Nursing Informatics Pioneers Susan K Newbold PhD RN-BC FAAN FHIMSS CHTS-CP
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Nursing Informatics Pioneers Susan K Newbold PhD RN-BC FAAN FHIMSS CHTS-CP
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Happy Nurses Week. Thank you to HIMSS for featuring a number of educational events during this special week. I am thrilled to be talking about Nursing Informatics Pioneers. This presentation will identify the work of innovators and leaders whose work contributed significantly to the development of nursing informatics.
“The farther back you can look, the farther forward you are likely to see.”
Winston Churchill
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In thinking about the Nursing Informatics Pioneers, one looks to the history of Nursing Informatics. Why is it important to look back? According to Winston Churchill, “The farther back you can look, the farther forward you are likely to see.”
Objectives:
• Identify Pioneers in Nursing Informatics
• Discuss the contributions of selected nurse pioneers to healthcare
• Explore major events that have changed Nursing Informatics
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Here are the objectives for this session: <read>
Pioneers of Nursing Informatics Transform Healthcare
Dr. Harriet H. Werley Dr. Virginia K. Saba
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Nursing Informatics Pioneers in the United States have been working to improve healthcare with the use of information management and technology for at least 35 years. The American Medical Informatics Association (AMIA) Nursing Informatics Pioneer project which honors these Pioneers will be described. Here are two Pioneers – Dr Harriet H Werley on the left and Dr. Virginia K. Saba on the right. In 1977 Dr Werley along with Dr. Margaret Grier conducted the First Research State of the Art Conference on Nursing Information Systems at the University of Illinois in Chicago. Due to her many accomplishments including the Nursing Minimum Data Set and a founding editor of Research in Nursing and Health, there is an award in her name through AMIA with a nurse as first author that is judged to make the greatest contribution to advancing the field of nursing informatics. Werley became the first nurse researcher at the Walter Reed Army Institute of Research and the Army Nurse Corps converted to a baccalaureate-prepared group under her leadership. Werley was named a Charter Fellow of the American Academy of Nursing in 1973; she was designated a Living Legend by the organization in 1994. She became a Fellow of the American College of Medical Informatics in 1991. Personally, I see these ladies and the “mothers” of nursing informatics in the United States. More about Dr. Saba to follow.
AMIA NI History Committee
• Juliana J. Brixey, PhD MPH RN (Co-Chair) • Susan K. Newbold, PhD RN-BC FAAN FHIMSS (Co-
Chair) • Connie Berg, MBA BA RN FHIMSS • Diana Dodd, MSN RN • W. Scott Erdley, DNS RN • Sue Moorhead, PhD RN • Judy G. Ozbolt, PhD RN FAAN FACMI FAIMBE • Virginia K. Saba, EdD RN FAAN FACMI • Kay M. Sackett, EdD RN • Patricia M. Schwirian, PhD RN • Bonnie L. Westra, PhD RN FAAN • Rob Rader and many others with prior participation
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Since 2004, the members of the AMIA Nursing informatics History Project seek to examine our history to evaluate the present and predict or plan for the future. The current Co-Chairs of the AMIA Nursing Informatics Working Group History Project are Dr. Juliana Brixey and myself. Along with the project members, current and past, we seek to identify actions by which nurse informatics specialists are advancing health care and further evolving their role. There are 143 pioneers that were identified when the project started, each of whom who have contributed to the evolution of nursing informatics. Each Pioneer was responsible for one or more significant innovations that impacted on clinical practice, administration, research, nursing informatics education and/or on healthcare/nursing technology. This project provides a historical picture of how efforts of the Nursing Informatics Pioneers have helped create today’s and promote tomorrow’s nursing informatics specialty which has served to transform healthcare.
Overall History Project
• Build National Library of Medicine archive for nursing informatics history
• Research/document history
• Videotape stories to preserve history for Nursing Informatics
Project Purpose
Pioneer Defined
• Innovator, trailblazer, or groundbreaker in some aspect of nursing informatics
• “First” in opening up a new area/aspect of nursing informatics,
• Shaped the thinking/direction of nursing informatics, and
• Demonstrated sustained leadership in nursing informatics
-AMIA Nursing Informatics History Committee, 2005
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The Committee defined a Nursing Informatics Pioneer as: “An innovator, trailblazer, or groundbreaker in some aspect of nursing informatics, first to open a new area and prepare a way for other nurses to follow, who shaped the thinking/direction of nursing informatics and demonstrated sustained leadership in Nursing Informatics.”
– July 2005 – November 2007 – Summer Institute in Nursing Informatics – AMIA Fall Meetings
• Selection – Earliest contributors to various aspects of
nursing informatics – Availability and willingness to be interviewed – Limited resources
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Due to the large number of candidates, it was decided to restrict the project to those in the United States. It was also determined that we would focus on those that had contributions during the years 1960 to 2000. Based on convenience and funding, 33 of the pioneers were interviewed during AMIA Symposiums in Chicago and Washington, DC., and the Summer Institute in Nursing Informatics in Baltimore, MD.
I invite you to investigate the Nursing Informatics Pioneers site. The url is listed in the reference section or conduct a google search to find it.
Nursing Informatics Pioneers Interviewed
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You may notice some HIMSS members and Fellows among this list: Ida M Androwich Marion J Ball Kathleen McCormick Judy Murphy Susan Newbold Joyce E Sensmeier (on the next page)
Nursing Informatics Pioneers Interviewed
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Also you will note some non-nurses on the list. This points out how we need to work with other disciplines in order to accomplish our goals – Ball, Skiba
Home Screen Options Kathleen A. Mcormick PhD, RN, FAAN, FACMI
Dr. McCormick is Senior Principal Scientist/Vice President, SAIC - Frederick in Ro ckville, Md ... Read more View her video Listen to audio Read transcript of the interview
Susan K. Newbold PhD, RN - BC, FAAN, FHIMSS
Dr. Newbold is a Healthcare In formatics Consultant based in Franklin, TN. She founded CARING ... Read more View her video Listen to audio Read transcript of the interview
Virginia K. Saba
Dr. Saba, a nationally and internationally known pioneer of computer technology in nursing has for over 40 years ... Read more View her video Lis ten to audio Read transcript of the interview
Diane J. Skiba, PhD, FACMI, FAAN
Dr. Diane J. Skiba is Professor and Coordinator of Healthcare Informatics at the University of Colorado Denver. Since 1980, she has dedicated ... Read more View her video Listen to audio Read transcript of the interview
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Our second objective was to: Discuss the contributions of selected nurse pioneers to healthcare I already mentioned a bit about Dr. Harriet Werley. From these selected pioneers bios, we can learn about Dr. Kathleen McCormick. Dr. McCormick is Senior Principal Scientist/Vice President, SAIC-Frederick in Rockville, Md. She is a senior practitioner, researcher, and policy executive in nursing, health informatics, bioinformatics, cardiopulmonary physiology, and gerontology. She has co-authored 5 editions of Essentials of Nursing Informatics published by McGraw-Hill, New York. She has also published over 100 peer reviewed journal articles. Kathleen has a demonstrated personal dedication to achieving major advancements in nursing and healthcare informatics. Her first role in NI was as a nursing informatics scientist and clinical trial researcher within the National Institutes of Health, Clinical Center, and the National Institute on Aging. She was first involved in 1981 with a Computers in Nursing course sponsored by NIH and spoke at the early 1980s NIH national conference. She is a Fellow in the College of Medical Informatics, American Academy of Nursing, The Gerontology Society of America, and HIMSS. She is an elected member of the National Academy of Sciences, Institute of Medicine. Susan Newbold – you already learned about me in the introduction. I co-founded CARING, a large, geographically dispersed Nursing Informatics group in 1982. and you may not know that I conducted the first hospital workshop: Computers in Nursing Practice in 1983 and Dr. Saba was a speaker. Dr. Saba, a nationally and internationally known pioneer of computer technology in nursing has for over 40 years, spearheaded the nursing informatics movement. She initiated academic technology programs and supported development of healthcare information technology systems including Clinical Care Classification (CCC) System. During her career served as a Nurse Officer, USPHS, providing national leadership and promoting technology in nursing practice. She served in academia receiving in 1997, Distinguished Scholar Title from Georgetown University where she integrated nursing technology in SON programs, facilities, and where she conducted federally funded research creating CCC System, National Nursing Standard. Also. While Dr Saba served at Uniformed Services University, she coordinated the initial Graduate Nursing Distance Learning Project with Veterans Administration. She has served on several national (ONC) healthcare standards committees for Meaningful Use initiatives. She is President/CEO of Sabacare Inc & CCC System integrating this nursing terminology into electronic healthcare documentation systems.
• Nursing Informatics- what it is, present, future
• Informatics- its value, nursing information office
• Significant events that shaped the field of nursing informatics
• Demographic of Pioneers
• Pioneer's path-career that lead up to involvement in
informatics
• Personal aspirations, accomplishments, vision, goals,
collaborators
• Pioneer's first involvement - earliest events they recall
• Pioneer's lessons learned that they would like to pass on
Common Themes
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Nursing Informatics- what it is, present, future Informatics- its value, Nursing Information Office Significant events that shaped the field of nursing informatics Demographic of Pioneers Pioneer's path-career that lead up to involvement in (nursing) informatics, When they first considered themselves an informatics nurse. Personal aspirations, accomplishments, vision, goals, collaborators Pioneer's first involvement - earliest events they recall. Social and political environment the development of the field? Reactions of others? Any level of difficulty in establishing discipline? Pioneer's Lessons learned that they would like to pass on.
Common Themes
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Use Cases Examples of how to use the Information Future of Nursing Informatics Nursing Informatics Recruiting Nursing Informatics Trends Qualitative Analysis Research Compare Nursing Pioneers
Common Themes Examples
Patricia M. Schwirian, PhD, RN View her video 1 View her video 2
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One can identify a theme of interest and see what several pioneers had to say about that topic. So here, one can select “Demographics” and hear from Dr. Schwirian. Then one can select, “Pioneer’s first involvement” and hear from Dr. Virginia Saba.
Examples of Videos
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In a similar manner, one can
Sample Transcription
Recent Work
• Updated biographies and photos of pioneers
• Added link to biography for Dr. Marianne Tallberg, Finland
• Create a tribute to Dr. Harriet H. Werley
• Explore extending pioneer project to international nursing informatics
Major Events Changing NI
• History of Computers
• Health Care Reform
• Patient Engagement
• Social Media
• Telehealth
• Global Health
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Objective 3: Explore major events that have changed Nursing Informatics External forces change our role. Here are some examples of what is happening in the industry and the world to alter our roles.
NI Changing Healthcare
• Conferences and Workshops
• Professional Councils • Certification • Advanced Education • Writing for Publication • Presentations
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Here are ways in which Informatics Nurses can be involved in changing healthcare. Conferences and Workshops: AMIA, HIMSS, Summer Institute in Nursing Informatics, Internal medical informatics association every two years (Taiwan in June) Professional Councils – ANA, NLN, American Academy of Nursing Certification – ANCC, HIMSS Advanced Education – Obtaining education -- masters, post masters, doctor of nursing practice, PhD, post doc or teaching online or in person Writing for Publication – Ball and Hannah early authors, later Saba and McCormick, Staggers and Nelson, Thede and Sewell, McGonigal and Mastrian, Heba and Czar, etc. Speaking -
What are you doing to change NI?
• What can you do in the next three months to positively affect our profession and patient care?
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What are you doing to change Nursing Informatics as a profession?
Thank you to the NI Pioneers
…for sharing their knowledge and their expertise to ultimately provide better patient care
References:
• Nursing Informatics History Project. http://www.amia.org/working-groups/nursing-informatics/history-project
• Newbold, S.K. & Westra, B.L. (2009). American Medical Informatics Nursing Informatics History Committee Update. CIN: Computers, Informatics, Nursing, Vol. 27(4), 263-265.
Saba V.K. & McCormick, K.A. (2012). Essentials of Nursing Informatics. 5th Ed. New York: McGraw-Hill. Westra, B. L. & Newbold, S. K. (2006). American Medical Information Association Nursing Informatics History Committee. CIN: Computer, Informatics, Nursing, Vol. 24(2), 113-115.
Happy Nurses Week. Thank you to HIMSS for featuring a number of educational events during this special week. I am thrilled to be talking about Nursing Informatics Pioneers. will identify the work of innovators and leaders whose work contributed significantly to the development of nursing informatics.
