Powerpoint presentation for the Application of Nursing Informatics in the Health Care Delivery System in the Philippines.

1. Prepared by:
Visperas, Andrea Bianca S.
APPLICATION OF NURSING INFORMATICS IN
THE HEALTH CARE DELIVERY SYSTEM IN
CURRENT SITUATION OF THE PHILIPPINES

2. WHAT IS NURSING INFORMATICS?
Nursing Informatics (NI) is the specialty that
integrates nursing science with multiple information
management and analytical sciences to identify, define,
manage, and communicate data, information,
knowledge, and wisdom in nursing practice. (ANA,
2015)

3. HISTORY OF NURSING INFORMATICS
• Nurses has been working in the field of informatics near four
decades, the term "nursing informatics" has been considered a
specialization in nursing resources since 1984 (Guenther &
Peters, 2006).

4. • Many aspects such as data recovery, ethics, patient care, decision
support systems, human-computer interaction, information
systems, imaging informatics, computer science, information
science, security, electronic patient records, intelligent systems,
e-learning and telenursing have been added to the field. (HANA,
1985)

5. • The American Nurses Association (ANA) published its aim and
standards in 1994-1995 and presented the Nursing Informatics as
a specialty that integrates nursing science, computer and
information science to provide data communication management,
knowledge and nursing work in 2001.

6. APPLICATION OF NURSING INFORMATICS
(GERONTOL, 2002)
• The application of the informatics concepts with nursing standardized languages and
financial and database usage may not have occurred.
• To succeed in the current health care environment, nursing informatics concepts
need to be implemented in Long-Term Care.

7. • As a result, the quality of care for older adults in nursing homes
will be improved.
• The purpose of this article is to identify application for nursing
informatics use in the LTC setting.

8. HEALTH CARE DELIVERY SYSTEM IN PHILIPPINES
(DOH, 2016)
• The Philippine health care system has rapidly evolved with many
challenges through time. Health service delivery was devolved to the Local
Government Units (LGUs) in 1991, and for many reasons, it has not
completely surmounted the fragmentation issue.
• Health human resource struggles with the problems of underemployment,
scarcity and skewed distribution. There is a strong involvement of the
private sector comprising 50% of the health system but regulatory
functions of the government have yet to be fully maximized.

9. • HEALTH FACILITIES
Health facilities in the Philippines include government hospitals,
private hospitals and primary health care facilities. Hospitals are
classified based on ownership as public or private hospitals. In
the Philippines, around 40 percent of hospitals are public
(Department of Health, 2009)

10. • HEALTH HUMAN RESOURCE
The health human resources are the main drivers of the health
care system and are essential for the efficient management and
operation of the public health system. They are the health
educators and providers of health services. (DOH, 2009)

11. • UTILIZATION OF HEALTH FACILITIES
In the 2008 National Demographic and Health Survey (NDHS),
50 percent of the clients who sought medical advice or treatment
consulted public health facilities, 42 percent went to private
health facilities, and almost 7 percent sought alternative or
traditional health care. (NSO, 2008)

12. • Rural Health Units (RHUs) and Barangay Health Centers (33
percent) were the most visited health facilities in almost all the
regions except for NCR and CAR, where most of the clients
visited private hospital/clinic for medical advice or treatment.
• The most common reasons for seeking health care were illness
or injury (68 percent), medical checkup (28 percent), dental care
(2 percent), and medical requirement (1 percent) (NSO, 2008).

13. • With regard to child delivery, more than thirty-six percent of
infants are still delivered by hilots despite aggressive efforts of
the Department of Health to promote facility-based delivery
(National Statistics Office, 2008).

14. • SATISFACTION WITH HEALTH FACILITIES
Based on a survey by the Social Weather Station in 2006, majority of
Filipinos specifically the low income households prefer to seek
treatment in a government hospital if a family member needs
confinement. (Department of Health, 2010)
Affordability is the main reason for going to a government medical
facility, while excellent service is the main reason for going to a
private medical facility (DOH, 2010).

15. • The net satisfaction with services given by government hospitals
has slightly improved from +30 in 2005 to +37 in 2006. (Social
Weather Stations, 2006)
• Excellent service and affordability are the main reasons for being
satisfied whereas poor service is the main reason for being
dissatisfied with the services given by government hospitals
(SWS, 2006).

16. RESULTS OF NURSING INFORMATICS
1. Health Care Promotion
2. Advanced System
3. Internet & Networks
4. Related Organizations Activity
5. Need for Educational Programs

17. IMPORTANCE OF NURSING INFORMATICS
(SMEDLEY, 2005)
• Over the past two decades, dramatic changes have occurred in
the nature and extent of communication and information
technology use in nursing worldwide.
• The need for student nurses to be well prepared for the use and
application of information technology in nursing is arguably now
paramount.

18. • It will then discuss the importance of information and
communication technology (ICT) skills, knowledge and
understanding as an integral aspect of nursing programs in tertiary
institutions. The challenge for training providers to prepare nurses
for ever-changing ICT technology and technological applications in
their workplace is highlighted.

19. CONCLUSION
• In today’s world the potential for information and communication
technology application is increasing so that it can enhance the quality of
nursing domains outcome (McNelis et al., 2012).
• Nurses have the most communication with patients, and interact with
technology more frequently. (Darvish & Salsali, 2010), (Jenkins et al., 2007).
• Using technology should create a positive attitude in nursing productivity.
(Darvish & Salsali, 2010), (Jenkins et al., 2007).

20. • It is essential for nurses to be involved in the initial design of systems to improve
the quality of health care and change their culture in this regard (Darvish &
Salsali, 2010), (Jenkins et al., 2007).
• Mediating technically and technologically on the borderline between medicine
and nursing, nurses have become known as the medical Goddesses in the form
of Tele-nurses. (Gassert, 1998)
• Nurses have got more authority in decision-making with the use of new
technologies. (Gassert, 1998)
• For successful implementation of the electronic health reporting system, nurses
must be knowledgeable about information technology, computer skills and
informatics knowledge and skills. (Darvish, 2008).

21. • In conclusion, considering nursing outcomes takes advantage of
information technology; educational arrangement is recommended to set
short-term and long-term specialized courses focusing on the four target
groups.
• Informatics courses for nursing students continued educational programs
for registered nurses in work area, graduate programs at MSc and PhD
levels for nurses and fellowship programs for doctoral graduates are
recommended to be considered.

22. REFERENCES
• http://www.ncbi.nlm.nih.gov/pubmed/12382458
• The Role of Nursing Informatics on Promoting Quality of Health Care
and the Need for Appropriate Education (PDF Download Available).
Available from:
https://www.researchgate.net/publication/263773632_The_Role_of_
Nursing_Informatics_on_Promoting_Quality_of_Health_Care_and_the_
Need_for_Appropriate_Education
• http://journals.lww.com/cinjournal/Abstract/2005/03000/The_Imp
ortance_of_Informatics_Competencies_in.11.aspx
• http://www.doh.gov.ph/sites/default/files/basic-page/chapter-
one.pdf