting. Instead of rectifying issues of an individual’s performance, the coaching puts more emphasis on enhancing and identifying the person’s strengths in varied areas in order to create a better performance. PERFORMANCE COACHING AND MENTORINGPowerPoint Presentation: This kind of coaching and mentoring concentrates on developing the potentials and capabilities of a person, which can be useful for the role of the individual in a organization. The coaches or mentors must be highly adept in manifesting or demonstrating the skills that they also deliver to the individuals. The normal set-up for this type of coaching and mentoring is a one-on-one training that addresses the person ’ s knowledge, core skills and experience. B. SKILLS COACHING AND MENTORINGPowerPoint Presentation: The main objective of personal coaching and mentoring is to create significant changes in a person ’ s life. This type is based on a completely different approach from the perspective of the individual . c. Personal Coaching and MentoringPowerPoint Presentation: This is geared towards coaching and mentoring professionals, including the management and employees, in their goal to enhance professional and personal development. d . Executive Coaching and MentoringPowerPoint Presentation: THE MOST IMPORTANT MENTORING SKILLS Primary Coaching Skills Rapport-Building Listening Ability Questioning Ability Communication SkillPowerPoint Presentation: THE QUALITIES OF A GOOD MENTOR People-oriented FIRST STAGE : INITIATION STAGE FIRST STAGE RELATIONSHIP STARTSSECOND STAGE : CULTIVATION STAGE SECOND STAGE MENTOR–MENTEE BOND DEVELOPSTHIRD STAGE : SEPARATION STAGE THIRD STAGE MENTEE GOES OUT ON HIS OWNFOURTH STAGE : REDEFINITION STAGE FOURTH STAGE MENTOR AND MENTEE TREATS EACH OTHER AS EQUALSPowerPoint Presentation: EIGHT MENTORING MYTHS BUSTED Myth 1: Mentoring is a one-way street. Myth 2: A mentoring relationship can only be face-to-face . Myth 3: Mentoring is a time-consuming process. Myth 4: Expectations are the same for everyone . Myth 5: Mentors must be older . Myth 6: Developing a mentoring relationship is complicated. Myth 7: You need only one mentor at a time. Myth 8: Mentoring relationships happen on their own.THANK YOU : THANK YOU You do not have the permission to view this presentation. In order to view it, please contact the author of the presentation.