Nursing Informatics as a Specialty PDF

Nursing Informatics as a Specialty J O S EP H I N E D. LO RI C A D PA , R N Objectives; 01 02 03 04 Describe nursing Explore the scope Assess the evolving Appreciate the informatics as a and standards of roles and fut...

Nursing Informatics as a Specialty J O S EP H I N E D. LO RI C A D PA , R N Objectives; 01 02 03 04 Describe nursing Explore the scope Assess the evolving Appreciate the informatics as a and standards of roles and future of nursing specialty nursing informatics competencies of informatics in our practice nursing informatics rich, technology- practice laden healthcare environments Nursing Informatics as a specialty Is an established, yet ever-evolving specialty In 1992, it was approved by ANA as new nursing specialty specialty that integrates nursing science with multiple information and analytical sciences to identify, define, manage and communicate data, information, knowledge and wisdom in nursing practice (ANA, 2019; HIMSS, 2019) TIGER Nursing Informatic Competencies Model 1. Basic Computer Skills 2. Information Literacy 3. Information Management NI Specialty Levels Level 1 – Beginning Nurse Level 2 – Experienced Nurse Competencies Level 3 – Informatics Nurse Specialist Level 4 – Informatics Innovator based on the seminar work of Staggers, the current literature and expert input. NI competencies – 4 levels of Practicing Nurses NI competencies – 4 levels of Practicing Nurses NI competencies – 4 levels of Practicing Nurses NI competencies – 4 levels of Practicing Nurses Nursing contributions to healthcare informatics Involved in the purchase, design and implementation of information systems (ISs) since 1970’s (Saba & McCormick, 2006). Have been instrumental in developing, critiquing and promoting standard nursing terminologies to be used in IS Nurses had been involved heavily in the design of educational materials for practicing nurses, student nurses and other healthcare workers and patients  Scope and Standards of Nursing Informatics Practice NI focuses on representing nursing data, information, and knowledge NI meets the following needs for health informatics (ANS, 2008, Brennan, 1994) Provides a nursing perspectives Showcases nursing values and beliefs Provides a foundation for nurses in NI Produces unique knowledge Distinguishes groups of practitioners Emphasizes the interest for nursing Provides needed nursing language and word context 3 overarching standards of practice (ANA, 2008) 1. Incorporate theories, principles and concepts from appropriate sciences into informatics practices 2. Integrate ergonomics and human-computer interaction (HCI) principles into informatics solution, design, development, selection, implementation and evaluation 3. Systematically determine the social, legal and ethical impact of informatics solution within nursing and healthcare Standards of professional practice for nursing informatics 1. Assessment 2. Diagnosis, Problems and Issues Identification 3. Outcomes identification 4. Planning 5. Implementation 5A. Coordination of Activities 5B. Health teaching and Health Promotion 5C. Consultation 6. Evaluation Standards of professional performance for nursing informatics 7. Ethics 8. Education 9. Evidenced-based practice and research 10. Quality of practice 11. Communication 12. Leadership 13. Collaboration 14. Professional practice & Evaluation 15. Resource utilization 16. Environmental Health Functional areas of NI (ANA, 2015) Administration, leadership and management System analysis and design Compliance and integrity management Consultation Coordination, facilitation and integration Development of systems, products and resources Functional areas of NI (ANA, 2015) Educational and professional development Genetics and genomics Information management/ operational architecture Policy development and advocacy Quality and performance improvement Research and evaluation Safety, security and environmental health roles and competencies of nursing informatics practice roles and competencies of nursing informatics practice Project Manager. In the project manager role, the INS is responsible for the planning and implementation of informatics projects. The INS uses communication, change management, process analysis, risk assessment, scope definition, and team building. This role acts as the liaison among clinicians, management, IS, stakeholders, vendors, and all other interested parties. Consultant. The INS who takes on the consultant role provides expert advice, opinions, and recommendations based on his or her area of expertise. Flexibility, good communication skills, excellent interpersonal skills, and extensive clinical and informatics knowledge are highly desirable skill sets needed by the NI consultant. roles and competencies of nursing informatics practice Educator. The success or failure of an informatics solution can be directly related to the education and training that were provided for end users. The INS who chooses the educator role develops and implements educational materials and sessions and provides education about the system to new or current employees during a system implementation or an upgrade. Researcher. The researcher role entails conducting research (especially data mining) to create new informatics and clinical knowledge. Research may range from basic informatics research to developing clinical decision support tools for nurses. roles and competencies of nursing informatics practice Product Developer. An INS in the product developer role participates in the design, production, and marketing of new informatics solutions. An understanding of business and nursing is essential in this role. Decision Support/Outcomes Manager. Nurses assuming the role of decision support/outcomes manager use tools to maintain data integrity and reliability. Contributing to the development of a nursing knowledge base is an integral component of this role. roles and competencies of nursing informatics practice Advocate/Policy Developer. INSs are key to advocating for the patients and healthcare systems and developing the infrastructure of health policy. Policy development on a local, national, and international level is an integral part of the advocate/policy developer role. Clinical Analyst/System Specialist. INSs may work at varying levels and serve as a link between nursing and information services in healthcare organizations. Entrepreneur. Those nurses involved in the entrepreneur role combine their passion, skills, and knowledge to develop marketable business ideas by analyzing nursing information needs and developing and marketing solutions. Nurses Certified in NI are: (TIGER) skilled in the analysis, design, and implementation of information systems that support nursing in a variety of healthcare settings function as translators between nurse clinicians and information technology personnel insure that information systems capture critical nursing information These specialized nurses add value to an organization by: increasing the accuracy and completeness of nursing documentation improving the nurse’s workflow eliminating redundant documentation automating the collection and reuse of nursing data facilitating the analysis of clinical data, including Joint Commission indicators, Core Measures, federal or state mandated data and facility specific data  Future of Nursing Informatics SPECIALTY EDUCATION AND CERTIFICATION > two certification options * American Nurses Credentialing Center (ANCC) Qualifications: 1. Licensed RN-BSN 2. 2 years of recent experience 3. 30 hours of continuing education in informatics 4. and meet one of the following criteria = 2,000 hours practicing as an informatics nurse or 1,000 hours practicing as an informatics nurse and 12 semester hours of graduate academic credit towards a degree or completion of an NI degrees that include 200 supervised practicum hours. future of nursing informatics SPECIALTY EDUCATION AND CERTIFICATION > two certification options * healthcare Information Management Systems Society (HIMSS) Any Candidate Qualifications: > must hold positions in the following fields: administration/management; clinical IS, e-health, IS, or management engineering. > must be a BSN with 5 years of associated information and management experience, - 3 years of those is in healthcare or a graduate degrees plus 3 years of associated information and management systems with 2 years of those being in healthcare Rewards of NI practice NI does not focus on direct patient care BUT focuses on enhancing patient care and safety and improving workflow, work process of nurses and other healthcare workers Change is a factor that an INS deals with on a daily basis Allows to network and share experiences with one another Continuing education - may help to improve a process or workflow within the hospital or to change the way a system upgrade is rolled out Five trends will influence the future of nursing informatics (ANA, 2015) 1. Changing practice roles in nursing 2. Increasing informatics competence requirements for all nurses 3. Rapidly evolving technology 4. Regulatory changes and quality standards that include healthcare consumers as partners in healthcare models 5. Care delivery models and innovations Reference: McGonigle,D. & Mastrian, K.G. (2018). Nursing Informatics and the Foundation of Knowledge. 4 th edition. Jones & Bartlett Learning.