Interview with nurse Claudia C. Bartz

To continue the tradition of Medetel interviews, here’s a most interesting discussion that we had with the very experienced nurse Claudia C. Bartz:

“I’m Claudia Bartz, I live in Wisconsin, US. My lifetime as a nurse includes a career in the US Army, I retired in 1999 and then I spent about 5 years at the University of Wisconsin at the College of Nursing, teaching a few semesters and I was project director on 4 grants. Then I met the person at the University who was working for the International Council of Nurses and we decided, back in 2005, that I would work with her and since I spent 10 years with ICN. It is a really fantastic opportunity to see the international side of nursing ! Then in 2009 I started managing the new ICN Telenursing network.

About the same time the ISfTeH invited the ICN CEO to give a plenary speach here at Medetel and David was unable to come and I ended up doing it instead of him. So that was my first introduction to Medetel and it was really great and from the start I found it was an organization open to nursing, partially because Frank Lievens is soliciting nurses and other professionals in addition to physicians and I’ve been coming every year ever since and presenting at least one paper.

Several years ago we started organizing virtual nursing sessions too and also during the year we had several educational sessions using the animated platform from the ISfTeH. So, it’s been really great, I really find it a very welcoming organization, I like the smallness of it and multidisciplinary nature. My primary wish would be that more nurses could attend, unfortunately they don’t have the money for registration and traveling.

Then I retired from ICN and University in 2015 and now I’m self-directed. I’ll plan to stay as the chair of the Telenursing working group, make a contribution as much as I can.

Why an interest in Telenursing ?

A long time ago, when I was working as a clinical nurse I worked in critical care. So you are exposed to more machinery there than in any other kind of care delivery and I was never frightened, I guess, by new technology. And with the army I lived in Belgium and Germany, Ethiopia … around the world pretty much and I’ve seen a lot. And as distance education became more popular I could see that there was an application already in existence for healthcare and so many opportunities, I just joined the stream. It just makes so much sense to me. Now especially I live in a rural area and so much education needs to be done and so many opportunities exist for distance education.

Please explain what is Telenursing in practice.

It’s like asking what’s nursing, depends on who you ask. Telehealth nursing is nursing practice that deals with people with healthcare needs or people with educational needs (such as nurses or families) over distances and barriers. In a city area a barrier might be not being able to get to a healthcare facility. Or another example: a nurse from Nigeria came to Medetel a few years ago and explained how she worked with the nursing minimum data set (you collect the minimum data on every client and you have an idea of the culture of the clients; he vital signs, their location, complaints). I was here at Medetel , she was presenting her work and I was just so excited to see that the idea of the minimum data made it all the way to Nigeria. It was so exciting how she was helping all these women stay at home and not have to go the whole distance to the care facility to get the treatment that she could deliver at their homes. To me that was really a neat example.

Please give a short resumé of your presentation about Telehealth Education for Nurses.

What I’m trying to differentiate is normal education that we all need (all healthcare providers) versus Telehealth education and it goes back to the definition. Some of my nurse colleagues say “every nurse uses at least a telephone, so every nurse is a Telenurse”. But I don’t really agree with that. I think the Telehealth nurse has a greater commitment to not only using the available technology but to pushing further so that more and new kinds of technology.

Telehealth education is of course more about the ICTs and the new ways they can be used to advance the healthcare but also the issue of Data. Because you are obviously generating even more data than before. You acquire it, you store it, you use it … who’s data is it? All the questions around the ethics of data are a big issue for automated systems.

I pointed out that Telehealth care providers need to be motivated to learn about new things and not think “this is what I trained with, this is where I’m staying”. To my knowledge we don’t really have any Telehealth for Nurses master’s program, where as there are plenty of nursing informatics master’s programs. But that’s another specialty and Telehealth nursing gets buried under it”.

 

Plus sur TAVIE-Femme

Le project infirmier TAVIE-Femme est lauréat du Prix Égalité Thérèse Casgrain 2016 dans la catégorie « Santé », ce qu’on a déjà brièvement mentionné dans la news précédente (en Anglais) et sur notre site web.  Voici, par ailleurs, un extrait du texte de soumission du projet qui illustre bien son objectif :

“La profession infirmière tire ses origines dans le prendre soin et l’accompagnement aux malades, aux démunis et aux personnes stigmatisées. Encore aujourd’hui sa raison d’être demeure la santé et le mieux-être des personnes et de leur famille. Ainsi, les infirmières et les infirmiers s’activent au quotidien à offrir des soins et des services de qualité aux communautés et dans les établissements de santé. Dans une ère d’avancées technologiques permettant d’offrir un soin en temps réel, la Chaire de recherche sur les nouvelles pratiques de soins infirmiers de l’Université de Montréal a développé un concept d’interventions infirmières virtuelles et une plateforme informatique appelés TAVIETM pour Traitement, Assistance Virtuelle Infirmière et Enseignement. Un soutien personnalisé est proposé aux personnes vivant avec une maladie chronique dans la prise en charge de leur condition de santé en ciblant leur capacité d’agir. Concrètement, ces interventions Web sont constituées de séances interactives à l’ordinateur ou sur tablette numérique et animées par une infirmière virtuelle qui engage la personne dans un processus d’apprentissage d’habiletés d’autogestion. Les interventions Web permettent de soutenir les personnes vivant avec une maladie chronique en leur offrant en tout temps un accès à de l’éducation personnalisée et à de l’information fiable et de qualité. Trop souvent, les informations sur la maladie et sur son traitement ne sont pas bien comprises par les patientes et les patients, fragilisant ainsi la prise en charge de la maladie et sa gestion. De plus, l’accès à l’information permet aux proches de mieux comprendre les aléas de la maladie et de démystifier les craintes entourant la maladie elle-même et ses conséquences et/ou ses risques.

VIH-TAVIE est une intervention infirmière virtuelle qui vise à soutenir les personnes vivant avec le VIH dans la prise des traitements antirétroviraux. Sachant que les femmes vivant avec le VIH doivent composer avec des défis spécifiques à leur genre et à leur condition de santé, notamment la planification et le suivi de grossesse, la Chaire de recherche sur les nouvelles pratiques de soins infirmiers de l’Université de Montréal a développé un TAVIE-Femme pour répondre à leurs besoins. L’objectif est de cibler la réalité unique de ces femmes pour optimiser leur santé mais aussi pour prévenir les risques de transmission du VIH au bébé”.

 

The 13th International Congress on Nursing Informatics

The 13th International Congress in Nursing Informatics recently took place this last June in Geneva. The topic this year was eHealth for All. Our partner Connecting Nurses and us, the Women Observatory for eHealth of the Millennia2025Foundation were presented by Nick Hardiker RN PhD FACMI, and Veronique Thouvenot MBA, Ph.D. A.Maths.

The presentation was focused on innovation in nursing care and illustrated by several projects posted by nurses on Care Challenge. These projects were both awarded by Connecting Nurses and later selected by the WeObservatory for a partnership. See for example Telehealth and Elederly by Michael Dino from Philippines:

Genevieve Rouleau – from the CHUM, Montreal University Hospital Center – presented the project TAVIE and it’s extension to women living with HIV jose-cote-prix-egalite-therese-casgrain-470-246and benefiting of the Virtual Nurse services, called TAVIE Women.  This project has been recently awarded the Health Equality Award (Prix Egalité Thérèse Casgrain).

Another great initiative – Teo the Duckling – addressing eHealth for All is that of nurse Norma Grau from Barcelona, Spain that created a educational story and got it animated for young children living with diabetes at school. Video here. 

The presentation concluded with the official launch the of UniversalNurses mobile app. As nurses work in diverse contexts all over the world, this app was created in order to facilitate multilingual communication between nurses and their patients. It is in 8 languages and is powered by UniversalDoctor and Tools SL, recently awarded at UN World Summit Award for Mobile Health App in Dubai.

More information on these projects on the WeObservatory’s website. 

Medetel interviews: Dr.Pirkko Kouri, ISFTeH vice-president.

Next interview conducted at Medetel that we’d like to share with our readers is that of Dr. Pirkko Kouri, now vice-president of the International Society for Telemedicine and eHealth (ISfTeH) and an active member of it’s Working Group on Women. More biographical details to be found in the interview itself:

“I represent the Finnish society of Telemedicine and eHealth. My thbackground is from nursing, I have done my PhD related to mother-child healthcare and use of ICTs. I’m working as a principal lecturer at the Savonia University of Applied Sciences, Finland. We educate nurses, midwives and other healthcare professionals as well. I’m mostly doing research and development work connected with the master level education, planning the generic models, etc.

This year I was elected vice-president of ISFTeH and i’m very happy to be the first woman to occupy this position.

Q: For you, what is the role of telemedicine ?

Telemedicine is a tool, a tool to combine different elements for people to be connected and exchange experiences around the world. Sharing information, getting information, be connected with patients and learn from each other.

Q: In your teaching curriculum, do you include materials on telemedicine?
Yes, for example I’m responsible for the Digital working environment, a web-base course. We have a team of three teachers : one from healthcare, one from engineering and one is from design and we plan the content together. Next year I’ll be the teacher in charge for the class Healthcare technology and it will be in English.

Q: How important do you think it is for healthcare professionals, nurses especially, to keep up with all the options the Digital offers in terms of healthcare ?

In Finland we have the Digital boom and digitalized healthcare, meaning that we have a nation-wide system and patients can join the system with their bank cards or any other identification and, of course, our nurses must know the benefits and what support we can offer. Face-to-face support and counseling, but also virtual, as it offers so many ways to share information and be in contact. Of course, it is a challenge to education as well: there’s a digital divide. Some people don’t have enough knowledge about ICTs and they need to have supplementary education or training at work, but it will gradually come.

The doctors are more specialized and deal with complex issues. So the guidance, mentoring and tutoring issues are more left to nurses. That is our challenge. Actually in Finland, we are tackling that: I was vice-chair of the group nominated by the Finnish Nurse Association and we launched in January the very first eHealth strategy for nurses and there are 6 different elements of this strategy that would be valid up until 2020. I think all the countries need to implement strategies that will allow eHealth to support the nursing practice; that nurses bring their expertise in the multidisciplinary development process and in collaboration with patients. Because patients themselves know quite a lot on how to use ICTs, especially young people.

The only thing to always keep in mind though is the ethical and privacy issues. Remember that Facebook is not the same as the Health Electronic Record. That is also a matter of education. Also, every time you send some kind of message in your own name there’s a kind of watch over you and you must remember all of the data collection and the traces you leave behind.

Q: You are also part of the Working group on Women a the ISFTeH. Which direction of work do you see this group take ?

Most importantly we should keep the neutrality in our work when addressing the gender issue. We should bring in facts and rely on facts and underline the positive elements of our work. We must be intelligent about which the direction we take.
Healthcare and eHealth is definitely an area that we should proceed in. Women are very present, I’m thinking mostly of nurses now, and most of them are women if we consider the global situation.
Digitalization is a new thing to consider and many things are to be learned, but many nurses, especially the older ones are hesitant in accepting changes brought by digitalization and it is something we need to work on.

Overall, speaking of the Working group on Women, we should push the opportunities for equality but in a politically neutral way.”

Medetel interviews:Elinaz Mahdavy of Orange Healthcare

The last Medetel event – organized every year by the International Society for Telemedicine & eHealth (ISfTeH) – gave us an opportunity to chat with various professionals that work in Healthcare. This week we’ll be publishing the most interesting parts and highlights of the interviews, starting today with Elinaz Mahdavy’s (of Orange Healthcare) interview about  eHealth strategies and our own WeObservatory projects.

“What  I would like to see happening is that eHealth becomes a harmonized process, I mean in Europe , that all the countries have the same strategy on eHealth and mHealth.IMG_0929 As you know Europe is very fragmented , so we still have a long way to go. But the EU policy makers are doing all they can for some years now and recently it is becoming more and more important to have a harmonized healthcare system in general and eHealth strategies in particular. That’s where I would like to see Europe being unified go in terms of eHealth,” says Elinaz Mahdavy.

When asked about the importance of community and gender targeted projects , like those that we support here at the WeObservatory, she added , “Project like these definitely have a place to be. As a woman I think we are important drivers. Moreover, a digital society can only be a benefit for many of those who – depending on the country they are in –  are pregnant and/or are bringing up their kids on their own.”

For more information about Orange Healthcare, please visit their official website.

New publiclication by the World Economic Forum on Gender Parity

Back in 2012 he World Economic Forum has launched Gender Parity Task Forces in Mexico, Turkey and Japan. A further task force followed in 2014 in the Republic of Korea. A publication – Closing the Economic Gender Gap: Learning from the Gender Parity Task Forces –  has recently appeared on the website, and here’s the PDF:

WEF_2016_Closing_the_Economic_Gender_Gap

For more information and details, please visit the World Economic Forum website.

Follow

Get every new post delivered to your Inbox.

Join 36 other followers