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  • 1. How Technology and Informatics Has Influenced Nursing Practice
    • Madeline Gervase RN,MSN,CCRN,FNP
    • Advanced Practice Nurse
  • 2. Objectives:
    • Identify the role of informatics in nursing.
    • Identify the current uses of technology and how technology will affect clinical practice.
    • Understand the advantages and disadvantages of using technology.
    • Demonstrate an understanding to the techniques and tools used to protect client confidentiality in practice.
  • 3. Informatics
    • The science of information
  • 4. Skills nurses need related to informatics & technology
    • Use information & communication technology to document & evaluate patient care, advance patient education, & enhance the accessibility of care
    • Use appropriate technology to assess & monitor patients
    • Work on an interdisciplinary team to make ethical decisions regarding the application of technologies & the acquisition of data
  • 5. Nursing Skills:
    • Adapt the use of technologies to meet patient needs
    • Teach patients about health care technologies
    • Protect the safety & privacy of patients in relation to the use of health care & information technologies
    • Use information technologies to enhance one’s own knowledge base
  • 6. International Medical Informatics Association
    • Forty-one recommendations for using informatics in health care delivery
    • Identified 313 competencies for nurses with various levels of education & practice responsibilities
  • 7. IMIA
    • Two specialized areas for development:
    • Informatics and healthcare delivery
    • Specialists design software & create integrated information systems for health care delivery
  • 8. IMIA Nursing Evaluation Novice Nurse Competency:
    • Novice nurse: use of administrative application, telecommunication devices, e-mail, database management program, client care devices, & the Internet while being able to find resources to address ethical decision making related to computing
  • 9. Seasoned Nurse Competency:
    • Experienced nurse: same as the beginner with the addition of ability to use diagnostic coding application, evaluate computerized assisted instruction programs, integrate selected resources into client record, & evaluate accuracy of health care information found on the Internet
  • 10. IMIA Competencies for the Nursing Informatics Specialist
    • Graduate education
    • Able to integrate established technologies into clinical practice
  • 11. IMIA Competencies for the Nursing Informatics Innovator
    • Doctorate Degree
    • Designs and develops new technological systems, techniques, & conceptual models for databases
    • Evaluates safety, effectiveness, cost, & social impacts of technological systems
    • Researches & develops theoretical foundations for the specialty
  • 12. Components of an Integrated Delivery System (IMIA, 1999)
    • Hyperlinks to the latest information for client care
    • Nursing care planning programs
    • Specific client teaching materials
    • On-line clinical practice manuals with evidence-based nursing care protocols
    • Data collection for best health care practices
    • Client billing systems
    • Health care insurance reimbursement programs
  • 13. Informatics & Technology in Client Care
    • Handheld monitors
    • (e.g., pulse oximetry & peripheral blood glucose monitors)
    • Wireless technology with automatic nurse paging capability when client measurements fall outside of normal parameters
  • 14. Technology & Informatics in Client Care :
    • Computerized clinical decision-making programs
    • Nurse personal digital assistants
    • Care-planning software programs
    • Handheld clinical resource information devices
    • Intravenous pumps for medication delivery
  • 15. Informatics & Technology in Record Keeping
    • Financial reimbursement applications for services rendered
    • Nursing documentation systems: CERNER
    • Integrated health record systems to denote past medical history & allergies
    • Electronic health records
  • 16. Informatics & Technology in Communication
    • Wireless telephone systems
    • Wireless paging systems
    • Alphanumeric paging systems
    • Handheld computers to record & receive client information
    • E-mail
  • 17. Components of a Health Information System Currently Used by Health Care Institutions
  • 18. Current uses of Informatics Applications in Healthcare:
    • Admission, discharge, & transfer
    • Patient Access Record
    • Financial parameters
    • Physician order entry
    • Ancillary department
    • Documentation
  • 19. Informatics Applications in Healthcare:
    • Scheduling
    • Pharmacy preparation
    • Acuity criteria
    • Specialty practice
    • Decision support
    • Communication
    • Critical pathways
  • 20. The Nursing Informatics Specialist Responsibilities
    • Create systems to maximize the efficiency of information use & computer technology for clinical practice
    • Develop software programs to support nurses as they deliver client care
    • Keep software management updated & educate staff on its use & changes
  • 21. Education for the Nursing Informatics Specialist
    • Thorough understanding of clinical practice
    • Detailed computer expertise
    • ANA certification in nursing informatics
    • Graduate nursing education programs in nursing informatics are available
  • 22. Role of the Nursing Informatics Specialist in Technological & Health Care Development
    • Contribute specialized nursing knowledge to systems
    • Develop software programs & computer systems that facilitate nursing care delivery
    • Field test software programs
    • Verify that systems (hardware & software) address critical nursing considerations
  • 23. Technological Influences to Health Care
    • In the late 1950s & early 1960s, businesses used computers for financial record management
    • Medicare & Medicaid require data for governmental reimbursement for rendered services
  • 24. Technology Influences:
    • In 1968, Lawrence Weed developed the Weed Problem Oriented Medical Record Information System, the first computerized system for client care at the University of Vermont Medical Center
  • 25. Technological Changes to Nursing & Health Care
    • LifeView Care Station for virtual house calls
    • Telehealth
    • Genetic advances in health promotion, disease prevention, & illness treatment
    • Stem cell research
    • On-line educational options
  • 26. Challenges of Managing Health-Related Informatics & Technology
    • Confidentiality of client health information
    • Ethics related to new therapies
    • Evaluating the quality of information
    • Information security
    • Potential health & personal problems from too much technology
  • 27. Our Future:
    • Technological advances are advantageous only if nurses find them useful & learn how to use them
    • Nurses may tend to focus on machinery rather than persons in the future
    • Information overload
  • 28. The Future of Healthcare:
    • Keeping institutional & personal systems updated
    • Impact of being dependent on electrical or other sources of power to run equipment
    • Optical technology or other invasive methods to confirm identity
  • 29. Computer Networks
    • Local area network (LAN)
    • Wide area network (WAN)
    • Internet Service Provider (ISP)
    • Group e-mail or list servers (Listserv)
    • Electronic publishing (e-books & on-line journals)
  • 30. Access Information Requirements:
    • Accurate typing skills & knowledge of an exact website or e-mail address
    • Internet server provider
    • A website is a series of pages posted on the Internet
    • Website addresses denote the type of server
    • Professional chat rooms
  • 31. Thank you!