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This research analyzes the process of digitization of communication in nursing services in Panama by 2025, in the context of the implementation of the Electronic Health Information System (SEIS 4.0) and other emerging technologies. The aim of the study is to describe the degree of incorporation of these tools and to assess their impact on the quality of care, the workload of nursing staff and the patient experience. A descriptive analysis of the adoption of SEIS 4.0 in public hospitals, the use of artificial intelligence, wearable devices (IoT bracelets) and secure messaging platforms (Telegram, Signal, Threema and specific solutions for health) was carried out, as well as the main connectivity barriers in rural centers and the technological fatigue of the staff. The results indicate an incorporation of SEIS 4.0 that reaches 96% of public hospitals, with a significant optimization of continuity of care. However, about 40% of nursing staff report fatigue due to alerts and overload of shifts, and about 25% of rural centers have insufficient network connections. In response, "digital silence" protocols have been implemented, AI filters that prioritize messages according to urgency, validation of prescriptions through AI and blockchain with irreversible digital signature and biometric authentication, virtual reality training programs and the figure of digital mentors in each hospital. Likewise, empathetic communication templates are integrated into the SEIS and satisfaction surveys linked to salary incentives. Taken together, these findings show that Panama is moving towards a digital nursing model that balances technological innovation and human warmth, although challenges of investment and continuous training persist to achieve full coverage.
Este obra está bajo una licencia de Creative Commons Reconocimiento-NoComercial-CompartirIgual 4.0 Internacional.
