Abstract:The integration of technology in care is core business in nursing and this role requires that we must understand and use technology informed by evidence that goes much deeper and broader than actions and behaviours. We need to delve more deeply into its complexity because there is nothing minor or insignificant about technology as a major influence in healthcare outcomes and experiences. Evidence is needed that addresses technology and nursing from perspectives that examine the effects of technology, especiall… Show more
“…More evidence is needed before digital technologies like SenseCam can be effectively integrated into advocacy care in this manner, for digital technologies would inevitably influence safeguarding practices and procedures in significant ways. Nevertheless, as Barnard (: 8) has argued in this journal, nurses have a duty to “respond in practice to the errors, advantages, difficulties, and temptations of technology for the benefit of those who most need assistance and care.” We need to research new ways of bringing about the agency of digital technologies like SenseCam in caring practices that take heed of key insights from STS regarding the entangled enactment of the agency of persons and things.…”
Section: Resultsmentioning
confidence: 99%
“…Digital technology's use in care practices is thus bound to be characterized by ambivalence. As Barnard (: 9) recently summarized:Technology is both good and bad and will be used in ways to bring about expected and unexpected outcomes. This tendency towards ambivalence highlights its lack of neutrality.…”
Section: Digital Technologies As Truth‐bearersmentioning
In this paper, we explore the idea of digital technologies as truth-bearers in health care and argue that devices like SenseCam, which facilitate reflection and memory recall, have a potentially vital role in healthcare situations when questions of veracity are at stake (e.g., when best interest decisions are being made). We discuss the role of digital technologies as truth-bearers in the context of nursing people with dementia, as this is one area of health care in which the topic of truth-telling has been hotly debated. People with dementia have been excluded from research studies and decisions that affect their lives because they are not regarded as truth-bearers-that is, as being capable of giving truthful accounts of their experiences. Also, considerable research has focused on the ethics of lying to and deceiving people with dementia. Given their increasing prominence in healthcare settings, there has been surprisingly little discussion of what role digital technologies might play in relation to these questions of truth and deception. Drawing on theories from science and technology studies (STS), we explore their possible future role in some of the truth-making processes of health care. In particular, we discuss the potential value of constraints on use of SenseCam to support the accounts of people with dementia as part of their care.
“…More evidence is needed before digital technologies like SenseCam can be effectively integrated into advocacy care in this manner, for digital technologies would inevitably influence safeguarding practices and procedures in significant ways. Nevertheless, as Barnard (: 8) has argued in this journal, nurses have a duty to “respond in practice to the errors, advantages, difficulties, and temptations of technology for the benefit of those who most need assistance and care.” We need to research new ways of bringing about the agency of digital technologies like SenseCam in caring practices that take heed of key insights from STS regarding the entangled enactment of the agency of persons and things.…”
Section: Resultsmentioning
confidence: 99%
“…Digital technology's use in care practices is thus bound to be characterized by ambivalence. As Barnard (: 9) recently summarized:Technology is both good and bad and will be used in ways to bring about expected and unexpected outcomes. This tendency towards ambivalence highlights its lack of neutrality.…”
Section: Digital Technologies As Truth‐bearersmentioning
In this paper, we explore the idea of digital technologies as truth-bearers in health care and argue that devices like SenseCam, which facilitate reflection and memory recall, have a potentially vital role in healthcare situations when questions of veracity are at stake (e.g., when best interest decisions are being made). We discuss the role of digital technologies as truth-bearers in the context of nursing people with dementia, as this is one area of health care in which the topic of truth-telling has been hotly debated. People with dementia have been excluded from research studies and decisions that affect their lives because they are not regarded as truth-bearers-that is, as being capable of giving truthful accounts of their experiences. Also, considerable research has focused on the ethics of lying to and deceiving people with dementia. Given their increasing prominence in healthcare settings, there has been surprisingly little discussion of what role digital technologies might play in relation to these questions of truth and deception. Drawing on theories from science and technology studies (STS), we explore their possible future role in some of the truth-making processes of health care. In particular, we discuss the potential value of constraints on use of SenseCam to support the accounts of people with dementia as part of their care.
“…Tunlind, Granström, and Engström () found when interviewing ICU nurses that they viewed technology as an important tool but it could also sometimes be perceived as a barrier to patient‐centred care. Technology is closely integrated with nurses’ work, and this integration is set to be intensified in the future; even though it does not need to be a barrier between patients and staff, its power needs to be reflected (Barnard, ).…”
Section: Philosophical and Theoretical Frameworkmentioning
This paper focuses on the patient's perspective and the philosophical underpinnings that support what might be considered optimal for the future design of the intensive care unit (ICU) patient room. It also addresses the question of whether the aspects that support at‐homeness are applicable to ICU patient rooms. The concept of “at‐homeness” in ICUs is strongly related to privacy and control of space and territory. This study investigates whether the sense of at‐homeness can be created in an ICU, when one or more patients share a room. From an interdisciplinary perspective, we critically reflect on various aspects associated with conflicts surrounding the use of ICU patient rooms. Thus, from an architectural and a caring perspective, the significance of space and personal territory in ICU patient rooms is emphasized. Recommendations for further research are suggested. In conclusion, privacy and control are deemed to be essential factors in the stimulation of recovery processes and the promotion of well‐being in situations involving severe illness or life‐threatening conditions.
“…The modern episteme, which Foucault describes as emergent in philosophy though not in social conceptualizations of order, represents the “emancipation of language” from signification and representation of categorical difference, and with this emancipation, the freedom of expression of all things. In healthcare, the modern episteme represents ways of thinking such as holism or human‐centred practice, which disrupt the dominance of standardization (Barnard, ). In this way, the modern episteme that Foucault envisions illuminates the reductionism inherent to the Classical episteme, and in application to healthcare, reveals what may be lost in categorization by synecdoche—considering a part as representative of the whole.…”
Section: Foucault and The Categorization Of Knowledgementioning
Standardization has emerged as the dominant principle guiding the organization and provision of healthcare, with standards resultantly shaping how nurses conceptualize and deliver patient care. Standardization has been critiqued as homogenizing diverse patient experiences and diminishing nurses' skills and critical thinking; however, there has been limited examination of the philosophical implications of standardization for nursing knowledge and practice. In this manuscript, I draw on Foucault's philosophy of order and categorization to inform an analysis of the consequences of healthcare standardization for the profession of nursing. I utilize three exemplars to illustrate the impact of the primacy of standardized thinking and practices on nurses, patients and families: pain assessments using the 0-10 pain scale; patient triage emergency departments through the Canadian Triage and Acuity Scale; and determination of cause of death within the context of the current opioid crisis. Through each exemplar, I demonstrate that standardization reductively constrains nursing knowledge and the health and healthcare experiences of patients and populations. I argue that the centrality of standardization must be re-envisioned to embrace the complexity of health and more effectively and meaningfully frame nursing knowledge and practice within healthcare systems.
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