When I was in High School, we didn't even have computers. I learnt to type on an old manual typewriter which looked very similar to this one here......
I got up to 45 words per minute on that thing. Unfortunately, I didn't concentrate enough on the numbers row and to this day I have to look at the keyboard for the numbers.I remember after I graduated I was going to go to college and become a Legal Assistant. Well that all fell by the wayside as I got employment with the Federal Government doing a clerical position. I got that job primarily because of my typing skills and well I think the female manager who hired me liked my story about my brother who has Down's Syndrome. I digress.
I worked for the Government for 10 years. During that time I saw amazing changes. Facsimiles machines had this rolled paper that you had to fit into the machine when a call was coming through...we all know what they look like now...compact and you just dial and send that's it. Back to the typewriters.....during my years in the office I saw the typewriter change dramatically, to the electronic....then the ones that had the mini screens and memory banks...and then yes the computer.
My colleagues at work marvel at how quickly I can type....most of them went straight to nursing school and didn't have to have typing skills. But now days you have to be able to have some command of typing or you won't survive.
Change is inevitable that is for certain. The manual typewriter to the computer. What about computer games. Now I never was one that was very big on computer games, but do you remember Pong? That was that game where the ball went from one side of the line to the other. You could adjust the speed with a dial. I can remember one Christmas when my parents bought that for the family. We had family Pong tournaments. It seems so funny now when I think back on those days.
Look at what I call our implements of torture. Our housecleaning products. The vacuum for instance.....
Here's an old Hoover.....and look at what you can get today...
this nice robotic vacuum. My goodness how things change. I could go on but I won't. I just wanted to demonstrate how significantly things have changed in our life time.
Just as technology changes, so does the workforce and how we perform our work in that environment. For the past ten years as nurses we have been told that we will be going to electronic charting. I know it has happened in many areas, but not in the province that I practise. It's interesting and mind boggling how things can be so different from even fromone health authority to another all in the same province. Case in point....when I left the mainland we were already inputting lab work and tests etc electronically. The only time we used a requisition was if the computers went down. Six years later working in my small town, we still do paper requisitions. The results however, are provided via the computer. So not only do you have to have typing skills to acess the information but you need a basic understanding of computers in order to retrieve the information you are looking for. I personally don't have an issue with that....but I know nurses who are just 5 years older than me have difficulties with the computers. Most of their nursing career was performed in a completely different work environment. These nurse who are now only a few years away from retirement are having to learn all this new technology. They have no choice. In order for them to maintain their practice they are forced to change their ways and learn a different way of doing things.
This doesn't seem to be such a challenge for the younger nurses. They grew up on computers and electronic mail and such. But nurses in their late 50's early 60's not so much. That in itself presents some major obstacles for some nurses. Our senior nurses bring so much to the nursing environment it seems a shame to lose them because they can't keep up with the techonology. Of course when it comes to direct patient care you need to stay current. But learning data entry and things like that seem a little over the top for me.
I embrace change. What I don't embrace is when the technology it being crammed down my throat. I believe that is what some of the more senior nurses are feeling. They were still able to care for a critically ill patient without all the gadgets. Sometimes I think we do ourselves a disservice and put to much faith in technology. We need to remember the basics...look at the patient...how are they responding to the treatment....do the numbers reflect what I see and if not then why not.
Yes change is inevitable. What I find to be very important when change is about to occur is to include your staff. Let your staff become change agents. If employers are set on change they can be proactive and make it a positive thing for everyone.
What changes do you find you are faced with? Do you wish you had some consultation before the change occurred?
Food for thought....don't you think?




























