Sunday, August 25, 2013

NUR 701 Journal Entry 5 With Update



Siu Bong Wan
Module 5 Nur 701
Community Health Workers and Mobile Technology: A Systematic Review of the Literature.
Rebecca Braun, Caricia Catalani, Julian Wimbush, Dennis Israelski
Public Health Nursing
Braun, R., Catalani, C., Wimbush, J., & Israelski, D. (2013). Community Health Workers and Mobile Technology: A Systematic Review of the Literature. Plos ONE, 8(6), 1-6. doi:10.1371/journal.pone.0065772
Why was this article, blog, post, or multimedia chosen?
            This article was chosen because it represented a purpose of explaining how community health workers (CHWs) affect healthcare as a whole and what their purpose is in the development of health systems in the community.  This article presents the CHWs with technology and how it is used in the community to effectively treat individuals.
What makes it interesting, appropriate, or reputable?
            The article is interesting because it reflects on the ability of technology as a health care tool to aid those in need and help healthcare workers become more accessible to their clients.  This is due to the reduced time of travel, reduced expense of travel, and providing that bridge to individuals who feel discriminated or too poor to seek healthcare.  The article is also appropriate because it explains some reasons why mobile technology is changing the healthcare landscape, which is only going to increase in the near future.
Is it an opinion? Case study? Research study? Product review?
             This is a research study of literature.  This article examines 25 different articles that reports on 28 studies.  These articles are global and expand throughout rural and urban areas.  There is a significantly broad range of health issues addressed.
What was the need, problem, issue or trend addressed in the article, blog, post, or multimedia?
             The trend being addressed is how effective can mobile technology is in the environment of community health care.  The problem is how to get access to medical care to people who are so poor or far from others that it proves nearly impossible for medical personnel to access them and medical facilities to be established.  Mobile technology is the tool communities are using to gain access to these communities and provide them with basic or advanced medical care.
What was the solution for which technology had an answer?
             The solution is to assess effectiveness, gain insight, and record program that are used in the community that the literature collected.  This is important to understand that studies are being performed everyday on how mobile technology is changing the healthcare landscape.
What implications might this have in healthcare delivery?
             Healthcare delivery will be expanded into communities in need.  This is made possible by healthcare workers that may be less trained than professional hospital staff, but have access to medical resources and personnel through mobile technology.  This is important to realize that community health care is meant to assess, treat, and record effectiveness of feasible medical care.  Surgeries, or several diagnostic imaging studies will not be available but basic human health like medications, education, and physical therapy may be available to the communities that are unable to access adequate medical care.
What did you learn from it that might have application for your practice?
             This article has enlightened me to the reasons why CHWs are so vital in the future.  This has also explained the reasoning behind why these workers are not as professionally trained and may not be paid as much to provide the care they do.  This is all designed to give communities the access they need to treat specific conditions and still have some resonance of medical care in the community.
What I Learned
             I learned that CHWs are workers that are utilized to provide care to communities that medical establishments choose not to or unable to build facilities near.  This leads me to believe that CHWs are positions that enable medical care to the citizens unable to access it.  Medical corporations have millions of dollars to open a medical facility but do not see the actual people who need it.  The need to give medical care to millions of individuals does not seem appropriate enough to establish a medical fund to build facilities.  People need eye doctors, dentists, medical doctors, and imaging studies.  CHWs will not be enough in the coming future unless strides in medical treatment are made in diagnosis, treatment, and access by even lesser expensive means.

3 comments:

  1. Adam you are correct in stating that the new mobile technology will change the healthcare landscape. This will be able to help many people who have reduced access to healthcare. It is fascinating that technology continues to advance with mobile technology and that they can provide care to those who need it most. This is another article on the many wonderful technologies that are improving in the future to assist in the delivery of healthcare. "There is the socio-technical perspective of the healthcare system that has challenges of demographics, technology, and finance," (Wickramasinghe, Bali, Lehaney, Schaffer & Gibbons, 2009, pg. 137).
    Reference

    Wickramasinghe, N., Bali, R. K., Lehaney, B., Schaffer, J. L., & Gibbons, M. C. (2009).
    Healthcare knowledge management primer. New York, NY: Routledge.

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  2. I believe that moblile technology is an untapped resource. It is very unusual to see consumers without a cell phone. The availability of this resource demands that we help communicate medical knowledge to our consumer population. I believe that nurses can play a vital role in this forum. For example, nurses can advise patients about tools that can promote health and wellness (Wyatt & Krauskopt, 2012). This can include selecting an application for a smart phone that will help a patient manage his or her chronic disease.

    Reference

    Wyatt, T., & Krauskopf, P. (2012). E-health and nursing: Using smartphones to enhance nursing practice. Online Journal Of Nursing Informatics, 16(2), 10-14.




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  3. Our wireless devices are so important in our daily lives for just maintaining our sanity. I think they are overlooked for health benefits and ability to produce a bridge to the community and medical field. This is the population that requires a helping hand and we just do not have the resources currently to deploy nurses to everyone. CHWs is going to be a position that could reduce health costs by using less skilled workers but training to administer medical care.

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