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Vol 27, nº2 2018
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Editorial
O desafio da enfermagem e da saúde na idade
Digital the challenge for nursing and healthcare in the digital age
El desafío para la enfermería y la atención médica en la edad digital
Krysia W. Hudson
Johns Hopkins University School of Nursing
Marion J. Ball
Johns Hopkins University School of Nursing
Palabras clave:
Enfermería, Rol de Enfermería, Atención de enfermería
Resumen
Prácticamente en todo el mundo, tenemos el desafío de brindar la mejor atención posible a nuestros pacientes. Como aconseja el Instituto de Medicina en Crossing the Quality Chasm: “Los sistemas de atención actuales no pueden hacer el trabajo. Hacer un mayor esfuerzo no funcionará. Cambiar los sistemas funcionará”. Precisamos un sistema nuevo que sea, de acuerdo al IM, “seguro, efectivo, centrado en el paciente, oportuno, eficiente y equitativo”. Angela McBride, que pasó un año como académica en el Instituto de Medicina (ahora llamado como National Academy of Medicine), estaba llevando a cabo su programa de calidad. Claramente, la tecnología de la información es más que un “habilitador” para las enfermeras: es un componente crítico para transformar la práctica y la educación de la enfermería. “No hay un solo aspecto de nuestra profesión que no sea afectado por la revolución informática en progreso”. Es bien sabido que la profesión más respetada y confiable para nuestra población es la enfermería. En esta era digital, la enfermería está desempeñando un papel fundamental...
Abstract
Almost everywhere in the world, we are challenged to provide the best possible care for our patients. As Institute of Medicine (IOM) advises in Crossing the Quality Chasm, “The current care systems cannot do the job. Trying harder will not work. Changing systems will.” What we need is a new system that is, as defined by the IOM, “safe, effective, patient-centered, timely, efficient, and equitable.” According to Angela McBride,² who spent a year as an IOM Scholar while at the Institute of medicine (now called the National Academy of Medicine) was pursuing its quality agenda. Clearly information technology is more than an “enabler” for nurses: it is a critical component towards transforming nursing practice and education. “There is no aspect of our profession that will be untouched by the informatics revolution in progress”.² It is well known that the most respected profession and most trusted by our population is the nursing profession. In this digital age, nursing is playing a seminal role in bringing to the bedside...
Resumo
Em quase todos os lugares do mundo somos desafiados a oferecer o melhor atendimento possível aos nossos pacientes. Como o Instituto de Medicina (IOM) aconselha em Crossing the Quality Chasm: “Os sistemas de saúde atuais não podem fazer o trabalho. Tentando ainda mais não vai funcionar. É a mudança de sistemas que vai funcionar”. Precisamos de um novo sistema que seja “seguro, eficaz, centrado no paciente, oportuno, eficiente e equitativo” conforme definiu o IOM. Angela McBride passou um ano como acadêmica do referido Instituto no momento em que ele (agora chamado de National Academy of Medicine) estava tentando construir uma agenda de qualidade. Claramente, a tecnologia da informação é mais do que um “facilitador” para os enfermeiros. Ela é um componente crítico para transformar a prática e a educação da enfermagem. “Não há nenhum aspecto da nossa profissão que não seja afetado pela revolução da informática em andamento”. É sabido que a profissão mais respeitada e mais confiável por nossa população é a profissão de enfermagem. Nesta era digital, a enfermagem está desempenhando um papel importante...
Bibliografía
1. Institute of Medicine. Crossing the quality chasm: A new health system for the 21st Century. Washington, DC: The National Academies Press; 2001 [cited 2018 Apr 19]. Available from: https://doi.org/10.17226/10027 . 2. McBride AB. Nursing and the informatics revolution. Nurs Outlook. 2005 Jul-Aug; 53(4):183-91 3. Ball MJ, Douglas JV, Hinton Walker P, DuLong D, Gugerty B, et al, editors. Nursing informatics: where technology and caring meet. Springer; 2011. 4. Wachter R. The digital doctor: hope, hype, and harm at the dawn of medicine’s computer age. Paperback; 2017. 5. Agency for Healthcare Research and Quality. CUS Tool- Improving communication and teamwork in the surgical environment module. 2018 [cited 2018 Apr 19]. Available from: https://www.ahrq.gov/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/cus-tool.html 6. Healthcare Information and Management Systems Society. The TIGER initiative. 2018 [cited 2018 Apr 19]. Available from: http://www.himss.org/professionaldevelopment/tiger-initiative 7. Institute of Medicine. To err is human: Building a safer health system. Washington, DC: The National Academies Press; 1999 [cited 2018 Apr 19]. Available from: https://doi.org/10.17226/9728 8. Agarwal A. Safety of Health IT. 2016 [cited 2018 Apr 19]. Available from: https://www.healthit.gov/policy-researchers-implementers/health-it-and-safety#Health%20IT%20Patient%20Safety%20Action%20and%20Surveillance%20Plan 9. Sittig DF, Singh H. A socio-technical approach to preventing, mitigating, and recovering from ransomware attacks. Appl Clin Inform. 2016 Jun 29 [cited 2018 Apr 19]; 7(2):624-32. Available from: https://doi.org/10.4338/ACI-2016-04-SOA-0064 10. Identity Theft Resource Center. Data breaches up nearly 45 percent according to Annual Review by Identity Theft Resource Center and Cyber Scout. 2018 [cited 2018 Apr 19]. Available from: https://www.idtheftcenter.org/Press-Releases/data-breaches-up-nearly-45-percent-according-to-annual-review-by-identity-theft-resource-center-and-cyberscout 11. Stehlik J, Schmalfuss C, Bozkurt B, Nativi-Nicolau J, Wegerich S, Rose K, et al. Continuous wearable monitoring analytics predict heart failure decompensation: The LINK –HF multicenter study. J Am College Cardiol. 2018 [cited 2018 Apr 19]; 71 (11 Suppl): A646; Available from: https://doi.org/10.1016/S0735-1097(18)31187-2 12. Circulation and Lyft partner for non-emergency medical transportation. 2017 [cited 2018 Apr 19]. Available from: https://circulation.com/med/Circulation_LyftPR.pdf? 13. Siwicki B. Harris County Public Health says remote care helped with cost savings critical to maintaining operations during and after major storms. 2018 [cited 2018 Apr 19]. Available from: http://www.healthcareitnews.com/news/telehealth-success-story-97-harris-county-tb-patients-took-their-meds-during-hurricane-harvey
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Hudson, Krysia W.; Ball, Marion J. El desafío para la enfermería y la atención médica en la edad digital. Texto & Contexto. 2018; 27(2). Disponible en: https://ciberindex.com/c/tc/27201es [acceso: 26/04/2024]
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