İnovasyon ve Bilişimin Hemşirelikteki Yeri

Öz

Günümüz hemşirelik uygulamaların karmaşıklaşması, hizmet beklentilerindeki yükselme, güncel teknoloji ve bilgiye ayak uydurma ihtiyacı, küreselleşen rekabet ve sağlık bakım maliyetlerindeki yükselme inovasyonu hemşirelik mesleği için kaçınılmaz kılmıştır. Bu derleme bilişim teknolojilerinde ilerleme ve inovatif gelişmelerin hemşirelik uygulamalarına nasıl entegre edilebileceğine ilişkin bilgi sağlamak amacıyla yapılmıştır. Uluslararası veri tabanları son 10 yılı kapsayacak şekilde taranmıştır. Taramalar “hemşirelik”, “bilişim”, “inovasyon”, “yapay zekâ”, “büyük veri” anahtar kelimeleri ile yapılmıştır. Bilgisayar ve internet aracılığıyla yaratılan kullanılamayan verinin değer kazanacak şekilde işlenmesi ve fayda sağlaması için geliştirilen teknolojiler büyük veri olarak adlandırılır. Yapay zekâ, sağlık hizmetlerinde, elektronik sağlık kayıtlarında, tele-sağlık, mobil sağlık, simülasyon ve uzaktan hasta izleme gibi bakım hizmetlerinde ve eğitimde sık tercih edilmektedir. Teknolojik gelişmelerde nesnelerin interneti teknolojisinin, internet destekli robotların, monitorize ve motor becerileri zayıf hastalara yardımcı olabileceğini ve hemşirelerin bazı taşıma ve dağıtım işlerine robotların destek olabileceği, panik ve tehlike durumlarında insan hareketlerindeki fenotipleri algılayıp uyarıcı görevinde de değerlendirilebileceğini belirtmiştir. Son zamanlarda sağlık hizmetlerinde giderek artan teknolojik diğer gelişmeler ise sanal gerçeklik teknolojisidir. Teknolojinin gelişmesi hemşirelik uygulamalarında bakımı mükemmelleştirmek için yeni olanaklar sunmaktadır. Değişen dünya ve inovatif gelişmelerle sağlık hizmetlerinin daha sürdürülebilir hale geleceği düşünülmektedir. Gelecekte bilişim hemşireliği ve teknoloji konularını kapsayan kanıt düzeyi yüksek çalışmalara ağırlık verilmesi önerilmektedir.

Anahtar Kelimeler

• Hemşirelik
• bilişim
• yapay zekâ
• büyük veri

The Place of Innovation and Informatics in Nursing

Öz

The complexity of today's nursing practices, the increase in service expectations, the need to keep up with current technology and information, the globalized competition, and the rise in health care costs have made innovation inevitable for the nursing profession. This review was made to provide information on how to progress and innovative developments in information technologies can be integrated into nursing practices. International databases have been scanned to cover the last 10 years. The searches were made with the keywords "nursing", "informatics", "innovation", "artificial intelligence", "big data". Technologies developed for processing and benefiting unusable data created via computers and the internet are called big data. Artificial intelligence; is frequently preferred in health services, electronic health records, telehealth, mobile health care services such as simulation and remote patient monitoring, and education. In technological developments, it is stated that internet of things technology, internet-supported robots can help patients with monitorized and weak motor skills, can support some transportation and distribution works of nurses. In addition, reported that can be evaluated as a stimulus to detect phenotypes of human movements in case of danger and panic. Recently, another technological development that has been increasing in health services is virtual reality technology. The advancement of technology offers new possibilities to perfect care in nursing practice. It is thought that healthcare services will become more sustainable with the changing world and innovative developments. In the future, it is recommended to focus on studies with a high level of evidence covering informatics nursing and technology issues.

Anahtar Kelimeler

• Nursing
• informatics
• artificial intelligence
• big data

Kaynakça

1. Merih YD, Alioğulları A, Kocabey MY, Gülşen Ç, Sezer A. Hemşirelikte İnovasyon Kültürü Oluşturma; Bir Başarı Öyküsü. Zeynep Kamil Tıp Bülteni. 2019;50(3):175-81
2. Croke L. Perioperative nurses can change clinical practice through innovation. AORN Journal. 2019;110(1):5
3. Özbey H, Başdaş Ö. Hemşirelikte inovasyon. ERÜ Sağlık Bilimleri Fakültesi Dergisi. 2018;5(1-2):1-7
4. Clifton JM, Roberts LA. Innovation in faculty practice: a college of nursing and juvenile justice collaboration. Journal of Professional Nursing. 2016;32(2):94-9
5. Li‐Ying J, Paunova M, Egerod I. Knowledge sharing behaviour and intensive care nurse innovation: the moderating role of control of care quality. Journal of Nursing Management. 2016;24(7):943-53
6. Weng RH, Chen WP, Huang CY, Hung CH, Hsu CT. Can nurse innovation improve customer perception of service quality and experience? Journal of Clinical Nursing. 2016;25(13-14):1950-61
7. International Council of Nurses. Delivering quality, serving communities: nurses leading care innovations. Available from: http://www.old.icn.ch/publications/2009-delivering-quality-serving-communities-nurses-leading-care-innovations [Accessed 16th July 2021].
8. Borycki EM, Foster J. A comparison of Australian and Canadian informatics competencies for undergraduate nurses. In: Saranto K, Weaver CA, Chang P. eds. Nursing informatics. Amsterdam, Netherlands: IOS Pres; 2014. p. 349-355.

9. Kirchner RB. An introduction to nursing informatics. Nursing Critical Care. 2016;11(3):9-10
10. Olgun Ş. Türkiye’de ve Asya-Avrupa ülkelerinde bilişim hemşireliği. Van Sağlık Bilimleri Dergisi. 2019;12(3):35-40
11. Zangaro GA. Big Data in Nursing: A Commentary. Nurs Health Sci Volume. 2019;5(1):10
12. Bickford CJ. Nursing informatics: scope and standards of practice. Studies in Health Technology Informatics. 2009;146:855
13. Shalala D, Bolton LB, Bleich MR, Brennan TA, Campbell RE, Devlin L (eds). The future of nursing: Leading change, advancing health. Washington DC: The National Academy Press; 2011;10:12956
14. Higgins M, Simpson RL, Johnson WG. What about big data and nursing? Statistics, computer science, and nursing work together to analyze data and inform patient care. American Nurse Today. 2018;13(5):29-32
15. Sensmeijer J, Androwich I, Baernholdt M, Carroll W, Fields W, Fong V, et al. The value of nursing care through the use of a unique nurse identifier. Online Journal of Nursing Informatics. 2019;23(2).
16. Carroll W. Artificial Intelligence, Nurses and the Quadruple Aim. Online Journal of Nursing Informatics. 2018;22(2).
17. Clancy TR. Artificial Intelligence and Nursing: The Future Is Now. JONA: The Journal of Nursing Administration. 2020;50(3):125-7
18. Shorey S, Ang E, Yap J, Ng ED, Lau ST, Chui CK. A virtual counseling application using artificial intelligence for communication skills training in nursing education: development study. Journal of Medical Internet Research. 2019;21(10):e14658
19. Internet of Things (IoT) in Healthcare: Are We Ready for the Future? Arch Health Sci Res. 2020;7:75-81
20. Khezr S, Moniruzzaman M, Yassine A, Benlamri R. Blockchain technology in healthcare: A comprehensive review and directions for future research. Applied Sciences. 2019;9(9):1736
21. Kıyak YS, Coşkun Ö, Budakoğlu Iİ. Blok Zinciri, Akıllı Kontratlar ve Sağlık Alanındaki Üç Uygulama Örneği. Hacettepe Sağlık İdaresi Dergisi. 2019;22(2):457-66
22. Çetin B, Eroğlu N. Hemşirelik Bakımında Yenilikçi Teknolojiler. Acta Medica Nicomedia. 2020;3(3):120-6
23. Khor WS, Baker B, Amin K, Chan A, Patel K, Wong J. Augmented and virtual reality in surgery-the digital surgical environment: applications, limitations and legal pitfalls. Annals of Translational Medicine. 2016;4(23).
24. Şendir M, Kızıl H. Nazogastrik Tüp Uygulama Öğretiminde Yenilikçi Bir Yaklaşım: NAZO-AR. Düzce Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi. 2019;9(2):86-90
25. Chang YM, Lai CL. Exploring the experiences of nursing students in using immersive virtual reality to learn nursing skills. Nurse Education Today. 2021;97:104670
26. Gwin T, Villanueva C, Wong J. Student Developed and Led Simulation Scenarios. Nursing Education Perspectives. 2017;38(1).
27. Ingadottir B, Blondal K, Thue D, Zoega S, Thylen I, Jaarsma T. Development, usability, and efficacy of a serious game to help patients learn about pain management after surgery: an evaluation study. JMIR Serious Games. 2017;5(2):e10
28. Perkins RS, Lehner KA, Armstrong R, Gardiner SK, Karmy-Jones RC, Izenberg SD, et al. Model for team training using the advanced trauma operative management course: pilot study analysis. Journal of Surgical Education. 2015;72(6):1200-8
29. Bigdeli S, Kaufman D. Digital games in medical education: Key terms, concepts, and definitions. Medical Journal of the Islamic Republic of Iran. 2017;31:52
30. Clark DB, Tanner-Smith EE, Killingsworth SS. Digital games, design, and learning: A systematic review and meta-analysis. Review of Educational Research. 2016;86(1):79-122
31. del Blanco Á, Torrente J, Fernández-Manjón B, Ruiz P, Giner M. Using a videogame to facilitate nursing and medical students' first visit to the operating theatre. A randomized controlled trial. Nurse Education Today. 2017;55:45-53
32. Koivisto J-M, Niemi H, Multisilta J, Eriksson E. Nursing students’ experiential learning processes using an online 3D simulation game. Education Information Technologies. 2017;22(1):383-98
33. Koivisto J-M, Multisilta J, Niemi H, Katajisto J, Eriksson E. Learning by playing: A cross-sectional descriptive study of nursing students' experiences of learning clinical reasoning. Nurse Education Today. 2016;45:22-8
34. Thomas TW, Seifert PC, Joyner JCJ. Registered Nurses Leading Innovative Changes. OJIN. 2016;21(3).
35. Grady J. CE: Telehealth A Case Study in Disruptive Innovation. AJN The American Journal of Nursing. 2014;114(4):38-45
36. Fraher E, Spetz J, Naylor MD. Nursing in a transformed health care system: New roles, new rules. Available from: http://ldi.upenn.edu [Accessed 15th June 2021].
37. Walker-Czyz A. The Impact of an Integrated Electronic Health Record Adoption on Nursing Care Quality. The Journal of Nursing Administration. 2016;46(7-8):366-72
38. Blahna BL. How nurses can collaborate with EHR design. Nursing Critical Care. 2015;45(12):25-6
39. McAllister M, Kellenbourn K, Wood D. The robots are here, but are nurse educators prepared? Collegian. 2020;28(2):230-5
40. Elsbernd A, Lehmeyer S. Nursing and Technology. Challenges for an Interdisciplinary Research Field, Care and Society Year. 2015; 20(1):67-76
41. Meyenburg-Altwarg I. Nurses and Cutting-Edge Technology. Health Management. 2019;19(4).
42. Meyenburg-Altwarg I. My colleague of the robots leading and managing. Health Management. 2016;12:1184-96
43. Lupton D (eds). Digital sociology. 1st ed: London: Routledge; 2014.
44. Burke LE, Ma J, Azar KM, Bennett GG, Peterson ED, Zheng Y, et al. Current science on consumer use of mobile health for cardiovascular disease prevention: a scientific statement from the American Heart Association. Circulation. 2015;132(12):1157-213
45. Michard F, Gan TJ, Kehlet H. Digital innovations and emerging technologies for enhanced recovery programmes. British Journal of Anaesthesia. 2017;119(1):31-9
46. Chow CK, Redfern J, Hillis GS, Thakkar J, Santo K, Hackett ML, et al. Effect of lifestyle-focused text messaging on risk factor modification in patients with coronary heart disease: a randomized clinical trial. Jama. 2015;314(12):1255-63
47. Kleib M, Shaben T, Allen D. Lost in translation. Informatics: the buzzword in health care today. Alberta RN. 2012;68(1):12-4