Friday, May 1, 2015

E-Nursing Strategy for Canada 2006: A Peek at Nursing Informatics in the past


E-Nursing for Canada (2006)
                In 2004, the Canadian Nurses Association (CAN) received funding to develop an encompassing, comprehensive and collaborative strategy of providing a single portal or gateway for nurses to access resources via the internet. This is to address the absence of one single strategy that could unite all forms of information and communication technology (ICT) for integration in nursing, now called the e-nursing strategy.
                It aims to consider all domains of nursing practice and needs to benefit nurses and their clients on a nationwide scale. The term e-nursing embodies integration of ICT to Nursing.
                At the start of the implementation of the project, two groups were established to facilitate implementation of e-nursing. The first team, the working group, focused on identifying present health care and electronic environments and used seven key results that are expected to occur once the strategy is implemented. They identified actions needed for the next five (5) years and modeled the portal based on these needs. The education group on the other hand, is mobilized to provide nurses access to educational resources and offerings and to facilitate exchange of ideas. This is in focus to e-learning, a part of the e-nursing strategy whose aim is to provide opportunities for nurses to enhance professional growth.
                In 2005, the Can circulated a consultation document among stakeholders and respondents which include nurses, the government and educators to draw in ideas for the strategy. The document was divided into two (2) with part one (1) focusing on E-nursing as a strategy and e-learning as part of the portal.
                In general, the strategy received positive feedback and was supported. Nurses who acted as respondents approved the idea and emphasized the importance of having timely and accessible information that can benefit the entire health care system. They also recommended five (5) key areas for the CAN to act upon including: marketing, advocating for access, ensuring sustainability, developing partnerships and implementing the project. Most of the recommendations also centered on the integration of ICT into nursing which includes: development of competencies for nursing informatics and advocating for involvement of nurses in decision making about information systems. Furthermore, educators recommend the formation of a curriculum and nursing regulatory bodies to push for improvement of competencies related to ICT.
                For E-learning, respondents believed that the ease of access to the portal is its best asset. This is because it will provide nurses with current evidence-based information and research including its guidelines and instructions. It will bridge all domains of nursing and all nurses from all geographical areas to provide information whenever they need it and with user friendly navigation tools. It will also provide an opportunity for nurses to have access to specific and general education as well as further studies related to professional practice.
                The tools that should be offered online were also identified in the paper and includes: up-to-date education programs, institutions and conferences, online resources, tutorials for computer skills, online courses, current news and a 24-hour helpline.
                However, the strategy also drew in concerns from nurses. They identified that the two main barriers they see in incorporating ICT in their work were their lack of comfort and knowledge about computers and the internet and the lack of computers and internet at work and at home. The access problems that may be identified as the strategy gets implemented may be connected to the lack of hardware, software and internet access among others.
                For more information about e-nursing strategy for Canada, the paper can be accessed on https://www.cna-aiic.ca/~/media/cna/page-content/pdf-en/e-nursing-strategy-for-canada.pdf?la=en

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