We are asking you to have your say, by:

RPA

RPA can be used to support data use within Nursing. It can support pulling data into exception reports, building of quality dashboards and some of the operational processes such as pulling data from one system to another for HR processes. We are currently looking at the use of RPA within our trust for these functions.

Knowledge and understanding will be needed for trust to be established in Ai in healthcare.

Knowledge and understanding of AI is needed to build trust.

AI in workflows can lead to more effective clinical decisions, cut down on admin tasks and release time to care.

Opportunity to Develop Nursing Practice

AI will facilitate the evaluation of nursing interventions to improve nursing practice models leading to improved outcomes for patients and better job satisfaction for frontline staff

Systematic Review of AI in Nursing and Midwifery

A review of artificial intelligence in nursing and midwifery has been published in the Journal of Clinical Nursing which gives a nice overview and introduction to AI for clinicians, educators, researchers and those working in policy. https://doi.org/10.1111/jocn.16478

career pathways make them specialised positions with educational options throughout

Some of the language around IT could be made more patient centred to help support this, e.g. CSO could be Digital Patient Safety Officer.

Patient centered language

Staff working with IT need to have skills in working with the IT kit provided, so it is used to it's full potential.

A specialist team is a 'subject matter group' that identifies and manages 'matter' using scientific tools and dynamic engagement framework.

Such usually need formal education with imbedded training/internship/apprenticeship and research.

Remote triage/assessment is a specialist skill and should be recognised as such. Not all clinicians can safely remotely assess over the 📞

Data Sourcing and Patient Care

Data is often sourced from a national dashboard like tableau and analysts use the data from this secondary source; as usually large amounts of NHS data sits in National Commissioning Data Repository (NCDR) and from here, a tableau dashboard is created. I'd like to see data capture used innovatively for nursing and midwifery practice, so analysts can extract data and analytics insights directly from source, rather than taken from another layer. This will avoid misinterpretation and ambiguity building up the skills of analysts, who can then help nurses and midwives use understanding and insights of data for the ultimate care of patients and service users.

Using the digital age to empower

Data should be easily used and easily accessible to all. To be able to pluck data out and know the changes needed in an instant over pouring over numbers or notes means giving time back to managers to focus on patient care and change management.

Improvement not assurance

Common observation is that nursing data is used for assurance, is often clunky and manual and reliant on the person collecting the data/doing the audit being consistent in their approach. We need the ability to look at data, use tools to inform opportunity for improvement and benchmark across organisations and systems

Digital Literacy and data driven education for Nurses

We currently have a staff level data application that allows us to see how often each nurse is using the trust core documentation and workflows such as risk assessments, escalation of care and closed loop medications. The data allows us to see how many times a piece of documentation is completed in the last month/2-3 months/4-6 months and > 6 months. This allows us to draw patterns on why engagement is improving or declining (i.e. education need, new workflow introduction or ward pressures at times of high clinical need) This is used by educators and managers to analyse training needs and provide education to staff, in a supportive environment, that is tailored to them. This also reduces the need for blanket education that is not relevant to all. In future it would be good to map this to national standards for documentation.

Reporting tends to rely on amount of data captured not the quality. would be good to have targets to improve quality not just the quantity

Quality not quantity

Evidence Based Nursing

It is the commitment to Evidence Based Nursing that drives the demand data, which requires the processing of the data into information that helps the frontline deliver care, and the Board to assure itself that care is compliant and delivering its strategic goals. It is the data processing and communication of the information that requires technology. We should not buy technology because it is fashionable.

Succinct data capture when F2F

Making systems more "pick up and play" while capturing essential data would enable us to be more interactive with the woman while documenting her care

Ensure data flow from community to inpatient and back. Stop replication and duplication Standards allow staff to be proactive not reactive

Proactive/self Healthcare

Signposting and social prescribing to support patients and families becoming better able to have autonomy in their health and well being. Part of TTO and safety netting at point of discharge.

Multiple benefits currently conflict with areas for improvement

If used effectively, it can improve communication and streamline processes, whilst simultaneously identifying and monitoring areas for improvement. Constantly evolving digital landscape means that currently users are frustrated with inefficient systems and the burden this can place on care offered - interrupting person centred and place based care. Technology can widen access to services, removing physical boundaries to care and reducing inequalities, but only if used correctly and efficiently - still a work in progress in many areas and often a source of frustration, especially for those used to practice pre digital era. Once refined, digital processes have the potential to improve person centred care, freeing up time to have more contact 'with woman/person' and reducing the burden of documentation and communication

Jo

Enabling effective learning packages for individuals with different learning needs eg. dyslexia so that everyone can have the same opportunities to develop and use the technology to their advantage. Teams need to establish what the learning needs are of staff with regards to digital literacy and then promote fun and effective methods of learning, to reduce anxiety and the reluctance to embrace new ways of working.

Nurse educators

Need to have a framework by which develop digital skills and information systems knowledge. Universities need to use digital systems during teaching and simulation labs and learn how to think digital first. Lecturers need to be exposed to the changing practice landscape. some have been out of practice a long time. They need to see the innovations and how digital is changing how things happen. That pop health and the IOT changes public health approaches and community nursing and how virtual wards and hospital at home influences the models of care, and how data impacts practice. Degree level Dissertations can and have become research (lit review) or innovation projects.

tailored and adaptable education packages

we have many staff who work in different areas and in different roles within the paediatric team. they require education packages/ clinical skills assessments and updates that are specific to their role. i would love to see all staff having access to a digital learning management system that allows each individual staff member to see at a glance what e learning/ clinical skill/ face to face training they require, allows their line manger to easily see who has done what training and when allows the practice educators flexibly to add/remove/update trianing packages in response to a newly identified education or trianing need.

Investment in infrastructure: Equitable access to wifi, devices and software for staff and the population.

Reliable access to wifi, enough devices available to utilise in a timely manner and equitable access to software programmes across professions and specialties. example: HEE TEL are presently making a large investment in VR for doctors in training, but not an equal investment in other professions.

Ensure competencies achieved prior to use

A lot of training is now self led with no assessment component - ensure staff are confident using the system as you would any other clinical skill, it is just as important and can pose just as serious a risk to the public and themselves. Difficulty lies in freeing staff to complete training - face to face best but only if led by people with a good knowledge of the systems, and the speciality (i.e. maternity - if a training session for midwives is led by someone with a basic understanding of the system and little to no knowledge of maternity/obstetrics, it has no benefit - staff become disengaged and lose faith in the digital solutions/whole process). If self directed, ensure staff are PAID for their time as they should be any other essential training, and ensure there is a robust assessment process within the self directed modules

Allow the data to flow, use standards including terminologies get the basics right allow patients to participate in development and care

Patient Choice is paramount

With continuing improvements in remote access, technology and telemedicine it is vital that patients are given choices. Digital Literacy and access to technology must be considered. With an ever ageing population it is vital that we are inclusive of their needs and empower them to be central to their care.

Ensuring all technologies deployed within health and social care have an open API and meet the criteria outlined on the Assured Suppliers' L

The Dynamic Purchasing System (DPS) and Assured Supplier List have been an incredibly helpful tools in helping care providers acquire a digital tool, such as a digital care record, that is interoperable with other systems. Unfortunately, some organisations have invested in technologies that are not interoperable with systems supported by the NHS/ICSs. If technologies are not interoperable, they hinder the digital agenda and the integration of the health and social care sector. Furthermore, it is a loss of resources and investment by providers who have proceeded with a system that is not universally interoperable.

The new advances and innovations in ICT, has favored the implementation of the different modalities of teleconsultation in nursing

Teleconsultation is emerging as a new organizational system, a new way of organizing and managing the provision of health services for the benefit of patients, professionals and the health system in general, establishing a fast, fluid, effective and efficient communication channel that has repercussions directly on the patient, reducing time to resolve their health problem, avoiding unnecessary travel and reducing costs.

Digital literacy and accessiblity for patients must be assessed & considered

Not all patients will have the digital skills to engage with telemedicine or virtual wards or live in areas where Internet access is poor or non-existent and cost is another factor that needs to be considered as technology is not a cheap solution and patients will need technical support to install, use and maintain some technologies at home.