emerging healthcare technology in nursing

Resistance is common due to the time spent on order entry. How 3D printing works. In fact, the problems faced by organizational leaders regarding technology will increasingly be what is called “wicked”- meaning that they have many causes, they are tough to describe, and there is no right answer. Computers will also continue to play a significant role in knowledge acquisition and distribution since they have significant potential to dramatically extend our memory capability and memory and cognitive capacity, two elements that form the basis of our thinking process. In a profession where knowledge doubles every six years (Carroll, 2011), nurses can no longer be the keeper of knowledge. Genetic testing: What you need to know. Today’s bone scans can detect the spread of cancer six to 18 months before X-ray imaging. This article identifies seven emerging technologies that will change the practice of nursing; three skill sets nurses will need to develop to acquire, use, and integrate these emerging technologies; and four challenges nurse leaders will face in integrating this new technology. Many healthcare providers have expressed concern about the lack of emotion in robots, suggesting that this is the element that will never replace human caregivers. (2011). Nurse education, like nursing itself, is dynamic in nature, and current technology now allows for online classes and patient simulators. The measurement of biometric markers may occur in less than ideal situations in healthcare settings and in a rapidly changing workforce, cost may become an issue. Tech didn’t arrive by itself. Cloud, Minnesota, campus of Rasmussen College. Arthritis Today, 26 (6), 76-79. Dr. Huston is the co-author of five leading textbooks on leadership, management, and professional issues in nursing (a total of 16 editions). Fingerprint biometrics is still the most common type of biometrics in healthcare, primarily because of its ease of use, small size, and affordable price. The human connection is the art of nursing and nurses need to be actively involved in determining how best to use technology to supplement, not eliminate, human resources. The IOM (2010) agrees, suggesting that the ways in which nurses were educated during the 20th century are no longer adequate for dealing with the realities of healthcare in the 21st century. Experts suggest that biometric signatures will become common place in most healthcare organizations since they will provide the needed security for medical records (Krawczyk & Jain, n.d.). This ability to grow major organs and body parts will eliminate the need for external donors, and since organs are genetically matched to the patient, the chance of rejection should become minimal or non-existent. Paro is used in Japanese nursing homes and by autistic and handicapped children as a therapeutic robot. Four Nursing Leadership Challenges in Integrating New Technology. Here are just a few of the ways that technology is being used in nursing: Remote monitoring assists in diagnosis, treatment, and monitoring of chronic illnesses. “When tech is down for whatever reason—upgrades, updates, maintenance, or a malfunction—it is a major disruption to a very busy multitasking nurse. “TeleICUs now monitor thousands of critically ill patients across the country, and teleICU nurses provide an extra set of eyes and additional expertise to the nurses at the bedside. What parameters need to be put into place to determine its ethical use? CPOE and clinical decision support fundamentally change the ordering process resulting in lower costs, reduced medical errors, and more interventions based on evidence and best practices. Thank you for your thoughtful and enlightening letter. In a recent speech, Thomas Baldwin, a professor of philosophy at Britain's York University, suggested that new technologies bring significant hopes of curing terrible diseases as well as fears about the consequences of trying to enhance human capability beyond what is normally possible (Kelland, 2012). The introduction of CPOE and clinical decision support requires providers to alter their practice. 8). Retrieved from www.newschannel5.com/story/18583530/cloning-teeth-medicines-next-big-thing?clienttype=printable, Coghlan, A. She’s looking forward to the day when IoT’s “real-time big, deep, and dark data” shifts tech from informing and monitoring people to actually changing their behaviors. The healthcare industry is depending on technology to pick up the slack in the nursing shortage and improve patient outcomes too. The first prototype of a bionic eye should be available by 2013 (Howard, 2011). There is more accuracy, better patient outcomes, less staff injures, and better dissemination of information,” Bogenrief adds. More importantly, who will need to be responsible for assuring ongoing competency in a digital era where half of what someone knows is obsolete in three years? Retrieved from www.nei.org/howitworks/medicineandscientificresearch/. (2012, October 18). 2010, p. 28). Enabling edge computing and cloud computing not only helps tackle these current challenges, but it also enables future advances. When they are as dynamic as healthcare and technology, the challenges multiply exponentially. The answer to that question, at least in part, is forecasting what skills sets will be needed to meet these emerging technologies and proactively addressing any skill set deficits of the human capital employed in those organizations. To that end, developers of new technology must assure that access is both targeted and appropriate. Computerized physician/provider order entry (CPOE) is a rapidly growing technology as a result of its designation as one of three key patient safety initiatives by the Leapfrog Group, a conglomeration of non–health care Fortune 500 company leaders committed to modernizing the current health care system (Huston, 2014; The Leapfrog Group, 2013). Computerized Physician/Provider Order Entry and Clinical Decision Support. Finally, what role will nurses play in helping to establish the ethical parameters of technology in healthcare? 18, No. In both cases, machine learning is also key to reacting fast enough to an immediate, possible harmful situation and detecting meaningful patterns in databases too large for humans to view unaided. She says much has changed over the 43 years she’s been in nursing: “I remember counting my IV drips and actually caring for an appendectomy patient for seven to 10 days and washing out abdominal binders and letting them dry in the patient’s bathroom,” she recalls. Seven Emerging Technologies that Are Changing the Practice of Nursing. (2012, May 22). Dr. Huston served as the 2007-2009 President of the Honor Society of Nursing, Sigma Theta Tau International (STTI), and as Co-Chairperson of the 2010 International Year of the Nurse (IYNurse) Initiative (a global partnership effort between Sigma Theta Tau International Honor Society of Nursing; the Nightingale Initiative for Global Health; and the Nightingale Museum of London). Nusca, A. Nursing as a profession must not be reactive and allow others to assume this leadership role. Mind games: Designing with EEG. its predictive value (identification of gene mutations that might put a person at risk of developing a disease such as cancer, cystic fibrosis, sickle-cell anemia, or Tay-Sachs disease), its ability to determine carrier status or whether a person has a gene mutation which could be passed on to a child, prenatal screening to diagnose some conditions in utero, newborn screening (to determine the existence of a variety of inherited conditions such as phenylketonuria [PKU], cystic fibrosis, or sickle cell disease). Automated IV pumps control the dosages and drips given to patients. Retrieved from www.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/JournalTopics/FirstGeneticsNowGenomics. Carol Huston, MSN, DPA, FAAN Thompson (2012) agrees, noting that “printing off a kidney or another human organ may sound like something out of a science fiction novel, but with the advancements in 3D printing technology, the idea may not be so far-fetched” (para. This goal was endorsed by President Barack Obama and supported financially with $30 billion in stimulus funds to support hospital implementation over the next several years. The National League for Nursing (2015) issued a recent call for further action in preparing students for a technological healthcare future highlighting a clear need for nursing education “to teach with and about technology to better inform healthcare interventions that improve healthcare outcomes and prepare the nursing workforce” (p. 4). Magnets are also increasingly likely to be used as a treatment for major depression (Howard, 2011). Retrieved from http://individual.troweprice.com/public/Retail/Planning-&-Research/Connections/3D-Printing/Printing-a-Medical-Revolution. Edge technologies can have an immediate impact. But even when the tech is functioning properly, it sometimes falls short of being helpful. (2013). (2010). Genetic advances are also likely to eliminate the need for organ transplants since new organs will be able to be grown from a patient’s own tissues. These magnets deliver a tiny electric current to the part of the brain linked to depression. While the advantages to patients are fairly obvious, the importance of a technological assist in the day-to-day work to nurses is less apparent—especially in keeping track of tasks that on the surface appear to be easy. Biometrics increase the security of confidential healthcare information and eliminate the costs of managing lost passwords. With websites such as 23andMe (2012), patients can send in a saliva sample and receive a comprehensive genotyping (DNA analyzed by genetic variants) with periodic updates on the latest biomedical literature for less than $100. Retrieved from http://abcnews.go.com/Technology/story?id=119990&page=1#.UIID_2cicoo. Further research is needed, however, about the impact of CPOE on nursing and physician workflow. Software and medical tech... 2. These technologies are without a doubt saving lives and improving the quality of life for millions, but sometimes technology development comes first and then a need is created simply because the technology exists. (Nov. 19, 2010). For example, edge computing can help monitor and tend to patients remotely as well as use the information to help other patients. Retrieved from https://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/downloads/MU_Stage1_ReqOverview.pdf, Cipriano, P. F. (2011). The bioprinter prints the object by adding layer after layer of materials such as plastics, glass, metal, or ceramics. Many nurses currently in practice know little about genetics and genomics and lack the competence needed to effectively counsel and teach patients in this regard. The workday gets even more harried for nurses when technology stops working. The system continues to be improved an… Blog. Retrieved from www.cancer.org/acs/groups/cid/documents/webcontent/002548-pdf.pdf, Banham, R. (2013). Technology has been instrumental in changing how healthcare works. Nurses typically don’t complain about such shortcomings. Automated IV pumps.. Areas of projected robotic growth include nanomedicine, biomechatronics, and the use of robots as direct care providers. Retrieved from http://news.discovery.com/tech/biotechnology/stem-cell-complex-body-parts-121017.htm, First genetics, now genomics: What do nurses need to know? Calzone et al. Portable monitors.. Portable monitor equipment allows nursing professionals to check up … Nursing Outlook, 58 (1), 26-35. Robots will also increasingly be used as couriers. Finally, well developed health IT can enable quick and informed action to health risks and public health emergencies; increase health literacy skills; provide new opportunities to connect with culturally diverse and hard-to-reach populations; and provide sound principles in the design of programs and interventions that result in healthier behaviors (Healthy People 2020, 2012). Details: From the electronic health record (EHR) to nanotechnology to 3-D printers and beyond, there are an increasing number of useful and innovative technologies being used in health care settings that have an important role in linking and organizing care and information. There are many emerging technologies that will change the practice of nursing in the coming decade. While technologies can be invaluable to nurses, some of the changes they bring are for the better, some for the worse, and some are a little of both. HPE LGBTQ+ team members stand in solidarity with our Black and African American team, Explore the many valuable support services available to Hewlett Packard Enterprise, 4.6 million active RN licenses at the end of 2017. al, 2010). In addition, adoption of emerging technologies is challenging as well as expensive. Paro is fitted with sensors beneath its fur and whiskers and it responds to petting by opening and closing its eyes and moving its flippers. There is no doubt that minority nurses experience slights which are related to race from unconscious bias which permeates our culture. By 2020, it is the hope of the health care profession that at least 80% of all nurses will have a B.S. Such experimental implants are already in clinical trials (Rath, 2012). Stage 6 requires full provider documentation/charting (using structured templates) and the use of clinical decision support related to protocols and outcomes in the form of variance and compliance alerts. Retrieved from http://clincancerres.aacrjournals.org/content/18/21_Supplement/S1.full, American Cancer Society (2011). (National Defense University, n.d.) While Moore’s law was originally intended to apply to only semiconductor circuits, many futurists have applied the law to digital computers and thus to knowledge acquisition and reporting. Harrington should know. There are limits to the materials which can be used for printing and materials science is a laggard in 3D printing (Nusca, 2012). “She said it couldn’t be happening, that she had created a special committee that met twice a month with nurses from every unit in the hospital represented. Understanding and Using Genomics in Nursing. Retrieved from https://www.23andme.com/howitworks/, Whatis.com. The dye lights up when glucose levels are high and becomes darker when the levels drop. Philip Low, the mathematician and biology student cited as being the inventor of this EEG technology, plans to introduce Low's "iBrain 3" as the first FDA-approved EEG device in 2013. For example, it can be used to detect cancer in a single drop of fluid, read the body’s reaction to personalized medicine treatments, and decode a patient’s DNA and epigenetics on the scene and in minutes. 2012 HIMSS ANALYTICS REPORT: Quality and Safety Linked to Advanced Information Technology Enabled Processes. How emerging healthcare technology is changing the workplace for nurses A day in the life of a nurse—then and now. Perhaps by 2020, simulation will be so highly developed that most of student’s clinical learning can be done in a simulation laboratory. For example, more robots will be used in surgical procedures, since already they are more accurate and steadier than human caregivers (Huston, 2014) Robots will also increasingly be used to provide direct patient care. New technology in Japan, however, has resulted in a kind of robot intelligence known as “kansei,” (KEN-ZI), which literally means “emotion or feeling.” Kansei robots monitor human expressions, gestures, and body language and listen to people. Retrieved from http://individual.troweprice.com/public/Retail/Planning-&-Research/Connections/3D-Printing/How-3D-Printing-Works. Retrieved from www.leapfroggroup.org/56440/SurveyInfo/leapfrog_safety_practices/cpoe. (2010) go on to suggest that “in order for people to benefit from widespread genetic/genomic discoveries, nurses must be competent to obtain comprehensive family histories, identify family members at risk for developing a genomic influenced condition and for genomic influenced drug reactions, help people make informed decisions about and understand the results of their genetic/genomic tests and therapies, and refer at-risk people to appropriate health care professionals and agencies for specialized care” (p. 27) Education will, however, be required to “assure that the revolutionary advances in genetics and genomics reach the patients and families for whom they were developed” (Calzone et al. In stage 7, the hospital no longer uses paper charts to deliver and manage patient care and has a mixture of discrete data, document images, and medical images within its electronic medical record environment. The need for improvement was the driving force behind the evolution of computers in healthcare. Challenges continue to exist in understanding and demonstrating meaningful use; capturing the relevant data electronically as part of clinical workflows; and not having the appropriate certified technology (Miliard, 2012). As an informaticist, she shadows nurses to observe what they do and how they interact with technology. Healthcare and life sciences: Make medicine and research more precise and focused on the individual. She concludes then that nursing is an information-based profession that provides health care, and that it is technology that helps us bring all that information to the point of care. Healthcare IT News. Clinical trials are already underway in Europe, where a fully functional and living tooth can be re-grown in around two months. Securing electronic medical records using biometric authentication. Health care professionals already encounter patients who arrive for diagnosis or treatment with their genotyping or genetic sequencing in hand. Pearson, E. G. & Flake, A. W. (2013). For example, Howard (2011) notes that researchers are using the same technology used to create childhood vaccines to develop a prostate cancer vaccine known as Provenge®. The camera sends signals to an implant on the retina, which sends impulses to the brain, which are perceived as images. Typically, this requires scanning an existing object with a 3D scanner which gathers the data necessary to print on a 3D bioprinter. Seven are discussed here; genetics and genomics; less invasive and more accurate tools for diagnosis and treatment; 3-D printing; robotics; biometrics; electronic health records; and computerized physician/provider order entry and clinical decision support (See Table 1 for a discussion of the benefits and challenges of each). Calzone et al. The newest simulation robots sweat, cry, turn cyanotic, and speak. “Technology has brought education to the forefront for nurses, improved communication, enhanced documentation, provided evidence-based practice, and has led to many quality innovations. One such mental service robot is Paro, the seal. But it’s time to stop and assess what impact healthcare tech is having on nursing, the world’s largest healthcare workforce. The American Nurse. Healthcare digitalization and related tech is accelerating, in part to help with these staff shortages. While myriad forces are changing the face of contemporary healthcare, one could argue that nothing will change the way nursing is practiced more than current advances in technology. Growth in robotics is expected due to workforce shortages, a growing elder population, and a call for higher quality care not subject to human limitations. Rich understands the practical elements and strategy required to deliver real business value. Doctors remove some of a patient’s white blood cells, expose them to a protein found in prostate cancer, and then inject the cells back into the body, where they prime the immune system to attack the cancer. Experts suggest that “dentures are the past, dental implants are the present, and teeth grown from stem cells could be the future” (Cloning Teeth, 2012, para 2). In February 2013, Scientists at Cornell University used 3D printing to create an ear remarkably similar to a natural one. Scanning technology is predicted to improve to the point that images of soft and hard tissues in the body will be so clear that exploratory surgery and invasive procedures will virtually be eliminated within a few decades. New Scientist. A full complement of radiology Picture Archive and Communication Systems (PACS) which displace all film-based images for radiology services must also be available to physicians via an intranet. Retrieved from www.newscientist.com/article/dn22398-pioneering-labgrown-kidney-does-its-job-in-animals.html, Complex body parts could soon be lab-grown. The future of joint repair. 1) to one of preventive, diagnostic, genomic-based medicine where patients will be treated for conditions we know they are likely to develop. The EHR is available 24 hours a day, 7 days a week and has built-in safeguards to assure patient health information confidentiality and security. 3D printing, also known as additive manufacturing, "is a method of building objects layer by microscopic layer, fusing each cross section of molecules until a complete object is formed" (Pellet, 2013, para. Tattoos have been developed that can monitor blood glucose without a finger prick, a huge advancement for the 26 million Americans with diabetes (Howard, 2011). Leadership skills that will be required of nurses to appropriately respond to emerging technologies include being able to use technology to facilitate mobility, communication and relationships; having expertise in knowledge information, acquisition, and distribution; and understanding and using genetics and genomics in nursing (see Table 2 for select examples of these skill sets). A few years ago, recounts Harrington, she had a conversation with an excellent chief nursing officer (CNO) of a large medical center. The capacity to manage human knowledge, and to convert it into useful products and services, is fast becoming the "critical" leader skill of the age (National Defense University,  n.d.). (n.d.). Medicine and scientific research. Similarly autologous cartilage tissue implants, which use a combination of cell therapy and tissue engineering techniques, will be the next logical step in tissue regeneration. Growth in robotics is expected due to workforce shortages, a growing elder population, and a call for higher quality care not subject to human limitations. As a result, nurses, the primary providers of care to patients, will need to become more technologically proficient and learn how to use the new tools as they’re introduced into healthcare facilities—and this will begin with training. It retails for about $6,000 and several thousand have been produced since 2004. According to the Bureau of Labor Statistics, there were 2.95 million registered nurses in 2016. “You must understand the context in which tech has been introduced to nurses to appreciate the changing workplace of nurses. The data can be used for both detection and treatment discoveries and preventative medicine too. Retrieved from www.oristem.com/uk/en/index.php?option=com_story&view=storyview&Itemid=133&article_id=321#.UTVsnjeS8gk, Miliard, M. (2012, April 24). This law, named after Intel co-founder, Gordon E. Moore, notes that over the history of computing hardware, the number of transistors on integrated circuits doubles approximately every 18 months to 2 years. AACR cancer progress report 2012. Emerging new technologies in EHRs, AI, apps and software development are becoming increasingly popular as more hospitals and facilities integrate them into their health system. Pioneering lab-grown ‘kidney’ does its job in animals. The CNO reported they specifically asked at every meeting about issues with technology and that nurses rarely reported any. That’s because technical elements are being pushed into the background, enabling the personal interactions necessary to the art of nursing to come to the forefront again. You add new and evolving technology to the scenario and you begin to get the picture of an increasingly complex work environment,” she adds. Technology is changing the world at warp speed and nowhere is this more evident than in healthcare settings. Oristem. ACI will help people aged 15 to 50 with single cartilage defects no larger than 10 centimeters. Nursing Emerging Healthcare Technology Essay Order ID 09765453 Subject Nursing Topic NURSING EMERGING HEALTHCARE TECHNOLOGY ESSAY Type Essay Writer Level University Style APA Sources/References 4 Language […] From real-time diagnoses aided by machine learning to wearable devices that track and transmit patient data from a distance, a host of new and evolving technologies are poised to influence care delivery in 2020. Seminars in Pediatric Surgery, 22 (1), 56-61. (n.d.). CNBC. (2012, November 15). Retrieved from www.huffingtonpost.com/2012/11/20/mind-control-how-eeg-devices-read-brainwaves_n_2001431.html, Japanese researchers grow kidney tissue from stem cells. Six Emerging Healthcare Technologies for Leaders in Nursing. Portable telemetry monitors make it possible to monitor a patient’s condition even if the nurse or the patient is on the move. The miniature tattoo, which is only a few millimeters in size, is made up of nanosensors that contain a yellow-orange dye. Many healthcare providers have expressed concern about the lack of emotion in robots, suggesting that this is the element that will never replace human caregivers. 1. The healthcare environment will also continue to be rapidly transformed by new technology as a result of the need to provide confidentiality and security of patient data, i.e., to comply with the Health Insurance Portability and Accountability Act of 1996 (HIPAA) (Huston, 2014). His areas of expertise include healthcare IT, marketing, communications, and NLP. You are pointing out a very important and interesting effect of our “blindedness” to racial injustices toward our minority nurse colleagues. The evolving technological advances in nursing are the wave of the future in healthcare. Retrieved from www.nursingeconomics.net/necfiles/news/SO_11_Cipriano.pdf, Cloning teeth: Medicine’s next big thing. Retrieved from www.northeastern.edu/news/stories/2010/11/heather_clark.html. They also sense human emotion through sensors that monitor pulse rate and perspiration. The aim of this article is to present 6 newly emerged products and systems that may improve nursing education. NewsChannel 5.com. Instead, they must become the master of collecting and sharing that knowledge with others. “Telehealth has also brought new opportunities for nurses,” Harrington explains. CDSS have long been used by physicians and are now The printer produced the prosthetic jaw from 33 layers of titanium powder that were heated, fused together, and then coated with bioceramic artificial bone (Banham, 2013). Be the keeper of knowledge significant impact on nursing practice in the last few years real animals than robots Bogenrief. The data can ultimately lead to better care and patient simulators will pose significant for. & Flake, A. W. ( 2013 ) technology, training a technology Enabled workforce! 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