NURSING INFORMATICS

Are you into IT??

Jhessie L. Abella RN.RM.MAN

Course Description: This course deals with the use of information technology system and data standards based on nursing informatics principles/theories. It further deals with the utilization of clinical information systems in the management and decision-making of patient care.

Course Objectives:At the end of the course and given relevant actual or

simulated situations/conditions, the student will be able to:

1. Apply concepts, theories and principles of informatics in nursing and health care

2. Discuss issues and trends in informatics relevant to nursing and health

A. Computers and nursing1. Computers and nursing2. Historical perspectives of nursing and the computer3. Electronic health record from a historical perspective B. Computer system1. Computer hardware2. Computer software and systems3. Open source and free software4. Data processing5. The internet: a nursing resource6. PDA and wireless devices7. Incorporating evidence: use of computer-based clinicaldecision support system for health professionals C. Issues in informatics1. Nursing informatics and healthcare policy2. The role of technology in the medication-use process3. Healthcare data standards4. Electronic health record systems: U.S. federal initiatives and public/private partnerships5. Dependable systems for quality care6. Nursing minimum data set systems D. Informatics theory1. Theories, models and frameworks2. Advanced terminology systems3. Implementing and upgrading clinical information systems 

E. Practice application1. Practice application2. Critical care applications3. Community health applications4. Ambulatory care systems5. Internet tools for advanced nursing practice6. Informatics solutions for emergency preparedness and response7. Vendor applications F. Consumer’s use of informatics1. Consumer and patient use of computers for health2. Decision support for consumers G. International perspectives1. Nursing informatics in Canada2. Nursing informatics in Europe3. Pacific Rim4. Nursing informatics in Asia5. Nursing informatics in South America H. The future of informatics1. Future directions Course Requirement:1. To pass the course the students are expected to;2. Post their own reaction/s posted on the NURSING INFORMATICS page created by the

students themselves.3. Individualized/Group Reporting4. Video presentation 

“Computers are incredibly fast ,

accurate and stupid.

Human beings are

incredibly slow , inaccurate and brilliant .

Together they are powerful beyond imagination”

Albert Einstein

Why do we NEED to study N.I?In the 21st Century, information isdoubling every 5yrs , if not tripling in quantity and quality.

Information is POWERTechnology also facilitates the creative process in nurses, affording amazing vehicles for

patient education , teaching and learning , and providing general health promotion and prevention information on a global scale.

This can only become a common reality if nurses are comfortable working with computers and advanced technology while providing evidence based care for their clients .

The healthcare of our clients is largely dependent on information.

Every action taken depends on previous information and knowledge.

“THE HIGH TECH AND THE HIGH TOUCH”

Definition:American Nurses Association's Scope

and Standards for Nursing Informatics Practice (2008) :

“ Nursing Informatics is a specialty that integrates nursing science, computer science, and information science to

manage and communicate data, information, knowledge and wisdom in

nursing practice.”

Standard Areas of NURSING:

Nursing P ractice

Nursing E ducation

Nursing R esearch

Nursing A dministration. 

COMPUTERS IN NURSING EDUCATIONS

COMPUTER Assisted EducationPDA (Personal Digital Assistants)LCD ProjectorsWireless RoutersDesktopsLaptopsSmartphoneVIDEOS/ANIMATIONSDistance learningTesting (NCLEX)Student and course record

management

COMPUTERS IN NURSING PRACTICEFunctions

Records client information Provides access to other

departments Used to manage client

schedulingDOCUMENTAION OF CLIENT

STATUSAND MEDICAL RECORDS KEEPING

Provides access to standardized forms, policies and procedures

Access data about client that may be somewhere in the medical record or elsewhere in health care agency.

BEDSIDE DATA ENTRY records clients assessments, medication administration, progress notes, care plan

updating, client acuity and accrued charges

COMPUTER BASED CLIENT RECORD EMRs/CPRs

Provides easy retrieval of specific data such as trends in vital signs, immunization records, current problems

It can be designed to work providers about conflicting medications or client parameters that indicate dangerous conditions

ELECTRONIC ACCESS TO CLIENTS Used extensively in health care to assess and monitor clients conditions Data accumulated from various electronic devices are stored for research purposes Can monitor client Computerized diagnosis Telemedicine

PRACTICE MANAGEMENT Used to order supplies, tests, meals, and services, from other departments Allows nursing service to determine the most costly items used by a particular nursing

unit. May provide information or decisions to modify budget, provide different staffing, move

supplies to different locations, or make other changes for more efficient and higher quality care

COMPUTERS IN NURSING PRACTICE

A. Human resourcesAll employers must maintain a data a database on

each employeeAdministrators can use this database to

communicate with employees, examine staffing patterns, and create budget programs

B. Medical records managementAllow client records to be searched for trends,

number of cases, most expensive cases, and client outcomes.

Nurse informaticist can assist administrators with the design and

implementation of systems that allow such searches to be generated, analyzed, printed, and distributed.

COMPUTERS IN NURSING PRACTICE C. Facilities managementheating, air conditioning, ventilation, alarm systems

are computer controlled.

D. Budget and financeclaims are transmitted much more quicklyCan also effect cost-savings by reducing the desired

services time needed for accounts payable and receivables.

COMPUTERS IN NURSING PRACTICE

1. problem identification Useful in locating current

literature about the problem and related concepts

Helps in searching for existing documents, and e-mail to colleagues.

2. literature review Software facilitate searches,

contains thesauruses so that the most appropriate terms can be selected.

COMPUTERS IN NURSING PRACTICE

3. research design Search literature for instruments that

have already been established or to design and test instruments that need to be developed for past study.

4. Data collection and analysis Helps create form for the collection of

data such as informed consent, demographic data, and recording forms.

Commonly used software for quantitative data analysis: SPSS ( statistical package for social sciences), SAS ( statistical analysis system), Sys STAT, MYSTAT

5. Research dissemination computer word processing programs

are used to author the final reports of research and send research to various readerships.

Help speeds completion or research projects

 

WHAT DO WE NEED TO ACHIEVE

NURSING INFORMATICS?

SOFTWARE

HARDWARE

PEOPLE

“Nursing practice will be revolutionized and we will

truly be a profession of nurses with our own

classification systems, bibliographic systems, and

payment systems .”

We need to think outside the box?

We need to use the Internet to enhance our practice and provide tele-nursing

care . We need to become wireless and conduct our services using all the newer

IT tools.

“ We have a long way to go, but if we utilize information technology effectively,

informatics will become an integral part of our profession and the health care

industry. I do believe we have the knowledge and perseverance and I am

convinced it will come to pass.”-Dr. Virginia Saba