Discussion paper
The preparation of technologically literate graduates for professional practice: A review of the literature
Elizabeth Bembridge
New Graduate Nurse, Northern Sydney Central Coast Area Health Service, Tuggerah NSW
Tracey Levett-Jones
Associate Professor, Deputy Head of School (Teaching and Learning), School of Nursing and Midwifery, The University of Newcastle Callaghan NSW
Sarah Yeun-Sim Jeong
Master of Nursing (Advanced Practice) Program Convenor, School of Nursing and Midwifery, The University of Newcastle, Callaghan NSW
PP: 018 - 025
Abstract
The impact of information and communication technology has been felt globally and the healthcare sector is not immune to the changes brought about by the introduction of new technologies.
In contemporary clinical practice environments, information and communication technology skills are advantageous, not only to nurses, but also to the patients for whom they care. There is good evidence that these skills, appropriately utilised, can have a significant impact on patient outcomes. This scholarly paper presents the background to a project that explores graduate nurses' experiences of using information and communication technology in clinical contexts.
A broad historical overview of the implementation of information and communication technology in higher education and healthcare in Australia is provided before discussing the extent to which the technology skills learnt at university are relevant or transferable to contemporary practice environments. The current levels and use of information and communication technology among new graduate nurses, the apparent dichotomy between technological versus humanised healthcare, and the need for national information and communication technology competency standards are discussed.
Keywords
nursing education; nursing student; new graduate; information and communication technology; computers
References
Adams G (1986) Computer technology: Its impact on nursing practice. Nursing Administration Quarterly 10, 21-33.
Australian Nursing & Midwifery Council (2006) ANMC national competency standards for the registered nurse [Electronic Version]. Retrieved 9 October 2008 from http://www.anmc.org.au/docs/Competency_standards_RN.pdf
Barnard A (1997) A critical review of the belief that technology is a neutral objet and nurse are its master. Journal of Advanced Nursing 26, 126-131.
Barnard A and Sandelowski M (2001) Technology and humane nursing care: (ir) reconcilable or invented difference. Journal of Advanced Nursing 34(3), 367-375.
Bernardo A (1998) Technology and true presence in nursing. Holistic Nursing Practice 12, 40-49.
Canadian Nurses Association (2000) A national framework for continuing competence programs for registered nurses. Retrieved 12 November 2008 from http://www.cna-aiic.ca/CNA/nursing/regulation/competence/default_e.aspx
Clarke H and Nagle L (2003) Assessing the informatics education needs of Canadian nurses eduction institiution component. Retrieved 22 November 2008 from http://www.hc-sc.gc.ca/hcs-sss/pubs/kdec/on_nurseinfirmier/index-eng.php
Commonweatlh of Australia (1997) Health Online: A report on health information management and telemedicine. Retrieved 2 November 2008 from http://www.aph.gov.au/house/committee/fca/tmreport.pdf
Conrick M, Hovenga E, Cook R, Laracuente T and Morgan T (2004) A framework for nursing informatics in Australia: A strategic paper. Retrieved 22 October 2008 from http://niaonline.org.au/html/Nursing%20Informatics%20in%20Australia_final%20Version1%5B1%5D.pdf
Cooper M (1994) Care: Antidote for nurses' love-hate relationship with technology. American Journal of Critical Care 3, 402-403.
Curran C (2003) Infomatics competencies for nurse practitioners. AACN Clinical Issues: Advanced Practice in Acute and Critical Care 14(3), 320-330.
Eley R, Fallon T, Soar J, Buikstra E and Hegney D (2008) The status of training and education in information and computer technology of Australian nurses: A national survey. Journal of Clinincal Nursing 17(20), 2758-2767.
Fetter M (2008) Graduating nurses' self- evaluation of information technology competencies. Journal of Nursing Education 48(2), 87.
Garling P (2008) Final report of the special commission of inquiry acute care services in NSW public hospitals. Retrieved from http://www.lawlink.nsw.gov.au/lawlink/Special_Projects/ll_splprojects.nsf/pages/acsi_finalreport
Gaynor L, Gallasch T, Yorkston E, Stewart S and Turner C (2006) Where do all the undergraduate and new graduate nurses go and why? A search for empirical research evidence. Australian Journal of Advanced Nursing 24(2), 26-32.
Grain H (2005) Information systems in the new world: An emerging national approach. Australian Health Review 29(3), 293-296.
Heath P, Duncan J, Lowe E, Macri S, Ramsay J, Selby Smith C, et al (2002) National review of nursing education: Our duty of Care. Retrieved from http://www.dest.gov.au/archive/highered/nursing/pubs/duty_of_care/default.html
Hegney D, Bulkstra E, Eley R, Fallon T, Gilmore V and Soar J (2007) Nurses and information technology. Retrieved from http://www.anf.org.au/it_project/PDF/IT_Project.pdf
Hovenga E and Kidd M (1996) Health informatics in Australia. In B Cesnik, E Hovenga and M Kidd (Eds) Health informatics: An overview (2nd edn, pp.1-4). Melbourne VIC: Churchill Livingstone.
Jiang W, Chen W and Chen Y (2004) Important computer competencies for the nursing profession. Journal of Nursing Research 12(3), 213-226.
Lepley WM (1959) Predicting success in nurses training. Journal of Psychology: Interdisciplinary and Applied 48, 121-124.
Levett-Jones T, Kenny R, Bourgeois S, Hazelton M, Kable A and Van Der Riett P (2009) Exploring the information and communication technology competence and confidence of nursing students. Nurse Education Today 29(6), 612-616.
Mackey R (1995) Discover the healing power of therapeutic touch. American Journal of Nursing 95(4), 27-32.
McCannon M, and O'Neal P (2003) Results of a national survey indicating information technology skills needed by nurses at time of entry into the work force. Journal of Nursing Education 42(8), 337-340.
McNamara K (2003) Information and communication technologies, poverty and development: Learning from experience. Information for development program. Retrieved 3 November 2008 from http://www.infodev.org/en/Publication.17.html
National Health Information Management Advisory Council (2001) Health Online: A health information action plan for Australia. Retrieved 24 September 2008 from http://www.health.gov.au/internet/hconnect/publishing.nsf/content/7746b10691fa666cca257128007b7eaf/$file/actplan2.pdf
Nurses and Midwives Board of New South Wales (2007) Guidelines for the development of courses leading to registration as a nurse [Electronic Version]. Retrieved 2 October 2008 from http://www.nmb.nsw.gov.au/Education-of-Registered-Nurses/default.aspx
Philippon D and Braithwaite J (2008) Health system organisation and governance in Canada and Australia: A comparison of historical developments, recent policy changes and future implications. Healthcare Policy 4(1), 168-186.
Queensland Nursing Council (2005) Nursing and midwifery education policy: An accreditation framework [Electronic Version]. Retrieved 3 September 2009 from http://www.qnc.qld.gov.au/upload/pdfs/qnc_policies/Nursing_and_midwifery_education_policy_an_accreditation_framework.pdf
Ray M (1987) Technological caring: A new model in critical care. Dimensions of Critical Care Nursing 6, 166-173.
Saba V and McCormack K (2001) Essentials of computers for nurses: Informatics for the new millennium 3rd edn). New York: McGraw Hill.
Saba V, Skiba D and Bickford C (2004) Competencies and credentialing: Nursing informatics. Studies in Health Technology and Informatics 109, 75-89.
Sandelowski M (2002) Visible humans, vanishing bodies and virtual nursing: Complications of life, presence place and identity. Advanced Nursing Science 24(3), 58-70.
Saskatchewan Registered Nurses' Association (2006) Continuing competence program for RNs and RN (NP)s [Electronic Version]. Retrieved 18 November 2008 from www.srna.org
Sinclair M and Gardner J (1999) Planning for information technology key skills in nurse education. Journal of Advanced Nursing 30(6), 1441-1450.
Smedley A (2005) The importance of informatics competencies in nursing: An Australian perspective. CIN: Computers, Informatics, Nursing 23(2), 106-110.
Spender D and Stewart F (2003) Embracing e-learning in Australian schools [Electronic Version]. Retrieved 12 December 2008 from http://www.bssc.edu.au/public/learning_teaching/research/embracing%20e-Learning%20000-731.pdf
Staggers N, Gassert C and Curran C (2002) A Delphi study to determine infomatics competencies for nurses at four levels of practice. Nursing Research 51(6), 383-390.
Stevens J and Crouch M (1998) Frankenstein's Nurse! What are schools of nursing creating? Collegian 5(1), 10-15.
The Royal Society (2006) Digital healthcare: The impact of information and communication technologies on health and healthcare. London: The Royal Society.
Thede L (2003) Informatics and nursing: Opportunities and challenges (2nd edn). Philadelphia: Lippincott, Williams & Wilkins.
Timmins J (2003) Nurses resisting information technology. Nursing Inquiry 10(4), 257-269.
World Health Organisation (2002) Strategic directions for strengthening nursing and midwifery services 2002-2008. Retrieved from http://www.searo.who.int/LinkFiles/Resources_Anglais.pdf
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