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
Evidence:
Professional journals
Potential access:
PDA
Articles
Smart phone
Database Searches
Tablet computers
Seminars
Webinars
Tools for Mobile E-Health
Smart Phones
PDA’s
I Pads
NetBooks
NetBooks
Downside:
No CD-DVD drives
Small screen
Need recharged during
the shift
No Apple OS
No video editing
No high end tasks
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
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
 Applies appropriate application
based on the data needed
 Able to assess the accuracy of
the evidence found
 Makes nursing judgments based
on information gathered
 Troubleshooting of applications  Understands the role of
and devices
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 2005
http://onlinelibrary.wiley.com.ezaccess.libraries.psu.edu/doi/10.111
1/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/457/4572
1.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%2B
Providers/Hospitals/Nursing%2BSolutions/Horizon%2BExpert%2BPlan.htm
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