NCM 110 - Nursing Informatics PDF

NCM 110- Nursing Informatics Precious Angel Agustin |BSN 3E| FIRST SEMESTER PRELIMS INFORMATICS Computers were initially used in the health care Informatics is the science and art of turning data into facilities for basic busines...

NCM 110- Nursing Informatics Precious Angel Agustin |BSN 3E| FIRST SEMESTER PRELIMS INFORMATICS Computers were initially used in the health care Informatics is the science and art of turning data into facilities for basic business office functions. information (Bemmel and Musen, 1997). Early computers used punch cards to store data and Study of the structure, behavior and interactions of card readers to read computer programs, sort and natural and engineered computational systems. prepare data for processing. Studies the representation, processing and THE 1960s communication of information in natural and Studies were conducted to determine the effective engineered systems. utilization of the computer technology in the healthcare Has computational, cognitive and social aspects. industry and to identify the areas of nursing that need HEALTH INFORMATICS to be automated. Interdisciplinary study of the design, development, Hospital Information Systems (HIS) were developed adoption,and application of IT-based innovations in primarily to process financial transactions and serve as health care services delivery, management and billing and accounting systems. planning. THE 1970s NURSING INFORMATICS Nurses recognized the computer’s potential for A specialty that integrates nursing science, computer improving documentation of nursing practice, the science, and information science, to manage and quality of patient care and the repetitive aspects of communicate data, information, and knowledge in managing patient care. nursing practice. Nurses assisted in designing several mainframes for facilitates the integration of data, information and the Health Information Systems (HIS) knowledge to support patients, nurses and other Computers used in financial and management providers in their decision-making in all roles and functions were perceived as cost-saving technologies. settings. This support is accomplished through the use Many of the early Health Information Systems (HIS) of information structures, information processes, and were developed and funded by contractors and grants information technology. from federal agencies in the United States. Computer science, information science, and nursing THE 1980s science combined to assist in the management and Nursing informatics became an accepted specialty and processing of nursing data, information, and many nursing experts entered the field. knowledge to support the practice of nursing and the Discharge planning systems were developed and used delivery of nursing care. as referrals to community health care facilities in the practice and science of integrating nursing information continuum of care. and knowledge with technology to manage and Microcomputers/PCs emerged in this period. integrate health information THE 1990s Goal: improve health of people and communities while In 1992, Nursing Informatics was approved by the American reducing costs Nurses Association (ANA) as a new nursing speciality. “specialty that integrates nursing science with multiple (McCormick, et al., 1994) This was the period that brought laptops and notebooks to the information and analytical sciences to identify, define, bedside and all of the point-of-care settings. manage and communicate data,information, Local Area Networks (LANs) were developed for hospital knowledge and wisdom in nursing practice.” nursing units. Wide Area Networks (WANs) were developed for linking care across health care facilities. The Internet also HISTORICAL PERSPECTIVE IN NURSING INFORMATICS started to be used. Nursing informatics emerged as a response to the AFTER THE 2000s innovations and development in technologies in the Clinical Information Systems became individualized in the healthcare industry and in nursing practice. electronic patient record (EPR) or also known as electronic health record. The internet has also provided a means for development of THE IMPORTANT TIME PERIODS IN THE HISTORY OF clinical applications. NURSING INFORMATICS Home health care has also increasingly partnered information 1. Before the 1960s technology for the provision of patient care. 2. The 1960s Telenursing, is increasing in popularity and providing patient 3. The 1970 care in an efficient 4. The 1980s NI PHILIPPINE EVOLUTION 5. The1990s 1999: Development of Standards for health Information in the Philippines (SHIP) 6. After 2000s 2005: Formation of Master of Science in Health Informatics BEFORE THE 1960s NCM 110 | 1  NCM 110- Nursing Informatics Precious Angel Agustin |BSN 3E| FIRST SEMESTER PRELIMS 2009: CMO No. 14. Policies and Standards for BSN – Knowledge used to make appropriate decisions and act on Informatics (2/1) is offered as part of the Math, Nat Sci & IT those decisions. 2010: Formation of the Philippine Nursing Informatics It is the appropriate use of data,information, and knowledge in > Sub-specialty organization of PNA for nursing Informatics making decisions and implementing nursing actions. 2017: CMO 15 – CHED Policy, Standards f and Guidelines for BSN Program > NI as a major subject (NCM110) = 2 (1) TRENDS TOWARDS INFORMATICS Increasingly present in our profession due to changing and advancing technology Health care systems are integrating technology daily practice at very fast pace Security and patient privacy must be upheld while achieving the goal of transforming data into useful knowledge ADVANTAGES OF NI Shared data Centralized control Disadvantages of redundancy in control Improved data integrity Improved data security & database systems Flexible conceptual design ROLES OF INFORMATICS IN NURSING Help identify potential problems earlier Identifying changes in patient status can occur quickly Information is readily available Data are interpreted, systematized and arranged Formalize an appropriate plan of action Aligns nursing best practice with clinical workflows & care Improves clinical policies, protocols, processes procedures Strengthen nurses ’clinical decision-making skills Enhance nursing practice Quicker access to patient information Improve overall efficiency Reduction in potential errors Has potential to change nursing practice for the better – patient care delivery METASTRUCTURES OF NURSING INFORMATICS 1. DATA 2. INFORMATION 3. KNOWLEDGE 4. WISDOM DATA Raw, uninterrupted fact, without meaning Building blocks to create information INFORMATION Group of data elements that have been organized and processed so that one can interpret the significance of the data elements. Data and Information are both building blocks in producing knowledge. KNOWLEDGE Built on a formalization of the relationships and interrelationships between data and information. This is the part where you understand the information. WISDOM NCM 110 | 2  NCM 110- Nursing Informatics Precious Angel Agustin |BSN 3E| FIRST SEMESTER PRELIMS Defined the concepts of Data, information, and knowledge in NELSON DATA, INFORMATION, KNOWLEDGE AND WISDOM discussing the discipline of medical informatics MODEL Goal - to explain that the discipline could not be defined by information technology that is used in the practice of Topic Outline: medical informatics, but rather the discipline of informatics DIKW Model History is defined by how the provider uses technology to meet Relationship of DIKW to Automated Systems human needs. Blum (1989) - 3 objects that can be processed by IT: ○ Data - uninterpreted items, often referred to a data ROLES OF INFORMATICS IN NURSING elements Is the specialty that integrates nursing science with multiple Example is a person’s weight information and analytical sciences to identify, define, Without additional data elements such as manage, and communicate data, information, knowledge and height, age, and overall well-being, it wisdom in nursing practice. NI supports nurses, consumers, would be impossible to interpret the patients, the interprofessional healthcare team, and all other significance of an individual number. stakeholders in their decision-making in all roles and settings ○ Information - a group of data elements that have to achieve desired outcomes. This support is accomplished been organized and processed so that one can through the use of information structures, information interpret the significance of the data elements. processes, and information technology. For example, height, weight, age, and DIKW PARADIGM gender are data elements that can be The conceptual framework underpinning the science and used to calculate the BMI. practice of NI centers on these core concepts –DIKW The BMI can be used to determine if the Not exclusive to nursing but used by others who work with individual is underweight, overweight, data and information normal weight or obese When we assess a patient to determine his or her needs, we ○ Knowledge - is built on a formalization of the gather and then analyze and interpret data to form a relationships and interrelationships between data conclusion and information. ○ = essence of nursing science A knowledge base makes it possible to Information is composed of data that were processed using understand that an individual may have a knowledge calculated BMI that is over 30 and not be Knowledge is the awareness and understanding of a set of obese. information and ways that information can be made useful to Several automated decision support support a specific task or arrive at a decision systems(DSS) included a knowledge Wisdom is the appropriate application of knowledge to a base and a set of rules for applying the specific situation knowledge base in a specific situation. NELSON D-W Example, the knowledge base may The Data, Information, Knowledge and Wisdom Model include the following information. depicting the megastructures and concept underlying the A fever or elevated temperature often practice of nursing informatics begins with a chill. At the beginning of the Included in the ANA Scope and Standards of Practice for chill the patient’s temperature may be Nursing Informatics (2018) normal or even sub-normal but in 30 HISTORY minutes it is likely the patient will have 1989 - the three concepts of data, information, and knowledge spiked a temp. A rule might read: if a were well established in the field of information science and patient complains of chills, then take the had been introduced in the emerging discipline of medical patient’s temperature and repeat in 30 informatics minutes (DSS) KNOWLEDGE (Graves and Corcoran’s Model, 1989) Nursing Informatics as the linear progression – from data into Nelson and Joos (1989) information and knowledge Added the concept of wisdom to the triad of DIK. Management processing is integrated within each elements Wisdom – “as the appropriate use of data, information and – NI =proper management of knowledge from data as it is knowledge in making decisions and implementing nursing converted into information and knowledge actions” EXAMPLE: ○ “includes the ability to integrate data, information Procedural knowledge involves knowing how to do something and knowledge with professional values when Knowing how to assess patient’s breath sounds requires managing specific human problems” (Nelson, procedural knowledge 2018) Management processing is the procedural knowledge used to process data, information and knowledge. Relationship of DIKW and Automated Systems v2 (Nelson, 2018) Blum (1986) Graves’ and Corcoran’s model was built on Bruce Blum NCM 110 | 3  NCM 110- Nursing Informatics Precious Angel Agustin |BSN 3E| FIRST SEMESTER PRELIMS Hermeneutic circle is a back and forth interplay that makes us aware of the “preunderstandings” that are essential to our understanding of the world. DATA (Matney, 2011) Data are the smallest units in the DIKW framework Data are the form most often stored within patient records, and are used as a basis for further reasoning, calculation, or discussion. Equivalent to Assessment in nursing process INFORMATION (Matney, 2011) Thought of as “data plus meaning.” It can be derived by processing data. Example of data becoming more meaningful information, consider the number “110.” The number has little meaning without context. When developed into a name-value pair, such as “heart rate = 110” (where heart rate is the name, and Information System - processes data to produce information 110 beats per minute is the value), a meaning begins to Decision Support System - an automated system that can emerge support a decision maker in the process of decision-making Data and information not only represent physical by providing data and information observations, but may also represent abstract concepts such Expert System - goes one step farther and actually uses data as depression, pain, spirituality, or psychosocial care and information to make a decision. A common example of an Information answers questions that begin with basic words expert system in operation can be seen if one has ever such as who, what, where, when, and how many opened a new credit card account while checking out of a Also equivalent to Assessment store. In a few minutes, an automated system makes a decision whether or not to offer credit. KNOWLEDGE (Matney, 2011) Is information that has been synthesized so that relationships are identified and formalized Answers questions that begin with “how” and “why”. Two types – Tacit and explicit a. Tacit Knowledge - Is difficult to summarize and communicate to others - It is personal, context specific, and therefore hard to formalize - Also called as “background” knowledge b. Explicit Knowledge - Can be generated and formalized, and is more amenable to encoding and transmitting in a formal manner - Is what knowledge management What does it mean? systems (such as computer decision The current Figure depicting the Model continues to be limited support systems) seek to capture, codify, by the reality of illustrating a four-dimensional phenomenon store, transfer, and share with a two-dimensional medium. Is derived by discovering patterns and relationships between The Nelson DIKW continuum should first be conceptualized types of information as an open living system with all the characteristics of an open Example of a patient with a heart rate of 110 beats per minute living system. With such a system, time, the fourth dimension, If we combine this with additional information such as: this is is also part of the picture a 70-year-old man with pneumonia, his blood pressure is DIKW and Nursing Process 80/60 mm Hg and decreasing steadily from previous values, The nursing process might be thought of as a representation his temperature is 101F, his respiratory rate is 30, his urine of the hermeneutic circle— from the flow of data collection and output has totaled 60 mL in the past 4 hours, and his skin is problem identification, through outcome measurements, dry to the touch— then based on known physiologic patterns which are a form of data collection. nurses will conclude that this person is exhibiting signs of Documentation that links nursing diagnoses, interventions, dehydration caused by his fever and pneumonia, and he and outcomes, tracks those links over time, and is evaluated needs increased fluid intake (nursing knowledge) and revised, also reflects a form of the hermeneutic circle May be exhibited when a nurse formulates a nursing (Matney, Brewster, Sward, Cloyes & Staggers, 2011). diagnosis such as spiritual distress, and identifies the NCM 110 | 4  NCM 110- Nursing Informatics Precious Angel Agustin |BSN 3E| FIRST SEMESTER PRELIMS potential interventions (planning) such as spiritual care or a clergy referral that could lead to a positive outcome. WISDOM (Matney, 2011) As the appropriate use of knowledge to manage and solve human problems (ANA) Implies a form of ethics, that is, knowing why things should or should not be done in practice It is not a fixed entity, but rather a reciprocal, action-oriented process Involves recognizing what is most important, by making distinctions among alternatives Comprises the application of experience, intelligence, creativity, and knowledge, as mediated by values, toward the achievement of a common good. Involves the process of internalization Previous examples, wisdom is displayed when the nurse chooses a specific, tailored means of providing fluid to the elderly patient with pneumonia. Also shown when the nurse who chooses a form of spiritual care, based perhaps on the preferences and inclinations of the patient Equates to intervention and evaluation in the nursing process It involves understanding the diagnosis and formulating an objective that is prioritized then identifying appropriate actions for the resolution of the problem and checking if the intervention provided is effective Computer systems can support wisdom development. Transforming clinical data into wisdom, that is, Artificial intelligence implications for nurse leaders by Cato, Mcgrow & Rosetti (2020) will provide us with some discussions about it - NCM 110 | 5  NCM 110- Nursing Informatics Precious Angel Agustin |BSN 3E| FIRST SEMESTER PRELIMS COMPUTER SCIENCE DISCIPLINES WITH INFLUENCE IN NURSING INFORMATICS Deals with understanding the development, design, structure and relationship of computer hardware and software THE NURSING INFORMATICS MODEL Offers valuable tools that can facilitate the acquisition and manipulation of data and information by nurses How? — by synthesizing the resources into ever-evolving knowledge and wisdom base The development of knowledge tools like: ○ Automation of decision making ○ Strides in artificial intelligence The ability to structure knowledge electronically facilitates the ability to share knowledge structures and enhance collective knowledge. CONCEPTS AND TOOLS FROM INFORMATION SCIENCE AND COMPUTER SCIENCE INFORMATION MANAGEMENT INFORMATION SCIENCE An elemental process by which one files, stores, manipulates, Includes information technology which involves the process of and reports data for various uses. sending and receiving information and understanding of how INFORMATION TECHNOLOGY the organizational environments are structured and how Includes computer hardware, software, communication, and information flows in that environment network technologies, derived primarily from computer Information science enables the processing of information. science. Its use distinguishes informatics from more This processing links people and technology. traditional methods of information management. Information science impacts information interfaces, COGNITIVE SCIENCE influencing how people interact with information and Is an interdisciplinary field that results from the convergence subsequently develop and use knowledge. of psychology, linguistics, computer science, philosophy, and Deals with the interchange (or flow) and scaffolding (or neuroscience. structure) of information that involves the application of The focus of cognitive science is understanding of the mind information tools for solutions to patient care and business and the phenomena the mind addresses problems in health care” From perception to thinking, understanding and remembering To use and synthesize information effectively, one must be The traditional and widely accepted definition of NI advanced able to: by Graves and Corcoran (1989) is that NI is a combination of ○ Obtain nursing science, used to describe the processes nurses use ○ Perceive to manage data, information, and knowledge in nursing ○ Process practice. ○ Synthesize Turley (1996) proposed the addition of cognitive science to ○ Comprehend this mix, as nurse scientists are seen to strive to capture and ○ Convey and explain. The influence of the human brain on data, ○ Manage the information information, and knowledge processing and to elucidate how COMPUTER SCIENCE these factors in turn affect nursing decision making Development, configuration, architecture of computer Connectionism is a component of cognitive science that hardware and software uses computer modeling through artificial neural networks to NURSES AND COMPUTER TECHNOLOGY explain human intellectual abilities Computer systems assists nurses to provide quality care: Deals with how the human mind functions Computers enable nurses to quickly access important Encompasses how people think, understand, remember, information about the patient’s health or illness and treatment synthesize and access stored information and knowledge plan from the electronic health record which helps them The nature of knowledge, including how was it developed, monitor recovery process over time. used, modified and shared provides the basis for continued Enables nurses to access information such as laboratory and intellectual growth. tests and x-ray results and health reports from other health- care team members to formulate the optimal plan of care Enable nurses to record health information, treatments, medications and progress for ready access and use by other health team members. Enables nurses to use the computer to search drug databases, libraries and best practice resources to obtain important information related to the patient’s diagnosis and care or find health education information for the patient. NCM 110 | 6  NCM 110- Nursing Informatics Precious Angel Agustin |BSN 3E| FIRST SEMESTER PRELIMS Provides an easy conceptual and visual model that is easily RELEVANT THEORIES AND CONCEPTS IN NURSING understood in order to demonstrate its relationship to nursing INFORMATICS informatics and the work of nurses Nurses spend 90% of their work schedule communicating — GENERAL SYSTEMS THEORY verbally, written or through behavioral cues. One of the oldest theories Manual of electronic, the model remains a good framework Explains that systems are complex and intricate yet hold use in explaining how things can go well or wrong commonalities Emphasizes the interactions of the various rts of systems, instead of individual parts Can be physical structures (education, financing etc) manual (patient’s hygiene, baking a cake etc) or those that are electronic or computerized (electronic medical record, automatic medication dispensing, etc) Its premise —- the whole is greater than the sum of its parts There are three main components- input, throughput and LEWIN’S THEORY OF PLANNED CHANGE output For planned change There are three main components: input, throughput and has three distinct steps: Unfreezing, Moving and Refreezing output. UNFREEZING is creating an imbalance or some form of ○ INPUT- where raw data enters the systems distraction to shake up the status quo between the driving ○ THROUGHPUT- involves the processes used in orders (motivators for change)versus the restraining forces managing information (factors that resist change). ○ OUTPUT- resulting end-product of the processed the unfreezing stage is such a crucial step in the change information process because it creates some form of conflict that makes Example: Hospital System the scenario conducive to questioning the status quo. The admission and registration process and how they relate Once the imbalance is created, it is somewhat easier to to wait time, patient satisfaction and the quality of care. influence change or to encourage visitors to consider and The interrelationships are more relevant than each of the embrace the change. Once this is achieved, the second step processes as separate sets in-MOVING, or altering forces. Each part is relevant but only to the extent that it influences ,owing is when the actual change occurs if prior to moving the the efficient and effective flow of patients into the system. restraining forces are stronger, at this stage, they have now Aberration in one can detrimentally affect the others become susceptible to change. OTHER ASSUMPTIONS IN THE GENERAL SYSTEMS THEORY Change is then adopted and the driving forces become more THAT NEED MENTIONING dominant. However, for change to stick the third step has to There's a purpose for the system that needs to be achieved set in—-REFREEZING, or assuring that change has indeed There are structures, functions and tasks within the system occurred and has been adopted that are meant to be carried out efficiently and effectively in ROGER’S DIFFUSION OF INNOVATION THEORY order to achieve the purpose of the system. For unplanned change The structure also follows the function, with specifications and When planned accordingly and done correctly, Lewin’s model attributes designed to meet the expectations works best in effectuating change. When introducing There is dynamic homeostasis of the capability maintain computer applications to healthcare staff and professionals, stability or equilibrium this is often helpful since it is a long process and there is more There is also entropy or the tendency to break into its smallest me to pump up the driving forces and weaken the restraining parts forces by holding any meetings, open town hall discussions of here is also negentropy or the likelihood to grow big and the pros and cons of the change. There is more opportunity to complex hear both sides and weigh the advantages and The system has the capability for specialization or the ability disadvantages. to be unique and ifferentiate from the whole There are (5) groups of individuals that you need to work with There is also reverberation which makes changes cut across : the entire systems Each group has its own characteristics, and the strategies to And finally, there is equifinality, to the ability to reach the same influence the adoption of change naturally for from group to end despite varying beginning points group COMMUNICATION THEORY INNOVATORS- 25%; hear what the change is and its Shannon and Weaver's Information-Communication Model benefits— no need to convince them, quick to embrace (1949) change As we communicate, there are various channels that our EARLY ADOPTERS- 135%— ask some questions but information goes through he model has been criticized as generally adopts change overly simplistic (Al-Feaghi,2012) EARLY MAJORITY- 34%— require a bit more convincing—- have some questions NCM 110 | 7  NCM 110- Nursing Informatics Precious Angel Agustin |BSN 3E| FIRST SEMESTER PRELIMS LATE MAJORITY- 4%— they daily-daily — have a lot more questions, refuse to comprehend the need for change LAGGARDS- 16% — hard core resistors, avoid accepting change Change is inevitable The nurse informaticist will be some of the major movers of change These are tools when faced with challenging innovative scenarios. NCM 110 | 8  NCM 110- Nursing Informatics Precious Angel Agustin |BSN 3E| FIRST SEMESTER PRELIMS 12. Leadership NURSING INFORMATICS AS A SPECIALTY 13. Collaboration Is an established, yet ever-evolving specialty 14. Professional practice and Evaluation in 1992, it was approved by ANA as new nursing specialty 15. Resource Utilization specialty that integrates nursing science with multiple 16. Environmental Health information and analytical sciences to identify, define, FUNCTIONAL AREAS OF NI manage and communicate data, information, knowledge and Administration, leadership and management wisdom in nursing practice. System analysis and design NI SPECIALTY LEVELS compliance and integrity management 1. Level 1- Beginning Nurse consultation 2. Level 2- Experienced Nurse Competencies coordination, facilitation, interaction 3. Level 3- Informatics Nurse Specialist development of systems, products and resources 4. Level 4- Informatics Innovator based on the seminar work of educational and professional development staggers, the current literature and expert input. genetics and genomics NURSING CONTRIBUTIONS IN HEALTHCARE INFORMATICS information management/ operational architecture Involved in the purchase, design and implementation of policy development and advocacy information systems (ISs) since 1970s’s quality and performance improvement Have been instrumental in developing, critiquing and research and evaluation promoting standard nursing terminologies to be used in IS safety, security and environmental health Nurses had been involved heavily in the design of educational materials for practicing nurses, student nurses and other ROLES AND COMPETENCIES healthcare workers and patients SCOPE AND STANDARDS OF NURSING INFORMATICS INS EXPERTISE COMPETENCIES PRACTICE NEEDED NEEDED NI focuses on representing nursing data, information, and knowledge project users technical NI meets the following needs for health informatics planner modifiers utility ○ Provides a nursing perspectives consultant inovators leadership ○ Showcases nursing values and beliefs educator ○ Provides a foundation for nurses in NI researche ○ Produces unique knowledge r product ○ Distinguishes groups of practitioners developer ○ Emphasizes the interest for nursing decision ○ Providers needed nursing language and word support context outcomes (3) OVERARCHING STANDARDS OF PRACTICE manager advocate 1. Incorporate theories, principles and concepts from policy developer appropriate sciences into informatics practices clinical 2. Integrate ergonomics and human-computer interaction (HCI) analyst principles into informatics solution, design, development entrepren selection, implementation and evaluation eur 3. Systematically determine the social, legal and ethical impact of informatics solutions within nursing and healthcare. ROLES AND COMPETENCIES STANDARDS OF PROFESSIONAL PERFORMANCE FOR NURSING INFORMATICS Project Manager. In the project manager role, the INS is 1. Assessment 2. Diagnosis, Problems and Issues Identification responsible for the planning and implementation of 3. Outcomes Identification informatics projects. The INS uses communication, change 4. Planning management, process analysis, risk assessment, scope 5. Implementation a. Coordination of activities definition, and team building. This role acts as the liaison b. Health teaching and health promotion among clinicians, management, IS, stakeholders, vendors, c. Consultation and all other interested parties. 6. Evaluation Consultant. The INS who takes on the consultant role 7. Ethics 8. Education provides expert advice, opinions, and recommendations 9. Evidence-based practice and researc based on his or her area of expertise. Flexibility, good 10. Quality of practice communication skills, excellent interpersonal skills, and 11. Communication NCM 110 | 9  NCM 110- Nursing Informatics Precious Angel Agustin |BSN 3E| FIRST SEMESTER PRELIMS extensive clinical and informatics knowledge are highly as an informatics nurse and 12 semester hours of graduate desirable skill sets needed by the NI consultant. academic credit towards a degree or completion of an NI Educator. The success or failure of an informatics solution degree that include 200 supervised practicum hours. can be directly related to the education and training that were provided for end users. The INS who chooses the educator SPECIALTY EDUCATION AND CERTIFICATION role develops and implements educational materials and sessions and provides education about the system to new or > two certification options current employees during a system implementation or an * healthcare Information Management Systems Society (HIMSS) upgrade. Any Candidate Qualifications: Researcher. The researcher role entails conducting > must hold positions in the following fields: research (especially data mining) to create new informatics administration/management; clinical IS, e-health, IS, or management and clinical knowledge. Research may range from basic engineering. informatics research to developing clinical decision support > must be a BSN with 5 years of associated information and tools for nurses. management experience, - 3 years of those is in healthcare or a Product Developer. An INS in the product developer role graduate degrees plus 3 years of associated information and participates in the design, production, and marketing of new management systems with 2 years of those being in healthcare informatics solutions. An understanding of business and NI COMPETENCIES - 4 LEVELS OF PRACTICING NURSES nursing is essential in this role. Decision Support/Outcomes Manager. Nurses assuming EXPERIENCED NURSE the role of decision support/outcomes manager use tools to maintain data integrity and reliability. Contributing to the Proficient in a specialty development of a nursing knowledge base is an integral Highly skilled in using computer technology skills and information management skills to support his or her component of this role. specialty area of practice Advocate/Policy Developer. INSs are key to advocating for Pulla trends out of data and makes judgments based on this information the patients and healthcare systems and developing the Uses current systems, but will collaborate with informatics infrastructure of health policy. Policy development on a local, nurse specialist regarding concerns or suggestions provided by staff national, and international level is an integral part of the advocate/policy developer role. Clinical Analyst/System Specialist. INSs may work at LEVEL 2: EXPERIENCED NURSE varying levels and serve as a link between nursing and information services in healthcare organizations. Identify the risks and limitations of surfing the internet to Entrepreneur. Those nurses involved in the entrepreneur locate evidence based practice information Gather data to draw and synthesize conclusions role combine their passion, skills, and knowledge to develop Explain how to sustain the integrity of information marketable business ideas by analyzing nursing information resources needs and developing and marketing solutions. FUTURE OF NURSING INFORMATICS SPECIALTY EDUCATION AND CERTIFICATION INFORMATICS NURSE SPECIALIST > two certification options * American Nurses Credentialing Center (ANCC) RN with advanced education who possesses additional Qualifications: knowledge and skills specific to computer technology and information management 1. Licensed RN-BSN Focuses on nursing's information needs, which include 2. 2 years of recent experience education, administration, research, and clinical practice Application and integration of the core informatics 3. 30 hours of continuing education in informatics sciences: information, computer, and nursing science 4. and meet one of the following criteria = 2,000 hours Uses critical thinking, process skills, data management skills, systems life cycle development, and computer skills practicing as an informatics nurse or 1,000 hours practicing NCM 110 | 10  NCM 110- Nursing Informatics Precious Angel Agustin |BSN 3E| FIRST SEMESTER PRELIMS LEVEL 3: INFORMATICS NURSE SPECIALIST Fluent in nursing informatics and nursing terminologies Applies aspects of human technology interface to screen, device, and software design Teach nurses how to locate, access, retrieve, and evaluate INFORMATICS INNOVATOR Conducts informatics research and generates informatics theory Vision of what is possible Keen sense of timing to make things happen Creative in developing solutions Leads the advancement of informatics practice and research Sophisticated level of skills and understanding in computer technology and information management Cognizant of the interdependence of systems, disciplines, and outcomes and is able to finesse situations to obtain the best outcome LEVEL 4: INFORMATICS INNOVATOR Analyze systems Transform software programs to support data analysis and aggregation Lead research efforts to determine and address application needs 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 daily basis Alowa 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 OR NURSING INFORMATICS 1. Changing practice ones 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 NCM 110 | 11