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    Chapter6 Chapter6 Presentation Transcript

    • Chapter 6 Nursing and Health Care Informatics
    • Objectives
      • Upon completion of this chapter, the reader should be able to:
        • List the components that define a nursing specialty and discuss how nursing informatics meets these requirements
        • Discuss educational opportunities for nurses interested in pursuing a career in nursing informatics
        • Describe current challenges for health information applications
    • Objectives
        • Describe current challenges for health information technology applications
        • Discuss how ubiquitous computing and virtual reality have the potential to influence nursing education and practice
        • Used established criteria to evaluate the content of health-related sites found on the World Wide Web
        • Identify the role of informatics in evidence- based practice and patient safety
    • Nursing Informatics
      • Recognized specialty group who function to integrate nursing, its information, and information management with information processing and communication technology to support the health of people worldwide
      • The use of information technology by nurses carrying out their duties in relation to any function in the purview of nursing
    • Focus of Nursing Informatics
      • Technology focused
      • Conceptually focused
      • Role oriented
    • E-health
      • Multiple functions
        • Health care and information delivered or enhanced through the Internet
        • Involves medical informatics, public health, and business
        • Commitment for networked, global thinking to improve health care locally, regionally, and worldwide
    • Telehealth
      • Delivery of health-related services and information via telecommunications technology
      • May be simple or complex
    • Elements of Nursing Informatics
      • Computerized order entry
      • Electronic health record
      • Patient decision tools
      • Laboratory and x-ray results
      • Electronic prescribing and order entry including barcoding
      • Community and population health management and information
    • Elements of Nursing Informatics
      • Communication, staffing, and administrative systems
      • Evidenced-based knowledge and information retrieval systems
      • Quality improvement data collection/data summary systems
      • Documentation and care planning
      • Patient monitoring and problem alerts
    • Implementation of Health Information Technologies
      • Standards needed so all health care providers can share patient information which is timely, patient-centered, and portable
      • Office of the National Coordinator for Health Information Technology (ONC) established 2004
      • The Joint Commission established National Patient Safety Goals
    • Recommended Changes
      • Care based on continuous healing relationships
      • Customized care based on patient needs and values
      • The patient as the source of control
      • Shared knowledge and the free flow of information
      • Evidenced-based decision making
      • Safety as a system property
      • The need for transparency
      • Anticipation of needs
      • Continuous decrease in waste
    • Core Competencies
      • Provide patient-centered care 
      • Work in interdisciplinary teams
      • Employ evidenced-based practice
      • Apply quality improvement
      • Utilize informatics
    • Specialty of Nursing Informatics
      • Use decision-making systems or artificial intelligence to support the nursing process
      • Use software application to support health care organizations
      • Integrate IT into patient education
      • Use computer-aided learning for nursing education
      • Develop and use nursing databases
      • Use research related to nurses’ information management and communication
    • Clinical Information System
      • A computer-based system
        • Used to inform clinicians about tests, procedures, and treatment
        • Used to improve the quality of care through real-time assistance in decision making
        • Used to increase the efficiency and effectiveness of care delivery
        • Can be patient focused or department focused
    • Computerized Patient Records
      • Replacement for the paper record
      • Permits health information to be used to support the generation and communication of knowledge
      • Multiple functions and requirements
        • Capture data
        • Store data
        • Process and retrieve data
    • Information Communication
      • Interoperability of systems and linkages for exchange of data across disparate systems
      • Must be secure
      • Security functions must be designed to ensure compliance with applicable laws, regulations, and standards
    • Security
      • Privacy
        • The right of individuals to keep information about themselves from being disclosed to anyone
      • Confidentiality
        • Limiting disclosure of private matters
      • Security
        • The means to control access and protect information from accidental or intentional disclosure to unauthorized persons
    • Trends in Computing
      • Computer literacy
        • The knowledge and understanding of computers combined with the ability to use them effectively
      • Information literacy
        • The understanding of the architecture of information
        • The ability to navigate among print and electronic tools
    • Virtual Reality
      • Allows a person to see, move through, and react to computer-simulated items or environments
      • Has allowed surgeons to develop minimally invasive surgical techniques
      • PDA software has the potential to bring evidence-based care to the bedside
    • Using the Internet for Clinical Practice
      • Information can be presented in different forms and different languages
      • Provides different organization structures for information storage and access to accommodate user’s preference and need
    • The P-F-A Assessment
      • Purpose-Focus-Approach
      • Determine your purpose (why are you doing the search?)
      • Focus of the search may be:
        • Broad or general
        • Lay oriented
        • Narrow and technical
      • The purpose combined with the focus will determine the approach to the search
    • Strategies for Internet Searches
      • Use Web sites published by governmental or professional organization
      • Use consumer health sites organized by medical librarians
      • Use precise terms
      • Draw on search engines
      • Refine your Internet searches with filters
    • Evaluating Internet Material
      • Use critical-thinking skills
      • Evaluate with PLEASED
        • Purpose
        • Links
        • Editorial
        • Author
        • Site navigation
        • Ethical Disclosure
        • Date last updated