Sackett Kay Marie, Campbell-Heider Nancy, Blyth John B
University at Buffalo, The State University of New York, Buffalo, NY 14214, USA.
Comput Inform Nurs. 2004 Mar-Apr;22(2):101-6. doi: 10.1097/00024665-200403000-00012.
The Integrated Services Digital Network H.323 (ISDN), which has been in use for the past 20 years often requires a dedicated telephone line and other equipment to implement. Consequently, expansion of ISDN-based videoconferencing requires infrastructure not always accessible in those areas that are most in need of technological connections. New H.323 technology using Internet Protocol H.320 (IP) connectivity can accommodate the use in a variety of videoconferencing software and fill this void as demonstrated by an experiment conducted live at the Syllabus Web '99 conference. When a faculty group were unable to secure ISDN connections to demonstrate their clinical evaluation of Family Nurse Practitioner (FNP) students using videoconferencing technology, an ad hoc group of computer experts, educators, instructional design specialists, and corporate sponsors collaborated to design a multipoint PC-based connection using IP connectivity. This article describes the first application of this technology, the evolution of ISDN and IP systems in nursing education and practice, and suggests appropriate future trends for their utility in nursing.
过去20年一直在使用的综合业务数字网H.323（ISDN）通常需要一条专用电话线和其他设备来实施。因此，基于ISDN的视频会议的扩展需要在最需要技术连接的地区并不总是能够获得的基础设施。使用互联网协议H.320（IP）连接的新H.323技术可以适应在各种视频会议软件中的使用，并填补这一空白，正如在“99教学大纲网络会议”上进行的现场实验所证明的那样。当一个教师团队无法获得ISDN连接以使用视频会议技术展示他们对家庭护理执业医师（FNP）学生的临床评估时，一群计算机专家、教育工作者、教学设计专家和企业赞助商临时合作，设计了一种使用IP连接的基于多点PC的连接。本文描述了这项技术的首次应用、ISDN和IP系统在护理教育和实践中的发展，并提出了它们在护理中应用的适当未来趋势。
