Nursing Informatics PDF - Definition, Historical Perspective, Careers

NURSING INFORMATICS  WHAT IS INFORMATICS? It is the science of information and all its aspect - its storage, its process, how it is communicated and how it is used. The word was coined as the name of one of the software companies Coined by Walter Bauer derived from the French word “informatique”...

NURSING INFORMATICS  WHAT IS INFORMATICS? It is the science of information and all its aspect - its storage, its process, how it is communicated and how it is used. The word was coined as the name of one of the software companies Coined by Walter Bauer derived from the French word “informatique” The healthcare field has become a dominant user of informatics  TERMS TO UNDERSTAND Information Science - discipline that studies information processing Information System - hardware and software Information Technology - the general term for information processing with computers Information Management - The process of turning data into information and knowledge Informatics - a combination of the study of information processing and computers  WHAT IS NURSING INFORMATICS?  A combination of computer science, information science and nursing science designed to assist in the DEFINITION management and processing of nursing data, information, and knowledge to support the practice (Graves & Corcoran, 1989). It is the application of computer technology to all fields of nursing - nursing service, nursing education, and nursing research (Scholes and Barber 1980)  Branch of informatics concerned with nurses use of computer technology & management of information that facilitates DEFINITION nursing practice and enhances nursing knowledge (McCormick & Saba).  Integrates nursing science, computer science and information to manage and communicate data, information, knowledge and wisdom into nursing DEFINITION practice. (American Nurses Association, 2008 Nursing Informatics science and practice integrates nursing, its information and knowledge adn their management, with information and communication technologies to promote the health of people, families, and communities worldwide (American Medical Informatics Association AMIA) WHAT DO YOU THINK WILL HAPPEN IF THERE ARE NO COMPUTERS IN HEALTH CARE?  ROLE OF COMPUTERS IN 1960 handled administrative tasks lead to the development of the healthcare information technology (HIT) and the electronic health record (EHR) systems HEALTHCARE INFORMATION TECHNOLOGY refers to technology that captures, processes, and generates healthcare information Computerization and/or electronic processing affect all aspects of healthcare delivery refers to the use of technology to manage and improve the delivery of healthcare services provision and documentation of patient care education of healthcare providers scientific research for advancing healthcare delivery administration of healthcare delivery services reimbursement for patient care legal and ethical implications safety and quality issues ROLE OF COMPUTERS IN MODERN NURSING  COMPUTERS ARE USED TO: manage patient information DETAILED monitor quality and evaluate outcomes MULTIPLE nurses use systems for planning, budgeting and policy DESCRIPTIONS PERSPECTIVES making real-time plans of care support nursing research enhances nursing education  HISTORICAL PERSPECTIVE OF NURSING AND COMPUTERS  SEVEN TIME PERIODS Computers were introduced in the nursing profession over 40 years ago Milestones were achieved with: advancement of computer and information technology, increased need for nursing data, development of nursing applications, making the profession autonomous  PRIOR TO 1960S few experts nationally and internationally Gordon Moore - Moore’s Law first use of computers in the healthcare industry in 1950s Computers were used for basic office, administrative and financial functions First computers used punch cards to store data and teletyperwirters for outpur  1960S the use of computer technology in healthcare was explored Studies were conducted on how computer technology could be utilized effectively in the healthcare industry the nurse’s station became the hub of information exchange In the mid 1960s, nurses became super users of computers due to the proliferation of the ICUs 1960s - some hospitals began using patient care applications Cardiac Unit in 1965  1970S hospitals began developing computer-based information systems (was not specific to nursing but nurses were involved in implementing HIT systems) between 1960s to 1970s, computers began to emerge in public health, home health and education birth of computerized teaching system called PLATO advancements were used by nurses ex. the first point of care blood glucose monitor became available in 1970 Birth of Nursing Data Standards: The North American Nursing Diagnosis Association (NANDA) was founded.  1980S Ni became an integral part of healthcare Availability of PCs made technology more accessible The need for nursing software evolved Automated dispensing cabinets were introduced (helps reduce medication errors) Many mainframe healthcare information systems (HISs) emerged with nursing subsystems. Nurses began presenting at multidisciplinary conferences and formed their own working groups within HIT organizations Essentials of Computers for Nurses published in 1986, were used for educational courses introduced in the academic nursing programs, and workshops conducted on computers and nursing.  1980S Nurses began presenting at multidisciplinary conferences and formed their own working groups within HIT organizations Nursing began focusing on what was unique about nursing within the context of informatics The first edition of this book Essentials of Computers for Nurses published in 1986, were used for educational courses introduced  1990S Large healthcare delivery systems emerged Applications were made affordable In 1992, the ANA recognized nursing informatics as a specialty, and the demand for informatics expertise grew. The Health Insurance Portability and Accountability Act (HIPAA) of 1996 laid the groundwork for electronic health records (EHRs). The ANA developed standards for evaluating nursing information systems, and by the mid-1990s, the Internet revolutionized access to healthcare information By 1995, the Internet began providing access to information and knowledge databases to be integrated into desktop computer systems. Computer hardware—PCs—continued to get smaller and computer notebooks were becoming affordable The Internet moved into the mainstream social milieu  2000S More healthcare information became digitalized and newer technologies emerged Widespread adoption of interoperable EHRs Key innovations included barcode medication administration, systems, radiofrequency for patient equipment safety, and mobile devices that enhanced information access A barcode medication administration system was first implemented In the late 2000s, hospitals became “paperless” Voice over Internet protocol remote database for EHR was made available smaller mobile devices became wireless  2010S HITECH Act of 2009 led to the development of the Meaningful Use program STAGES: The program unfolded in stages: MU Stage 1 (2011-2012) focused on computerized physician order entry (CPOE), Stage 2 (2013-2015) emphasized the use of quality indicators and patient safety through electronic data collection. Stage 3, which focused on care quality outcome measures ELECTRONIC HEALTH RECORD SYSTEMS  DEFINITION digital version of a patient’s paper chart which contains more comprehensive collection of their health information designed to be shared across the different healthcare settings THE NURSE AS A KNOWLEDGE WORKER RNs gather data, use information, use knowledge and build knowledge Information Management in healthcare supports the efforts of the nurse Good information is essential in caring patient. Inaccurate data leads to medical errors. Nurses rely on their knowledge but need information in order to provide safer patient care. Technology supports evidence-based practice Nurses use data and information from multiple sources NURSING CAREERS IN NURSING INFORMATICS Nurse Informaticist - Focuses on optimizing healthcare technology to improve patient care and clinical workflows Clinical Informatics Specialist - Serves as a liaison between clinical staff and IT teams to ensure effective use of healthcare technology Health Informatics Consultant - Advises healthcare organizations on improving processes, implementing new technology, or optimizing current systems Nursing Data Analyst - Focuses on analyzing healthcare data to improve patient outcomes, identify trends, and support decision-making. NURSING CAREERS IN NURSING INFORMATICS Clinical Applications Specialist - Works with healthcare providers to implement, configure, and troubleshoot clinical software applications. Chief Nursing Informatics Officer (CNIO) - A leadership position focused on integrating nursing practice with healthcare technology. Telehealth Nurse Specialist - Manages the integration and use of telehealth technology to expand access to care. Nurse Educator in Informatics - Teaches nursing informatics in academic or clinical settings.  THE END Good luck with your studies!