Technological Advances in Nursing Care Delivery

Sullivan, Debora Henline

doi:10.1016/j.cnur.2015.07.005

Cited by 5 publications

(4 citation statements)

References 39 publications

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“…Some ICTs, such as EHRs and computerized nursing care plans, facilitate access to patient information and help to document and plan nursing care [7]. However, with the use of these technologies, nurses are expected to change the way they document patient care by shifting from paper-based records to electronic systems.…”

Section: Introductionmentioning

confidence: 99%

Impact of Information and Communication Technologies on Nursing Care: Results of an Overview of Systematic Reviews

et al. 2017

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BackgroundInformation and communication technologies (ICTs) are becoming an impetus for quality health care delivery by nurses. The use of ICTs by nurses can impact their practice, modifying the ways in which they plan, provide, document, and review clinical care.ObjectiveAn overview of systematic reviews was conducted to develop a broad picture of the dimensions and indicators of nursing care that have the potential to be influenced by the use of ICTs.MethodsQuantitative, mixed-method, and qualitative reviews that aimed to evaluate the influence of four eHealth domains (eg, management, computerized decision support systems [CDSSs], communication, and information systems) on nursing care were included. We used the nursing care performance framework (NCPF) as an extraction grid and analytical tool. This model illustrates how the interplay between nursing resources and the nursing services can produce changes in patient conditions. The primary outcomes included nurses’ practice environment, nursing processes, professional satisfaction, and nursing-sensitive outcomes. The secondary outcomes included satisfaction or dissatisfaction with ICTs according to nurses’ and patients’ perspectives. Reviews published in English, French, or Spanish from January 1, 1995 to January 15, 2015, were considered.ResultsA total of 5515 titles or abstracts were assessed for eligibility and full-text papers of 72 articles were retrieved for detailed evaluation. It was found that 22 reviews published between 2002 and 2015 met the eligibility criteria. Many nursing care themes (ie, indicators) were influenced by the use of ICTs, including time management; time spent on patient care; documentation time; information quality and access; quality of documentation; knowledge updating and utilization; nurse autonomy; intra and interprofessional collaboration; nurses’ competencies and skills; nurse-patient relationship; assessment, care planning, and evaluation; teaching of patients and families; communication and care coordination; perspectives of the quality of care provided; nurses and patients satisfaction or dissatisfaction with ICTs; patient comfort and quality of life related to care; empowerment; and functional status.ConclusionsThe findings led to the identification of 19 indicators related to nursing care that are impacted by the use of ICTs. To the best of our knowledge, this was the first attempt to apply NCPF in the ICTs’ context. This broad representation could be kept in mind when it will be the time to plan and to implement emerging ICTs in health care settings.Trial RegistrationPROSPERO International Prospective Register of Systematic Reviews: CRD42014014762; http://www.crd.york.ac.uk/PROSPERO/display_record.asp?ID=CRD42014014762 (Archived by WebCite at http://www.webcitation.org/6pIhMLBZh)

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Section: Introductionmentioning

confidence: 99%

Impact of Information and Communication Technologies on Nursing Care: Results of an Overview of Systematic Reviews

et al. 2017

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“…12 They are often delivered by nurses, and the expansion of these technologies, and more recently, the expansion of payment for these services during the COVID-19 pandemic has created an abundance of opportunities for nursing to provide health care that can improve outcomes at lower cost. 13 Across and beyond these models, studies are emerging that describe how VBPs could lead health care organizations and payers to see nursing expertise differently. Several studies describe nurses being "activated" in new roles and new jobs, as well as the idea that all team members (nurse support staff included) must be called upon to practice to the full extent of their education and license.…”

Section: Telehealth and Mhealthmentioning

confidence: 99%

“…Technologies for remote sensing and communication through telehealth and mHealth (mobile and wireless technologies) hold great potential to improve access to care for people living in rural and underserved areas and to ameliorate rural and ethnic/minority health disparities 12. They are often delivered by nurses, and the expansion of these technologies, and more recently, the expansion of payment for these services during the COVID-19 pandemic has created an abundance of opportunities for nursing to provide health care that can improve outcomes at lower cost 13…”

Section: Developing Nursing's Response To Vbpsmentioning

confidence: 99%

Value-Based Payment

Pittman

Rambur

Birch

et al. 2021

Nursing Administration Quarterly

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Among the many lessons that have been reinforced by the SARS-COVID-19 pandemic is the failure of our current fee-for-service health care system to either adequately respond to patient needs or offer financial sustainability. This has enhanced bipartisan interest in moving forward with value-based payment reforms. Nurses have a rich history of innovative care models that speak to their potential centrality in delivery system reforms. However, deficits in terms of educational preparation, and in some cases resistance, to considering cost alongside quality, has hindered the profession's contribution to the conversation about value-based payments and their implications for system change. Addressing this deficit will allow nurses to more fully engage in redesigning health care to better serve the physical, emotional, and economic well-being of this nation. It also has the potential to unleash nurses from the tethers of a fee-for-service system where they have been relegated to a labor cost and firmly locate nurses in a value-generating role. Nurse administrators and educators bear the responsibility for preparing nurses for this next chapter of nursing.

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“…Some examples of these features in which electronic health records are inserted are clinical decisionmaking systems, computerized prescriptions, radiofrequency identification data, smart pumps and callhealth. 8 It is known that not all institutions have these resources, meanwhile, this does not mean that nurses cannot undertake within their workplace suggesting, constructing or implementing a new technology.…”

Section: The Usability Of Electronic Health Recordsmentioning

confidence: 99%

The implementation of electronic records related to the nursing process: integrative review

Costa

Linch

2020

R.pesq.:cuid.fundam.Online

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Objetivo O estudo objetivou identificar quais estratégias estão sendo utilizadas na implementação de registros eletrônicos relacionados ao processo de enfermagem, nas bases de dados: PubMed, Scopus e Web of Science. Métodos Trata-se de uma revisão integrativa na qual os descritores utilizados foram electronic healthrecords e nursing process. Resultados Os dados encontrados indicam que os estudos em sua maioria foram pesquisas quantitativas, publicadas no periódico Nursing informatics (Studies in Health Technology and Informatics) desenvolvidas em universidades e no continente americano. Conclusões Os dados apontam que a maior parte das pesquisas são referentes a usabilidade do registro eletrônico em saúde. Outros aspectos abordados foram as fragilidades e perspectivas associados ao uso do registro eletrônico, bem como o processo de enfermagem em sistemas informatizados.

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Technological Advances in Nursing Care Delivery

Cited by 5 publications

References 39 publications

Impact of Information and Communication Technologies on Nursing Care: Results of an Overview of Systematic Reviews

Impact of Information and Communication Technologies on Nursing Care: Results of an Overview of Systematic Reviews

Value-Based Payment

The implementation of electronic records related to the nursing process: integrative review

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