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Implications For Advanced Nursing Practice And Research

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Implications For Advanced Nursing Practice And Research

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The use of any one of these applications, as well as others not mentioned, have so much to offer related to advancement of nursing practice and research. These applications can allow users to communicate with like minded individuals from all over the world in a little to no time and receive information that once before the implementation of technology, would not have so easily be able to be communicated. However, there are some concerns with the use of these applications. One main concern is the dehumanization of the patient at the bedside. In a study by Silva, et al. (2018), noted that while the use of these applications and smartphones or devices at the bedside were extremely helpful to the decision-making process at the bedside, it did take away from the patient in that it dehumanized them making the patient more of an object rather than a human being. It was also mentioned that mobile computing and applications take the nurse away from nurse-patient contact to more nurse-computer contact in its place, (Silva, et al., 2018). Another issue would be the amount of time necessary for nurses to use these applications. Many applications take time and energy, some more than others, and the use of these applications are not always compatible with some devices, (Nawrocki, Sniezynski, and Slojewski, 2019). This can be frustrating for those nurses that are not computer savvy or experienced with its use.

There are some positives to use of mobile computing applications and devices in that it can provide information and education to those that would not already have. Newer nursing students, for example, are using these applications more frequently as part of their routine. By using multiple mobile applications, they are advancing their knowledge in the specific area, increasing patient safety, and learning to use reliable data and evidenced-based practices rather than just the word of the nurse they are learning under, (Carter-Templeton, March, and Perez, 2018; Kim and Suh, 2018). By continuing to use multiple applications to gain access to the information they desire, we can expect to see future nurses and nursing students making more accomplished, rapid, and imperative changes in the future of how nurses care for patients as research results will be able to be accessed and implemented more quickly than in the past.

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While computer charting may be considered old technology for the medical profession as it has recently made paper charting almost obsolete, it is still a relatively new capability that is ever changing and presenting more challenges than one would have originally thought. Now the challenges medical professionals face are ones of portability. Nurses, doctors, and other medical professionals are required to be everywhere, reachable, and accessible all at the same time, which can prove challenging when the information that is needed to perform the work is stationary at a desk or nursing station and may not be readily available at any given facility depending on the number of employees and the number of computers available. The introduction to the use of mobile computer technology is ever rapidly growing in need, however, it does come with its own challenges and drawbacks.

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Carter-Templeton, H., March, A., & Perez, E. (2018). Use of mobile computing devices among nursing students for information seeking in simulation. CIN: Computers, Informatics, Nursing, 36(1), 1-4. doi: 10.1097/CIN.0000000000000411

Epocrates. (n.d.). Epocrates. Retrieved April 5, 2021 from https://www.epocrates.com/

Figure1. (2021). Figure1 medical case sharing. Retrieved on April 5, 2021 from https://www.figure1.com/about

García-Valls, M., Dubey, A., & Botti, V. (2018). Introducing the new paradigm of social dispersed computing: Applications, technologies and challenges. Journal of Systems Architecture, 91, 83-102. doi.org/10.1016/j.sysarc.2018.05.007

IBM Watson Health Product Education. (n.d). IBM Micromedex. Retrieved April 5, 2021 from https://www.ibm.com/watson/health/provider-client-training/micromedex/

Kim, H., & Suh, E. (2018). The effects of an interactive nursing skills mobile application on nursing students' knowledge, self-efficacy, and skills performance: A randomized controlled trial. Asian Nursing Research, 12(1), 17-25. doi.org/10.1016/j.anr.2018.01.001

MDCalc. (n.d.). MDCalc. Retrieved on April 5, 2021 from https://www.mdcalc.com/

Medscape. (2021). Medscape. Retrieved on April 5, 2021 from https://www.medscape.com/

Nawrocki, P., Sniezynski, B., & Slojewski, H. (2019). Adaptable mobile cloud computing environment with code transfer based on machine learning. Pervasive and Mobile Computing, 57, 49-63. doi.org/10.1016/j.pmcj.2019.05.001

Sewell, J. (2019). Informatics and nursing: Opportunities and challenges (6th ed.). Philadelphia, PA: Wolters Kluwer. ISBN 9781496394064 (paperback)

Silva, A., Mascarenhas, V., Araújo, S., Machado, R., Santos, A., & Andrade, E. (2018). Mobile technologies in the nursing area. Revista brasileira de enfermagem, 71(5), 2570-2578. doi.org/10.1590/0034-7167-2017-0513

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There are many mobile applications that can be used at the bedside to help with nursing care and increase in patient safety. With any Google search, any nurse can find numerous sites that offer the best applications for nurses to use no matter where they are in their nursing career and can even be narrowed down to their prospective fields. While difficult to narrow down, there are five believed to be used most frequently by nurses in the hospital setting requiring further discussion.

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Medscape is another application that is similar to Epocrates in that it offers several uses under its application such as calculations, medication information, conditions and their common course of treatment, as well as medical news articles and studies. It is also a free application that can be easily downloaded to any smartphone or device as well as be accessed by computer. It can be specialized by the user to only see certain information based on the users preferences (nurse information only, specialty only, etc.), (Medscape, 2021). It is more news focused on the new and updated information related to medical information occurring in the world at the time accessed and it also will email the user updates and news events on specific topics the user lists on their profile, (Medscape, 2021).

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All Specialties

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Director, Scripps Translational Science Institute; Executive Vice President and Professor of Molecular Medicine, The Scripps Research Institute; Senior Consultant, Division of Cardiovascular Diseases, Scripps Clinic, La Jolla, California; Editor-in-Chief, Medscape

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Medscape Physician Report

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All Specialties Featured News & Perspectives View All Trending on Medscape Columnists Medscape Essentials View All View All Director, Scripps Translational Science Institute; Executive Vice President and Professor of Molecular Medicine, The Scripps Research Institute; Senior Consultant, Division of Cardiovascular Diseases, Scripps Clinic, La Jolla, California; Editor-in-Chief, Medscape Medscape Physician Report

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Figure1 is another application that allows the user to access multiple medical cases that other physicians or providers have questions about or that are unique in nature. The user does not have to be a physician or medical provider in order to have access to the application, but the site does require the user to input information to the site to show the need of the site (ex: being a nurse, firefighter, etc.) and is free to those that have access to it, (Figure1, 2021). Since the sharing of medical cases are allowed on this site as well as pictures, the site does not allow the sharing of patient information and identifiers and remains compliant with HIPAA (Health Insurance Portability and Accountability Act), (Figure1, 2021). The main purpose of this application is to help those medical professionals that are dumbfounded by a specific case or situation as well as to help with the sharing of knowledge between others.

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Figure 1's mission is to democratize medical knowledge and improve the future of healthcare. Millions of healthcare professionals-as well as prominent institutions including Doctors Without Borders, BMJ, and Mount Sinai Health System-use our digital platform to share cases and help save lives. In just a few years, we have become the largest active network of medical professionals in the world. And that's only the beginning.

Extraordinary real-life stories unfold every day on Figure 1. We see physicians in field hospitals treating Syrian refugees, physician assistants treating patients on remote Alaskan fishing boats, and surgeons demonstrating cutting-edge techniques to an audience of their peers. Thanks to our global community, we've been able to connect healthcare professionals from around the world with the help they need in the moment they need it.

1. Where can I download Figure 1?
Figure 1 is a free download on the App Store and Google Play. It is also available on the web at app.figure1.com.

2. Who founded the company?
Figure 1 was co-founded by chief medical officer Dr. Joshua Landy, Gregory Levey, Richard Penner.

3. Where can I find answers to my other questions?
Browse our for answers to our most commonly asked questions, including how we protect patient privacy. For more support, .

Figure 1 is proud to have prominent institutions including the ones above sharing their clinical expertise with our global community.

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Figure 1's mission is to democratize medical knowledge and improve the future of healthcare. Millions of healthcare professionals-as well as prominent institutions including Doctors Without Borders, BMJ, and Mount Sinai Health System-use our digital platform to share cases and help save lives.

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MDCalc is another application that can be used specifically for advanced practice providers to determine specific and important calculations quickly for their respective areas, (MDCalc, n.d.). It is not solely used by physicians or advanced practice providers, however, it does offer more calculations that those in these professions would more frequently use. It is currently a free application that can be easily downloaded to any smartphone or tablet, but is also available on their website for use should only a computer be available for use, (MDCalc, n.d.).

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MDCalc - Medical calculators, equations, scores, and guidelines

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The source for medical equations, algorithms, scores, and guidelines.

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Epocrates is another mobile application that allows the user to be able to look up drug information, guidelines, labs, calculators, and more (Epocrates, n.d.). It makes for ease of use as the user can have all the information they need under one application and not have to download several to their smartphones or devices in order to get all of the same benefits. This application, like most, does have a cost to its use, but does offer a trial period of 14-days free for the user to determine if this is the best application for them (Epocrates, n.d.).

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Get the knowledge you need now to support your clinical decisions.

Access the most current medical information quickly and easily, so you can stay focused on what matters most-your patients.

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Consult the gold standard of current, accurate prescription data*

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The clinician's indispensable multi-tool

With valuable features including drug information, interaction check, pill identification, clinical practice guidelines, and formulary, epocrates is essential to the busy provider. See what's included with epocrates - and why many providers use the app up to 10 times a day.

Meet the experts behind epocrates

Our Medical Information team of dedicated pharmacists, physicians, and associates creates the essential clinical content for epocrates. Our team strives to provide information that is objective, accurate, current, concise, and clinically relevant.

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Point of care medical application | Epocrates

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Get the knowledge you need now to support your clinical decisions. Access the most current medical information quickly and easily, so you can stay focused on what matters most-your patients. Consult the gold standard of current, accurate prescription data* Unlock additional premium content including: With valuable features including drug information, interaction check, pill identification, clinical practice guidelines, and formulary, epocrates is essential to the busy provider.

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IBM Micromedex is an application that is frequently used at the bedside for medication administration and general medication information. It is most popular in the intensive care units (ICU) specifically for medication compatibility as many ICU patients require multiple drips or medications running at the same time with few access sites available. Advantages to using IBM Micromedex are that the application is easily accessible, easy to use, and is up-to-date with the most current information on compatibility as well as with drug information. One major drawback to the use of this application is that it cost money to use (IBM Watson Health Product Education, n.d). The support area for complications with the application itself is also not easy to navigate or find the help you need.

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The place to shop for software, hardware and services from IBM and our providers. Browse by technologies, business needs and services.

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With the ever growing advancements in technology includes the rapid production of new types of mobile computer devices and ways to access, store, and transmit technology more freely.

The use of smartphones and tablets are the basic necessity for the foundation of mobile computing. These devices are like small mobile computers that allow the user to do everything that a computer can do, and maybe even more, while on the go, (Sewell, 2019).

While not every function on a smartphone or tablet requires the use of internet access (taking a photo, or writing notes), the majority of functions do require this in order to work effectively, (Sewell, 2019).

These devices are easily accessible and able to perform functions quickly, allow real-time charting, improve patient safety as the user can look up correct and accurate information quickly, and are considered the most commonly used mobile computing device (Sewell, 2019).

These devices, while small in nature, are easily damaged or lost. Sewell reported that these devices are designed to be hand-held or fit easily into pockets, however, they are dropped frequently, stolen for monetary value, too easily accessible in regards to low security features, internet or Wifi coverage is not always accessible or is very poor, and the devices themselves are expensive, (2019).

The patient’s perception of the use of these devices especially at the bedside are an added barrier as many of patients feel the provider is ignoring them, or doing other things on their devices, not related to the patient (Sewell, 2019; García-Valls, Dubey, & Botti, 2018).

These devices, though, are needed in order to continue with the advancement of mobile technology as they hold many applications depending on the memory available on the device.