Mobile E-Health

Presented byLaura 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 PhonesPDA’sI Pads

NetBooks

NetBooksMini lap topWeighs 2 to 4 poundsScreen size 7 to 12 inchesBattery life up to 3 hoursLess expensive than lap topLinux-Android-Windows 7Primary function-InternetOffice 7 and Word

Downside:No CD-DVD drivesSmall screenNeed recharged during the shiftNo Apple OSNo video editingNo high end tasks

Your NetBook is only as good as your browser.

Internet ExplorerMozilla

I have a NetBook.I am on the Internet.

Now what?

CINAHLCumulative 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 educationIntegrates nursing needs and practice into

structure of applicationsMaintains common language in all

applicationsAssures transparent interfaces between users

and devicesConsultant to design or enhance E Health

Mobile E Health is here!Small – portable- at the bedside

Connects you to the worldComing 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 2005 http://onlinelibrary.wiley.com.ezaccess.libraries.psu.edu/doi/10.1111/j.1741-6787.2005.00026.x/full

• Dissemination of evidence into practice: opportunities and threats,Nicki Walsh. Primary Health Care. Harrow on the Hill: Apr 2010. Vol. 20, Iss. 3; pg. 26, 5 pgs http://proquest.umi.com.ezaccess.libraries.psu.edu/pqdlink?Ver=1&Exp=09-18-2015&FMT=7&DID=2025376141&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 319 http://reserve.libraries.psu.edu.ezaccess.libraries.psu.edu/nurs/457/45721.pdf

• Monson, L, & Anderson, G. (2010). Netbooks. Retrieved from http://computers.toptenreviews.com/netbooks/

• Saff, E, Lanway, C, Chenyak, A, & Morgan, D. (2010). The bay area hie. JIHM, 24(1), 25-30 http://www.discoverrelayhealth.com/download/jhimarticle.pdf

• Mckesson, . (2010). Horizon expert plan. Retrieved from http://www.mckesson.com/en_us/McKesson.com/For%2BHealthcare%2BProviders/Hospitals/Nursing%2BSolutions/Horizon%2BExpert%2BPlan.html