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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?
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
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”
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
“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)
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
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
MICHAEL JOSEPH S. DINO, PhD, MAN, RN, LPTOUR LADY OF FATIMA UNIVERSITY, Philippines