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  • As information technology began tobe applied within various disciplines and social arenas, the term “informatics” was linked to the specific field in question, for instance, medical informatics, health informatics, business informatics, and so on.

Ni theories, models, and frameworks 2 Ni theories, models, and frameworks 2 Presentation Transcript

  • NURSING INFORMATICS
    Theories, Models, and Frameworks
  • NURSING INFORMATICS
    Is an established and growing area of specialization in nursing
    All nurses employ information technologies in their practice.
  • “Computersare incredibly fast , accurate and stupid.
    Human beings are incredibly slow , inaccurate and brilliant .
    Together they are powerful beyond imagination”
    Albert Einstein
  • Why do we NEED to study N.I?
    In the 21st Century, information is
    doubling every 5yrs , if not tripling in quantity and quality.
    Information is POWER
    Technology also facilitates the creative process in nurses, affording amazing vehicles for
    patient education , teaching and learning , and providing general health promotion and prevention information on a global scale.
  • “THE HIGH TECH AND THE HIGH TOUCH”
    This can only become a common reality if nurses are comfortable working with computers and advanced technology while providing evidence based care for their clients .
    The healthcare of our clients is largely dependent on information.
    Every action taken depends on previous information and knowledge.
  • WHAT DO WE NEED TO ACHIEVE NURSING INFORMATICS?
  • “Nursing practice will be revolutionized and we will truly be a profession of nurses with our own classification systems, bibliographic systems, and payment systems .”
  • We need to think outside the box?
  • We need to use the Internet to enhance our practice and provide tele-nursing care . We need to become wireless and conduct our services using all the newer IT tools.
    “ We have a long way to go, but if we utilize information technology effectively, informatics will become an integral part of our profession and the health care industry. I do believe we have the knowledge and perseverance and I am convinced it will come to pass.”-Dr. Virginia Saba
  • INFORMATICS
  • What is informatics
    1957 - First coined by Karl Steinbuch as “informatiks”.
    1962 – Phillipe Dreyfus used “informatique”
    Walter Bauer – translated it into “informatics”
  • What is informatics
    Combined the terms “information” and “automation” which means automatic information processing.
  • What is informatics
    A science that combines a domain science, computer science, information science and cognitive science.
    Multidisciplinary science drawing from varied theories and knowledge applications.
  • What is informatics
    a broad academic field encompassing human-computer interaction, information science, information technology, algorithms, and social science
  • What is informatics
    Computer science, the study of complex systems, information and computation using applied mathematics, electrical engineering and software engineering techniques.
  • What is informatics
    Information science is the study of the processing, management, and retrieval of information
  • In 1980, Scholes and Barber applied this new term to the art and science of nursing, coining the term, “nursing informatics”, which they defined as “...the application of computer technology to all fields of nursing-- nursing services, nurse education, and nursing research”.
  • WHAT IS HEALTH INFORMATICS
  • HEALTH INFORMATICS
    Integration of healthcare sciences, computer science, information science, and cognitive science to assist in the management of healthcare information.
    A subdiscipline of informatics…
  • ACTIVITY
    Present an illustration using the description delineating Health Informatics and its sub disciplines.
    Health informatics have subdomains such as medical informatics, dental informatics, pharmacy informatics, nursing informatics, etc.
    Each of these subdomains have integrated content and which are collaboratively working with each other.
  • ACTIVITY
    Limit your illustration using only circles, squares and arrows and texts.
    Use any application (paint, Msword, Ppt) in making your diagram.
    Finally present the illustration using powerpoint.
    Further explain your diagram.
  • CORRECT
    HEALTH INFORMATICS
    Dental Informatics
    Medical Informatics
    Nursing Informatics
    Pharmacy Informatics
  • NURSING INFORMATICS
    1985 – Kathryn Hannah;..is the use of information technologies in relation to any nursing functions.
  • NURSING INFORMATICS
    1989 – Graves & Corcoran .. Is a combination of computer science, information science and nursing science designed to assist management and processing of nursing data, information, and knowledge to support the practice of nursing and the delivery of nursing care.
  • NURSING INFORMATICS
    1994– ANA .. Specialty that integrates nursing science, computer science, and information science in identifying, collecting, processing, and managing data and information to support nursing practice, administration, education, research and the expansion of nursing knowledge.
  • NURSING INFORMATICS
    2001– ANA ..a specialty that integrates nursing science, computer science, and information science to manage and communicate data, information and knowledge in nursing practice…
  • NURSING INFORMATICS
    2001– ANA ..facilitates the integration of data, information, and knowledge to support patients, nurses, and other providers in their decision-making in all roles and settings. The support is accomplished through the use of information structures, information processes, and information technology
  • Differentiate
  • SCOPE OF PRACTICE
    P RACTICE
    E DUCATION
    R ESEARCH
    A DMINISTRATION
  • NURSING INFORMATICS
    SCOPE
  • Standard Areas of NURSING:
    Nursing Practice
    Nursing Education
    Nursing R esearch
    Nursing Administration 
  • COMPUTERS IN NURSING EDUCATIONS
    COMPUTER Assisted Education
    PDA (Personal Digital Assistants)
    LCD Projectors
    Wireless Routers
    Desktops
    Laptops
    Smartphone
    VIDEOS/ANIMATIONS
    Distance learning
    Testing (NCLEX)
    Student and course record management
  • COMPUTERS IN NURSING PRACTICE
    Functions
    Records client information
    Provides access to other departments
    Used to manage client scheduling
    DOCUMENTAION OF CLIENT STATUS
    AND MEDICAL RECORDS KEEPING
    Provides access to standardized forms, policies and procedures
    Access data about client that may be somewhere in the medical record or elsewhere in health care agency.
  • BEDSIDE DATA ENTRY
    records clients assessments, medication administration, progress notes, care plan updating, client acuity and accrued charges
    COMPUTER BASED CLIENT RECORD
    EMRs/CPRs
    Provides easy retrieval of specific data such as trends in vital signs, immunization records, current problems
    It can be designed to work providers about conflicting medications or client parameters that indicate dangerous conditions
  • ELECTRONIC ACCESS TO CLIENTS
    Used extensively in health care to assess and monitor clients conditions
    Data accumulated from various electronic devices are stored for research purposes
    Can monitor client
    Computerized diagnosis
    Telemedicine
    PRACTICE MANAGEMENT
    Used to order supplies, tests, meals, and services, from other departments
    Allows nursing service to determine the most costly items used by a particular nursing unit.
    May provide information or decisions to modify budget, provide different staffing, move supplies to different locations, or make other changes for more efficient and higher quality care
  • COMPUTERS IN NURSING PRACTICE
    A. Human resources
    All employers must maintain a data a database on each employee
    Administrators can use this database to communicate with employees, examine staffing patterns, and create budget programs
    B. Medical records management
    Allow client records to be searched for trends, number of cases, most expensive cases, and client outcomes.
    Nurse informaticist can assist administrators with the design and implementation of systems that allow such searches to be generated, analyzed, printed, and distributed.
  • COMPUTERS IN NURSING PRACTICE
    C. Facilities management
    heating, air conditioning, ventilation, alarm systems are computer controlled.
    D. Budget and finance
    claims are transmitted much more quickly
    Can also effect cost-savings by reducing the desired services time needed for accounts payable and receivables.
  • COMPUTERS IN RESEARCH
    1. problem identification
    Useful in locating current literature about the problem and related concepts
    Helps in searching for existing documents, and e-mail to colleagues.
    2. literature review
    Software facilitate searches, contains thesauruses so that the most appropriate terms can be selected.
  • COMPUTERS IN RESEARCH
    3. research design
    Search literature for instruments that have already been established or to design and test instruments that need to be developed for past study.
    4. Data collection and analysis
    Helps create form for the collection of data such as informed consent, demographic data, and recording forms.
    Commonly used software for quantitative data analysis: SPSS ( statistical package for social sciences), SAS ( statistical analysis system), Sys STAT, MYSTAT
    5. Research dissemination
    computer word processing programs are used to author the final reports of research and send research to various readerships.
    Help speeds completion or research projects
     
  • NI as a SPECIALTY
    1992 – ANA established nursing informatics as a distinct specialty in nursing with a distinct body of knowledge.
  • INDIVIDUAL ACTIVITY
    Use a Word Processor
    Explain how nursing informatics is considered as a distinct specialty.
    Specifically describe the role of informatics nurses compared to nurses of other fields of nursing.
    200 words minimum..
  • INDIVIDUAL ACTIVITY
    Use a Word Processor
    Use Times New Roman
    Font Size: 12.5
    Line Spacing: 1.5
    1 tab indent each paragraph
    Justify each paragraph
    Margins: 0.75” top, 0.75” bottom, 1” left; 1” right.
    Orientation: Portrait
    Paper Size: Long Bond Paper
    Title at Center (Make your own)
    Save File: Act1YourName.doc
  • Informatics Nurse Specialists
    Is a professional with a formal RN graduate degree and passed the credentialing in nursing informatics of a state.
  • Informatics Nurse Specialists
    Nursing informatics specialists practice in a wide variety of roles that are ultimately aimed at improving patient care delivery and the nursing practice experience.
  • Informatics Nurse Specialists
    Some of those roles are:
    Project manager
    Educator
    Product developer
    Decision support/outcomes manager
    Systems analyst
    Consultant
    Programmer
    Advocate/policy developer
    Web developer
    CIO, CEO, CNO
    Entrepreneur
    Researcher
    Sales and marketing
  • COMPONENTS of PRACTICE
    Transformation of Data to Wisdom
    Data – discrete entities that are described objectively without interpretation.
    ex. A systolic blood pressure, a nursing intervention, a patient problem, an outcome
  • COMPONENTS of PRACTICE
    Transformation of Data to Wisdom
    Information– reflects interpretation, organization, or structuring of data.
    - are processed data
    - data with meaning
  • COMPONENTS of PRACTICE
    Transformation of Data to Wisdom
    Knowledge–transformation of information.
    - information that is synthesized so that relationships are identified and formalized
  • COMPONENTS of PRACTICE
    Transformation of Data to Wisdom
    WISDOM–highest form of data transformation.
    - is the application of ethics in using knowledge.
  • COMPONENTS of PRACTICE
    Wisdom
    Knowledge
    Information
    Complexity
    Data
    Human Intellect
  • Group Activity
  • NURSING INFORMATICS
    COMPONENTS
  • CORRECT
    As an example, a single instance of vitals signs – heart rate, respirations, temperature and blood pressure – for a single patient can be considered a set of data.
  • CORRECT
    A series of vital signs taken over time, placed into a context, and compared is considered information.
  • CORRECT
    However, a dropping blood pressure, increasing heart rate, respiratory rate, and fever in an elderly, catheterized patient are recognized as being out of the norm. The recognition that this patient may be septic and in need of nursing and medical interventions reflects information synthesis (knowledge).
  • REGISTERED NURSES as KNOWLEDGE WORKERS
    Knowledge work is the exercise of specialist knowledge and competencies.
  • ACTIVITY 3
    Discussion Boards
    Check out our discussion board on facebook (NI Page)
    Post your ideas under this topic
    Nurses as knowledge workers
    250 words minimum
  • COMPETENCIES
    Research; Article search (Use of internet)
    Staggers, Gassert, and Curran, 2001
    ANCC
    Informatics Exam Content
    HIMSS (Healthcare Information and Management Systems Society)
  • TERMINOLOGIES
    What is the use of standard terminologies/languages?
    What is a data set?
    What is nursing minimum data set (NMDS)?
    Enumerate the different ANA-recognized terminologies.
    Describe each briefly.