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NSE 31A/B (50)
Lecture

Theory year 3Class 12.docx

4 Pages
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Department
Nursing
Course Code
NSE 31A/B
Professor
Margareth Zanchetta

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Description
Theory Class 12-Information Technology o Information and communication technologies (ICT)variety of computer based technology systems that support gathering, analyzing, archiving, retrieving, processing and transmitting info and communication o ICTs can increase control over health through access to health info, provide social support, facilitate behaviour change and support community mobilization o E-healthhealth services and info delivered or enhanced through Internet and related technologies o Community health nurses can support effective use of ICTs to promote health, prevent illness, manage chronic disease using e-health intervention o Nursing informaticsused to manage and communicate data info and knowledge in nursing practice o Nursing informatics facilitates integration of data, info, knowledge to support patients, nurses and other providers in their decision making roles Nursing Informatics Competencies o Public health informaticssystematic application of info and computer science and technology to public health practice, research and learning o CHNs are expected to use nursing informatics to generate, manage and process relevant data to support nursing practice o Canadian Nursing Informatics Association (CNIA) identified need to build strong links between nursing informatics and evidence-based practice; increase informatics skills of educators, clinicians, students; identify how info is covered in curricula; build stronger human, material, financial infrastructure for ICT in clinical/academic settings; strengthen partnerships with private sector Use of the Internet to Access Health Info o Rapid growth in individuals searching medical/health info at home using Internet o Internet search for health info more likely to be done by women with higher income and education o Searches included specific diseases, healthy lifestyle, symptoms, drugs or medications, alternative therapies o Even though physician is most credible source, most used Internet first o Increasing trend in use of Internet for personal health maintenance while buying pharmaceuticals online o Personal empowerment (development of personal involvement and responsibility) is enhanced by use of online resources o Users identified 3 aspects of empowerment: 1) Compliance with expert advice 2) Self-reliance through individual choice 3) Social inclusion through development of collective support o Persons with long-term illness accessed online health info at 2 points in medical decisional process: 1) Identification of possible treatments 2) Treatment follow-up o Doctors/nurses are rarely asked for advice regarding where to search for health info online Internet Access Issues o Digital dividerefers to division of population groups who have and do not have access to—and/or capability to use info o 3 classes of access: those with no access, those with modest connections (dial-up), those with broadband elite o 4 main types of Internet non-users: “net-evaders” who use others to use net, “net dropouts” who stopped due to technical problems, “intermittent users” are those who dropped out but came back, “truly disconnected” are those who never used the net o Low-income communities have been shown to use and benefit from community-based net access to empower and build healthier neighbourhoods o Technology has significant potential to enhance youth’s health decision making o Quality of net access was significantly impacted by 4 factors: 1) Privacy-youths’ ability to search for info on sensitive topics without being observed by others 2) Gate-keeping-blocks put on certain websites or limits to types of use 3) Timeliness-ability to have access to info for as long as needed 4) Functionality-technical issues (speed of access and functions) Access for Disabled Population o People with disabilities can benefit from using ICTs since it can reduce isolation by helping them reach people with similar experiences, become better informed, increase communication and enhance access to health info o World Wide Web Consortium (W3C) oversees standardization and operation of web o W3C launched Web Accessibility Initiative to ensure equitable and universal access to info for all populations o Web Content Accessibility Guidelines define accessible as usable to wide range of people with disabilities o Disability advocates recommend that websites at minimum meet Priority Level One design standards (different designs to meet different disabilities) o Health info sites were not fully accessible to visually impaired and limited access to translations to meet public’s needs Quality of Health Info on the Internet o Health info on the net includes health promotion info, screening tests, personal accounts of illness, patient testimonials about treatment effectiveness, patient opinions or perspectives on illness experiences, product advertisers, treatment providers, patient/client discussion and support groups, peer reviewed articles and decision-making aids o Goal for CHNs is to assist clients to become knowledgeable consumers of info available to them o Internet users tend to rely on common sense or personal experience to judge usefulness of info and used correspondence with content of other websites to judge accuracy o Comfort and familiarity with internet does not guarantee ability to obtain credible online health info Tools Available for Rating Health Info on the Internet o Various dimensions of resources can be evaluated including content journalistic value, targeted audience, website design, readability/usability, ethical issues of privacy o Health on the Net Foundation (HON Code) used to examine online info with clients o HON Code Principles: 1) Authority-any medical/health advice provided on site must be given by medically trained professionals unless clearly stated it is not 2) Complementarity-info provided on site is to support not replace relationship between patient and health care professional 3) Privacy-confidentiality of data obtained on site 4) Attribution-info on site supported by references to source data an
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