Getting a Picture

Abstract

While navigating disparate and disconnected information and communication technologies, Getting a Picture was important for providing safe, holistic, person-centered care.

Digital nursing practice theory: A scoping review and thematic analysis

“…The use of technologies in order to ‘know’ patients is a central concept in three of the identified theories (Locsin & Purnell, 2015; Nagel et al, 2016; Shankel & Wofford, 2016). It is broadly theorized that the use of technology may allow nurses to develop a greater insight into the patient by use of technologies.…”

“…For example, in the TCCN (Locsin & Purnell, 2015), ‘knowing’ the patient includes consideration of data yielded from technological devices such as diagnostic or monitoring tools to allow nurses to know patients in the moment. This is expanded in Nagel et al (2016) who argue that in the virtual domain, nurses must develop skills to synthesize data about their patients from a variety of digital sources to understand the patient. In theory, this should include not only contemporary clinical or biomarker‐type data but also data about the patient indicating potential cultural or demographic factors which may influence care decisions.…”

“…They argue, similarly to Locsin and Purnell (2015) that the creation of technology itself is also a means to express care for patients. The competencies explored within existing theories extend beyond nurses as technicians but suggest that nurses need to develop skills to synthesize patient data across numerous poorly integrated digital technologies (Nagel et al, 2016), develop skills to evaluate the ethical and clinical implications of using AI (Tanioka et al, 2019) and take an active role in the development of technology (Bahari et al, 2021). Crucially, these competencies reflect a vastly changed context for nursing care.…”

“…In some theories, the agency of technologies is explored more explicitly. In the Nagel et al (2016) theory, it is recognized that poor interoperability between digital technologies may influence the ability of nurses to ‘know’ their patient. This is due to the fragmented data associated with the patient.…”

Technology: A metaparadigm concept of nursing

“…This assertion notwithstanding, technology from the engineering perspective may be rather challenging to reconcile with the aspects of morals and the art of nursing (Carper, 1978). Caring behaviours such as compassion/compassionate care (Ali et al, 2022;Andersson Marchesoni et al, 2017), being authentically present (Pratt et al, 2021), knowing the 'person' of the patient (Macdonald, 2008;Nagel et al, 2013Nagel et al, , 2017, listening (Sandelowski, 2002), human-to-human interactions (Buckner & Gregory, 2011), and trust (Andersson Marchesoni et al, 2017) which are subjective in nature may be difficult to explain from the engineering perspective which alludes to the fact that this perspective may be associated with only a slice of reality.…”