HOPE OF NURSING IN THIS ROBOTIC GENERATION. By Nurse Joshua Nwambo.

Webinar Topic: HOPE OF NURSING IN THIS ROBOTIC GENERATION.

Venue: Growing Embryo Nurses Mind Telegram Page.

Date: 6/6/2020

Time: 7:30pm Prompt (WAT)

Guest Speaker

Nrs Joshua. UkRN, NRN, RM,RPHN,BNSc,MSc. Trauma.

Anchored By:

Adurosakin Benedict Olorunwa

School of Nursing University of Ilorin Teaching Hospital.

Convener

Olanrewaju Femi AROWOSEGBE.

Obafemi Awolowo University, Nursing Department.

There is saying that goes.."When the desirable becomes unavailable, the available becomes desirable"

Anonymous

So today we will be interacting and reflecting on our practice as nurses...

And we will be considering and interacting on a very crucial topic for our time, the covid times, captioned " The Hope of Nursing in this Robotic Generation"

So let me briefly outline the objectives:

1. Brief historical background on the new age nursing

2. The place of robotics in healthcare

3. Relationship between robotics and nursing care

4. Hope of nursing in the new age of robotics

Grand.

I hope that at the end of this interaction we would each reflect on our practice and see how our actions can make or mar our profession. Hence, make the necessary adjustment required.

Background

Nursing as we know it today have being in practice from time memorial..

But it became formal with Florence Nightingale

This is very important because it is your definition of nursing that forms the basis of your personal philosophy of nursing care which guides your action..you need to have it written out in a place where you will always see it.

In US

https://www.nursing.upenn.edu/nhhc/american-nursing-an-introduction-to-the-past/

RN in the US,

before it became what it is today was in a study conducted by group of health care policy makers which showed that nurses had little impact on the outcome of patients, this finding meant that nurses would have more workloads and less per...

Let's take note of this...we will see later how this perception was changed...

In the Uk

Today, nurses are and remain the largest workforce in the health care sector and still the least paid. Why is this, could it be marginalization, discrimination, or gender bias in political hierarchy?

Background in Nigeria

Nurses in Nigeria are the largest labour force in healthcare, the least influential, least paid and undermined ...

Some studies attributes it to culture, some religion, and some studies to lack of scientific evidence relating patient outcome to direct nursing intervention

All this are issues which has gripped nurses all around the world but some countries appears to be doing better than others not because of how developed but because they have been able to demonstrate the impact of nursing intervention on outcome of patients.

Many people want to practice in the UK, US, among others but we haven't found out how and why nursing seem to be better than back home..

It was through research

In the US, nurses had to carry out series of studies to demonstrate the impact to nursing care.

These studies has lead to the development of NANDA, NOC and so on which are used to standardize nursing practice and make it uniform around the world.

Using this criteria the amount of care delivered could be calculated.

These studies where used to demonstrate nursing impact

But we have literatures for Nigeria.

The seemingly lack of literatures and research in this area among Nigerian and Africa nurses has also contributed to the predicament of the profession.

The earliest article I could find was 1999, and most recent studies are not objective enjoy to describe nursing impact on outcome.

https://pubmed.ncbi.nlm.nih.gov/10210466/

Sorry am using alot of literatures

But I want us to get use to scientific study and learning how to use it.

How bad can this be?

Is this threat a valid one?

Are we blind to the current changes in the health care sector...?

Will nurses be taken by surprise?

Will our lack of preparedness make us yet another prey for changing times?

This also applies to many other African and low income countries.

This is a challenge but not an impossible task. However, the nursing profession is currently facing another threat which is the development of using AI AND ROBOTICS in healthcare.

Let's have a look at some images

This was developed and tested in Rwanda. To deliver medications and care to covid 19 patients.

AI and Robotics researchers are currently conducting research to demonstrate that robots can perform nursing task effectively, and AI can answer possibly questions which a patient can ask...

" And if scientist can demonstrate it effectiveness, nurses may have to fight for jobs with robots...the future sounds gloomy... "

Does it mean we nurses are powerless and have nothing to contribute?

A time is coming that we nurses will have nothing to do...
The future is double aged sword...our actions today determine the outcome for tomorrow

Hence this discussion

What can we do to turn the future in our favour?

That brings me to my opening remark...

"When the desirable becomes unavailable, the available becomes desirable" Anonymous

"The future of Nursing in this robotics generation" is in our hands.

We can shape it or destroy it by the approach we employ in our nursing practice.

I will use few stories to demonstrate the relationship between nursing practice and robotics

This will give us a clear understanding

Story 1

Nurse Lily comes in the morning, greet her patients, move straight to begin medication rounds, perform other task just as outlined and goes home without significant interaction with patients..

What type of nursing Care model is this? (This is called tasked oriented model of nursing)

Rish(Robot) in the morning is programmed to greet and administer medication, give injection and provide digital documentation of all task performed.

What model of nursing care is this?

(Remember it is also performing a task that it has being programmed to do.)

Story 2.

Nurse Lola, comes in the morning after taking over goes round to check on each patient and inquire of their welfare, performs a quick assessment of patients need and plan activities for the centered around unique patients needs, gives medication and monitor for effectiveness, complicate evidence based documentation through appropriate feedback from the patient.

This is (Functional/primary care model of nursing)

What is the difference between two nurses and Robot Rish?

From the stories above, we see how nurses can either act as a robot, or be the nurse they are trained to be...

Lily was just all about performing her ask which is Sam like the robot, what it does is to perform task ...

Lola, brought in the human interaction, tender loving care, individualized or patient centered care which makes nursing unique in itself.

Man is a social being and nurses bring in that component of care which may be lacking in all other aspect...

Let's consider the role of robots in healthcare especially in this covid times.

Like the one developed in Rwanda...it was used to administer drugs to those in isolation center minimizing risk of expose to care staff.

Some have bin trained to perform complicated surgeries.

And has freed up staff to focus on other areas....

So Young Nurses, Raise up and make impact through your research work.

Thank you.

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