A period in history characterized by the birth of the Internet, World Wide Web, development of Internet technology, wide-scale computer production, and development of user-friendly software
Fourth Industrial Revolution
Characterized by technology fusion including artificial intelligence, biotechnology, 3D printing, and nanotechnology
Digital natives
Think and process information in new ways because they are exposed to digital technology from an early age
Aims to strengthen the relationship between patient and provider, teach and empower patients dealing with health and wellness issues, and integrate consumer preferences into future educational programs
EmergingconcernsintheInformationAge
Cybersecurity
Authorship disclosure
Quality of information
Privacy and confidentiality
Health Code of Ethics
Principles include candor, honesty, quality, informed consent, privacy, professionalism, responsible partnering, and accountability
Computer literacy
The ability to use the computer hardware and software necessary to accomplish routine tasks
Nurses should assess client's use of the WWW and clarify information found, share resources, and help develop Web-based resources
Historical risk factors for digital divide
Age (>65 years)
Race (African Americans)
Level of Education (<High School)
Household makeup (homes without children)
Presence of disabilities
Determining patient's access and knowledge of technology
1. Assess if patient has an Internet-compatible device
2. Assess if patient has internet access
3. Assess if patient is knowledgeable about using the device
4. Assess if patient is interested in using the Internet for resources
If patient has no access but has interest, suggest libraries, senior centers, community centers
Approximately 60% of Americans have used Web information that influenced decisions about how to treat an illness, led them to ask questions, led them to seek a second medical opinion, or influenced decisions about whether to seek the assistance of a healthcare provider
Information literacy competencies
Identify the information needed
Access the information needed
Know how to evaluate the information found
Use the information deemed valid
Computer literacy competencies
Reduce a problem or topic to a searchable command
Categorize webpages according to purpose
Identify sources of potential bias
Judge the information's accuracy and reliability
Judge the information's completeness
Determine the information's currency
Identify resources to answer questions
Criteria for evaluating health-related websites
Accuracy
Design
Authors/Sponsors
Currency
Authority
New technology is also raising the question of telepractice and licensure, and new practice guidelines are likely
Ease of use must be considered for new technologies, such as patient portals, which need simple design and understandable test data