Saturday, October 30, 2010

The Future of Nursing Informatics


The world, as we know it, has not changed in terms of circumference since the beginning of time.  However, it grows smaller every day.  With technology's fast changing pace, we all must strive to keep up.  Everything around us has evolved into something bigger, or smaller, and better.  From cell phones and computers, to airplanes and motor vehicles, each generation of new models deems the last almost unrecognizable.   

Due to the overwhelming presence of technology in the world, everyone must adapt to the changes that accompanies.  As a RN, I see how technology continues to change the medical field.  I feel that the biggest thing for nurses to do is embrace new advancements in technology.  If it helps increase patient safety then it is worth learning and implementing.  

How Nursing Schools can Integrate Healthcare Informatics

Throughout the years of being in school, I have seen firsthand how technology has grown and changed.  No, I am not old enough to say that I used to walk to school, uphill, both ways and in the snow, but I do remember NOT having dry erase boards, SMART boards, computers in every room, or TV’s.  Even though our schools now have the options mentioned above, there is still room to grow.  Currently I am still using a pen and paper during lectures and printing out assignments and notes.  I feel like colleges could develop and implement hand held devices for students to carry around.  These devises could have specific software installed to enable the students to create and manage various assignments and documents relevant to the courses that they are taking.  These devices could be connected to a switchboard to ensure that only school specific work is being produced.  Also, a form of IM communication or forum could be installed to promote communication and discussion amongst instructors and students.

How the Nursing Profession Could Embrace Technology Better

One thing that could be created and implemented would be a closed circuit camera in patient rooms.  These cameras could be connected to a blue tooth device that would enable a new nurse to communicate with a more experienced one. With the camera and the phone, a nurse would be able to consult with another about any questions or concerns he/she had about an assessment, medication, etc.  This would eliminate the need of the nurse to go out to the nurses’ station to ask questions or make phone calls.  It would benefit the patient most of all because there would be uninterrupted and increased time at the bedside.  

Another idea would be to have online translators.  Since most hospital rooms have TV’s, we could patch in a translator directly into the patients room using the TV.  No longer would we have to wait 2 hours for someone to be there in person, or pass a phone back and forth.  Since language barriers are becoming more of an issue, I believe that this would be an effective way to help eliminate the problem. 


Friday, October 22, 2010

Annotated Webliography of Preeclampsia

Preeclampsia was first described in the 19th century.  It is a condition that occurs in pregnancy after the 20th week of gestation.  Its hallmark signs are hypertension, proteinuria and edema.  Preeclampsia can range from mild to severe and include various complications that can affect the entire maternal system as well as affect the unborn fetus.  Eclampsia is the severe form of preeclampsia involving tonic-clonic like seizures.               
The only “cure” for preeclampsia and eclampsia is delivery.  Indications for delivery, when greater than 20 weeks gestation, include the following: maternal compromise, eclampsia, intrauterine growth restriction, thrombocytopenia, hepatic or renal failure, or if the mother reaches 38 weeks gestation (Baldwin & McCoy, 2009).
The most important thing to do for a Preeclamptic patient is to be supportive and reassuring throughout their entire hospitalization.  This disease can be very frightening and it is important for these patients to remain calm and focus on getting to an appropriate gestational age so that they can deliver a healthy baby.  The maternal and fetal well-being is of upmost importance and anything that can help the mother through this difficult time is well worth it. 
I chose this topic area because it affects my chosen career.  As a labor and delivery nurse I am seeing more cases of preeclampsia and eclampsia each week.  It is important for anyone starting a family to be aware of this disease and all it entails.
The following websites were chosen based on the content they provide.  After careful research and elimination of non-reputable pages, I have put this list together.  The information provided through each site has been proven to be accurate.
Preeclampsia Foundation
This site provides the general public with a brief yet informative overview of preeclampsia.  Also available is an online “support group” that allows families to post their experiences with this disease.  A thorough review of preeclampsia is not available through this site, but it gives the reader a foundation to build on. 

Wikipedia
Preeclampsia
Although not necessarily regarded as a scholarly reference, Wikipedia offers the reader a substantial amount of information.  Hyperlinks are available throughout the reading which offers the reader further clarification on various aspects of preeclampsia. 

American Academy of Family Physicians
Pregnancy-Induced Hypertension
This site offers answers to frequently asked questions regarding preeclampsia and its warning signs.  A brief overview is also provided along with hyperlinks to other complications in pregnancy.  These links are helpful to those who are curious about what pregnancy may entail and how to protect the health of themselves and their baby.

WebMD
Preeclampsia and Eclampsia
This web page explains the differences between preeclampsia and eclampsia.  After reading the available content, the reader will be able to compile a list of causes and risk factors for preeclampsia.  Also offered are answers to common questions regarding the disease and possible treatments that could be implemented.

National Center for Biotechnology Information
This database offers the researcher an abundance of recently published scholarly articles.  To access full text articles, the user creates a free account.  The few minutes that it takes to create an account is well worth the time once you see the reputable information that becomes available. 

U.S. National Library of Medicine
Medline Plus: High Blood Pressure in Pregnancy
A database associated with the U.S. Department of Health and Human Services, offers the user an overview of high blood pressure and general causes, including preeclampsia.  Hyperlinks are available to guide the reader to further readings of preeclampsia including the latest news, clinical trials, research, and journal articles.  This database grants the reader several avenues to explore. 

Baldwin, K., & McCoy, S. (2009). Pharmacotherapeutic options for the treatment of preeclampsia. American Journal of Health-System Pharmacy, 66(4), 337-344. Retrieved from CINAHL Plus with Full Text database.


Sunday, October 10, 2010

Health Care Informatics

What is Health Care Informatics? 
Informatics is defined by McGonigle and Mastrian as the “…combination of nursing science, information science, and computer science” (2009, p5).  There are indeed many ways of defining informatics, but this definition is stated clearly.  Nursing science involves the use of knowledge gained through study, research, and general practice “…to provide services and interventions to patients in order to maintain, enhance, or restore their health”, which in turn advances the profession of nursing (McGonigle, & Mastrian, 2009, p6-7).  Information science involves “…the input, processing, output, and feedback of data information through technology integration with a focus on comprehending the perspective of the stakeholders involved and then applying information technology as needed” (McGonigle, & Mastrian, 2009, p19).  Computer science, although complex, is relatively user friendly.  With the basic components of hardware and software, nurses input their accumulated information and data into the structure which then can be maneuvered and accessed at any given time (McGonigle, & Mastrian, 2009, p29). 
Why is Health Care Informatics important? 
            Informatics is the collection of data technology, which plays a major role in medical decisions and its affect when applied to patient care (McGonigle, & Mastrian, 2009, p108).  “[T]he focus on nursing informatics research should be on the structuring and processing of patient information and how these inform nursing decision making in clinical practice” (McGonigle, & Mastrian, 2009, p13).  Since patient care is the sole aspect of nursing, informatics integration in nursing practice is vital.  Nurses use technology more and more each day while providing patient care.  Examples of this include: pulse ox, telemetry, ultrasound, EEG, ECG, fetal monitoring equipment, infusion pumps, and especially the electronic medical record.  The list can go on and on.  Evolving technology is all around us, so why shouldn’t healthcare evolve as well?  Try to imagine taking care of patients without the involvement of technology and what are you left with?  A stethoscope, pen, and paper?  Does this sound like it would be efficient and safe?  The answer is NO.   “The future of nursing science and nursing informatics is intimately associated with the nursing education and nursing research arenas” (McGonigle, & Mastrian, 2009, p12).  It is important not only nurses but every healthcare worker to be active in informatics.  We must all adapt and change to benefit the patient.  The best way to do this is to become more knowledgeable about computers and what they have to offer.   “Current computer hardware and software offer vital and valuable tools for both nurses and clients to engage in onscreen and online activities that provide rich access to data and information.  It is imperative that nurses become discerning yet skilled users of computer technology in order to apply the principles of nursing informatics to practice and to contribute to the profession’s ever-growing body of knowledge” (McGonigle, & Mastrian, 2009, p50). 
            There are many aspects of Health care Informatics that I did not address, but hopefully this provides you with a general overview of what it entails.  Any curiosity of informatics can be fulfilled by additional study and research.  May your world transform to the ever-growing and infinite changes of technology and its affect on the health care industry. 
McGonigle, D, & Mastrian, K. (2009). Nursing informatics and the foundation of knowledge. Sudbury: Jones and Bartlett Publishers.

 

Thursday, October 7, 2010

Life as a Nurse

Being a nurse is hard work.  I love what I do but it is not all rainbows and good times.  Many people believe that working on Labor and Delivery is a breeze and that all we do is deliver babies and hold them and coo over them, etc.  This is not the case.  We may not have a "team" of patients, but we do work very hard.  Not only are we caring for the mother, but also her baby that we are not able to treat directly.  We have to rely on our ultrasounds and heart rate monitor to ensure us that everything is okay.  Labor and Delivery can be a high risk area the majority of the time.  Many things can go wrong in just a few seconds and physicians rely on us to be able to catch the warning signs in time to save the mother and her baby.  We are not always fortunate and God intervenes.  I am thankful after each and every shift for a healthy mom and a healthy baby.  My heart goes out to the families who are not so fortunate leaving our hospital, which happens way too often...