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Nursing and the information agenda:

international perspectives

Nursing and the information agenda:Nursing and the information agenda:

international perspectivesinternational perspectives

06 March, 2012 | Sheffield Hallam University, UK

Nursing and the Information Agenda - Symposium

Dr. Peter J. MurrayPhD, RN, MSc, CertEd, FBCS CITP

IMIA CEO

Disclaimer: views expressed should not necessarily be taken as any official IMIA view or policy

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About me:

Registered nurse

Coronary care specialisation

Qualified nurse teacher (plus MSc Nursing)

Informatics 'professional' (mainly self-taught in ICT)

Web and social media user, 'ambassador'

GreetingsGreetingsGreetings

Photo courtesy Antoine Geissbuhler

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Symposium contextSymposium contextSymposium context

Three key areas:

- the changing environment in which nurses work

- the role of ICT in providing better patient care

- the implications for higher education institutions

offering healthcare programmes

OverviewOverviewOverview

About IMIA - the International Medical Informatics Association

A view on records and information

Nursing, information, technology – the intersection

Same seas, different boats?

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About IMIAAbout IMIAAbout IMIA

An 'association of associations'

- a 'bridging organisation' to bring together the members of

the global health and biomedical informatics communities

- almost 60 Member Societies – contacts in over 85

countries

- over 50 Academic and Corporate Members

- represents over 50,000 people in health informatics

Nurses have always been well-represented.

About IMIAAbout IMIAAbout IMIA

The basic aims of IMIA:

- to advance international cooperation;

- to stimulate research, development and routine application;

- to move informatics from theory into practice in all settings;

- to further the dissemination and exchange of knowledge,

information and technology.

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About IMIA-NIAbout IMIAAbout IMIA--NINI

IMIA-NI (Nursing Informatics) SIG - one of the

most active parts of IMIA.

NI Congress every 3 years since first in London in 1982:

2009 Helsinki, Finland

2012 Montreal, Canada (June 23-27 - www.ni2012.org)

2014 Taipei

Greetings from IMIA-NIGreetings from IMIAGreetings from IMIA--NINI

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A view on information and

records

A view on information and A view on information and

recordsrecords

"In attempting to arrive at the truth, I have applied

everywhere for information but in scarcely an instance

have I been able to obtain hospital records fit for any

purpose of comparison.

If they could be obtained, they would enable us to

decide many other questions besides the one

alluded to. They would show subscribers how their money

was being spent, what amount of good was really being

done with it or whether the money was not doing mischief rather than good."

A view on information and

records

A view on information and A view on information and

recordsrecords

So, nursing has long been aboutthe information and records,

and supporting care

- not (just) using the technology

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Nursing informatics is ...Nursing informatics is ...Nursing informatics is ...

Nursing informatics science and practice integrates nursing, its information and knowledge and their management with information and communication technologies to promote the health of people, families

and communities world wide.

IMIA-NI definition - adopted July 2009, Helsinki, Finland

www.imiani.org

Nursing informatics is ...Nursing informatics is ...Nursing informatics is ...

Turley, 1996 model

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Dealing with the now ...Dealing with the now ...Dealing with the now ...

How do we exchange information, ideas, experiences, best practice, etc?

Face to face events/conferences (inter/national) Publications

Email discussions (from early 1990s and before – eg E.T.Net,

NURSENET, nrsing-l) – are these now dying out?

Increasingly through social media? - or maybe not?

(Even NMC and RCN there now - but not NHS CfH)

How much interaction/sharing do we REALLY get, as opposed to just

'push'?

Dealing with the now ...Dealing with the now ...Dealing with the now ...

Some common issues in health and informatics

Many countries and healthcare facilities moving electronic (inc. LMIC)

Development of electronic health/medical records

About reducing errors, improving quality of care, benefitting patients (and clinicians?)

Stand-alone systems? - (how) do they interact, exchange information to benefit patient care?

Who is the driving force? - government, IT, vendors, clinicians, patients?

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Dealing with the now ...Dealing with the now ...Dealing with the now ...

Some common issues in health and informatics

Often lack of clinical engagement in developments – so, resistance

The rise of patient empowerment

The rise of mobile/connected devices – mHealth, etc.

Global lessons that can be applied locally – or local lessons that can have global relevance

Political change/expediency often gets in the way ...

Dealing with the now ...Dealing with the now ...Dealing with the now ...

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Looking to the future ...Looking to the future ...Looking to the future ...

What will influence health in the future?

- by 2010, 50% of the world's population will live in cities and urban areas;

- increasing global inequalities, with continuation of absolute poverty for many people;

- continuing population growth, and increasing competition for scare resources, such as water;

- the continuing impact of communicable diseases in many countries;

- the effects of conflict and global or local crises in displacing large numbers of people;

- increasing pervasiveness of information and communications technologies, with impact of information access;

Strategic Trends; UK Ministry of Defence, 2007

Looking to the future ...Looking to the future ...Looking to the future ...

What issues will nursing (informatics) need to take account of in the future?

More and more information – the elephant in the room?

The empowered and tech-savvy citizen – their relationship with healthcare and professionals (whose health is it anyway?)

Continuing education and professional developmentto enable dealing with change

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Preparing for the future ...Preparing for the future ...Preparing for the future ...

(Nurses) must become more involved at every level, or the Informatics Revolution will pass the nursing profession by, to the detriment of healthcare consumers.

Symposium contextSymposium contextSymposium context

This symposium considers:

- the changing environment in which nurses work

Common issues in many countries irrespective of type of healthcare

system, level of economic development, political/social context

Increasing use of ICT, reducing resources, growing populations,

demographics (especially ageing), ageing/falling health

workforce, patient empowerment, mHealth, ….

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Symposium contextSymposium contextSymposium context

This symposium considers:

- the role of ICT in providing better patient care

Investments increasing – but evidence of effect?

The nursing role/input – is there one?

Error reduction (esp. medication)

The changing locus of care can be supported by ICT

Symposium contextSymposium contextSymposium context

This symposium considers:

- the implications for higher education institutions

offering healthcare programmes

Sharing experiences – through ICT

Consumer ICT as a driver to healthcare ICT? (transfer skills in

everyday use)

Drivers of patient expectations

Reducing workforces with the necessary skills

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And don't forget for your diariesAnd don't forget for your diariesAnd don't forget for your diaries

Thanks and contact detailsThanks and contact detailsThanks and contact details

Further information and contact

peterjmurray@gmail.com

imia@imia-services.org

@peterjmurray @IMIATweets (on Twitter)