ISSUES RELATED TO TECHNOLOGY in medical .pptx

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1. LEARNING OBJECTIVES: Define key legal challenges in nursing technology, such as data privacy and telehealth regulations. Explain the ethical implications of technology, including patient autonomy and access to care. Discuss how technology affects clinical decision-making and patient outcomes. Define best practices for ensuring compliance with legal and ethical standards in technology use. Discuss emerging technologies and their potential challenges in nursing practice.

2. INTRODUCTION Overview of Technology in Nursing: Transformation of healthcare delivery Examples: EHRs, telehealth, patient monitoring Importance of Addressing Challenges: Legal and ethical implications Impact on patient care and rights

3. LEGAL CHALLENGES IN NURSING TECHNOLOGY Data Privacy: Nurses must comply with laws like HIPAA, which protect patient health information. They must ensure that patient data in electronic health records (EHRs) is secure. Example: If a nurse inadvertently shares a patient’s health information on social media, this could lead to legal action against the nurse and the healthcare facility for violating patient privacy laws.

4. (CONT….) Telehealth Regulations: Understanding state-specific laws related to telehealth practice is essential. Example: A nurse in New York provides telehealth services to a patient located in Florida without holding a Florida nursing license, which could lead to legal penalties.

5. ETHICAL CONSIDERATIONS Patient Autonomy: Nurses must ensure patients are informed about their treatment options. Example: A nurse using a health app to suggest lifestyle changes must first ensure that the patient understands how the app works and consents to share their data.

6. (CONT…) Access to Care: Disparities in access to technology can lead to unequal care. Example: A patient in a rural area lacks internet access and cannot attend virtual appointments, resulting in delayed care. Nurses should advocate for alternative solutions, such as phone consultations.

7. IMPACT ON PATIENT CARE Clinical Decision-Making: Technology can support or hinder clinical judgments. Example: A nurse uses a clinical decision support system (CDSS) to diagnose a patient. If the system misreads the symptoms due to outdated algorithms, it may lead to a misdiagnosis, impacting patient safety.

8. (CONT….) Patient Outcomes: Technology can improve monitoring and intervention. Example: A remote patient monitoring device alerts a nurse to a patient’s declining vital signs, enabling timely intervention that potentially saves the patient’s life.

9. ISSUES IN TECHNOLOGY 1. Cybersecurity Threats 2. Informed Consent Challenges 3. Overdependence on Technology 4. Inequitable Access to Technology 5. Ethical Concerns with AI and Machine Learning 6. Digital Literacy among Patients 7. Patient Surveillance and Privacy 8.Quality of Care with Remote Monitoring

10. (CONT…) Cybersecurity Threats As healthcare organizations increasingly rely on technology, they become prime targets for cyberattacks, risking patient data and safety. Example: A ransomware attack on a hospital's EHR system can halt operations, compromising patient care and leading to potential legal liabilities for failing to protect patient data.

11. (CONT…) 2. Informed Consent Challenges Ensuring that patients fully understand the implications of technology used in their care can be difficult, especially with complex digital tools. Example: A patient may not fully grasp how their data will be used if they consent to participate in a telehealth program, leading to ethical concerns about informed consent.

12. (CONT…) 3. Overdependence on Technology Reliance on technology can reduce critical thinking and clinical judgment skills among nurses. Example: A nurse might overlook a patient’s verbal cues or symptoms, relying solely on an automated alert system that may not capture the full clinical picture.

13. (CONT….) 4. Inequitable Access to Technology Not all patients have equal access to technology, creating disparities in care and outcomes. Example: Patients in low-income areas may lack smartphones or internet access needed for telehealth appointments, leading to missed follow-ups and worsening health conditions.

14. (CONT…) 5. Ethical Concerns with AI and Machine Learning The use of AI in clinical settings can lead to ethical dilemmas, particularly regarding bias in algorithms and decision-making. Example: An AI tool trained predominantly on data from one demographic may not accurately diagnose conditions in patients from diverse backgrounds, potentially leading to unequal treatment.

15. (CONT…) 6.Digital Literacy among Patients Varying levels of digital literacy can affect patients' ability to use health technology effectively. Example: Elderly patients may struggle to navigate health apps, leading to underutilization of important health management tools and worsening health outcomes.

16. (CONT…) 7.Patient Surveillance and Privacy Continuous monitoring technologies can enhance care but also raise privacy concerns for patients. Example: Using cameras or sensors in patient rooms for safety can lead to discomfort and feelings of being surveilled, affecting the patient experience.

17. (CONT…) 8. Quality of Care with Remote Monitoring While remote monitoring devices can provide valuable data, they may not capture the full context of a patient's condition. Example: A patient’s vital signs might appear stable on a monitor, but underlying issues may go unnoticed without regular in-person assessments.

18. Future Considerations in Technology and Nursing Continuous Evolution: Stay informed about innovations like AI and telehealth that reshape care delivery. Adaptability: Embrace lifelong learning and flexibility to meet dynamic healthcare demands. Prioritize Patient Safety: Vigilantly assess risks (cybersecurity, data breaches) associated with new technologies. Quality of Care: Evaluate the impact of technology on patient outcomes and enhance the overall patient experience. Interdisciplinary Collaboration: Work closely with IT professionals and other healthcare providers for effective technology integration. Ethical Advocacy: Promote policies that protect patient rights and ensure equitable access to technological resources.

19. REFERRENCE: 1 .Burkhardt, M. A., & Nathaniel, A. (2020). Ethics & issues in contemporary Nursing . NURSING ETHICS FOR 21st CENTURY ,ELSEVIER 2. Catalano, J. T. (2019). Nursing now: today's issues, tomorrows trends. FA Davis. 3. Austin, W., Lemermeyer , G., Goldberg, L., Bergum , V., & Johnson, M. S. (2005). Moral distress in healthcare practice: The situation of nurses. HEC Forum, 4. Yuran , Kim. (2023). A Method for Applying Questioning Strategies for Self-reflection to Supplement Value Clarification Theory. Yeollin gyoyug yeon'gu , doi : 10.18230/tjye.2023.31.3.199 )

20. ELECTRONIC RESOURCES American Nurses Association. (n.d.). Nursing informatics . Retrieved from https://www.oinfo.org/ Wiley Online Library. (n.d.). Journal of nursing scholarship . Retrieved from https://onlinelibrary.wiley.com/journal/15475069 Journal of Nursing Technology. (n.d.). About the journal . Retrieved from https://www.jnurs.com/