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[RRE]nursing conference
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Date: Thu, 17 Sep 1998 11:39:47 CDT
>From: "Frank Emspak"
[..]
Technology and Nursing: Enhancing Patient Care or Profits?
Sponsored by
The School for Workers- University of Wisconsin Extension Nurses Network for a National Health Program The Institute for Health and Socio-Economic Policy
Friday December 11, 1998 Start time 2:00 PM Saturday December 12, 1998 8:00 AM - 4:30 PM Sunday December 13 1998 8:30 AM - 12:00 noon
Fees: School for Workers fees are as follows: Tuition $120 for a two day conference. Room and Board: A single is 49$ per night; double $29.00,. Food service: Dinner Friday December 11,1998 Breakfast Saturday and Sunday Lunch Saturday
Single Occupancy: $235 Double Occupancy $215 Commuter rate is $160.
Conference Plan and Topics
Friday December 11, 1998
Registration 1:00- PM -5:00 PM
Tutorial 2:00 PM- 5:00 PM.
DETAILED DESCRIPTION of TUTORIAL The object of the tutorial is to acquaint all participants with emerging and current technologies and work systems employed in the nursing profession. The tutorials will provide all participants with nary would discriminate between two different views of health care, and their relationship to the patient and the nurse. One view point considers health care to be a human service to the weak, sick, dependent, vulnerable, aging and dying, the other views health care as a commodity According to the ethic of care, patients are seen as subjects, people, human beings in need of care. Practitioners of the ethics of care understand that the delivery of that care involves not only biomedical knowledge and treatment, but relationship, trust, caring and compassion
According to the ethic of the market, the patient is an object - a consumer, or customer or covered life - to be exploited and manipulated in the name of profit. Both patient and nurse become "cost-centers" and must be "managed", disciplined and controlled.
Technology and informatics , we will argue, take on an entirely different aspect depending on the view of health care and the patient/caregiver dyad undergirding it's use. Technology and informatics can be used to enhance care or to enhance profit. It can be used holistically, as one tool among many -- to enhance the caregiver/patient connection, to give the caregiver more time to reach beyond the patient's disease and into their life. Or it can be used to replace the nurse with a cheaper worker - or with an unpaid family member -or to turn the nurse into managers of the care that these workers, family members, or even patients deliver - sometimes to themselves.
In other words, technology can be used to truly manage care, or to manage caring out of the health care encounter.
Technologies must be designed and implemented to support the clinician-patient relationship, enhance nursing not replace nurses; and eliminate barriers between clinicians and clinicians and patients. We alter our vision of health care as human service. We must design technology and information systems as an adjunct to nursing and to support nurses as caregivers. Nurses must not be machine tenders and adjuncts to technology
Proposed Speakers: Suzanne Gordon, Frank Emspak
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Conference speakers include: Patricia Benner RN, PhD, Suzanne Gordon, Elinor Holbrook, RN, Frank Emspak, Beth Blackson NNNHP and RN; Cathy Lundy RN, Patricia Brennan PhD, RN, Kathleen Connors RN, and Marjorie Funk, PhD RN.
The Conference is sponsored by The School for Workers, UWEX The Nurses Network for a National Health Plan The Institute for Health and Socio-Economic Policy
AGENDA: Friday Evening
7:00- 7:45 PM Conference themes Suzanne Gordon Frank Emspak 8:00- 9:00 PM Voice From the Front Lines: Nurses speak for themselves a) A medical or surgical nurse b) A critical care nurse c) A home care nurse d) An outpatient nurse
9:00 PM adjourn
Saturday December 12
7:30-9:30 AM Registration
8:30 Introduction and description of workshops Proposed Speaker: Patricia Benner?
Workshops will be held concurrently so that all participants will be able to go to all workshops.
Proposed workshop organization: Each workshop will include the following themes: . Description of the issue . What is the effect on the relationship between the clinician and the patient? . What has been the effect on staffing? . What has been the effect on the quality of nursing care/patient care? . What has been done to deal with the problem? . Each workshop will have as a chair/facilitator at least one nurse.
Workshops:
1) The HMO Tech Agenda: How technology is being used to disintegrate care. 2) How does technology shift the burdenof care from professional care givers to family members. 3) The Organization of Work: the RN as a Care Giver or Supervisor? Proposed Speaker: Marge Funk. This topic is devoted to the dis-aggregation of the RN's job. The fragmenting of the nurses job cane come from at least three sources and is enabled by new technologies. It is not necessarily driven by the technology but is a view of skill and nursing that essentially comes from the concepts of FW Taylor and the division of labor. Another factor pushing for dis-aggregation are HMO cost cutting measures and a third source is a misunderstanding of the nurse's role as a care giver
4) Information Systems Implementation How are modern information systems designed and implemented? Who decides? What is their content? Proposed Speaker Don DeMoro 5) Quality Outcome How are outcomes defined? Why is there such an intense focus on outcomes in HMOs? How is quality measured/ Who decides what constitutes quality? How do the emerging technologies and technical and work systems effect quality? Proposed Speaker: Dr. Gordy Schiff 6) Maintaining Ethical standards in a Managed Care System" Proposed Speakers: Cathy Lundy RN and Elinor Holbrook, RN.
7) Accessing and Utilizing the Media Proposed Speakers: Suzanne Gordon
Organization of Conference
Series One: 8:45-10:15 AM Topics One and Four
Break 10:15-10:30
Series Two: 10:30-12:00 noon
Topics Two and Three
Lunch 12:00 noon 1:30
Speaker: Patricia Benner:? The Technological Understanding of Health Care, Care giving and the Patient. Some key points: The issue of the replacement of care giving functions by machine monitoring functions; from patient care giver to machine tender with the patient secondary.
Saturday Afternoon
1:45-3:15 Workshops Two and Four 3:15 Break 3:15-4:45 Workshops One and Three
4:45- 5:30 Cash Bar Saturday Dinner - on own
Sunday December 13, 1998 Convene 8:30 AM
Plenary 8:30 AM- 12:00 noon - What Are Nurses Doing to Recapture Technology and Reorient it Toward Patient Care. What must be done to advance these efforts? How can the political revolt against market-driven health care promote and advance a truly care giving centered view of technology. 8:30- 8:45- Welcome and report on workshops
8:45- 9:45 Envisioning Alternatives
How can technologies be designed and implemented to support nursing and patient care? What might technologies look like if they were designed to enhance rather than replace skill? What might technologies and their associated work organization look like if they were designed to reduce patient-clinician barriers? How can technology support the RN?
9:45- 10:00 Break
10:00- 11:00 Formulating a Nursing and Patient Centered Technological Agenda
11:00- closing Next Steps
Noon adjourn
Lunch on your own. ```
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