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Open Access Enhancing Nurses' Care and Knowledge Through Access to Technology: An International m-Health Exemplar Améliorer les compétences et les connaissances des infirmières grâce à la technologie : un exemple de télésanté à l'étranger

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Abstract:

The use of mobile technologies (i.e., cell phones) in health care is becoming increasingly ubiquitous. From simple (i.e., short message service, or SMS) to complex and real-time applications (i.e., diagnostic remote monitoring), the greatest opportunities lie within the potential of mobile health (m-health) to leapfrog health care in developing countries into the 21st century. This study explored m-health at select health-care sites in 5 Caribbean settings. By introducing and evaluating a user-friendly handheld platform and infrastructure, the study examined nurses' experiences with an m-health intervention, revealing positive impacts on quality of work life and care, evidence-informed approaches, and nurses' contributions to m-health inclusiveness in health informatics policies. The authors describe the path, in resource-challenged environments, to fostering nurses' participation in m-enabled health-care environments. They share lessons learned, challenges and opportunities encountered, and recommendations for bringing these vital tools to similar contexts.

French
L'usage des technologies mobiles (les cellulaires) dans la prestation des soins de santé se répand presque partout. Il s'étend des applications simples (envoi de messages courts ou SMS) à des applications complexes en temps réel (télédiagnostic et télésurveillance). Parmi les possibilités offertes par la télésanté, la plus importante concerne la perspective de propulser au 21e siècle les services de santé dans les pays en développement. Les chercheuses ont introduit une plateforme et une infrastructure portable et conviviale dans des établissements de santé sélectionnés dans cinq lieux de la région des Caraïbes, pour ensuite analyser l'expérience des infirmières à l'égard de ce type d'intervention. L'étude révèle des effets positifs sur différents plans : qualité de la vie au travail et des soins; interventions fondées sur des données probantes; contributions des infirmières à l'intégration de la télésanté aux politiques en matière d'informatique de la santé. Les auteures décrivent le cheminement nécessaire pour favoriser la participation des infirmières travaillant dans des contextes caractérisés par une pénurie de ressources à la prestation de soins facilitée par les technologies mobiles. Elles présentent les leçons à retenir, les défis et les possibilités, ainsi que des recommandations susceptibles d'implanter ces outils essentiels au sein de milieux semblables.

Keywords: CARIBBEAN; HEALTH INFORMATICS; INFORMATION AND COMMUNICATION TECHNOLOGY (ICT); M-HEALTH; MOBILE TECHNOLOGIES

Document Type: Short Communication

Publication date: March 1, 2013

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