The (2010) IOM report, The Future of Nursing, suggested that it is nurses who will be called up to fill expanding roles and to master technological tools and information systems while collaborating and Nurse leaders must begin thinking now about how emerging technologies will change the practice of nursing...  coordinating care across teams of health professionals. For example, more robots will be used in surgical procedures, since already they are more accurate and steadier than human caregivers (Huston, 2014) Robots will also increasingly be used to provide direct patient care. Doctors remove some of a patient’s white blood cells, expose them to a protein found in prostate cancer, and then inject the cells back into the body, where they prime the immune system to attack the cancer. 2, Manuscript 1. There is no doubt that minority nurses experience slights which are related to race from unconscious bias which permeates our culture. Balancing the Human Element with Technology, Training a Technology Enabled Nursing Workforce and Assuring Ongoing Competency. ing care include basic nursing care such as ambulation, patient turning, feeding, and bathing (Piscotty & Kalisch, 2014a). Nursing Outlook, 58 (1), 26-35. Citation: Huston, C., (May 31, 2013) "The Impact of Emerging Technology on Nursing Care: Warp Speed Ahead" OJIN: The Online Journal of Issues in Nursing Vol. Just because something can be done does not mean that it should be done. To counter nursing shortages, electronic intensive care units (E-ICUs) were established, mostly in rural areas, to enable out-of-state nurses to monitor patients remotely via video camera. Finally, well developed health IT can enable quick and informed action to health risks and public health emergencies; increase health literacy skills; provide new opportunities to connect with culturally diverse and hard-to-reach populations; and provide sound principles in the design of programs and interventions that result in healthier behaviors (Healthy People 2020, 2012). The Nanoage. There are other leadership challenges that nurses must address in conjunction with a health care system so driven by technology, such as cost. Retrieved from www.studio360.org/2012/dec/21/mind-games-designing-with-eeg/, American Association for Cancer Research. Enabling edge computing and cloud computing not only helps tackle these current challenges, but it also enables future advances. Technology is changing the world at warp speed and nowhere is this more evident than in healthcare settings. Cipriano (2011) suggests that as technology and computing become ubiquitous, all nurses will have to demonstrate competencies to maintain cutting-edge practices and that the call to lead this change will likely fall to nurse informaticians. Despite these concerns, there is no doubt that genotyping and genetic sequencing will continue to significantly improve diagnostic and interventional medicine. Computerized One theory put forth to estimate how quickly knowledge information, acquisition, and distribution have grown with computing technologies is Moore's law. Even so, there is a nursing shortage, and it’s getting worse. Seven Emerging Technologies that Are Changing the Practice of Nursing. ...nursing is an information-based profession that provides health care, and that it is technology that helps us bring all that information to the point of care. 2010, p. 28). Carroll (2011), another futurist, goes so far as to suggest that “learning is what most adults will do for a living in the 21st century” (para. Super-human brain technology sparks ethics debate. Robot Paro comforts the elderly in Fukushima. The process of autologous chondrocyte implantation (ACI)  involves removing a small piece of healthy cartilage from the knee and growing millions of new cartilage cells (chrondrocytes) in a lab, before reinjecting them back into the knee. Computerized Physician/Provider Order Entry and Clinical Decision Support. Nursing Informaticists Safeguarding the Use of Emerging . They also sense human emotion through sensors that monitor pulse rate and perspiration. The electronic health record (EHR) is a digital record of a patient’s health history that may be made up of records from many locations and/or sources, such as hospitals, providers, clinics, and public health agencies (Huston, 2014). Medicine’s bright future. Baldwin concluded that the blurring of the line between man and machine will continue to pose concerns about the ethics of emerging technologies in medicine and other fields. In fact, the problems faced by organizational leaders regarding technology will increasingly be what is called “wicked”- meaning that they have many causes, they are tough to describe, and there is no right answer. According to the National League of Nursing’s (NLN) 2015 “Vision Series” report, “teaching with and about emerging technology is the future of nursing education. physician order entry. Key words: Change, future, technology, genetics, genomics, Human Genome, 3-D printing, robotics, nanomedicine, nanotechnology, biomechatronics, Kansei, biometrics, electronic healthcare records, computerized physician/provider order entry, clinical decision support, nursing leadership, informatics, training, education. In a profession where knowledge doubles every six years, nurses can no longer be the keeper of knowledge. From real-time diagnoses aided by machine learning to wearable devices that track and transmit patient data from a distance, a host of new and evolving technologies are poised to influence care delivery in 2020. Artificial intelligence, or AI, is tech designed to mimic the human cognitive processes. “You must understand the context in which tech has been introduced to nurses to appreciate the changing workplace of nurses. Augmented reality and virtual simulation technologies in nursing education are burgeoning. The data can be used for both detection and treatment discoveries and preventative medicine too. Nurses typically don’t complain about such shortcomings. (2012). But it’s time to stop and assess what impact healthcare tech is having on nursing, the world’s largest healthcare workforce. Researchers are already beginning to grow individual tissues, tendons, and cartilages from stem cells and several years ago, a kidney-like organ was grown from scratch in the lab and used successfully in animals (Coghlan, 2012). Growth in robotics is expected due to workforce shortages, a growing elder population, and a call for higher quality care not subject to human limitations. Stem cell and genetic therapies for the fetus. While myriad forces are changing the face of contemporary healthcare, one could argue that nothing will change the way nursing is practiced more than current advances in technology. Service robots are being developed for use as caregivers in Japan, particularly for the elderly. Dr. Huston is the co-author of five leading textbooks on leadership, management, and professional issues in nursing (a total of 16 editions). Anderson, M. (2012, December 21). HPE LGBTQ+ team members stand in solidarity with our Black and African American team, Explore the many valuable support services available to Hewlett Packard Enterprise, 4.6 million active RN licenses at the end of 2017. Howard, B. (2012, August 30). CPOE and clinical decision support fundamentally change the ordering process resulting in lower costs, reduced medical errors, and more interventions based on evidence and best practices. Dr. Huston served as the 2007-2009 President of the Honor Society of Nursing, Sigma Theta Tau International (STTI), and as Co-Chairperson of the 2010 International Year of the Nurse (IYNurse) Initiative (a global partnership effort between Sigma Theta Tau International Honor Society of Nursing; the Nightingale Initiative for Global Health; and the Nightingale Museum of London). In fact, Calzone et al. Technology has been instrumental in changing how healthcare works. The application of 3D printing in healthcare literally makes the body into a system of interchangeable parts The application of 3D printing in healthcare literally makes the body into a system of interchangeable parts (Banham, 2013). Non-invasive and minimally invasive tools for diagnostics and treatment generally result in lower patient risk and cost. Researchers are also making strides to develop vaccines for some types of cancer. Thompson, C. (2012, October 10). While myriad forces are changing the face of contemporary healthcare, one could argue that nothing will change the way nursing is practiced more than current advances in technology. Challenges continue to exist in understanding and demonstrating meaningful use; capturing the relevant data electronically as part of clinical workflows; and not having the appropriate certified technology (Miliard, 2012). Artificial Intelligence (AI) is intelligence demonstrated by machines, such as visual perception and decision making. Omnicell automates business operations and patient safety measures. The miniature tattoo, which is only a few millimeters in size, is made up of nanosensors that contain a yellow-orange dye. To err is human: Building a safer health system. Robot couriers find and deliver medications, supplies, equipment, and other goods so that scarce, valuable human resources do not have to leave the patient care area. Securing electronic medical records using biometric authentication. Having Expertise in Knowledge Information, Acquisition, and Distribution. Computers will also continue to play a significant role in knowledge acquisition and distribution since they have significant potential to dramatically extend our memory capability and memory and cognitive capacity, two elements that form the basis of our thinking process. Retrieved from www.nei.org/howitworks/medicineandscientificresearch/. “When tech is down for whatever reason—upgrades, updates, maintenance, or a malfunction—it is a major disruption to a very busy multitasking nurse. 8). The drug was approved in 2010 for use with patients with metastatic prostate cancer which had stopped responding to hormone treatments (Howard, 2011). Retrieved from www.oristem.com/uk/en/index.php?option=com_story&view=storyview&Itemid=133&article_id=321#.UTVsnjeS8gk, Miliard, M. (2012, April 24). When Ken-zi hears a word, it searches through its database of more than 500,000 words and then it displays one of 36 expressions it thinks matches the word (Huston, 2014). In addition, most hospitals and health systems continue to doubt their ability to meet new mandated EHR standards, with only 48% of healthcare leaders in a recent survey feeling confident in their organization’s readiness to meet Stage 1 meaningful use requirements (Miliard, 2012). 1). Scientists use 3-D printing to help grow an ear. The system continues to be improved an… The need for improvement was the driving force behind the evolution of computers in healthcare. CNBC. While there are drawbacks that come with telecommunication, it’s clear that information technology has the potential to improve the quality of life for nurses and RNs alike. Health Details: Nursing informaticists safeguarding the use of emerging technologies.Online Journal of Nursing Informatics (OJNI), 23(3). Adobe Stock. Data is gathered, processed, and acted on—all by the systems in the car. The Internet of Things (IoT) for healthcare is poised to help with both the art and the technical sides of nursing. But even when the tech is functioning properly, it sometimes falls short of being helpful. Even with these concerns, nearly three-quarters (71 percent) of hospital and health system leaders said they are more than 50 percent of the way to completing EHR system adoption (Miliard, 2012). This form of deep learning utilizes neural networks with multiple layers which can analyze large volumes of complex data. Medicare & Medicaid EHR incentive program. Types of AI that are being used in the healthcare industry include robot doctors, dentists or surgeons, virtual nursing assistants, and voice-to-text transcriptions. As a result, nurses, the primary providers of care to patients, will need to become more technologically proficient and learn how to use the new tools as they’re introduced into healthcare facilities—and this will begin with training. Nursing as a profession must not be reactive and allow others to assume this leadership role. There will also be more mergers of humans and machines through biomechatronics, which means creating machines which replicate or mimic how the body works. Experts suggest that biometric signatures will become common place in most healthcare organizations since they will provide the needed security for medical records (Krawczyk & Jain, n.d.). Four Nursing Leadership Challenges in Integrating New Technology. Rath, L. (2012, November/December). In today's healthcare system, information technology is the foundation of the future. Technology is changing the world at warp speed and nowhere is this more evident than in healthcare settings. Investments in new diagnostics, healthcare IoT, and other healthcare technologies are on similar upswings. Tech-savvy consumers are also bringing IoT into healthcare and nursing with their wearables, apps, and data,” says Harrington. Retrieved from www.bizjournals.com/boston/blog/mass-high-tech/2012/07/irobot-to-unveil-healthcare-robot-friday.html, Take 5 with a Nurse Leader (2012). How emerging healthcare technology is changing the workplace for nurses A day in the life of a nurse—then and now. 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