Nurses and midwives play a vital role in digital health. They are the largest users and the key enablers in influencing any change to the digital health platform. Nurses and midwives have embraced and incorporated the use of digital health information management and technology into the delivery of care.
My Health Record and Aged Care
The final report of the Royal Commission into Aged Care Quality and Safety released in February, 2021 outlined over 148 recommendations, many of which were directly linked to improving care. The report identified a number of recommendations highlighting the need for the aged care sector to improve digital health connection, including aged care facilities being connected to the My Health Record.
The ANMF is working closely with the ADHA to increase awareness of the My Health Record and all it has to offer in the aged care setting to improve care for residents. We have developed a number of education tools to assist ANMF members in their understanding of the My Health Record, its benefits and how the facility they work in can be connected. The education tools are available below.
Introductory Webinar - ‘My Health Record in Aged Care’
Join the ADHA and the ANMF in a pre-recorded webinar discussing the My Health Record. Learn how having access to key health information can contribute to the safer use of medicines, better decision support for nursing and improved transition of care for a resident. This webinar provides an opportunity for nurses and care workers working in the aged care sector to better understand how the My Health record can be used to improve care outcomes.
Three brief interviews with ANMF members working in different roles in aged care discussing their experience with the My Health Record:
- Cheryl Reid, a registered nurse who works in aged care in South Australia
- Melinda Brooks, a Nurse Practitioner in wound management in Victoria
- Anthony Wilson, Nurse Manager Informatics and Productivity in Queensland
The National Nursing and Midwifery Digital Health Capability Framework
The National Nursing and Midwifery Digital Health Capability Framework was released in October, 2020. The purpose of the Framework is to guide nurses and midwives to identify their digital capability level and to provide clarity as to where they can enhance their skills.
The Framework outlines five domains of digital capability for nurses and midwives, these include:
- Domain 1 - Digital Professionalism;
- Domain 2 - Leadership and Advocacy;
- Domain 3 - Data and Information Quality;
- Domain 4 - Information-Enabled Care; and
- Domain 5 - Technology
While completing a self-assessment using the Framework, nurses and midwives are guided to identify which capability level they may be currently achieving, which may be the formative, intermediate or proficient level across the domains.
The Framework was developed by the Australian Digital Health Agency (ADHA) and the Australasian Institute of Digital Health (AIDH). The ANMF participated in the Framework development and Chaired the Advisory Committee overseeing the project.
It is important to note that a nurse or midwife’s digital capability will be significantly impacted by the level of digital technologies they are able to access while working. A nurse, for example, working in a health service with minimal access to digital technologies, will be unlikely to achieve a proficient level across all domains or a midwife working in a health setting who is introducing a completely new electronic medical record, may initially only be able to achieve a formative level in some of the domains.
The National Nursing and Midwifery Digital Health Capability Framework is freely available to all nurses and midwives on the ADHA website at the following link: https://www.digitalhealth.gov.au/healthcare-providers/initiatives-and-programs/workforce-and-education/nursing-and-midwifery-framework
There are also a number of resources to assist nurses and midwives to use the Framework available at this link, including case studies and an organisational flow chart to help with identifying the digital level of the health service or setting.