This paper addresses two discussion questions about the role of technology in nursing practice. The first examines the tension between technological advancement and the foundational values of nursing, arguing that nurses must be technologically literate while continuing to treat patients holistically — attending to psychological, spiritual, and environmental needs alongside physical ones. The second question evaluates the benefits and limitations of information technology in patient assessment, including electronic health records and vital-sign monitoring, and discusses the institutional investment in training required to make these tools effective. Throughout, technology is framed as a tool that supports, rather than replaces, skilled nursing judgment.
Technology can substantially enhance patient care. Contrary to the notion that technology does the nursing, nurses must be better educated than ever before in information systems to ensure that they are able to use technology in the most effective way possible. There is considerable concern that nurses are not technologically savvy enough, and that nursing education does not give nurses sufficient confidence in how to use technology effectively. As the National League for Nursing has stated: "Information technology (IT) is not a panacea, and will not fulfill its promise unless it is harnessed in support of foundational values. That is why every nurse cannot afford to be unconnected to this transformation, but must take an active role in ensuring that IT is used in service to our profession's values" (Preparing the next generation of nurses to work in a technology-rich environment, 2008, NLN, p. 4).
The nursing profession remains one that is founded upon caritas and patient care. This means that the nurse must use technology to help the patient, and the use of technology is not a substitute for individual patient assessment. Patients must be assessed in terms of their environment, psychology, and spiritual needs — not simply their physical demands. This requires more than reading a machine's output.
There is genuine sympathy warranted for patients who feel dehumanized when they are attached to monitors, as this experience can represent a profound loss of autonomy and even of humanity. It is the nurse's duty to reassure the patient that she still regards the patient as in control of his or her own destiny and as a partner in care, even when the patient feels uncomfortable with the use of technology for monitoring and treatment. Nursing as a discipline has always balanced scientific tools with compassionate presence, and this balance becomes more important as technology grows more pervasive.
"IT improves monitoring accuracy and health record completeness"
"Training gaps and user error limit technology's effectiveness"
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