Nursing Informatics Team Project – Group #3 Mary Anderson Shirley Dash Dimitar Dimitrov Ryan Moffat
An Overview1. Historical Context2. Nursing Informatics Defined A. Competencies 1. Technical 2. Utility 3. Leadership B. Education C. Roles D. Skills3. Future Outlook for Nurse Informaticians4. Evidence Base Practice A. Evidence Base Practice with Patients5. Healthcare Information Technology Images: Alarms & Monitoring Systems6. Healthcare Information Technology Tools7. Socio-Technical Issues8. Foundations-Committees-Workgroups9. Present and Future Agenda10. References
Historical Context• 1970’s: The nursing profession became involved in the design, purchase, and implementation of information systems.• 1980’s: The emergence of nursing informatics specialties. Introduction of the Personal Computer.• 1990’s: Telemedicine emerged as a specialty. The first Nursing Informatics certification exam was administered• Post-2000: Exponential growth in the use and sophistication of computer hardware and software o JULIE A. KENNEY and IDA ANDROWICH
Nursing Informatics Defined• “Nursing informatics is a specialty that integrates nursing science, computer science, and information science to manage and communicate data, information, and knowledge in nursing practice. Nursing informatics facilitates the integration of data, information, and knowledge to support patients, nurses, and other providers in their decision making in all roles and settings. This support is accomplished through the use of information structures, information processes, and information technology.” o NANCY STAGGERS, PHD, RN, FAAN, CHERYL BAGLEY THOMPSON, PHD, RN
Nursing Informatics Competencies1) Technical 1) “Technical competencies are related to the actual psychomotor use of computers and other technological equipment. Specific nursing informatics competencies include the ability to use selected applications in a comfortable and knowledgeable way.”2) Utility 1) “Utility competencies are related to the process of using computers and other technological equipment within nursing practice, education, research and administration. Specific nursing informatics competencies include the process of applying evidenced based practice, critical thinking, and accountability in the use of selected applications in a comfortable and knowledgeable way.”3) Leadership 1) Leadership competencies are related to the ethical and management issues related to using computers and other technological equipment within nursing practice, education, research and administration. Specific nursing informatics competencies include the process of applying accountability, client privacy and confidentiality and quality assurance in documentation in the use of selected applications in a comfortable and knowledgeable way. June Kaminski RN MSN PhD(c) 2000 – 2012. Nursing Informatics Competencies: Self – Assessment. http://nursing- informatics.com/niassess/index.html
Nursing Informatics Education• “Many nurse informaticists have advanced degrees, such as a Masters or Ph.D. in nursing or another field. The number of nurse informaticists with an advanced degree rose 4% between 2007 and 2011, according to HIMSS. A nurse informaticist can also be certified by the American Nurses Association or obtain a certification through HIMSS. An RN must hold a bachelor’s degree to sit for the ANA exam. The certification must be renewed every five years.” Beth Greenwood, Demand Media.2013. Salaries for Nurses With an Informatics Degree http://work.chron.com/salaries-nurses-informatics-degree-1893.html
Nursing Informatics Education con’t“The ANCC Web site details the nursing candidate’s qualificationsfor the informatics nurse certification exam as:• a baccalaureate or higher• an active RN license, with at least 2 years of professional practice• practice of at least 2,000 hours of• NI within the last 3 years Or• 12 hours of graduate work and 1,000 hours of NI practice Or• completion of a graduate program in NI that included at least 200 hours of clinical practicum• completion of 30 continuing education contact hours in specialty area within the last 3 years for those who haven’t completed a graduate informatics program. Karen Carroll, RN,BC, PhD. et al.(2007) An Emerging Giant. Nursing Management, 38(3), 38-42. DOI: 10.1097/01.NUMA.0000262926.85304.a6 http://www.himss.org/files/HIMSSorg/handouts/694inform0307p38.pdf
Nursing Informatics Skills• Encompass project management.• Health information system management.• Writing requests for proposals or returns on investments.• Developing educational programs.• Evaluating work process flows.• Writing policies.• Aiding in the design and content of an organization’s intranet.• Making recommendations to chief nurse officers/chief executive officers on a preferred clinical system for nursing.
Future Outlook for Nurse InformaticiansThe skills and knowledge of Nurse Informaticians makethem valuable assets to any organization and to the futuredevelopment of the field. Some of the areas where theirexpertise can be of great benefit are:• Use and analysis of clinical data for secondary purposes (research, etc)• Patient record management• Creation and implementation of standards, processes and procedures• Security, Privacy, and Confidentiality of patient information• Focus on public health and advancement of community health initiatives
Evidence Based PracticeEvidence Based Practice is defined as “the conscientious, explicit andjudicious use of current best evidence in making decisions about thecare of the individual patient. It means integrating individual clinicalexpertise with the best available external clinical evidence fromsystematic research.”Nurses and nurse informaticians have the ability to implement changesand see the evidence in the outcomes of the patient cares by:- Utilizing available patient history information- Utilizing available research data- Utilizing their expert knowedge of the nursing field- Utilizing clinical decision support tools- Creating a more personal relationship with the patient and their families• Sackett, D. Evidence-based Medicine - What it is and what it isnt. BMJ 1996; 312:71-72. http://www.bmj.com/cgi/content/full/312/7023/71
Evidence Based Practice with patients• The nursing field is developing on a regular basis. o New technologies and the skills to access information, research and knowledge are the basic fundamentals of EBP that can help nurses in the overall care of their patients. o Nurses will have a new empathy and compassion for patients while giving them expert advice and care. o Nurses now have the strongest trends in health care systems with EBP because it allows them to apply their evidence based practices to research and administration to patients and their care. o Evidence based practices has become a benchmark for nurses credibility and respect. They are, beyond nurses, information leaders, and have the ability to show that through research and now patient/nurse inteactions.
Healthcare Technology Images: Alarms & Monitoring Systems
Healthcare Information Technology Tools:• Computerized physician order entry (CPOE)• Electronic Health Record (EHR)• Electronic Medical Record (EMR)• Personal Health Record (PHR)• EPIC Systems• Nursing Interventions Classification System (NIC) Terminology• Nursing Outcomes Classification System Terminology (NUC)
Socio-Technical Issues• Social technologies a way to stay connected to the world. Having online technologies like blogs, wikis, and forums can bring groups of people together all over the world. For nurses, systems like these can allow for communication across the board throughout different health networks and other systems. Collaboration is key in any hospital setting and socio-technologies can help advance that idea. Project planning can be moved even further ahead when you have the options of sharing information with other clinicians across the globe. With nurses actively participating in online systems like these, they will have the capabilities to move further ahead in patient care and consideration.
Foundations, Committees, Workgroups• TIGER Foundation: Advancing the integration of health informatics to transform practice, education and consumer engagement• AMIA: American Medical Informatics Association: Leading the way in transforming health care through trusted science, education, and the practice of informatics.
Present & Future Agenda• Professional Practice• Research• Technological Innovations• Preparedness• Educational Preparation• Administrative Competencies• Decision Support Systems
References1. Karen Carroll, RN,BC, PhD. et al.(2007) An Emerging Giant. Nursing Management, 38(3), 38-42. DOI: 10.1097/01.NUMA.0000262926.85304.a6 http://www.himss.org/files/HIMSSorg/handouts/694inform0307p38.pdf2. Beth Greenwood, Demand Media.2013. Salaries for Nurses With an Informatics Degree. http://work.chron.com/salaries-nurses-informatics-degree-1893.html3. June Kaminski RN MSN PhD(c) 2000 – 2012. Nursing Informatics Competencies: Self – Assessment. http://nursing-informatics.com/niassess/index.html4. McGonigle, Dee. Nursing Informatics and the Foundation of Knowledge . 2. Massachusetts : Jones and Bartlett Learning , 2012. Print.