Podcast
Questions and Answers
What was the focus of computer use in healthcare during the 1960s?
What was the focus of computer use in healthcare during the 1960s?
When were computers first introduced into healthcare facilities?
When were computers first introduced into healthcare facilities?
In what time period did hospitals begin developing computer-based information systems focusing on nursing applications?
In what time period did hospitals begin developing computer-based information systems focusing on nursing applications?
What was the main reason for investigating computer-based information systems in nursing in the mid-1960s?
What was the main reason for investigating computer-based information systems in nursing in the mid-1960s?
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What aspect of healthcare delivery is NOT affected by computerization?
What aspect of healthcare delivery is NOT affected by computerization?
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What is the primary purpose of using computers in nursing informatics?
What is the primary purpose of using computers in nursing informatics?
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During which time period did computers begin to be explored for use in healthcare?
During which time period did computers begin to be explored for use in healthcare?
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What aspect of nursing informatics do computers NOT support?
What aspect of nursing informatics do computers NOT support?
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What technology emerged that was recommended for adoption by healthcare providers in the 2000s?
What technology emerged that was recommended for adoption by healthcare providers in the 2000s?
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What technology provided voice cost-effective communication for nurses in the 2000s?
What technology provided voice cost-effective communication for nurses in the 2000s?
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What was the purpose of the Meaningful Use (MU) legislation introduced in the 2010s?
What was the purpose of the Meaningful Use (MU) legislation introduced in the 2010s?
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What was the focus of MU Stage 1 initiated in 2011/2012?
What was the focus of MU Stage 1 initiated in 2011/2012?
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In which decade did the Internet become mainstream?
In which decade did the Internet become mainstream?
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What technology was established for Healthcare Information Technology (HIT) by Executive Order 13335 in the 2000s?
What technology was established for Healthcare Information Technology (HIT) by Executive Order 13335 in the 2000s?
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What role did wireless or Internet access play for nurses in the 2000s?
What role did wireless or Internet access play for nurses in the 2000s?
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What new agenda emerged as critical for nursing informatics research in the 2000s?
What new agenda emerged as critical for nursing informatics research in the 2000s?
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What was one of the key components included in clinical information systems in the 1970s?
What was one of the key components included in clinical information systems in the 1970s?
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During the 1980s, what technology emerged that impacted nursing informatics?
During the 1980s, what technology emerged that impacted nursing informatics?
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Which organization became a significant force in integrating computer applications into the nursing profession in the 1980s?
Which organization became a significant force in integrating computer applications into the nursing profession in the 1980s?
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What legislative act passed in the mid-1990s paved the way for electronic health records?
What legislative act passed in the mid-1990s paved the way for electronic health records?
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What was one of the new roles that emerged in nursing due to technology complexity and workflow analysis?
What was one of the new roles that emerged in nursing due to technology complexity and workflow analysis?
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In which decade did the American Nurses Association (ANA) recognize nursing informatics as a new nursing specialty?
In which decade did the American Nurses Association (ANA) recognize nursing informatics as a new nursing specialty?
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Which organization published the first edition of a book related to nursing informatics in 1986?
Which organization published the first edition of a book related to nursing informatics in 1986?
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What was one technology advancement that occurred in the 1990s impacting nursing informatics?
What was one technology advancement that occurred in the 1990s impacting nursing informatics?
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Which organization developed the Nursing Information and Data Set Evaluation Standards (NIDSEC) to evaluate nursing technology rapidly changed in the 1990s?
Which organization developed the Nursing Information and Data Set Evaluation Standards (NIDSEC) to evaluate nursing technology rapidly changed in the 1990s?
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What was one of the earliest clinical information systems mentioned in the text?
What was one of the earliest clinical information systems mentioned in the text?
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Study Notes
Historical Perspective of Nursing Informatics
- The use of computers in healthcare began in the 1950s and 1960s, initially for administrative and accounting functions.
- In the 1960s, studies explored how computer technology could be utilized in healthcare, and the nurses' station was seen as the center for developing computer applications.
- By the mid-1960s, nurses saw opportunities for computer use, but documentation time increased, and medication errors rose, prompting the investigation of computer-based information systems.
1970s
- Hospitals developed computer-based information systems, focusing on physician order entry, results reporting, pharmacy, laboratory, radiology reports, and financial management.
- Some systems included care planning, decision support, and interdisciplinary problem lists.
- Nurses were involved in implementing systems, and interest in computers and nursing began to emerge in public and home health, and education.
1980s
- The field of nursing informatics emerged, becoming visible in healthcare and nursing.
- The nursing profession needed to update practice standards, determine data standards, vocabularies, and classification schemes for computer-based patient record systems.
- Many mainframe healthcare information systems (HISs) emerged with nursing subsystems, documenting aspects of the patient record.
1990s
- Advances in relational databases, client-server architectures, and new programming methods allowed for better application development at lower costs.
- Legislative activity, including the Health Insurance Portability and Accountability Act (HIPAA) of 1996, paved the way for electronic health records.
- The complexity of technology, workflow analysis, and regulations shaped new roles in nursing.
2000s
- In 2004, an Executive Order established the Office of the National Coordinator (ONC) for Healthcare Information Technology (HIT), aiming for interoperable electronic health records (EHRs) by 2014/2015.
- Wireless, point-of-care, regional database projects, and IT solutions proliferated.
- Smaller mobile devices with wireless or Internet access increased access to information for nurses within hospitals and in the community.
2010s
- The impact of the Nursing Minimum Data Set (NMDS) demonstrated the need for consensus and effort to implement minimum nursing data into clinical practice.
- A new nursing informatics research agenda emerged, focusing on integrating nursing care data into HIT systems.
- The ONC convened national committees to outline and design the focus for the "Meaningful Use" legislation, aiming to implement complete, interoperable EHR and/or HIT systems in all US hospitals.
- Meaningful Use stages 1, 2, and 3 were introduced, focusing on computerized physician order entry, quality indicators, and reimbursement for implementation.
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Description
Test your knowledge on the historical perspective of nursing informatics, types of nursing standards initiatives, electronic health records, and major landmark events. Explore how nursing informatics evolved from the French word 'informatics'.
