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Clinical Effectiveness

AI can alert us to changes in clinical guidance and direct prescribing decisions

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

In Mental Health Nursing- it could support diagnosis and treatment

it could help mental health nurses with decision making. AI would be able to detect the similarities of that assessment to specific behaviours/ diagnosis. In some settings like Crisis it could support timely decision making.

AI, machine learning and if I may add in RPA

The transformation team only today have asked how we can use ML and RPA in nursing. Yes, different things but both can build automation processes in systems and save nurse's time and increase accuracy/safety. As we develop more nurse innovation projects, we need to have each assessed by someone who can judge the potential of implementing ML and RPA into them. We have to treat nursing time as a commodity to cherish (by reducing repeat tasks in patient records and learning from utilisation in systems etc). ML could enable us to learn from nurse specialists practice in the systems we build. But these ML products are lengthy and detailed projects to get right and the ifs/thens complex and onerous. Will the supplier community build this in to improve their products and help us create safer care?

I can see AI helping with clinical pathways for prompt flow of treatment. AI is not fully being utilised in the area of nursing.

Need to empower staff to report issues & clinical hazards. Wider education needed for nursing workforce to recognise system-based hazards.

Clinical safety awareness

For all digital practitioners to have sometime in the field they are offering digital solutions into, maybe shadowing or observing

Time spent on the ward or in the team working alongside the nursing professionals to develop a deeper understanding of what they are doing and why meaning their solutions are adapted to be meaningful and helpful. Standardized to the environment and workforce.

The alignment of minimum requirement's for informatics nurses and midwives, with a defined development structure, to nurture new talent

Structured development for staff

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

Leader

Recognised Nurse Lead Multi disciplinary team to include IT staff to share knowledge across and upskill each other Education needs to be a blend of IT/Tech and Business Change and Programme Management

Moving Beyond Bean Counting" Improving Analytical Capability in Health Visiting in 2021 in partnership with iHV and Health Foundation

The project funded through the Health Foundation Advancing Applied Analytics Fund aimed to explore the use of data and current analytical capability in health visiting practice in Hampshire. This baseline information informed a test and learn development project to support health visiting services within SHFT to ‘move beyond bean counting’ and make better use of data. The project specifically focused on the use of routinely collected data from a range of sources to improve the identification of children with risk and vulnerability factors who are currently ‘hidden’ (i.e., they are known to services but are not receiving the support they need). The project focussed on use of data to inform trends, highlight potential areas of risk and support HV's to ensure children did not fall through the net. Full reports through following links • National scoping – key user needs: https://ihv.org.uk/wp-content/uploads/2021/11/AIMS-insight-report-FINAL-VERSION-18.1.21-1.pdf • The practical guide produced by SouthernHealth - https://ihv.org.uk/wp-content/uploads/2021/11/AIMS-Southern-Health-HV-services-guide-report-FINAL-VERSION-25.11.21.pdf • End of Project report: https://ihv.org.uk/wp-content/uploads/2021/11/AIMS-Southern-Health-End-of-project-report-FINAL-VERSION-25.11.21.pdf

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.

Using AI algorithms

Using AI algorithms to analyse data sets to understand gaps within health and social care policy. This would require thorough GDPR practice and tight regulation of the data being used. Data would need to be acquired through a collaborative partnership, most likely involving health and social care providers, the NHS, academics, residents/family associations, DHSC and the CQC. We have seen in social care how AI can be used to help provide voices who are impaired from speaking (severe learning disabilities). By further understanding the use of AI in social care, we can look to identify gaps within policy, and further improve the lives of those most vulnerable.

More mobile technology in clinical practice

More employer provided mobile devices for nurses and midwives to use in hospitals so they don't have to queue up to use the ONE computer in ward areas and can record patient data on the go, speeding up their work and patient care

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.

Currently too much dependency on GP to prescribe for the service and cover leave gaps in rotas

The nurse who is currently practicing his profession has an enormous challenge in taking advantage of the new technological resources .

The nurse who is currently practicing his profession has an enormous challenge in taking advantage of the new technological resources that are presented to him, so that he can carry out his work in a more efficient, effective way and in the shortest possible time. It is therefore necessary that nurses who are still reluctant to use ICTs reconsider their way of thinking, adopting an innovative attitude in the exercise of their profession. They must understand that technology is a neutral element, it is neither bad nor good, you just have to learn to use it, but it helps the exercise of the profession in every way.

Digital Literacy

Currently the digital workload is defeating the concept of person-centred care. Time is needed with patients... ipads to use at bedsides?

Digital tech is not fit for purpose currently in many hospitals

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.

Put digital literacy on an equal platform as English language requirements

Embed digital literacy in curriculums, training, regulatory requirements. It is essential for practitioners to meet English language requirements, why not digital literacy? Digital literacy should be a pre-requisite - if they don't know how to use the systems vital to providing and improving care, they will not get to the point of demonstrating their English language skills...

utilisation of VR and XR tech to understand benefits of technology enhanced learning and identify clear use cases to enhance education

explore VR/ XR use with digital team as a problem /solution based addition to clinical/Educational problems

Baseline, minimum education in Nurse and Midwifery pre-reg training to help understand clinical digital working

Digital included in pre-reg training

Digital as part of the curriculum

Has already happened in the physio profession so need to get it as an integral part of undergraduate curriculum for nurses and midwives. Not as a separate module but as a golden thread running through all existing modules

Freeing up time for the people who need it most

Use of virtual and remote technologies can reduce travel time to static clinics etc., for both service users and staff. It also allows staff to 'triage' those who need that face to face time most - some queries or care can be offered virtually, and save multiple face to face appointments for others in the process

Contingency for the digitally disengaged service users, there must be strategies in place to accommodate this issue

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

Innovation must not widen inequalities gap

When bringing in a digital tool or solution to improve pathways or to care or remote monitoring/health consideration must be given to groups that may have limited access or no access to technology such as forensic/prison populations, homeless etc as well as those that already face health inequalities. There must also be innovation and improvement to support better healthcare for those that can not access digital when a digital solution is implemented - we must not only innovate in a digital space

Creating an adjacent 111 triage service that works on remote care for patients

As it stands NHS111 nurses are limited during weekday hours to escalate to doctors as they have to rely on GP's during this time frame. Creating ANP's and Doctors that conduct telemedicine can reduce GP wait time and still provide the best care for the patient