nursing informatics ppt

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Nursing Informatics P.Vijayalakshmi Clinical Instructor

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Page 1: Nursing Informatics Ppt

Nursing Informatics

P.Vijayalakshmi Clinical Instructor

Page 2: Nursing Informatics Ppt

“Computers are incredibly fast, accurate and stupid. Human beings are incredibly slow, inaccurate and brilliant. Together they are powerful beyond imagination.”

Albert EinsteinAlbert Einstein

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Nursing Informatics: The Emerging Field

"In all types of health care organizations, nursing is the hub of the information flow. Developing the science and technology of nursing informatics will enhance the information available to nurses for clinical practice, management, education, and research and will facilitate the role of nurses as communicators."

Patricia F. Brennan (1996), American Medical Informatics Association

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Definition

“Nursing informatics (NI) is a specialty that integrates nursing science, computer science, and information science to manage and communicate data, information, knowledge, and wisdom in nursing practice. NI supports consumers, patients, nurses, and other providers in their decision- making in all roles and settings. This support is accomplished through the use of information structures, information processes, and information technology”.

ANA 2008

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Goals of Nursing Informatics To improve the health of

Populations, communities, families, and individuals by optimizing information management and communication.

Use of technology in the direct provision of care, establishing effective administrative

systems, managing and delivering education

experiences, supporting life-long learning, and nursing research. Contd….

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To get the....

RIGHT information to the RIGHT people at the RIGHT time to do the RIGHT job at the RIGHT cost

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Who are Informatics Nurses?

Expert nursing clinicians in utilizing the nursing process

Expert analytical & critical thinking skills

Understand patient care delivery workflow & integration points for automated documentation

Clinicians with extensive clinical practice Experienced in utilizing and

implementing the nursing process

Contd …..

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Have additional education & experience related to technology and information systems

Are excellent project managers May be board certified in Nursing

Informatics by ANCC

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How it all began….

• Late 1960’s first computer systems were implemented in hospitals

• Computer nurses began to appear in hospitals

– Excellent clinicians

– Technically curious and willing to try new things

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The intersection of nursing and computer science

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Florence Nightingale in the United Kingdom

Jeanne Mance (1606-1673) Montreal, Canada in 1642.

Ventilators and physiological monitors Intensive and critical care

settings less acute areas home care

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Present

NI has become a part of our professional activities.

Informatics has advanced the field of nursing by bridging the gap from

nursing as an art to nursing as a science.

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Data-Information-knowledge triad

Toffler (1990)

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Nursing Informatics Model

Nursing informatics can be applied to model the human processing of data, information, and knowledge within a computer system in order to automate the processing of nursing data to information and the transformation of nursing information to nursing knowledge.

Contd…..

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Why is Nursing Informatics important to nursing

and health care?

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A Need for Nursing Informatics Support Every day, nurses make many important

decisions about patient care Saves nurses time and prevents

unnecessary work Increased in acuity and complexity of care Fulfill their routine tasks and enable better

outcomes within the amount of money available.

This technology has potential to improve the work environment, decrease staff time and save money.

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From a business standpoint…

Paper records Time Money Too many people

file store maintain analyze formulate custom reports Contd …

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This can all be managed efficiently and more effectively with the use of an EMR system that encompasses nursing informatics tools.

In fact, reports can often be generated within seconds with just a few keystrokes.

This would save much time and minimize many errors than older reporting and tracking systems.

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Sample applications of Nursing Informatics

Clinical practice• Recording of patient assessment

data in EHR Recording of work load and interventions as a by-product of electronic charting.

Research• Evaluation of nurse-sensitive

outcome measures using a standard minimum data set

Use of knowledge bases via the internet Recording of workload and interventions as a by-product of electronic charting.Administration

• Analysis of reports generated from a spread sheet software

application. Review of outcome indicators using a decision-support software application Recording of workload and interventions as a by-product of electronic charting.

Education• Distance learning/teaching

via the internet Recording of workload and interventions as a by-product of electronic charting.

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The Benefits of Nurse Informaticists

• Promote and facilitate access to resources and references

• To deliver high quality, evidence-based care

• Better service by facilitating true interdisciplinary care

• Improvement in key relationships with providers & care recipients

• Enable cost savings and productivity goals

• Facilitate change management

• Enhance continuity of care  

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Nursing Informatics: A Time-Saving Intervention

If Florence Nightingale were alive today, she would be extremely pleased with nursing informatics tools, which uses science, nursing, statistics and evidence-based care, as a time saving intervention with the ultimate goal of helping patients in the best manner possible.

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Nursing Practice

“Nursing Process is the cornerstone of Professional Nursing Practice”

• Defines the “What” and “How” of professional practice

• The steps of the process are measurable

• The process steps can also be used by other clinical disciplines

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Well-documented information provides

• What care has been provided and what is outstanding

• Outcomes of care provided and responses to the plan of care

• Current patient status & assessments

• Support decisions based on

assessments to drive new plans of care

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Automation of Documentation

Why automate documentation – not only for nursing but for all of patient care?

• Up-to-date, accurate information of each step of the Nursing Process is the Power behind safe, high quality patient-centered care!

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How do Informatics Nurses Impact the Nursing Process?

Enable the professional nurse to be the “Coordinator” of each patient’s care

• Communicate & coordinate care with ALL other clinical disciplines

• Coordinate discharge planning, education & teaching, transitions of care

• Manage ALL information related to the nursing process and patient care delivery

Page 29: Nursing Informatics Ppt

How do Informatics Nurses Impact the Nursing Process?

Because information management is integrated into nursing practice, there are now additional steps in the nursing process

• Standardized Documentation• Information Management• Research and Evidence

Collection

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• Standardized Documentation

– The collection tool for information management

• Information Management

– Key role for Nursing Informatics

– Key to research and evidence collection

• Research and Evidence Collection

– Key to repeatable, standardized care and improved outcomes

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New areas of influence

1. Nurse practitioners are taking on increased responsibility, such as educating patients in disease management practices.

2. More are providing primary care, since nurse-managed clinics are becoming a mechanism for delivering more affordable healthcare.

3. Nursing staff able to use the outcomes information provided by disease surveillance and health reporting systems can improve care management.

Contd….

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4. Patient care is an interdisciplinary process requiring an interdisciplinary approach to documentation, data collection and analysis

5. A new nursing role--Internet guide--has developed as patients are given “information prescriptions” with instructions to find applicable resources at recommended Web sites.

Contd….

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6. With their growing experience in a highly automated environment, nurses will be in a prime position to become agents of change.

• They may help colleagues for implementations and new or upgraded software.

• They can explain system needs of healthcare professionals and patients to designers, engineers and vendors.

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Nursing Informatics Education

• Nursing Informatics courses at the BSN level

• Specialty in Nursing Informatics – MSN

– Distance learning – online

• Certificate programs

• Post graduate degree

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Five key directions for informatics in nursing education and practice

• Educate nursing students and practicing nurses in core informatics content

• Prepare nurses with specialized skills in informatics

• Enhance nursing practice and education through informatics projects

• Prepare nursing faculty in informatics

• Increase collaborative efforts in NI

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Future of Nursing Informatics

Nurses should practice to the full extent of their education and training

Nurses should achieve higher levels of education and training through an improved education system that promotes seamless academic progression

Nurses should be full partners, with physicians and other healthcare professionals in the redesigning of health care

Contd… ….

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Effective workforce planning and policy making require better data collection and an improved information infrastructure

Together, nurses and nursing informatics must lead, and be visible, vocal and present at the table to achieve healthcare delivery transformation.

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Improving Nursing Care through Technology

• Technologies can create better work environment for inpatient nurses;

– Improve efficiency, safety and quality

– Add value to the way nurses coordinate and provide care

• Alarm/event messaging

• Biomedical device integration

• Medication administration

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Nurses do not want to be passive consumers of technology

Nurses want devices that are integrated, voice activated, handheld, use biometrics, provide translation, are portable, wireless, auto populate, and are “smart”

“Greater nurse satisfaction leads to greater patient satisfaction”  

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• Emerging roles

– CNIO, Entrepreneurs, Product Developers, Web design, Independent Consultants

• Challenges

– Integration of data—duplication often

– Inability to access data for decision making

– Unique distinctions between roles has not been defined—competencies

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Conclusion

The time has come for healthcare to leave the manual tools of the past in the past and turn to the enablers of the 21st century.

The nursing profession is being transformed to meet the needs of the new world and will be a major player in the revolution.

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"By the turn of the century, most health care delivery systems will function with computers and will be managed by computer literate nurses. I believe, that by the turn of the century, "high tech and high touch" will be an integral part of the health care delivery system,“

Virginia Saba (1992)