Foundations of Nursing Informatics

Scope of Nursing Informatics

The scope of Nursing Informatics is to : Focus on Care of Individuals, families and communities

To maintain &recover optimal quality of life from birth to death

Conduct research and to develop healthcare policies

What is Nursing Informatics?

Nursing Informatics is a specialty that integrates nursing science, computer science, and information science to manage and communicate data, information, and knowledge in nursing practice. It facilitates integration of data, information, knowledge & wisdom to support patients and nurses. This support is accomplished through the use of information structures, information processes, and information technology.”

(ANA Scope & Standards of Nursing Informatics Practice, 2008)

Framework for Nursing Informatics

The framework for nursing informatics relies on the central

concepts of data, information and knowledge:A DATA is defined as discrete entities that are described objectively

without interpretation

An INFORMATION as data that is interpreted, organized or

structured

A KNOWLEDGE as information that has been synthesized so that

interrelationships are identified and formalized

Application of Nursing Informatics

Nursing Informatics can be applied to all areas of nursing practice, which include; clinical practice, administration, education, and research.

Computers can perform a wide range of activities that save time

and help Nurses provide quality nursing care.

COMPUTERS in NURSING

NURSING PRACTICE

NURSING EDUCATION NURSING

MANAGEMENTNURSING

RESEARCH

Nursing Clinical PracticeWork lists to remind staff of planned nursing interventionsComputer generated client documentationElectronic Medical Record &Computer-Based Patient RecordingComputer - generated nursing care plans and critical pathways

Nursing Administration

Automated staff schedulingE-mail for improved communicationCost analysis and finding trends for budget purposesQuality assurance and outcomes analysis

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Nursing Education

Computerized record-keepingComputerized-assisted instructionInteractive video technologyDistance Learning-Web based courses and degree programsInternet resources-CEU's & formal nursing coursesPresentation software for preparing slides & handouts-PowerPoint & MS Word

BEFORE

AFTER

Nursing Research

Computerized literature searching-CINAHL, Medline & Web Sources Adoption of standardized language related to nursing terms-NANDA The ability to find trends in aggregate data, that is data derived from large population groups-Statistical Software, SPSS

Determine relative importance of causes of

illness, disability & deathDisease DALYs*

(000)Mortality (000)

Tuberculosis 7577 421Measles 6471 190Malaria 577 20

Benefits of Computer Automation in Health Care

Many of the benefits have came about with the development of the Electronic Medical Record (EMR), which is the electronic version of the client data found in the traditional paper record.

EMR - Benefits Improved access to the medical record

The EMR can be accessed from several different locationsDecreased redundancy of data entry

For e.g. allergies & vital signs need to be entered onceDecreased time spent in documentation

Automation allows direct entry from monitoring equipment

Increased time for client careMore time is available for client care because less time is required for documentation

Role of Nursing Informatics Specialist

(NIS) The NIS is a nurse who has formal education, certification and

practical experience in using computers in patient care settings

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Theory development : NIS contributes to the base of nursing informaticsAnalysis of information needsSelection of computer systemsGuidance in making informed decisions related to the purchase of computer systems

Roles of Support Personnel

Support for computer systems and networks includes: Planning System Upgrades Installation of Upgrades for Operating Systems Troubleshooting User Education & Training

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