Outline

Outline

Introduction

• Thesis
• Pro tele-ICU (support)
• introduce tele-ICU with background info

Paragraph

• Give detailed outline of room
• Review of monitoring system
• Outline of workstation area

Paragraph

• Benefits of tele-ICU
  • cost effective
  • lower mortality rates
  • solve staffing issues
• Cost effective
  • Can cost some money to install but otherwise, very cheap
• Lower mortality rates
  • Rates without tele-ICU vs with
  • Less chance of patient becoming more ill in the hospital
• Solve staffing issues
  • Helps monitor more patients giving nurses a break

Paragraph

• Some argue that tele-ICUs will take away jobs from Nurses
  • It doesn't – back up with facts from articles
  • Actually creates jobs
  • A computer cant do the actual nursing job, which many don't realize. This system is just a second set of eyes, ears, and hands

Paragraph

• Discuss the job of the tele-ICU nurses
  • Virtual rounding
    • Patient information updated every 4 hours
  • Alert response
    • Bedside alerts are still the job of the nurses
    • Tele-ICU has special alerts and whoever is monitoring it can distinguish which alerts need addressed by a nurse and which don't
  • Provide assistance to the bedside team
    • This allows for quick access to information whereas before it might have taken a little longer
  • Coaching/Collaboration
    • Great teaching tool
    • New bedside nurses can ask for help from the tele-ICU nurse without bothering doctors or other busy nurses

Paragraph

• Discuss how some nurses appeal to tele-ICU and why

Paragraph

• Ethics?
  • Privacy is very important to ease peoples minds
  • Discuss how not all patients are watched at all times
  • Actually just as much monitoring as before only you wont be having a nurse walk into your room every hour
  • high priority/risk patients are watched more closely than others
  • Real time vital signs are displayed on the screen, if a problem arises, then the camera is turned on
  • Camera is not on all the time, it becomes activated when a problem or alert arises

Paragraph

• Patient care vs nurse conveniences
  • Better outcomes for patients
  • Any system that lowers the mortality rate for patients is better
  • This puts peoples mind at ease

Paragraph

• This system only successfully works with the collaboration of health care providers

Counterargument

• Even though tele-ICU systems do all of these great things, there is the concern that the physical demands add to the stress that nurses already have and there is also the issue that nurses loose their identity
• Having an identity in the workplace is very important
• Discuss why this is so harmful

Conclusion

• restate my argument and finish with a strong ending about the positive outcomes from having tele-ICUs

I search

Kaitlen Baser

            Instructor Hartley-Smith
            English 201-20
            14 May 2012

I-Search

When I first started debating topics for my research paper, I was slightly overwhelmed with the notion of having to write a paper of this nature about technology. I took into consideration possible topics involving ideas about video games or television. Taking into account the fact that I only occasionally play video games and I hardly ever watch TV, it didn't make much sense to me to write this paper on something that I really don't care about. Instead, I look at this paper as an opportunity to inform myself, and hopefully others, about something that I care about and have a passion for.  That is why I decided to write my paper on Nursing and Technology. My major is nursing and I thought it would be interesting to write a paper on something that I might have to deal with in my future career.

            I started to look at different articles in the library database that were written about nursing and technology. I soon discovered that I needed to narrow down on a more specific topic to improve my results. That is when I came across an article that was about tele-healthcare. I was immediately intrigued and I was able to specify my searches. I began searching for more articles related to this one until I got to an article about monitoring systems that were used to keep a better eye on patients in the ICU which included an introduction into tele-ICU (Goran). I continued to find articles that talked about tele-ICU rooms and how much better they are compared to the traditional ICU room. But with “someone” always watching you, there can be issues that arrive. Something like this might be considered an invasion of privacy and unethical (Swann).  However, the majority of the sources that I have are pro tele-ICU rooms. I originally thought that most of the articles that I would find would be against this type of thing, but to my surprise, I am finding more and more articles that are written by scholars in the field of health care who advocate this new technology.

             A number of the articles specifically talk about the improvements that have been made to the ICU because of technology. They discuss how using technology provides a better service to patients because you are better able to carefully watch over not only one, but many people at a time.  By improving hospital rooms with technology, nurses can ensure the correct medicine for a patient and check administration time by simply scanning a bar code that is located on the wrist band of the patient. I wanted to also include some background on tele-ICU rooms. I knew that my potential audience might be curious with how tele-ICU rooms work and what kind of training would be involved. In an article by Jennifer Mitchell gave an overview of the system and how this technology worked. She also gave a brief description of the training that a nurse might have to go through (Mitchell). I even discovered that pretty soon, this won't be a choice for nurses, every nurse will need to know how to work in an environment with tele-healthcare and I found that to be very interesting (Nowlin).  Overall, I am very pleased with my discoveries in my research thus far because each article has the ability of providing specific details about nursing and technology.

            From here, I see that I have the option of taking different angles on my paper. I can write about the ethical issues that come along with technology being more involved with the care of a patient. Is it better to have conveniences in the work place, or does this interfere with personal care? Yes I could argue that, however, the position that I have decided to take is opposite of that. A rough draft thesis that I have could be, despite the fact that many might have weary thoughts behind tele-ICU rooms, the ability to improve health care with technology while providing even better patient care, will eliminate the hesitation of tele-healthcare. With the research that I have found already, I feel very confident that I will be able to provide an informative, argumentative paper on this topic.

            The next goal that I have in the writing process would be developing a complete analysis of the articles that I have found. From there I feel as though I would be better able to start putting together the important information that would support my argument. I also hope to improve my thesis and the claim that I am making with my paper. After doing all that, I feel as though I will be able to form a counterargument claim that will be included in my paper. The only problem that I think I will face is forming my counterargument and finding evidence to support it that is unbiased. I feel as though I have gotten lucky with my research because I haven't really come across a road block of any kind, and I hope that my streak will continue. As stated previously, I am happy with what research I have. Overall, I have a desired outline for my paper and I have discovered many articles that will continually help me through the writing process. 

Works Cited

Goran, Susan F. "A Second Set Of Eyes: An Introduction To Tele-ICU." Critical Care Nurse 30.4 (2010): 46-56. Health Source: Nursing/Academic Edition. Web. 14 May 2012

Mitchell, Jennifer, K. "Nursing Informatics 101: Using Technology To Improve Patient Care." ONS Connect 26.4 (2011): 8-12. CINAHL with Full Text. Web. 14 May 2012.

Nowlin, A. "Get Ready For The Virtual ICU." Rn 67.8 (2004): 52. CINAHL with Full Text. Web. 14 May 2012.

Swann J. Telecare: looking to the future. International Journal Of Therapy & Rehabilitation [serial on the Internet]. (2007, Nov), [cited May 14, 2012]; 14(11): 512-517. Available from: CINAHL with Full Text.

Annotated Bibliography part 2

Goran, Susan, F. "Making The Move: From Bedside To Camera-Side." Critical Care Nurse 32.1

     (2012): e20-9. CINAHL with Full Text. Web. 7 May 2012.

Goran discusses the advantages of switching from a regular ICU to one that is referred to as tele-ICU. With tele-ICU, there is continuous monitoring of patients which helps provide better care than before while reducing some of the physical risks.

This article can be useful in explaining tele-ICU to gain a better understanding. Goran goes over a few different areas of tele-ICU and discusses how this is still an evolving idea. Nurses may require special training which is something that is pointed out as well.

This could be helpful to gain knowledge on tele-ICU. I will use it to provide background about this specific topic and how exactly it works in the intensive care unit.

Tariman, Joseph D. "Technological Advancements In Cancer Care." ONS Connect 23.7 (2008): 8-12.

     Health Source: Nursing/Academic Edition. Web. 7 May 2012

This article is specifically about patients with cancer and the technological advancements that have been made with providing care to said individuals. Tariman goes over the use of hand held equipment that correctly identifies patients via a bar code and keeps track of drugs and when they need to take them.

This is a useful source because it tells of a situation where need technology has changed the way nursing staffs do things on a day to day basis. This source is different because it talks directly about cancer and all of the other things that I have found don't provide a specific disease.

An article like this has useful information but I think that with research paper, I might be able to use tidbits of information from this article. I wouldn't want to include too much information from this article just due to the fact that my paper is not about cancer.

Rajecki, R. "Eicu: Big Brother, Great Friend: Remote Monitoring Of Patients Is A Boon For Nurses,       Patients, And Families." Rn 71.11 (2008): 36-39. CINAHL with Full Text. Web. 7 May 2012

Rajecki explains in this article how some might feel that monitoring patients with cameras might be an issue of ethics. However, Rajecki talks of how monitoring patients with a close camera eye is now the best choice for patient care. Rajecki includes statements from hospital staff who use this new technology and who agree that this is the best type of patient care.

I think that this article might be a little biased because Rajecki only talks about how it might be an ethical issue in the first paragraph. I would like to know why people think it is unethical rather than just stating that some think so. It is useful even under that circumstance.

This article can be used in my paper to inform peers of the views of the staff who work with this equipment.

Diane Twedell, et al. "The Tele-ICU: A New Dimension In Critical Care Nursing Education And         Practice." Journal Of Continuing Education In Nursing 42.8 (2011): 342-343. CINAHL with         Full Text. Web. 7 May 2012

This article is a clear, detailed outline of tele-ICU. Diane discusses why hospitals are looking to make the switch to more advanced, carefully monitored ICU rooms. It also includes how nurses use the equipment and what kind of training they will need to even operate the system.

This is by far one of the more useful articles that I have found. This article includes more background on tele-ICU. This information seems very reliable and unbiased.

This will be helpful in writing my paper because I will be able to include some detailed information and that is what I feel makes a good paper. Also, this is the type of information that an academic peer might look for when they read my paper.

Reed, K. "Telemedicine: Benefits To Advanced Practice Nursing And The Communities They

      Serve." Journal Of The American Academy Of Nurse Practitioners 17.5 (2005): 176-                      180. CINAHL with Full Text. Web. 7 May 2012

This article is an overview of the use of telemedicine and the overall use of it. Reed talks about the evolution of telemedicine and how more members of the hospital staff are using it besides physicians. Reed also talks about the advantages of telemedicine including cost effectiveness and patient care.

This is a useful article in a different way than all the rest. It includes information on telemedicine besides tele-ICU like the rest of my resources. This takes a different angle on the situation but it doesn't include information about the negative side of telemedicine.

This fits into my research because it helps me shape a more informative paper. It provides background on telecare and how it should be used and the benefits of using telemedicine.

Thus Far...

     The topic of my research paper started out as Nursing and technology. After my first round of
research, I have been able to narrow down my topic to a more specific one and I have been able to  
find and gather articles from a few different angles surrounding the nursing field.

      I decided to write my paper about nursing and technology because my major is nursing and I saw an opportunity to explore something that I might have to deal with on an everyday basis. Starting out as nursing and technology, my research has help me narrow down my topic to a more specific theme. I will be discussing the advancements that have been made in the way that hospitals, and nurses specifically, monitor patients in the ICU. Through new advancements in technology, patients can now be monitored 24/7 with a camera system in their rooms, or even at their homes.

      At this point, I am still unsure of what exactly my thesis will be. It will be something around the lines of, with the advancements that have been made in the way that hospitals monitor patients, many might be concerned with the ethical issues of someone always watching. However, the benefits of this monitoring system completely outweigh these issues. I know that this is not a perfect thesis, but that is why I am keeping an open mind and this thesis will probably change.

      With doing the annotated bibliography, it helped me organize what research I did have and get an overall understanding of the articles I have found. I know that it will help me while writing my paper, which will happen soon, because I now have my research organized and if I need to find a specific piece of information in an article, I will be able to find it with ease.

      I feel as though I have a good start on my research paper. I still have an open mind on which angle I will take with my argument and I am excited to put together a final piece. I also have been exploring other aspects of my paper such as what my argumentative claim will be. Overall, the annotated bibliography was helpful in organizing my research, which is extremely beneficial to me at this point in the writing process.