Simulating Telehealth Experiences in the Neonatal Care Environment: Improving Access to Care

2021 ◽  
Vol 40 (6) ◽  
pp. 393-401
Author(s):  
Penni I. Watts ◽  
Tedra S. Smith ◽  
Erin R. Currie ◽  
Candace Knight ◽  
Curry Bordelon
Keyword(s):  
Health Care ◽  
Clinical Training ◽  
Care Delivery ◽  
Care Environment ◽  
Simulation Based ◽  
Hands On ◽  
Hands On Learning ◽  
Specialized Care ◽  
Environment Simulation ◽  
And Training

Telehealth in the neonatal environment can improve remote medical care and access to specialized care and training eliminating barriers for effective health care delivery. Clinicians are utilizing telehealth in their practice to provide specialized care and training in areas that have little access. Educating health care clinicians on the basics of telehealth is an essential component of clinical training programs. Use of simulation-based telehealth experiences as part of that training can provide hands-on learning in a safe, realistic environment. Simulation can prepare health care teams in using telehealth technology in managing patient care, postdischarge care, and specialized care programs.

Medical students’ perceptions and expectations regarding digital health education and training: A qualitative study

2020 ◽  
pp. 1357633X2093243
Author(s):  
Sisira Edirippulige ◽  
Sophie Gong ◽  
Malshi Hathurusinghe ◽  
Sarah Jhetam ◽  
Jasmine Kirk ◽  
...  
Keyword(s):  
Health Care ◽  
Medical Students ◽  
Health Education ◽  
Focus Groups ◽  
Online Survey ◽  
Care Delivery ◽  
Digital Health ◽  
Education And Training ◽  
Perceptions And Expectations ◽  
And Training

Introduction Digital health – the convergence of digital technologies within health and health care to enhance the efficiency of health-care delivery – is fast becoming an integral part of routine medical practice. The integration of digital health into traditional practice brings significant changes. Logic dictates that for medical practitioners to operate in this new digitally enabled environment, they require specific knowledge, skills and competencies relating to digital health. However, very few medical programmes in Australia and globally include digital health within their regular curriculum. This pilot study aimed to explore medical students’ perceptions and expectations of digital health education and training (ET). Methods An online survey and focus groups were used to collect information about medical students’ perceptions and expectations relating to digital health and ET relating to this field within the medical programme at the University of Queensland. Sixty-three students took part in the survey, and 17 students were involved in four focus groups. Results Most participants had no formal ET in digital health. Most participants ( n = 43; 68%) expressed a willingness to learn about digital health as part of their medical programme. Discussion Primarily, knowledge- and practice-related factors have motivated students to learn about digital health. The analysis of focus group data identified two superordinate themes: (a) drivers of digital health ET and (b) expectations relating to digital health ET. Students agreed that digital health is a relevant field for their future practice that should be taught as part of their regular curriculum.

Digital Divide and E-Health Implications for E-Collaboration Research

2011 ◽  
pp. 1574-1580
Author(s):  
Michele Masucci
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Information And Communication Technologies ◽  
Access To Health Care ◽  
Care Delivery ◽  
Communication Technologies ◽  
Collaborative Tools ◽  
Specialized Care ◽  
Health Care Delivery Systems ◽  
Health Applications

E-health has rapidly gained attention as a framework for understanding the relationship between using information and communication technologies (ICTs) to promote individual and community health, and using ICTs for improving the management of health care delivery systems. The use of e-collaborative tools is implicit to the delivery and access of e-health. Development of the capacity to transmit and receive digital diagnostic images, use video telecommunications for supporting the remote delivery of specialized care and surgical procedures, and the use of e-communication technologies to support logistical elements of medical care (such as scheduling appointments, filling prescriptions, and responding to patient questions) are just a few ways in which e-communications are transforming how medical care is embedded within institutional, organizational, family, and community settings. The emerging field of e-collaboration focuses attention on the need for society to critically examine how electronic communication technologies facilitate, shape, and transform the ways in which organizations, groups, and communities interact. There are many works that explain how to (a) develop e-health systems, (b) assess the use of such systems, and (c) analyze the health outcomes that can be achieved with effective e-health applications (Brodie et al., 2000; Eder, 2000; Spil & Schuring, 2006). Less attention has been paid to how advances in e-collaboration research might inform e-health applications development and scholarly discourse. Because of this gap in the literature, few discussions pertain to understanding patient perspectives about the advantages and disadvantages that may result from rapidly emerging interconnections among access to health care, health information, health support systems, and ICTs (Berland et al., 2001; Hesse et al., 2005; Gibbons, 2005; Gilbert & Masucci, 2006).

Exploring Readiness for Teleprecepting in Psychiatric Mental Health Nurse Practitioner Training

2020 ◽  
pp. 107839032094812
Author(s):  
Deborah S. Johnson ◽  
Amanda Ling ◽  
Katerina Melino
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Nurse Practitioner ◽  
Clinical Training ◽  
Systematic Evaluation ◽  
Health Clinic ◽  
Mental Health Nurse ◽  
Health Nurse ◽  
Practitioner Education ◽  
And Training

OBJECTIVE: Telehealth offers a solution to many challenges in health care, including the shortage of psychiatric providers. Recently the need to limit patient and provider exposure to coronavirus disease 2019 (COVID-19) has escalated implementation of telehealth across the globe. As telehealth utilization expands, its role in nursing education and training requires systematic evaluation. Since publication of the National Organization of Nurse Practitioner Faculty white paper supporting telehealth in health care delivery and nurse practitioner education, several studies have demonstrated successful didactic instruction and training in telehealth. However, a recent literature review found no studies evaluating the use of telehealth technology as a means of precepting in clinical training. METHODS: This small-scale qualitative study investigates the readiness of one behavioral health clinic to provide teleprecepting to psychiatric mental health nurse practitioner students. Two preceptors and one student were interviewed using a peer-reviewed semistructured interview guide using video chat. Responses were reviewed, coded, and categorized into themes. RESULTS: Thematic analysis of the interviews revealed three categories for consideration in establishing teleprecepting. Clinical factors, logistics, and comparison with traditional precepting are discussed. Interviewees viewed teleprecepting as a viable method of increasing access to clinical training. CONCLUSIONS: This project supports teleprecepting as a feasible strategy for improving access to clinical training and as a technological resource that merits systematic evaluation. Practice guidelines are needed for teleprecepting of advanced practice registered nurse students, and both preceptors and students may benefit from training to support best practices prior to implementation.

Future of nursing education: Changing values, educational paradigm and learner-educator profiles and roles

2019 ◽  
Vol 6 (1) ◽  
pp. 165-174
Author(s):  
Burcin Isik ◽  
Samar Thabet Jallad
Keyword(s):  
Health Care ◽  
Nursing Education ◽  
Care Delivery ◽  
Rapid Change ◽  
Education And Training ◽  
Health Care Delivery System ◽  
The Future ◽  
Educational Paradigm ◽  
Future Of Nursing ◽  
And Training

Changing values, and educational paradigm, market-driven economic policy, dramatic technology developments, changing learner-educator profiles and roles and the knowledge explosion are rapidly changing health care and educational institutions as well as creating a climate of continuous rapid change. The future of nursing education, to improve and promote the nursing profession, nurses should practice to the full extent of their education and training, they should achieve higher levels of education and training through an improved education system that promotes seamless academic progression, they should be full partners with healthcare professionals, and effective workforce planning and policy making require better data collection and an improved information infrastructure. A broad search without time limitations was performed in the databases EBSCO, CINAHL, Medline, PubMed, DynaMed and ERIC.As a conclusion, there is required for a change in nursing education and in the learning environment in order to prepare the nurse of the future in a changing health care delivery system with increasing complexity. Keywords: Nursing education, paradigm in nursing education, learner centered approach, future of nursing education.

scholarly journals Leveraging Digital Technology to Overcome Barriers in the Prosthetic and Orthotic Industry: Evaluation of its Applicability and Use During the COVID-19 Pandemic

10.2196/23827 ◽  
2020 ◽  
Vol 7 (2) ◽  
pp. e23827
Author(s):  
Trevor Binedell ◽  
Karupppasamy Subburaj ◽  
Yoko Wong ◽  
Lucienne T M Blessing
Keyword(s):  
Health Care ◽  
Lower Limb ◽  
Digital Technology ◽  
Care Delivery ◽  
Three Dimensional ◽  
Digital Technologies ◽  
Web Based ◽  
Hands On ◽  
Ankle Foot Orthoses ◽  
Lower Limb Amputees

Background The prosthetic and orthotic industry typically provides an artisan “hands-on” approach to the assessment and fitting of orthopedic devices. Despite growing interest in digital technology for prosthetic and orthotic service provision, little is known of the quantum of use and the extent to which the current pandemic has accelerated the adoption. Objective This study’s aim is to assess the use of digital technology in prosthetics and orthotics, and whether its use can help overcome challenges posed by the current COVID-19 pandemic. Methods A web-based survey of working prosthetists, orthotists, and lower limb patients was conducted between June and July 2020 and divided into three sections: lower limb amputees, prosthetist and orthotist (P&O) currently using digital technologies in their practice, and P&O not using any digital technology. Input was sought from industry and academia experts for the development of the survey. Descriptive analyses were performed for both qualitative (open-ended questions) and quantitative data. Results In total, 113 individuals responded to the web-based survey. There were 83 surveys included in the analysis (patients: n=13, 15%; prosthetists and orthotists: n=70, 85%). There were 30 surveys excluded because less than 10% of the questions were answered. Out of 70 P&Os, 31 (44%) used digital technologies. Three dimensional scanning and digital imaging were the leading technologies being used (27/31, 88%), primarily for footwear (18/31, 58%), ankle-foot orthoses, and transtibial and transfemoral sockets (14/31, 45%). Digital technology enables safer care during COVID-19 with 24 out of 31 (77%) respondents stating it improves patient outcomes. Singapore was significantly less certain that the industry's future is digital (P=.04). The use of virtual care was reported by the P&O to be beneficial for consultations, education, patient monitoring, or triaging purposes. However, the technology could not overcome inherent barriers such as the lack of details normally obtained during a physical assessment. Conclusions Digital technology is transforming health care. The current pandemic highlights its usefulness in providing safer care, but digital technology must be implemented thoughtfully and designed to address issues that are barriers to current adoption. Technology advancements using virtual platforms, digitalization methods, and improved connectivity will continue to change the future of health care delivery. The prosthetic and orthotic industry should keep an open mind and move toward creating the required infrastructure to support this digital transformation, even if the world returns to pre–COVID-19 days.

Pediatric Education and Managed Care: A Literature Review

PEDIATRICS ◽  
1998 ◽  
Vol 101 (Supplement_3) ◽  
pp. 739-745
Author(s):  
Richard J. D. Pan ◽  
Jonathan A. Finkelstein
Keyword(s):  
Health Care ◽  
Managed Care ◽  
Literature Review ◽  
Care Delivery ◽  
The United States ◽  
Dominant Form ◽  
Care Environment ◽  
Professional Groups ◽  
Pediatric Education ◽  
Road Maps

Managed care is becoming the dominant form of health care delivery and financing in the United States, necessitating changes in pediatric education. This transition is redefining the questions of what needs to be taught, who should be teaching it, where it should be taught, and how to pay for this education. We performed a literature review and examined reports from policy and professional groups to seek answers to these questions. We have identified curricular, administrative, and financial challenges to pediatric education in managed care. Although road maps for innovation have been described, there is a deficiency of research and information in key areas of pediatric education in the managed care environment.

Philosophy Into Practice: A Health Informatics Course Proposal

1997 ◽  
Vol 36 (02) ◽  
pp. 127-130 ◽  
Author(s):  
M. J. Ball ◽  
J. V. Douglas
Keyword(s):  
Health Care ◽  
Conceptual Understanding ◽  
Health Informatics ◽  
Care Setting ◽  
International Health ◽  
Developing Nations ◽  
The Internet ◽  
Successful Implementation ◽  
Hands On ◽  
And Training

Abstract:International health informaticians acknowledge the critical importance of education and training to the successful implementation of information technology in the health-care setting. As access to the Internet grows, so does the richness of resources the Internet can supply. With the changes in health care brought by communication, telematics will become the successor to informatics. The authors present the philosophy of telematics training and propose a short training course designed to help health professionals in developing nations take advantage of telematics, providing conceptual understanding and hands-on training.

Use of neurosurgical decision-making and damage-control neurosurgery courses in the Iraq and Afghanistan conflicts: a surgeon's experience

2010 ◽  
Vol 28 (5) ◽  
pp. E9 ◽  
Author(s):  
Richard J. Teff
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Critical Care ◽  
Clinical Pathway ◽  
State Of The Art ◽  
Damage Control ◽  
Care Providers ◽  
Hands On ◽  
Hands On Learning ◽  
To Receive

A shortage of Coalition neurological surgeons in the Iraq conflict prompted a creative approach to standardized neurosurgical care in 2007. After formulation of theater-wide clinical pathway guidelines, a need for standardized triage and neurological resuscitation was identified. The object was to establish a simple, reproducible course for medics, forward surgical and emergency room personnel, and other critical care providers to quickly standardize the ability of all deployed health care personnel to provide state-of-the-art neurosurgical triage and damage-control interventions. The methods applied were Microsoft PowerPoint presentations and hands-on learning. The year-long project resulted in more than 100 individuals being trained in neurosurgical decision making and in more than 15 surgeons being trained in damage-control neurosurgery. At the year's conclusion, hundreds of individuals received exceptional neurosurgical care from nonneurosurgical providers and a legacy course was left for future deployed providers to receive ongoing education at their own pace.

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