What are the different technologies used in patient care within the included studies? What are nurses and nursing students’ attitudes and beliefs regarding these technologies?

Digital Literacy in Nursing

Nurses and Nursing Students’ Attitudes and Beliefs Regarding the Use of Technology in Patient Care: A Mixed-Method Systematic Review

Saab, Mohamad M. PhD, RGNLanders, Margaret PhD, RNT, RGN, RMEgan, Sophia MPHMurphy, David PGDip L&T, BMusHegarty, Josephine PhD, RNT, RGNAuthor Information

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Abstract

Advancements in information technology and computer science have resulted in the development of computerized healthcare information systems. Information technology can optimize patient care through providing immediate electronic education. The purpose of this mixed-methods systematic review was to synthesize evidence from studies exploring nurses and nursing students’ attitudes and beliefs regarding the use of technology in patient care. Electronic databases Academic Search Complete, CINAHL, MEDLINE, Education Full Text, PsycARTICLES, Psychology and Behavioral Sciences Collection, PsycINFO, and ERIC were searched. The methodological quality of the studies was assessed using the Mixed Methods Appraisal Tool. Convergent integrated synthesis was conducted. Eight studies were included. Technologies used in the reviewed studies include smartphones (n = 4) and Web-based information/educational resources (n = 4). Overall, nurses and nursing students’ attitudes and beliefs regarding the use of smartphone applications were positive. When compared with other healthcare professionals, nurses were more likely to have access to Web-based resources and to appraise the importance of such resources in patient education. Nurses and nursing students are in a prime position to use technology in patient care and education. It is important therefore that nurses’ positive attitudes toward technology be reinforced to increase the use and application of Web-based and smartphone technologies in clinical practice.

The application of technology-rich information systems is considered by service providers to be at the core of global health and a positive means of enhancing the quality of patient care.1–3 Recent advancements in information technology and computer science have resulted in the development of computerized information systems across a wide range of healthcare delivery systems.4 According to Kuwabara et al,5 technology has redefined the way patients and healthcare providers communicate and exchange information. Internet-based patient support systems are now widely assumed to play a significant role in patient education initiatives.6,7Nurses are often at the initial point of care and are aware of the importance of communicating with patients regarding their health status on a regular basis.3,8 Nurses also play a key role in empowering patients with chronic conditions to enhance their self-management skills.9 Currently, digital technologies provide great opportunities for nurses to develop patient health-related literacy skills to support the efficacious use of online health information.10–12 Specifically, Darvish et al3 are of the view that information technology can optimize the nursing management of patient care situations by providing immediate electronic education regardless of time or place. Therefore, accurate and easily accessible information is a prerequisite for the provision of safe patient-centered care.10Traditionally, healthcare providers have used paper-based formats such as articles, written messages, and pamphlets as means of providing health-focused information and education to patients.5,13 However, more recently, a wide array of multimedia such as emails, group texting,14 video, audio,5 and interactive patient care technologies15 are being integrated into a number of clinical practice settings. Healthcare professionals are beginning to see evidence of the potential use of such technologies in enhancing patient education.14,16 Indeed, a survey by Moore and Jayewardene16 found that nurses and doctors recognized the benefits of devices such as smartphones and healthcare applications in helping improve patient access to information, decision-making, and efficiency of care. Of the nurse respondents, 58% used their smartphones in practice; this figure was 81% for doctors.16Nurses and nursing students are important contributors to the healthcare workforce and thus important users of information technology in the clinical setting.12 In a cross-sectional study, Tubaishat12 measured fourth-year nursing students’ attitudes toward the use of technology in healthcare. This study highlighted the need to provide further education on technology to final-year nursing students to help prepare for their future role as RNs.12 Tubaishat’s12 findings demonstrate that nursing students hold a generally positive attitude toward technology.According to Kuwabara et al,5 technological devices will continue to develop in their capacity to efficiently monitor, educate, and support individual patients to practice health-related behaviors. Thus, Holden et al17 contend that it is important to explore the perceptions of nurses toward novel technologies in order to use such technologies in clinical practice. Nurses’ attitudes can be a pivotal point upon which successful health-related technology implementation hinges. To this end, the aim of this mixed-methods systematic review was to synthesize evidence from studies that explored nurses and nursing students’ attitudes and beliefs regarding the use of technology in patient care. In particular, this systematic review aimed to answer the following questions:

  • What are the different technologies used in patient care within the included studies?
  • What are nurses and nursing students’ attitudes and beliefs regarding these technologies?
  • What are patients and family members’ attitudes and beliefs regarding these technologies?

METHODS

Design

Mixed-methods systematic reviews allow for the inclusion of qualitative, quantitative, and mixed-methods studies, therefore combining the strengths of quantitative and qualitative research and accounting for design limitations.18 This review was conducted according to the Joanna Briggs Institute Manual for Evidence Synthesis19 and reported using the 27-item PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-analyses) checklist.20

Eligibility Criteria

Study eligibility criteria were predetermined according to the review aim and questions using the SPIDER (sample, phenomenon of interest, design, evaluation, and research type) framework.21 Studies were considered for inclusion if they included nurses, nursing educators, nurse managers, and nursing students; used any empirical design; and primarily explored participants’ attitudes, beliefs, feelings, and perceptions regarding the use of any technology in patient care in general and education in particular (primary outcome). Studies exploring the way nurses and nursing students use the technology and studies reporting on patient outcomes as a result of using technology (secondary outcomes) were also considered for inclusion.Studies with healthcare professionals other than nurses and studies where findings from nurses could not be isolated were excluded. Studies that have solely evaluated participants’ knowledge, awareness, and behaviors regarding the use of technology in patient care were also excluded. Literature reviews, editorials, opinion pieces, abstracts, dissertations, and theses were not considered for inclusion.

Specifically mention the type of nursing position and name of the healthcare organization to which you are applying. Highlight some of your relevant skills and qualifications.

RN New Graduate Resume Objectives

Among all the sections of a new grad nurse resume, an objective statement is probably the trickiest part. This is the section your readers will see first. It should be written immediately below your name and contact details.
Following are some helpful points to help you make a strong objective statement:

• Specifically mention the type of nursing position and name of the healthcare organization to which you are applying.

• Highlight some of your relevant skills and qualifications.

• Use an enticing tone to impress the reader right from the beginning and persuade them to continue reading the entire document.

Generally, the objective statement for Entry Level or New Grad Nurse comprises of 1-3 sentences. It sums up your career ambitions, what you are expecting from a job, and the most important, what you have to offer.

Examples of GOOD objectives:
• Dedicated and energetic nursing professional seeking a position as a Registered Nurse with the [name of facility]. Bringing knowledge and skills in different nursing areas, including critical care, oncology and emergency.

+ Friendly, responsible and detail-oriented nursing graduate seeking work with [name of facility] in capacity of Registered Nurse. Offering recent ACLS certification, extensive exposure to the ICU environment and demonstrated ability to assist the doctors and consultants in the surgical unit.
• California State licensed and BLS certified nurse seeking a position in the Intensive Care Unit of [name of facility]. Expertise include: emergency patient care, medication administration and doctor’s assistance.

❖ Compassionate and friendly nursing graduate eager to work for [name of facility] in the role of Registered Nurse. Offers exceptional skills in bedside patient care, data documentation and IV administration.

❖ Desire a Registered Nurse position at [name of facility]. Offering passion for patient care, a professional demeanor, and thirst for learning. Examples of MEDIOCRE objectives:

❖ New Graduate RN seeking to grow my skills and grow within a medical environment. 4:* Highly dedicated newly graduated Registered Nurse seeking position in the health care industry. Motivated to advance my nursing practice and promoting quality patient care.

❖ A position as a registered nurse a facility that fosters a culture of excellence and provides for challenges to learn and grow within the organization. • Dedicated and motivated newly graduated Registered Nurse pursuing a career in the medical industry in which my education, training, and skills may be effectively utilized towards advancement and to promote quality patient care.

Argue for or against critical thinking skills are diminishing in our younger generations who are known as our digital natives.

Critical thinking skills

Argue for or against critical thinking skills are diminishing in our younger generations who are known as our digital natives. Students lack the ability to apply and think on their own and thus higher-order thinking and literacy skills are decreasing. This is caused by technology. Education? Teaching Methods? Lack of learning strategies.

Outline Format

I. Thesis Statment

II. Reason #1 and Supporting Details

A. Subpoint

  • 1. Details
  • 2. More details of the Subpoint

B. Next Subpoint

  • 1. Details of the Subpoint
  • 2. More details of the Subpoint

III. Reason #2 and Supporting Details

A. Subpoint

  • 1. Details of Subpoint
  • 2. More details of the Subpoint

B. Next Subpoint

  • 1. Details of the Subpoint
  • 2. More details of the Subpoint

IV. Reason #3 and Supporting Details

A. Subpoint

  • 1. Details of Subpoint
  • 2. More details of the Subpoint

B. Next Subpoint

  • 1. Details of the Subpoint
  • 2. More details of the Subpoint

V. Conclusion & Future Research

A. Closing

  • 1. Details of Subpoint
  • 2. More details of the Subpoint

B. Future Research

  • 1. Details of the Subpoint
  • 2. More details of the Subpoint

VI. APA style in-text citations and references where appropriate

Prepare a statement reflecting your goals and purpose for pursuing graduate study. For admission purposes, goals will be judged for clarity and congruity with graduate education, congruity with selected nursing role in the DNP and congruity with past and current work experience.

Goal Statement

Prepare a statement reflecting your goals and purpose for pursuing graduate study. For admission purposes, goals will be judged for clarity and congruity with graduate education, congruity with selected nursing role in the DNP and congruity with past and current work experience. Limit to no more than 500 words. Include the following in your statement:

a. Relationship of your identified area of study, your career goals, and specific outcomes you want to accomplish from graduate study
b. Relationship between your career goals and past and current clinical experience including work experience or future plans to work in rural areas and/or with medically underserved populations.
c. Ideas for your Doctoral Applied Project in your planned area of clinical expertise.

Reflect on the concepts and practices you have learned in NR506 on healthcare systems, politics, and health policy. Read the article that is linked below and share insights as how to make informed decisions on nursing practice and patient outcomes on a global basis. In addition, state how you will apply what you have learned in this course to your upcoming practicum experience.

Week 8: Reflection: Global Policy Reform

Reflect on the concepts and practices you have learned in NR506 on healthcare systems, politics, and health policy. Read the article that is linked below and share insights as how to make informed decisions on nursing practice and patient outcomes on a global basis.  In addition, state how you will apply what you have learned in this course to your upcoming practicum experience.

Read the article by:

Ding, D. Lawson, K. D. Kolbe-Alexander, T. L., Finkelstein, E. A., Katzmarzyk, P. T., van Mechelen, W. & Pratt, M. (2016). The economic burden of physical inactivity: A global analysis of major non-communicable diseases. The Lancet, 388(10051), 1311-1324. https://doi.org/10.1016/S0140-6736(16)30383-X Link HERE (Links to an external site.)

A systems approach to dealing with the global concern of physical inactivity is discussed.

 

State your PICOT statement and label each element in your sentence. Describe at least two aspects of the course that you feel enhanced your knowledge and skills regarding nursing research and your practice issue. Share your favorite aspect of the course and discuss why you chose this.

Week 8 NR-505

Advanced Research Methods: Evidence-Based Practice. Week 8: Collaboration Café – Reflection on Learning and Implications for Practice (graded)

During the NR 505 course, you identified a practice issue of interest and proposed an intervention to address the problem.

  1. State your PICOT statement and label each element in your sentence.
  2. Describe at least two aspects of the course that you feel enhanced your knowledge and skills regarding nursing research and your practice issue.
  3. Share your favorite aspect of the course and discuss why you chose this.

 

Select one of three macroeconomic variables (real GDP, the unemployment rate, or the inflation rate) that a businessperson in your chosen industry should monitor, and explain why that variable is important and how it might have an impact on your selected industry. Describe in a sentence or two the important movements of the variable in the table and graph.

Week 9 Assignment – Economic Principles – Macroeconomics

Overview

It is important to be able to convey your understanding of macroeconomic concepts by communicating them to others. In the workplace you might do this by writing papers or reports (as you did for the Week 5 assignment) or creating presentations for your team, manager, or clients. For this assignment, you will develop a final report.

Use the Week 9 Macroeconomic Paper Template [DOCX] to help you get started.

For this final report assignment, you can use the same industry you selected for the Week 3 assignment, or you can select another industry.

 

Prepare a 2–3 page final report in which you examine one of the macroeconomic variables below:

Real Gross Domestic Product (GDP).

The unemployment rate.

The inflation rate.

Instructions

Choose an industry that interests you. (Remember, an industry is not a company. An industry is a group of companies doing the same thing. Ford is a company. Automobile manufacturing is an industry.)

Do research on your industry. In a few short paragraphs, describe your selected industry.

Be sure to write in your own words.

Identify the goods and/or services the industry provides.

Identify some of the major companies in this industry.

Add anything else about the industry that you think is interesting.

Keep track of your sources by copying their Internet addresses (URLs). You can paste these URLs at the end of your paper as your references.

Select one of three macroeconomic variables (real GDP, the unemployment rate, or the inflation rate) that a businessperson in your chosen industry should monitor, and explain why that variable is important and how it might have an impact on your selected industry.

Describe in a sentence or two the important movements of the variable in the table and graph.

Excel tables and graphs are attached for each of the three macroeconomic variables (real GDP, the unemployment rate, and the inflation rate).

Review the Excel table and graph for the macroeconomic variable that you chose.

Summarize how you think this industry will perform in the future.

Be sure to provide support for your prediction of this future industry performance.

Your report should include a minimum of two references/citations in the text.

Compare and contrast two change theories and/or nursing theories. Determine which theory makes the most sense for implementing your specific EBP intervention. Why? Has your preceptor used either theory, and to what result?

Topic 4 DQ2

Compare and contrast two change theories and/or nursing theories. Determine which theory makes the most sense for implementing your specific EBP intervention. Why? Has your preceptor used either theory, and to what result?

Why is understanding the health care system at the local level important to consider when planning an EBP implementation? Conduct research and solicit anecdotal evidence from your course preceptor that you will take into consideration for your own change project.

Topic 4 DQ 1

Why is understanding the health care system at the local level important to consider when planning an EBP implementation? Conduct research and solicit anecdotal evidence from your course preceptor that you will take into consideration for your own change project.

(I will be making a change proposal making a flyer for a rehab hospital for low income, mentally ill, Domestic violence victims to be able to have a list of resources when discharging home. )

What are privacy, security, and confidentiality? Define and provide examples of privacy, security, and confidentiality concerns related to the use of technology in health care. Explain the importance of interdisciplinary collaboration to safeguard sensitive electronic health information. What evidence relating to social media usage and PHI do interprofessional team members need to be aware of? For example: How many nurses have been terminated for inappropriate social media use in the United States? What types of sanctions have health care organizations imposed on interdisciplinary team members who have violated social media policies?

Social media use in health care

Prepare a 2-page interprofessional staff update on HIPAA and appropriate social media use in health care.

Introduction
As you begin to consider the assessment, it would be an excellent choice to complete the Breach of Protected Health Information (PHI) activity. The activity will support your success with the assessment by creating the opportunity for you to test your knowledge of potential privacy, security, and confidentiality violations of protected health information. The activity is not graded and counts towards course engagement.

Health professionals today are increasingly accountable for the use of protected health information (PHI). Various government and regulatory agencies promote and support privacy and security through a variety of activities. Examples include:

Meaningful use of electronic health records (EHR).
Provision of EHR incentive programs through Medicare and Medicaid.
Enforcement of the Health Insurance Portability and Accountability Act (HIPAA) rules.
Release of educational resources and tools to help providers and hospitals address privacy, security, and confidentiality risks in their practices.
Technological advances, such as the use of social media platforms and applications for patient progress tracking and communication, have provided more access to health information and improved communication between care providers and patients.

At the same time, advances such as these have resulted in more risk for protecting PHI. Nurses typically receive annual training on protecting patient information in their everyday practice. This training usually emphasizes privacy, security, and confidentiality best practices such as:

Keeping passwords secure.
Logging out of public computers.
Sharing patient information only with those directly providing care or who have been granted permission to receive this information.
Today, one of the major risks associated with privacy and confidentiality of patient identity and data relates to social media. Many nurses and other health care providers place themselves at risk when they use social media or other electronic communication systems inappropriately. For example, a Texas nurse was recently terminated for posting patient vaccination information on Facebook. In another case, a New York nurse was terminated for posting an insensitive emergency department photo on her Instagram account.

Health care providers today must develop their skills in mitigating risks to their patients and themselves related to patient information. At the same time, they need to be able distinguish between effective and ineffective uses of social media in health care.

This assessment will require you to develop a staff update for the interprofessional team to encourage team members to protect the privacy, confidentiality, and security of patient information.

Preparation
To successfully prepare to complete this assessment, complete the following:

Review the infographics on protecting PHI provided in the resources for this assessment, or find other infographics to review. These infographics serve as examples of how to succinctly summarize evidence-based information.
Analyze these infographics and distill them into five or six principles of what makes them effective. As you design your interprofessional staff update, apply these principles. Note: In a staff update, you will not have all the images and graphics that an infographic might contain. Instead, focus your analysis on what makes the messaging effective.
Select from any of the following options, or a combination of options, the focus of your interprofessional staff update:
Social media best practices.
What not to do: social media.
Social media risks to patient information.
Steps to take if a breach occurs.
Conduct independent research on the topic you have selected in addition to reviewing the suggested resources for this assessment. This information will serve as the source(s) of the information contained in your interprofessional staff update. Consult the BSN Program Library Research Guide for help in identifying scholarly and/or authoritative sources.

Instructions
In this assessment, assume you are a nurse in an acute care, community, school, nursing home, or other health care setting. Before your shift begins, you scroll through Facebook and notice that a coworker has posted a photo of herself and a patient on Facebook. The post states, “I am so happy Jane is feeling better. She is just the best patient I’ve ever had, and I am excited that she is on the road to recovery.”

You have recently completed your annual continuing education requirements at work and realize this is a breach of your organization’s social media policy. Your organization requires employees to immediately report such breaches to the privacy officer to ensure the post is removed immediately and that the nurse responsible receives appropriate corrective action.

You follow appropriate organizational protocols and report the breach to the privacy officer. The privacy officer takes swift action to remove the post. Due to the severity of the breach, the organization terminates the nurse.

Based on this incident’s severity, your organization has established a task force with two main goals:

Educate staff on HIPAA and appropriate social media use in health care.
Prevent confidentiality, security, and privacy breaches.
The task force has been charged with creating a series of interprofessional staff updates on the following topics:

Social media best practices.
What not to do: Social media.
Social media risks to patient information.
Steps to take if a breach occurs.
You are asked to select one or more of the topics and create the content for a staff update containing a maximum of two content pages. This assessment is not a traditional essay. It is a staff educational update about PHI. Consider creating a flyer, pamphlet, or one PowerPoint slide (not an entire presentation). Remember it should not be more than two pages (excluding a title and a reference page).

The task force has asked team members assigned to the topics to include the following content in their updates in addition to content on their selected topics:

What is protected health information (PHI)?
Be sure to include essential HIPAA information.
What are privacy, security, and confidentiality?
Define and provide examples of privacy, security, and confidentiality concerns related to the use of technology in health care.
Explain the importance of interdisciplinary collaboration to safeguard sensitive electronic health information.
What evidence relating to social media usage and PHI do interprofessional team members need to be aware of? For example:
How many nurses have been terminated for inappropriate social media use in the United States?
What types of sanctions have health care organizations imposed on interdisciplinary team members who have violated social media policies?
What have been the financial penalties assessed against health care organizations for inappropriate social media use?
What evidence-based strategies have health care organizations employed to prevent or reduce confidentiality, privacy, and security breaches, particularly related to social media usage?

Notes
Your staff update is limited to two double-spaced content pages. Be selective about the content you choose to include in your update so you can meet the page length requirement. Include need-to-know information. Omit nice-to-know information.
Many times people do not read staff updates, do not read them carefully, or do not read them to the end. Ensure your staff update piques staff members’ interest, highlights key points, and is easy to read. Avoid overcrowding the update with too much content.
Also, supply a separate reference page that includes two or three peer-reviewed and one or two non-peer-reviewed resources (for a total of 3–5 resources) to support the staff update content.

Additional Requirements
Written communication: Ensure the staff update is free from errors that detract from the overall message.
Submission length: Maximum of two double-spaced content pages.
Font and font size: Use Times New Roman, 12-point.
Citations and references: Provide a separate reference page that includes 2–3 current, peer-reviewed and 1–2 current, non-peer-reviewed in-text citations and references (total of 3–5 resources) that support the staff update’s content. Current means no older than 5 years.
APA format: Be sure your citations and references adhere to APA format. Consult the Evidence and APA page for an APA refresher.

Competencies Measured
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:

Competency 1: Describe nurses’ and the interdisciplinary team’s role in informatics with a focus on electronic health information and patient care technology to support decision making.
Describe the security, privacy, and confidentially laws related to protecting sensitive electronic health information that govern the interdisciplinary team.
Explain the importance of interdisciplinary collaboration to safeguard sensitive electronic health information.

Competency 2: Implement evidence-based strategies to effectively manage protected health information.
Identify evidence-based approaches to mitigate risks to patients and health care staff related to sensitive electronic health information.
Develop a professional, effective staff update that educates interprofessional team members about protecting the security, privacy, and confidentiality of patient data, particularly as it pertains to social media usage.

Competency 5: Apply professional, scholarly communication to facilitate use of health information and patient care technologies.
Follow APA style and formatting guidelines for citations and references.
Create a clear, concise, well-organized, and professional staff update that is generally free from errors in grammar, punctuation, and spelling.