We are asking you to have your say, by:

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?

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.

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

Multi Site Consensual Validation of Workflows to capitalize on the most effective practice from the bottom up

AI analysis of large scale datasets from existing EPRs correlating specific intervention with the most positive outcmoes

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.

A good team needs to have common goal. The education offered and the roles both clinical and Non-Clinical should strive towards this goal.

Many jobs for nurses doing virtual health need to be a prescriber. If the companies don’t offer in-house training they will use up nhs staff

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

Currently their is a shortage of nurse specialist due to Student Nurses or Newly Qualified not being aware of them

Coming from a student nurse perspective some avenues are not advertised for newly qualified nurse or those who have community experience as most require acute experience. Challenging this will enable more students to come into the profession and take on extensive training to be proficient to take on these roles.

The use of ICTs by Nursing professionals could be the key to improving the quality of care.

The use of ICTs by Nursing professionals could be the key to improving the quality of care, as well as in training and permanent education, in addition to facilitating intervention and rapprochement with the population, helping to reach increasingly higher health and improve communication.

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

Digital nurses, CNIO, CNOs have to receive better training in data utilisation

So many organisations work with metrics shows some senior nurses have a poor understanding of data utilisation. Nurses in leading roles need to gain this somewhere in the leadership programmes run in the UK. 'Making data count' work started to explore and expose the extent this was needed.

All local and national maternity dashboards should flow from the data we have to enter and submit into the Maternity Services Dataset (MSDS)

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.

Time spent inputting clinical data into patient records feels to be increasing, reducing face to face contact.

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

Nurses must be digitally competent to support pts' use of new technologies to support their health or there will be healthcare inequalities.

Digital Competence = Health Equality

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

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

UK AHP Digital Competency Framework

Not my work but it is an excellent resource that would be easily adaptable for nurses and midwives

Human centre design should be utilised for all digital technology.

Ergonomics and human factors science needs to be embedded into design, training and implementation. The interactions between the complex work systems need to be better understood and designed for to ensure the benefits are realised. “You cannot change the human condition, but you can change the conditions in which humans work” James Reason (2000)

Inclusion of digital in post-reg education and training

Inclusion of digital in post-reg education and training

We need digital competencies that are embedded within training and continual role appropriate digital competency training and frameworks

On going digital learning

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.

Portable devices have potential to increase patient involvement in their care as can be used at bedside. Needs good mobile UI development.

Portable devices and patient involvement

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

Create a common language through standardising data standards to support information flow, improve clarity and access across systems.

Patient's don't change, why should their data

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