150-200 words per question. Different scholar source for both post.
Due 19 Sept by 1200 cst.
1. According to research, resistance can be caused by fear of technological instability, feeling of uncertainty and concerns for the quality of care (Nilsen et al., 2016, p. 1-14). One reason that I see that nurses may resist new technology such as telemedicine is that patient care will change from face-to-face, bedside care, to fully electronic and the care will be from a distance. I enjoy being able to have hands-on care with my patients and want to be able to care for my patient at the bedside when possible. This helps you learn more about your patient and care for them to the best of your ability. For this reason, I can see why there may be resistance to moving away from this type of care. But on the other hand, there are positive aspects of advancement in new technologies. For example, if a patient needs to see a specialty doctor that is not located in their area, they can go to a local clinic and use telehealth capabilities to get the care they need without the undue stress of traveling far.
Resistance can also come from patients and caregivers. It will not ever be the same talking with someone through a computer or TV screen as it is in person. Many patients feel more comfortable being able to physically see the doctor or nurse who is taking care of them instead of viewing them on a screen. The personalized physician-patient experience is lost when contact is made using technology.
Depending on the patients, caregivers, and nurses age an increase in resistance to new technology may be evident. Elderly individuals have more difficulty learning and managing technology than the younger generations. In cases like this, additional time would likely need to be spent both in overcoming the resistance as well as in teaching the recipient how to use the computer, phone, ect. to access the information provided by technology. Spending this extra time teaching how to use technology may also cause an increase in resistance with the nurses and caregivers since they often try to work as efficiently as possible. An educational team may be a good option to overcome some of this resistance, as their entire focus would be solely on patient education.
One positive aspect of technology such as telehealth that may influence patients and healthcare workers is the convenience of a patient being able to sit in the comfort of their own home and visit with a doctor without having to leave their house. I feel that the fear of the unknown is what is causing most of the resistance.
2. Information literacy includes the ability to identify, find evaluate, and use information effectively (Information Literacy | Common Sense Education, 2017). Information literacy affects nursing informatics in the 21st century due to the use of the internet to find an array of information on any given diagnosis. Instead of reading through several books to review a topic, sites like Galileo provide students and nurses access to thousands of scholarly articles and journals on credible information. Professional databases represent a source of online information that is generally invisible to all Internet users except those with professional or academic affiliations, such as faculty, staff, and students (McGonigle & Mastrian, 2018). This includes using most recent articles, professional online databases such as MEDLINE, CINAHL, and appropriate government websites like the CDC. This case study is a perfect example of nurses role as a knowledge worker and the knowledge model. We learned in our previous discussions that the nurse applies knowledge to gain insight on a problem by collecting data, analyzing the data, gaining information to begin working on a plan, and using that information to use better judgement and make patient centered care decision, thus gaining wisdom and applying nursing informatics (McGonigle and Mastrian, 2018). In Charless case he assessed his patient and gathered that data to do research since he knew he was not confident in treating this type of patient. Sometimes the knowledge worker must do extra searching to find solutions to issues that they are not familiar.
