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Implementation of Technology
Nursing Informatics (NSG 421)
Herzing University
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Implementation of Technology Sehiry Sandoval Herzing University NSG 421 Nursing Informatics Profressor Manfredo August 18, 2024 Implementation of Technology
This paper will contain information from previous papers to collectively inform all parts of the project to implement 3D printing in healthcare and other points of care. This would include a brief explanation of the technology, 3D printing in healthcare, and the numerous benefits that come with its implementation in healthcare settings. The resources used for this paper and its precedents will be reviewed in this paper, along with goals for implementing 3D printing in healthcare and an abstract of the implementation plan. Lastly, I will be discussing the evaluation plan to further improve this implementation of technology in healthcare and hopefully demonstrate the success it has already brought to the medical field. Explanation of the Technology For my topic, I spent time doing further research on the use of 3D it in healthcare. 3D printing transforms a computer model into a three-dimensional physical item. The 3D printer constructs the thing by reading a digital blueprint and layering it with filament and ultraviolet light. Incorporating 3D printing into healthcare practice is supported by numerous theoretical models, including the Innovation Diffusion Theory and the Technology Acceptance Model (TAM). Rogers (2003) established the Innovation Diffusion Theory, which stresses how modern technologies spread across various consumer categories, with first-time users such as forward- thinking healthcare facilities leading the way in incorporating 3D printing into clinical practice. This dissemination is being driven by perceived benefits such as tailored medical implants and improved surgical accuracy, which are critical to the adoption of 3D printing technology (Wang et al., 2022). The Technology Acceptance Model adds to this by claiming that perceived ease of use and perceived utility substantially impact the adoption of innovative technologies (Davis, 1989). The effective integration of 3D printing in healthcare is affected by its demonstrable
emphasizes the significance of changing processes and educating personnel to effectively integrate 3D printing technology into established medical procedures (Kotter, 1996). These theoretical viewpoints highlight the obstacles and benefits of implementing 3D printing technology in healthcare, demonstrating its revolutionary influence on medical procedures and patient outcomes. Review of Literature I used several different resources to help with my thought process and support my ideas. One of the sources comes from The Journal of Healthcare Engineering. They published an article named “The Role of 3D Printing in Medical Applications: A State of the Art “. This article discusses the printing process factors and material variables that impact 3D object creation. It also reviews current 3D printing advancements and their applications in pharmaceutics, bioprinting, and bioelectronics (Aimar et al., 2019). Furthermore, it continues to elaborate on the advantages and disadvantages of this technology. They are examined, before moving on to their potential therapeutic applications and suitability for generating tailored therapies. It also discusses semi-solid extrusion (SSE), a subset of material extrusion 3D printing that creates objects of any size and shape by successively depositing layers of gel or paste (Aimar et al., 2019). Another helpful resource for my project was an article retrieved from 3D printing in Medicine, the article is called, “Interpretation of regulatory factors for 3D printing at hospitals and medical centers, or at the point of care”. The article's major point is that it concentrates on the legislation and other aspects affecting 3D printing in hospitals. More particularly, the article focuses on the framework that governs medical devices geared toward Point of Care. It goes into further detail about making tailored medical devices for people, as opposed to manufacturing things, and how it will be regulated (Beitler, B. et al., 2022) The article explains the many
issues to consider while developing medical innovations. For instance, the FDA does not control 3D printing itself, but rather the devices it creates. Another article written by Carvalho et al. (2021) helped bring in information for my project regarding legal information for implementation. The article's key takeaway is that it focuses on the legislation and many considerations for 3D printing in hospitals. More particularly, the essay focuses on the framework that governs medical devices aimed at Point of Care. It goes into further detail on producing unique medical devices for people, the lack of manufacturing, and how this will be regulated. The paper highlights important variables to consider while developing medical innovations. For instance, the FDA does not control the usage of 3D printing, but rather the devices it creates (Carvalho et al., 2021). The last piece of literature I will be reviewing is an article written by Hellman et al. (2023). It is called “3D Printing in a hospital: Centralized clinical implementation and applications for comprehensive care”. The review I wrote of this article is that it discusses how 3D printing, also known as additive manufacturing in this article, is utilized in hospitals not only for rapid prototyping but also to generate end-use items such as clinical, diagnostic, and instructional tools (Hellman et al., 2023). 3D printing may be used to create customized medical equipment, surgical instruments, anatomical models, implants, research tools, and on-demand parts, among other applications (Hellman et al., 2023). The advantages and requirements for building a clinical 3D printing service in the healthcare sector are reviewed, along with centralized 3D printing administration, technology, use case examples, and implementation difficulties. Purpose and Goals of Implementing this Technology The purpose of implanting 3D technology in healthcare is for it to make quality of healthcare given more efficiently without creating more costs or barriers. Every single year, 3D printing
and machines (Hellman et al., 2023). 3D printing may help reduce material waste by using accurate additive production (Hellman et al., 2023). Overview of the Implementation Plan There has been much critical thinking of how this project would be implemented in hospitals or any other point of care setting. Surgeons employ 3D-printed anatomical models created from patient images to rehearse difficult procedures before conducting them. These models aid in visualizing the surgical field and planning operations with more precision (Wang et al. 2022). It was found that preoperative simulation using 3D-printed models may cut surgery time and improve accuracy (Wang et al, 2022). The field of 3D printing involves printing cells and biomaterials to create tissue structures that could potentially be used for transplants or regenerative medicine. Recent advancements, as discussed by Zhang et al. (2023), demonstrate promising results in creating functional tissues and organs, though clinical application is still in its initial stages. Custom implants and prosthetics are manufactured based on individual patient anatomy, improving fit and functionality. With smaller groups being trialed, it offers room for feedback on what could be done to improve for more long-term models. Examples of some items include cranial implants, dental prosthetics, and orthopedic implements (Mota et al., 2023). To further support evidence of successful implementation, I researched an implementation model. The successful adoption of 3D printing in healthcare is led by Kotter's Eight-Step Change Model, a Change Theory framework that provides a methodical way to manage organizational change. Kotter (1996) emphasizes the importance of instilling a sense of urgency to drive the adoption of modern technologies, such as 3D printing, which can be accomplished by emphasizing its implications for individualized healthcare and surgical precision. The next stage is to build a steering alliance of stakeholders, including medical
providers, regulatory organizations, and technological experts, to advocate for 3D printing integration (Kotter, 1996). Creating a sharp vision and implementation strategy helps synchronize efforts and resources while educating personnel ensures they are well-equipped to use modern technologies (Kim et al., 2024). Addressing hurdles, such as soaring prices and regulatory compliance, is critical for breaking through resistance to change (Lee & Park, 2023). Finally, consolidating achievements and institutionalizing new methods within the healthcare context reinforces 3D printing acceptance, transforming it into an essential component of medical practice and care for patients (Kotter, 1996). Using Kotter's concept, healthcare companies may manage the complexity of incorporating 3D printing, resulting in easier integration and more advantages from the technology. What reimbursement models will be used for 3D printing services and products? Do the benefits of creating in-house 3D manufacturing capabilities offset the initial costs? How will FDA regulatory scrutiny shift to match demand for 3D products? What goods are not subject to FDA supervision, and what dangers may they pose to patient safety? These are just a couple questions that conjoin the use of 3D printing in the medical field (3 ways 3D printing is Revolutionizing Health Care: AHA). Another difficulty for 3D printing in healthcare is a shortage of skilled workers. Although technology has become more user-friendly, there remains a need for experienced people to run the printers and design the products to be printed (Benefits & challenges of 3D printing in Healthcare). Would the demand of the position be enough to support individuals through a promising career and not have a negative turnover rate? One of the most important factors is copyright. Because 3D printed products are so simple and inexpensive to produce, it is easy to copy designs without obtaining the initial creator's permission. There are
printing in healthcare. 3D-printed anatomical models can help patients better comprehend their illnesses and treatment alternatives. Patients can make better decisions and feel more involved in their treatment by viewing their anatomy and planned procedures. It may also reduce recovery time by customizing implants and surgical equipment leading to fewer invasive operations and more effective treatments, resulting in speedier recovery periods and better overall patient experiences. 3D printing enables the creation of highly tailored prosthetic limbs and orthotic devices that are more comfortable and functional, hence enhancing mobility and quality of life for patients with limb loss or musculoskeletal disorders. This could lead to better prosthetics and orthotics in the long run. I hope this paper served well as an overview of my project and encourages further efforts for implementation. References
5 public health technologies to revolutionize health care delivery. Online Masters in
Public Health. (n.). mphdegree.usc/blog/public-health-technology
American Hospital Association. 3 ways 3D printing is revolutionizing health care: AHA. (n.). aha/aha-center-health-innovation-market scan/2022-06-07- ways-3d-printing-revolutionizing-health-care Aimar, A., Palermo, A., & Innocenti, B. (2019). The role of 3D printing in medical Applications: A state of the art. Journal of Healthcare Engineering, 2019 (1), 5340616. doi/10.1155/2019/
Benefits & challenges of 3D printing in Healthcare. Healthie. (n.). gethealthie/glossary/3d-printing Beitler, B., Abraham, P., Glennon, A. et al. Interpretation of regulatory factors for 3D Healthcare and Technology: 3D Printing at hospitals and medical centers, or at the point of care. 3D Print Med 8, 7 (2022). doi/10.1186/s41205-022-00134-y Carvalho, V., Gonçalves, I., Lage, T., Rodrigues, R. O., Minas, G., Teixeira, S. F., Moita, A. S., Hori, T., Kaji, H., & Lima, R. A. (2021). 3D Printing Techniques and Their Applications to Organ-on-a-Chip Platforms: A Systematic Review. Sensors, 21 (9), 3304. doi/10.3390/s Hellman, S., Frisch, P., Platzman, A., & Booth, P. (2023). 3D Printing in a hospital: Centralized clinical implementation and applications for comprehensive care. DIGITAL HEALTH. doi/10.1177/ Kotter, John. John Kotter’s Eight Step Change Model. 1996. Lee, J., & Park, S. (2023). Economic and Accessibility Considerations in 3D Printing for Healthcare. Health Economics Review Mota, M., et al. (2023). Advancements in 3D-Printed Cranial Implants: Clinical Outcomes and Future Directions. Journal of Craniofacial Surgery Yang, W., Choi, W. S., Leung, Y. Y., Curtin, J. P., Du, R., Zhang, C., Chen, X., & Su, Y. (2018). Three-dimensional printing of patient-specific surgical plates in head and neck reconstruction: A prospective pilot study. Oral Oncology, 78 , 31-36.
Implementation of Technology
Course: Nursing Informatics (NSG 421)
University: Herzing University
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