OUR LADY OF FATIMA UNIVERSITY - Sigma Repository

CREATING SPACE FOR NURSING RESEARCH IN THE 4TH INDUSTRIAL AGE:A Serendipitous Journey of an Emerging Nurse Researcher

OUR LADY OF FATIMA UNIVERSITY

MICHAEL JOSEPH S. DIÑO, PhD, MAN, RN, LPTDirector, Research Development & Innovation CenterOur Lady of Fatima University

CHANGES: WHAT CHARACTERIZES THE CURRENT SCENE IN NURSING AND RESEARCH? IS THERE A MISSING LINK BETWEEN THEORY & PRAXIS?

CHANCES: WHAT DEFINES INNOVATION AND TECHNOLOGIES IN NURSING RESEARCH AND PRACTICE?

CHOICES: WHAT BEST PRACTICES CAN BE ADOPTED TO SUSTAIN THEORY-PRAXIS LINK FOR EMPOWERMENT OF NURSES? HOW CAN WE APPLY KNOWLEDGE TRANSLATION?

PRESENTATIONQUESTIONS

CHALLENGES: WHAT SHAPES THE CONTEMPORARY PRACTICE IN NURSING AS JUXTAPOSED WITH CURRENT TRENDS, ISSUES AND PROBLEMS IN RESEARCH?

NURSING AND RESEARCH:WHAT WE HAVE ENVISIONED?

NURSINGacrossthe

CENTURIES

Images

“Nurse the Comforter”YEAR 1830

“Nurse the Behaviorist”YEAR 1860

“Technology Experts”YEAR 1900

“Angel of Mercy”YEAR 1918

“The Remedist”YEAR 1943

theEVOLUTIONof MAN

EVOLUTION

HEALTHCARE PROVIDERS’

“EVERYTHING is in the PROCESS of BECOMING

SOMETHING ELSE"

LAW OF CHANGEJOHN KEHOE

CCCC

HANGE

HOICE

HANCE

HALLENGES

‘constant transformation’

‘control over preferences’

‘numerous options’

‘numerous crises’

H.E.A.L.

EALTHCARE PARTNERNGAGED PROFESSIONALCTIVE RESEARCHERIFELONG LEARNER

S.ERVANT LEADER

GLOBAL HEALTHCARE PROVIDER

IN THE NURSING PROFESSION, WE ARE

-ING

FOR QUALITY RESEARCH

C R A V E

CRAVE

OMPARABLENATIONAL AND INTERNATIONAL STANDARDS

ELIABLEMATCHES WITH NURSES’ EXPERTISE

ACCEPTABLEMETHOD, ETHICS, MANUSCRIPT FOMAT

ALIDCHECKED AND VERIFIED BY EXPERTS

XPLICITCLEAR AND CONCISE

RESEARCH

MY Serendipitous

Journey

2004

2007

2009

2013

“a requirement”

“a key to a better career”

“a way of life”

“a channel to serve”

CONNECTINGRESEARCH WITH EDUCATION & PRACTICE

EDUCATION

PRACTICE

RESEARCH

SHAPING NURSES & NURSINGCONTEMPORARY RESEARCH TRENDS, ISSUES & CHALLENGES

we are living inEXPONENTIALTIMES

GDP$272 B[7.2%]

(2013)

PEOPLE

98 M(2013)

INCOMELower Middle

(2013)

LIFE

69 yrs(2012)

25.2%(2012)

POVERTY

MDs1.15 /10k(2013)

RNs6.00 /10k(2013)

BED5

/10k(2013)

HEALTH4.1% GDP(2013)

99 /100K (2013)

14 /100k(2013)

MORTALITY MORTALITY

MOBILE

107 % Inhabitants

(2013)

NET

36.2 % individuals

(2013)

98(2013)

ICT RANK

Philippines in numbersHealthcare Data

INDUSTRIAL REVOLUTIONSTHE CHALLENGE OF

FIRST SECOND THIRD FOURTH ???MECHANIZATI

ONELECTRICIT

Y COMPUTERS CYBER PHYSICAL SYSTEM

TECHNOLOGIES AND INNOVATIONIN NURSING FOR RESEARCH

“Making POSITIVECHANGES to something

established by INTRODUCING something

NEW”

[New Oxford Dictionary of English]INNOVATION

INNOVATION

CREATIVITY

INNOVATION INNOVATION

DESIGN & EXPLORATIO

NGROWTH

AS AN INPUT AS A PROCESS AS AN OUTCOME

INFORMATICS

COMPUTER SCIENCE

INFORMATION SCIENCE

HEALTH SCIENCE

COGNITIVE SCIENCE

WISDOM

HEALTH

INFORMATICS

NURSING

specialty that integrates nursing science, computer science and

information science to manage and communicate data, information and

knowledge in nursing practice

NURSING

PRACTICE

NURSING

RESEARCH

11% of laboratory tests are lost and reordered (IOM, 1996)

30% of nursing interventions are not recorded (Workgroup in

Data Exchange, 2000)

50% of paper-based records either missing or incomplete

(IOM, 1996)

Nurses spend 35% of their time doing charting and

documentation (IOM, 1998)

11% of laboratory tests are lost and reordered (IOM, 1996)

30% of nursing interventions are not recorded (Workgroup in

Data Exchange, 2000)

50% of paper-based records either missing or incomplete

(IOM, 1996)

Nurses spend 35% of their time doing charting and

documentation (IOM, 1998)

Most hospitals in the developed countries are

gradually adopting the paperless system

(Kukafka et al, 2007; Wen et al, 2007)

Use of EHR seems to be inevitable

in modern society(Collins & Wagner, 2005)

SIMULATION LABORATORIES

iNaturalist Proscope

Microbiology

iPad MICROBIOLOGY LABORATORIES

ELECTRONIC BOOKS

• Faculty members develop their own electronic books with original content, videos and pictures

• Electronic books are distributed to the students

• Electronic books are used inside and outside classroom settings

Technology is nothing. What's important is that you have a faith in people, that they're basically good and smart, and if you give them tools, they'll do wonderful things with them.

Steve Jobs

EMPOWER RESEARCHERS

RETHINKING THE WAY WE DO RESEARCH…

SCHOOL-AGE CHILDREN LEARN EFFECTIVELY THROUGH GAMES

Nutrition-related Computer Game Use Resulted to Improved Health Literacy among Preschoolers in the Philippines [Del Rosario & Dino]

“MEASURES THAT HELP THE ELDERLYREMAIN ACTIVE AND HEALTHY ARE A NECESSITY, AN IMPORTANT ISSUE OF

THE CENTURY”(WHO, 2010; Lewis & Gillian, 2010; UNESCO,

2011)

“REACHING OUT TO DISTANT ELDERLY

RESIDING MOSTLY IN RURAL COMMUNITIES REMAINS TO BE A

PROBLEM”(Chanda & Shaw, 2010)

Decline in both Functional Statusand Quality of Life are frequently reported as the greatest sources

of fear among older adults.(Rice, 2003; Kirchengast & Haslinger,

2008)

There is LACK OF EVIDENCE on the contribution to health gain of many

Telehealth interventions(Pountney, 2009)

FEW RESEARCHES have been made in Telehealth in the context of DEVELOPING

NATIONS(Brownsell, 2009; Koch, 2005)

LIMITED RESEARCH has been done on Telehealth interventions’ SIMILARITY with the

traditional mode(Dellifraine & Dansky, 2008)

Compare the effects of video-based TELEHEALTH and

TRADITIONAL consultation sessions relative to the

measures of FUNCTIONAL INDEPENDENCE and

QUALITY OF LIFE (QoL)among a select group of

elderly.

Identify the potential predictors of Telehealth use among a select group of elderlyAscertain how technology attitudetowards technological devices can be effective predictors of Telehealth use

In a society where population is rapidly ageing, ACCEPTANCE and UTILIZATION of developing technologies by an OLDER POPULATION grows to be increasingly important (Broady, Chan & Caputi, 2010)

Help create acceptance

Aid in policy development

Increase likelihood of

success

Universal Theory of Acceptance and Use of

Technology

UTAUT(Chen, 2011; Venkatesh et al; 2003;

Davis et al, 1982; Moore & Benbasat, 2011; Berkman, 2000 )

PERFORMANCE

EXPECTANCY probability of the consequences in

performing a behavior

EFFORT EXPECTANCY

degree of ease associated with the use of the system

SOCIAL INFLUENCE

perceived usefulness of the system as

influenced by others

BEHAVIORAL

INTENTION

To explicate healthcare providers’ PREFERENCES of an IDEAL EHR in

the community setting

BALANCE INCOMPLETE BLOCK DESIGN of CONJOINT ANALYSIS

PLATFORM

COLOR

LAYOUT

MENU

DESIGNDesktop, Laptop, Tablet, SmartPhone

Type-centered, Icon-centered

Monochromatic, Analogous, Complimentary, Triadic

Minimalist, Skeumorphic

Laser-focused, Unconventional, Unconventional grid, Chunked

NON-EQUIVALENT CONTROL GROUP BEFORE AND AFTER

DESIGN(Polit & Beck, 2008)

Marilao, Bulacan

PHILIPPINES

POPULATION LGUs

16 BARANGGAY

S

HEALTH CENTERS

16HOSPITALS2 (TYPE B)

INTERNET4 PROVIDERS

TELEPHONE4 PROVIDERS

160, 452

REGRESSION ANALYSIS, STRUCTURAL EQUATION

MODELING

TELEHEALTH

GROUP

TRADITIONAL

GROUPPRETEST POST TEST PRETEST POST TEST

FUNCTIONAL INDEPENDENCE

MEASURE

6.73 6.75 6.31 6.89

PHYSICAL COMPONENT SCORE

44.91 47.52

47.87 49.99

NOT IMPROVED SIGNIFICANTLY IMPROVED

HEALTH RELATEDQUALITY OF LIFE

(HRQoL)

MENTAL COMPONENT SCORE

SIGNIFICANTLY IMPROVED

SIGNIFICANTLY IMPROVED

44.40 50.64

49.85 53.14

SIGNIFICANTLY IMPROVED

SIGNIFICANTLY IMPROVED

X

JUXTAPOSITIONING TELEHEALTH & TRADITIONAL GROUPS

REGRESSION MODELS

METHODCRITERION VARIABLE

PREDICTOR(S)

MODEL 3 MODEL 5

RR2

ADJUSTED R2

P-value

COMPUTER CONFIDENC

E

WEB USEFULNE

SS

BEHAVIORAL

INTENTION

(ß=0.24)

(ß=0.24)

FORWARDBEHAVIORAL INTENTIONWAS:

usefulnessCAS:

confidence0.370.140.120.00

STEPWISEBEHAVIORAL INTENTIONWAS:

usefulnessCAS:

confidence0.370.140.120.00

PLATFORM(27.75)

ATTRIBUTE/IMPORTANCE LEVELS

DesktopLaptop

Smartphone

COLOR SCHEME(28.62)

MonochromaticAnalogous

ComplimentaryTriadic

DESIGN(11.28)

MinimalistSkeumorphic

LAYOUT(21.08)

Laser-focusUnconventional

GridChunked

MENU(11.26)

Type-centeredIcon-centered

UTILITY ESTIMATE

-.233.089-.018.152-.113.003-.186.296.075-.075-.090-.043.133

.121

Tablet

-.121

IDEAL HEALTH RECORD

COLOR SCHEME(28.62)

2

34

5

Smartphone .152

Triadic .296

Chunked .133

Icon-centered .121

Minimalist .075

“TRADITIONAL consultation provides the golden standards of CARE among the respondents;

TELEHEALTH is a decent complement to traditional

consultation” (Diño, 2014)

EFFECTIVE and TIMELYEXCHANGE, SYNTHESIS and APPLICATIONof KNOWLEDGE among RESEARCHERS and

USERSto CAPTURE the BENEFITS of RESEARCH

“MESSAGE”

RESEARCH

“UTILIZERS”

“TARGET USER”

RESEARCH“PRODUCE

RS”

“MESSENGER”

“PROCESS”

KNOWLEDGE

TRANSLATION

7 PATENT APPLICATIONS ON PROCESS2 INVENTIONS

3 UTILITY MODELS

2 INDUSTRIAL DESIGNS

22 PATENT APPLICATIONS SUBMITTED

Online Air Monitoring SystemQuorum Sensing Inhibitor

Technology

Mosquito Repellant Spray

Retractable Barbel with Chip Plate

STD-CGS Detection Pads

Weather Coat

Retractable Barbel with Chip Plate

Technological Competency as Caring in Health SciencesTokushima University, Japan, August 17-19,2018

COOPERATE. CONNECT. COLLABORATE.

“Let him who would move the world

first move himself.”[Socrates]

WALK the ‘TALK’ThinkActListenKeep an open mind

MICHAEL JOSEPH S. DINO, PhD, MAN, RN, LPTOUR LADY OF FATIMA UNIVERSITY, Philippines

mjdino@fatima.edu.ph