Mobile E-Health Presented by Laura Van Meter, RN

Mobile Technology and Nursing Practice Research has shown that nurses lack skills to find and appraise research literature, lack time and organizational support to utilize research, and need user-friendly research material to implement evidence-based health care in practice. (Bahtsevani, 2005)

Mobile E-Health Mobile technologies – PDA’s, Smart Phones, tablet computers Wireless, internet connected, portable Immediate, up to date knowledge, anywhere, anytime Rapid dissemination of evidence based practice Quick access to knowledge databases

Access to best practice evidence Professional journals Articles Database Searches Seminars Potential access: PDA Smart phone Tablet computers Webinars Evidence:

Tools for Mobile E-Health Smart Phones PDA’s I Pads NetBooks

Mini lap top Weighs 2 to 4 pounds Screen size 7 to 12 inches Battery life up to 3 hours Less expensive than lap top Linux-Android-Windows 7 Primary function-Internet Office 7 and Word Downside: No CD-DVD drives Small screen Need recharged during the shift No Apple OS No video editing No high end tasks

Your NetBook is only as good as your browser. Internet Explorer Mozilla

I have a NetBook. I am on the Internet. Now what? CINAHL Cumulative Index to Nursing and Allied Health Literature

Live streaming chat Live TV – Blog TV – Justin TV – U Stream- Smibs U Stream – Registered Nurse Chat Life of a Nursing Student

Clinical Information System Multidisciplinary Care plans Quality indicators Built in evidence based practice Point of Care Web based

McKesson Horizon Products Health Information Exchange (HIE) EHR in a “cloud” Health Level 7 ICD 9, CPT, HCPCS NANDA, NIC, NOC Easy internet access by mobile devices Easily accessible by providers and patients Built in evidence based practice

Advantages for Nurses Small, lightweight, portable Rapid and easy access to the internet Customizable for task Quick access to patient information and best practice evidence

Disadvantages for Nurses Limited battery life, recharge during shift Must have connection to WiFi system Small screens hard to read Longevity and fragility

Ethical and Legal Issues Patient Privacy Lost devices Off site use Automatic time out Encrypting User authentication Model for ethical decision making

Core Competencies  Experience beyond beginning nurse  Able to assess the accuracy of the evidence found  Troubleshooting of applications and devices  Applies appropriate application based on the data needed  Makes nursing judgments based on information gathered  Understands the role of information technology in the practice of nursing

Informatics nurse specialist  Provides Mobile E Health education  Integrates nursing needs and practice into structure of applications  Maintains common language in all applications  Assures transparent interfaces between users and devices  Consultant to design or enhance E Health

Mobile E Health is here! Small – portable- at the bedside Connects you to the world Coming soon to your hospital

References: McGonigle, D, & Mastrian, K. (2009). Nursing informatics and the foundation of knowledge. Sudbury, MA: Jones and Barrett. Evaluating Psychiatric Nurses' Awareness of Evidence-Based Nursing Publications, Christel Bahtsevani RN, Azzam Khalaf MSc, Ania Willman RN, PhD Worldviews on Evidence-Based NursingVolume 2, Issue 4, pages 196–207, December /j x/full 1/j x/full Dissemination of evidence into practice: opportunities and threats,Nicki Walsh. Primary Health Care. Harrow on the Hill: Apr Vol. 20, Iss. 3; pg. 26, 5 pgs &Exp= &FMT=7&DID= &RQT=30 &Exp= &FMT=7&DID= &RQT=30

References Human Factors. Imperative Concepts for Information Systems in Critical Care, Nancy Staggers, PhD, RN, FAAN. AACN Clinical Issues, Volume 14, Number 3, pp 310 to pdf 1.pdf Monson, L, & Anderson, G. (2010). Netbooks. Retrieved from Saff, E, Lanway, C, Chenyak, A, & Morgan, D. (2010). The bay area hie. JIHM, 24(1), Mckesson,. (2010). Horizon expert plan. Retrieved from Providers/Hospitals/Nursing%2BSolutions/Horizon%2BExpert%2BPlan.htm l