Evolving Role of the Nursing Informatics Specialist Ly

Evolving Role of the Nursing Informatics
Specialist
Lynn M. NAGLE
a
, Walter SERMEUS
b
, Alain JUNGER
c
a
Lawrence S. Bloomberg, Faculty of Nursing, University of
Toronto, Toronto, Ontario,
Canada
b
Leuven Institute for Healthcare Policy, University of Leuven,
Belgium
c
University Hospital of Lausanne, Lausanne, Switzerland
Abstract. The scope of nursing informatics practice has been
evolving over the

course of the last 5 decades, expanding to address the needs of
health care
organizations and in response to the evolution of technology. In
parallel, the
educational preparation of nursing informatics specialists has
become more
formalized and shaped by the requisite competencies of the role.
In this chapter,
the authors describe the evolution of nursing informatics roles,
scope and focus of
practice, and anticipated role responsibilities and opportunities
for the future.
Further, implications and considerations for the future are
presented.
Keywords. Nursing informatics specialist, role function,
connected health, data
science, big data, personalized medicine, clinical intelligence,
virtual care
1. Introduction
By 2018, 22 million households will use virtual care solutions,
up from less than a
million in 2013. Average (healthcare) visits among these
adopter households will
increase from 2 per year in 2013 to 6 per year in 2018, which

include both acute care
and preventive follow-up services in a variety of care settings—
at home, at retail kiosk
or at work. [1]
Nursing informatics roles have taken many forms in focus and
function over the
last decades; suffice it to say that they have not been
consistently described or defined
in terms of scope of practice. At the time of this writing it is
clear that role of nursing
informatics specialists will continue to evolve at an increasingly
rapid rate in the
coming years. The unfolding of new health care paradigms will
bring greater
connectivity between care providers and patients, include a
wide array of emerging
technologies and an increasing emphasis on data analytics will
make the integration of
informatics competencies into every area of nursing an
imperative.
2. Brief history of roles of the past and present
The earliest and most common types of informatics work
assumed by nurses has

included: oversight of organizational workload measurement
systems, project
leadership, systems educator, and nursing unit or departmental
information technology
resource. In many instances, these roles were enacted on the
basis of a specific
identified organizational need and were often secondments to
the Information
Technology Department. It was not unusual for these roles to
have the designation of
Forecasting Informatics Competencies for Nurses in the Future
of Connected Health
J. Murphy et al. (Eds.)
© 2017 IMIA and IOS Press.
This article is published online with Open Access by IOS Press
and distributed under the terms
of the Creative Commons Attribution Non-Commercial License
4.0 (CC BY-NC 4.0).
doi:10.3233/978-1-61499-738-2-212
212
“IT nurse” [2]. As role responsibilities and job titles have been
widely varied, so have
the qualifications for each. The need for more specificity and
consistency in nursing

informatics roles has been recognized for several years [3, 4, 5].
The advent of formal education programs for nurses interested
in specializing in
informatics has occurred in conjunction with increasing
sophistication in the use of
information and communication technologies (ICT) in clinical
practice settings. Today,
nurses have the option to pursue specialization and credentials
at a variety of levels
including graduate specialization and specialty certification.
Advanced credentials and
certification (e.g., Certified Professional in Healthcare
Information and Management
Systems - CPHIMS) have afforded nurses the opportunity to
achieve credibility and
legitimacy regarding the specialty informatics knowledge and
skills they bring to bear
in nursing practice and academia and healthcare in general [6].
This credibility has
been recognized with the development of executive level
positions such as the “Chief
Nursing Informatics Officer” (CNIO) in some countries. The
position of the “Chief

Medical Informatics Officer” (CMIO) is much more prevalent
and deemed essential in
medium and large health care organizations while the C-level
nursing counterpart
remains less common. Several authors [7-11] have described the
role and competencies
for these senior informatics positions, yet the valuing of these
positions remains limited
among health care provider organizations.
In addition to the evolution of formalized training programs for
nurses interested in
informatics, the specialty of nursing informatics has continued
to evolve and has
become recognized in local jurisdictions, nationally and
internationally. Groups of like-
minded nurses have organized into special interest groups
affiliated with larger
interdisciplinary organizations (e.g., International Medical
Informatics Association -
Special Interest Group on Nursing Informatics (IMIA-NI-SIG)).
Organizations such as
the Canadian Nursing Informatics Association (CNIA), the
American Nursing
Informatics Association (ANIA), the Nursing Informatics

Working Group of the
European Federation for Medical Informatics (EFMI-NURSIE)
are examples of forums
for nurses to network, collaborate and profile their work in
informatics. The existence
of these specialty organizations has served to further legitimize
the work of nurse
informaticians and provided a venue for advancing regional,
national and international
efforts in nursing informatics. Through conferences, meetings
and the offering of
educational sessions, virtually and face to face, these networks
of nurse informaticists
have collectively advanced the practice and science of nursing
informatics. A case in
point is the International Nursing Informatics Congress and
post-conference, now held
bi-annually and hosted by countries across the globe. Outputs of
these meetings include
publications such as this one; benefitting nursing informatics
specialists and the nursing
profession worldwide.
At the time of this writing, we find nursing informatics
specialists in virtually

every clinical practice setting. The roles and focus of their work
endeavors are wide
and varied. The titles of “informatics nurse”, “nurse
informatician”, and “nursing
informatics specialist” are but a few of the titles applied to
nurses working in the field.
Many of the roles of the past and present have been more
extensively described
elsewhere [2,12]. For the purpose of this chapter, the authors
use the title of nursing
informatics specialist to provide illustrations of the potential
focus of these roles
current and future.
Roles to date have largely focused on supporting acquisition,
implementation and
evaluation of clinical information systems in health care
organizations. As noted by
McLane and Turley [4], “informaticians are prepared to
influence, contribute to, and
mold the realization of an organization’s vision for knowledge
management” (p.30).
L.M. Nagle et al. / Evolving Role of the Nursing Informatics
Specialist 213

Nurses have been in pivotal roles at every step of the systems
life cycle and
instrumental in the success of deployments at every level of an
organization. From the
provision of executive oversight, project management, systems
education and training,
and analytics, nurses in clinical settings have become core to
organizations’
information management infrastructure and support.
In addition to health care provider organizations, nursing
informatics specialists
can be found in the employ of technology vendors, retail
outlets, and consulting firms
while many others have created their own entrepreneurial
enterprise. Over the last few
decades, technology vendors, hardware and software, have come
to appreciate the
invaluable contribution of nurses to the development, sales and
deployment of their
solutions. Throughout the world, nurses are also engaged in
academic pursuits to
advance the knowledge base of nursing informatics through the
conduct of research.

Efforts are underway in many countries to advance the adoption
and integration of
entry-to-practice informatics competencies into undergraduate
nursing programs.
Notwithstanding some of the ongoing gaps in the provision of
informatics content in
undergraduate nursing education, many courses and programs
have been taught in a
variety of post-secondary education institutions over several
years by nursing
informatics specialists. In fact it is not unusual for many nurses
to develop an interest
in informatics through a single course and subsequently pursue
further studies and
employment opportunities.
Since the early 90’s many graduate level courses and degrees,
certificate and
certification programs have been developed and offered world-
wide. Nurses have
pursued these opportunities recognizing the necessity of
informatics knowledge and
skills now and particularly into the future, as they face an
increasingly connected world

of digital healthcare. To a large extent, the core competencies
of the nursing
informatics specialist have become essential for all nurses and
expectations of the
specialist role will continue to evolve even further.
3. Emerging roles for nursing informatics specialists
The healthcare sector continues to evolve in the application and
use of technologies to
support the delivery of care. Factors including: a) rising health
care expenditures, b) the
increasing incidence of chronic disease, c) the ubiquity of
technology, d) an aging
demographic, e) personalized medicine, f) mobile and virtual
healthcare delivery, g) the
emergence of consumer informatics, h) genomics, i) big data
science, and connected
health are and will continue informing the evolution of nursing
informatics roles.
One of the main challenges we have to cope with is the
difference in growth rate
that is exponential for the new technology and knowledge yet is
still linear for
changing human behavior, learning, organizations, legislation,
ethics, etc, A linear

growth rate is mostly represented by a function in a form like
��
�� An
exponential growth rate is mostly represented by a function in a
form like ��
�
�
��
�� example: In an exponential world where the information
is doubling every year, 5
exponential years would equal to 2
5
or 32 linear years which has a massive impact on
the management of professional knowledge. In reality, we
estimate that knowledge
development in healthcare, which has doubled every century
until 1900, is now
estimated to double every 18 months. And the pace is getting
faster. This means that
when nurses finish their education, the knowledge they gained
might be already
outdated. The traditional way of developing procedures,
protocols and care pathways,
sometimes requiring a year to develop, are outdated when they

are finalized and are
Specialist214
insufficient to guide future practice. The only way forward is to
integrate and embed
the new knowledge in electronic patient records using
algorithms and decision support
systems so that practice remains aligned with new knowledge
and insights. The impact
might be that best practices can change very quickly and what is
viewed as best
practice before your holiday leave might be different upon your
return to work. Making
the connection between these different dimensions of time will
be a key-role of the
evolving role of the NI specialist.
A second challenge is that clinical practice in the future will be
largely team based.
The nature of teams will include interprofessional teams,
patients and their relatives
and a wide range of virtual devices (internet of things - IoT)
that are all connected.

Teams will work across boundaries of organizations and will be
organized around a
particular patient. We still have to come up with new labels for
naming these temporary
virtual interprofessional patient teams. Practically it will mean
that nurses will be
(temporary) members of different teams at the same time. This
notion of teamwork is
in contrast with what we normally see as teams organized in
organizations, departments
and units. It will challenge how teams will be managed, led, and
evaluated. But it will
also challenge the communication within teams and the
exchange of information.
3.1 Virtual and connected care
The delivery of health services virtually is becoming
commonplace in many places
around the globe. Virtual care has been defined as: “any
interaction between patients
and/or members of their circle of care, occurring remotely,
using any forms of
communication or information technologies, with the aim of
facilitating or maximizing
the quality and effectiveness of patient care” [13, p 4].

The most common modalities of virtual care are currently in use
in telemedicine.
Telemedicine has been largely used to conduct remote medical
consultations,
assessments and diagnosis (e.g., teledermatology, telestroke,
telepsychiatry) through
the use of computer technology and associated peripheral
devices including digital
cameras, stethoscopes and opthalmoscopes, and diagnostic
imaging. More recently, the
tools of telemedicine have been extended to the provision of
remote nursing monitoring
and assessment particularly for individuals with chronic
diseases such as congestive
heart failure (CHF) and chronic obstructive pulmonary disease
(COPD). The nurses
providing these tele-homecare services are not necessarily
informatics specialists but
the design and management of the monitoring tools,
infrastructure and support services
may be provided by them in the future.
Another emerging area of nursing informatics practice will
likely focus on the use

of remote monitoring technologies such as sensors and alerts
embedded in structures
(e.g., flooring, lighting, furniture, fixtures) and appliances (e.g.,
stove, refrigerator) in
the homes of citizens. These tools offer the promise of
supporting seniors to maintain a
level of independence in their own homes longer, particularly
those with cognitive or
sensory impairments. Such devices might trigger direct
messaging to providers, lay and
professional, flagging potentially harmful situations and
affording early intervention as
necessary. Different types of sensors (e.g., sleep, activity,
falls, ambulation,
continence, fluid and electrolyte) will also contribute new
supplementary data to health
information repositories, offering the possibility of linking to
other data sets and
provide new insights to the well-being of individuals in the
community especially the
aged and those living with chronic illness.
With the increasing use of consumer health solutions such as
patient portals and
smartphone apps for self-monitoring and management of health

and disease, nurse
Specialist 215
informatics specialists will likely play a key role in their
support and development.
From the perspective of application design and usability, and
training, nursing input
and informatics expertise will be important to ensure
appropriate and safe use of these
tools. As individuals and their families become more active
participants in their care
through the use of applications and devices to connect with
providers, they will likely
also need expertise and support from the nursing informatics
specialist.
3.2 Knowledge generation and innovation
The traditional ways of new knowledge generation is through
research and the
dissemination of findings in research journals. Knowledge is
consumed by researchers
and clinicians who transform it into relevant guidelines and care
pathways. The time

between the generation of research findings and application in
the real clinical work
can take several years. It is generally estimated that it takes an
average of 17 years for
research evidence to reach clinical practice [14]. Therefore
clinicians are not always
aware of existing evidence. In a landmark study, McGlynn et al.
[15] evaluated the use
of evidence-based guidelines in 30 conditions and 439
indicators for the use of the
same. They showed that clinicians (doctors, nurses) only apply
50% of them in their
daily practice. The use varied from 80% for structured
conditions such as cataract to
10% for unstructured conditions such as alcohol addiction.
There is also a lot of
research demonstrating that nurses lack knowledge related to
common procedures.
Dilles study illustrated [16] that nurses lack sufficient
pharmacological knowledge and
calculation skills. Baccalaureate prepared nurses’
pharmacological knowledge averaged
between 60% and 65% of the level expected. Segal et al. [17]
analyzed the use of hip

arthroplasty care pathways in 19 Belgian hospitals finding a
high variability in
providing evidence-based interventions. While post-op pain
monitoring is in 100% of
the care pathways, pre-op physiotherapy was only present in
25% of the care pathways.
In the future of connected health, there will be direct links to
knowledge generated
by specialists from around the world. New knowledge will be
automatically integrated
and embedded into electronic patient records, and include new
algorithms for decision
support systems. It is interesting to note that Hearst Health
Network, one of the largest
media and communication groups in the world, is taking a
leading role in healthcare.
They started an intensive collaboration among strong health
knowledge companies
such as First Databank (FDB), Map of Medicine, Zynx Health
and Milliman Care
Guidelines (MCG). FDB is a United Kingdom company
specialized in integrated drug
knowledge to prescribe medication, follow-up drug interactions,
improve clinical

decision making and patient outcomes. Map of Medicine was
created in the UK for
clinicians by clinicians. It offers a web-based visual
representation of evidence-based
patient journeys covering 28 medical specialties and 390
pathways. Zynx Health offers
a similar story from the US to provide evidence-based clinical
decision support system
solutions at the point of care through electronic patient records.
MCG produces
evidence-based clinical guidelines and software and is widely
used in the US, UK and
Middle East. Other examples of health information networks are
CPIC (Clinical
Pharmacogenetics Implementation Consortium) to help
clinicians understand how
available genetic test results could be used to optimize drug
therapy, the International
Cancer Genome Consortium (ICGC) which facilitates data
sharing to describe genomic
sequences in tumor types among research groups all over the
world. In the information
models, such as archetypes and Detailed Clinical Models (see
section C chapter 1) offer

summaries of evidence for specific clinical concepts.
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Likely one of the most significant areas of focus for nursing
in the near term is data science and the use of “big data”. Big
data has been defined as:
“large amounts of data emerging from sensors, novel research
techniques, and
ubiquitous information technologies” [18, p. 478]. Access to big
data unveils a whole
new sphere of informatics opportunities related to health and
nursing analytics.
According to Masys [19], big data is “that which exceeds the
capacity of unaided
human cognition and strains the computer processing units,
bandwidth, and storage
capabilities of modern computers”. The future development of
nursing capabilities in
data science will essentially lead to an entirely new cadre of
nursing informatics
specialists whose work will focus on deriving new nursing
knowledge from not only

electronic health record data, but also the data from sensor and
remote monitoring
technologies, patient portals and mobile apps described above.
The implications of -
omics data such as genomics, metabolomics, and proteomics,
being included as part of
the electronic health record in the near future, should be taken
into account. Nurse
informatics specialists will be pivotal in assisting to identify
potential ethical and
practice implications in the use of these data.
Using big data, the knowledge generating process might be
reversed into practice-
based evidence where data from electronic health records,
patient portals, sensors etc.
are uploaded into large databases that identify patterns and
clinical interesting
correlations. An example of the power of analyzing large
datasets is the Vioxx-case
(rofecoxib). Although a clinical trial initially showed no
increased risk of adverse
cardiovascular events for the first 18 months of Vioxx use, a
joint analysis of the US

FDA and Kaiser Permanente’s Healthconnect database of more
than 2 million person-
years of follow-up, the NSAID arthritis and pain drug was
found shown to have an
increased risk for heart attacks and sudden cardiac death. [20]
After the findings were
confirmed in a large meta-analysis, Merck decided to withdraw
the drug from the
market worldwide in 2004.
With the proliferation of these emerging data sources and
databases, the nursing
informatics specialist will play a key role in the use of these
data to inform quality and
safety improvements in every practice setting.
3.3 Sharing knowledge and communication
In the realm of the new normal of connected health, nurses will
work in temporary
teams around patients. Within these teams it will be essential
that goals are clear and
shared, that roles are defined and accepted and that the way of
working is clear to
everyone. It requires systems for coordination and
communication to ensure the

continuity of care. Reid et al. [21] defined continuity of care as:
"how one patient
experiences care over time as coherent and linked; this is the
result of good
information flow, good interpersonal skills, and good
coordination of care". They
make a distinction between information continuity, relational
continuity and
management continuity. Information continuity consists on one
hand in the exchange
and transfer of information among health care providers and to
patients and on the
other hand how the knowledge of the patient is accumulated. It
is about their specific
knowledge, preferences, expectations, social network. With the
existence of the new
technology of the quantified self, it is important that these new
data are effectively
integrated and connected. Relational continuity consists of the
trusted relationship
between patient and healthcare provider. Increasingly advanced
practice nurses are
assuming this pivotal role within the health team. Management
continuity is referring

to a consistent and coherent approach to the health problem
across organizations and
Specialist 217
boundaries. The Belgian healthcare system offers an interesting
example of this:
General Practitioners are stimulated (financially) to prescribe
generic drugs. Hospitals
are stimulated to negotiate discounts with pharmaceutical
companies leading to brand
named drug choices. Although they might chemically be
identical, for the patient they
often are not as they have different names. Like drugs may be
different in size and
color leading to more medication errors as patients may take
two pills without being
aware that they are the same drug.
Although nurses spend a lot of time documenting care, the
accuracy of nursing
documentation has been found to be poor. In a study within 10
Dutch hospitals, Paans
et al. [22] found that within 341 patient records the accuracy of
documentation of

diagnoses was poor or moderate in 76% of the records. The
accuracy of the
intervention documentation was poor or moderate in 95% of the
patient records. Only
the accuracy for admission, progress notes and outcomes
evaluation and the legibility
were acceptable. The work of Connected Health should support
the documentation
systems of nurses and other health professionals. The use of
structured documentation
methodologies and standardized terminologies should improve
the quality of the
patient record and improve the capacity for comparability of
care processes and
outcomes across the care continuum and within patient care
groups.
3.4 Impact of connected health on the Scope of Practice of
Nurses and Advanced
Practice Nurses (APN)
In Connected Health, the scope of practice of nurses will
change. For example, based
on time and motion studies, it has been shown that nurses spend
5-7% of their time [23,

24] collecting vital sign data. In the future this work will be
assimilated by sensors and
other devices. However, nurses’ work will be more focused on
analyzing the data and
evaluating thresholds for action (e.g., alerting rapid response
teams). Another example
is the use of sensors for pressure ulcer monitoring [25]. The
used sensors will provide
information about patient temperature, skin humidity, pressure
points and position.
These data will generate a whole new set of information for
review and action
including pressure intensity map and humidity intensity maps.
These data would lead to
more precise management of pressure sores. Other examples of
data gathering that will
change the focus and processes of nurses’ work include:
barcode scanning for checking
identity of patients, patient and device tracking systems, and
robotic dispensing of
medication.
Patient access to their own records and partnering in their own
health will change
the roles of physicians, nurses and hospitals drastically. The

work of nurses will
increasingly shift from a direct care provision to the role of
knowledge broker in
helping patients to understand care alternatives, manage their
health, and navigate
information access.
4. Impact of connected health on the evolving role of the
Nursing Informatics
Specialist
Connected health will alter the future role of the nursing
informatics specialist and
require a new set of competencies. To a large extent these
competencies will build
upon existing competencies but have an increasing emphasis on
information use rather
than technology use. Table 1 provides a summary of the
anticipated new competencies
Specialist218
and role responsibilities that are likely to be necessary for
Nursing Informatics
Specialists in the emerging world of connected health and the

IoT.
Table 1. New competencies related to the future role of nursing
New Competencies New Roles
Knowledge Innovation and
Generation
• Provide guidance and support to others (nurses, patients) in
the
application and use of emerging knowledge (e.g., clinical
decision
support, Practice-Based Evidence (PBE), genomics, expert and
patient/citizen knowledge)
• Inform-teach others (clinicians, teams, patients) about new
knowledge and knowledge innovations relevant to specific
situations
• Provide direction and support to others in the use of
international
guidelines and knowledge
• Contribute internationally to new knowledge generation and
innovations ensuring the inclusion of relevant team member and

patient perspectives and expertise
Monitoring the use of new
technology
• Monitor and maintain vigilance over data/technologies to
identify
those that add value to a given health situation.
• Recognize that nurses, other clinicians and patients may
engage and
assume responsibility independently and or interdependently for
specific data (e.g., remote monitoring, self-monitoring,
wearables,
appliances).
• Recognize the emergence of patient self-service and relevance
of
patient expertise in specific situations.
Value judgement & quality
assessment
• Provide guidance as to the value and relevance of specific data
and
information as derived from single or multiple sources for any
given

set of circumstances, or health situations.
Change Management • Identify the broader scope and
considerations for change
management in the context of connected health (e.g., virtual and
physical participants/partners)
• Recognize the extended complexities of technology adoption
in the
context of connected health.
Communication &
Documentation
With increasingly complex and personalized approaches to
health care,
participate in the identification and/or development of new:
• models of clinical documentation
• methods of communication
• data standards
• terminology standards
• data sources
• data models

• data repositories
Data Analytics In addition to traditional quantitative and
qualitative analyses, support
and participate in the development and use of new approaches
and
methods of data analytics for:
• knowledge generation (e.g., natural language processing,
experiential data)
• reporting outcomes
• demonstrations of value (e.g., patient-caregiver perspectives,
health
and financial outcomes)
• predictive and retrospective analyses
Specialist 219
5. Conclusion
The future Nursing Informatics Specialist will function in the
context of virtual care
delivery, be informed by data aggregated from a multiplicity of
sources and real-time

knowledge generation that will inform individualized care. In
addition to the
competencies required to date, they will be required to support
other clinicians and
patients and families as they assume new roles and use data
analytics to interpret and
appropriately apply new knowledge. With the IoT, connected
care will pose as yet
unknown challenges for the Nursing Informatics Specialist in
the future; what is certain
is that the role will continue to evolve from the role scope and
responsibilities known
today.
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365(9458):475-81.
[21] Reid R., Haggerty J., McKendry R. (2002). Defusing the
Confusion: Concepts and Measures of
Continuity of Healthcare. Canadian Health Services Research
Foundation.
[22] Paans W, Sermeus W, Nieweg RM, van der Schans CP.
(2010) Prevalence of accurate nursing
documentation in patient records. J Adv Nurs. Aug 23, p. 1365-
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[23] Mendonck K., Meulemans H., Defourny J. (2000), Tijd
voor zorg: een analyse van de zorgverlening in
de gezondheids- en welzijnssector, VUB Press, 126pp.
[24] Hendrich A, Chow MP, Skierczynski BA, Lu Z. (2008). A
36-hospital time and motion study: how do
medical-surgical nurses spend their time? Perm J. 12(3):25-34.

[25] Marchione FG, et al., (2015). Approaches that use
software to support the prevention of pressure ulcer:
A systematic review. Int J Med Inform, 84(10):725-36.
Specialist 221
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This week, we have examined state building across the world,
ranging across Asia, Africa, the Americas, and Europe, along
with the interconnections across and between these societies.
These multiple examples allow us to consider the strategies

powerful states used to create, expand, and defend their rule.
For this discussion, you will compare and contrast the societies
you have chosen to explain how they sought to gain, expand, or
maintain their power.
First, select two societies from among those found in this
week’s textbook readings.
Next, select two of the following categories:
· Political organization
· Social organization
· Gender roles or expectations
· Religious or ethical principles
· Economic policies
· Trade
· Diplomacy / Alliances
· Warfare (either to attack or defend from attack)
· Technological advances
How did the societies you have chosen use the strategies you
have selected to create, expand, or maintain their power?
Remember to use the organizational principles from your Week
3 Assignment to develop your initial post of at least 300 words.
Supply specific examples drawn from course materials, sources
produced by your own research, or sources included in the
collaborative annotated bibliography to support your position.
Cite and format all sources according to APA style guidelines
as outlined in the Writing Center, using both in-text citations

and providing full references at the bottom of your post
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Healthcare Informatics.
Sweeney, Julianne
Online Journal of Nursing Informatics (ONLINE J NURS
INFORM),
Winter2017; 21(1): 4-1. (1p)
Article
English

Nursing Informatics -- Trends
Diffusion of Innovation
Health Informatics -- Trends
American Recovery and Reinvestment Act; Meaningful Use;
Health
Policy; Policy Making
Healthcare Informatics is defined as "the integration of health-
care
sciences, computer science, information science, and cognitive
science
to assist in the management of healthcare information" (Saba &
McCormick, 2015, p. 232). Nursing Informatics is a subset of
informatics, specific to the field and the role of the nurse in the
healthcare setting. The American Nurses Association (ANA)
identified
nursing informatics as "a specialty that integrates nursing,
science,
computer science, and information science to manage and
communicate data, information, and knowledge in nursing
practice"
(ANA, 2001, p.17). Healthcare and nursing informatics are both
vastly
growing fields within the medical field and are continuously

incorporating
new and evolving technology. Both have been around for the
past three
decades, at least. The technology boom at the turn of the
century has
helped informatics and information systems further evolve.
Enhanced
delivery of care, improved health outcomes, and advanced
patient
education are just a few aspects that have improved. With any
new
technology or innovation there are implications, some
foreseeable and
some that come to light after the unveiling of the new process
or
product: some impacts that are most notable are clinical,
managerial,
and policy implications. This paper explores the implications,
(both
constructive and adverse), that are the most notable in today's
healthcare world within the healthcare and nursing informatics
fields.
Computer/Information Science; Core Nursing; Nursing; Peer
Reviewed;

USA
1089-9758
NLM UID: 9806523
20180412
20201019
128848047
CINAHL Plus with Full Text
com.ezp.waldenulibrary.org/eds/delivery?sid=bb 2a9991-9a23-
45b7-8c20-
Healthcare Informatics

care sciences, computer science, information
science, and cognitive science to assist in the management of
healthcare information" (Saba & McCormick,
2015, p. 232). Nursing Informatics is a subset of informatics,
specific to the field and the role of the nurse in the
healthcare setting. The American Nurses Association (ANA)
identified nursing informatics as "a specialty that
integrates nursing, science, computer science, and information
science to manage and communicate data,
information, and knowledge in nursing practice" (ANA, 2001,
p.17). Healthcare and nursing informatics are
both vastly growing fields within the medical field and are
continuously incorporating new and evolving
technology. Both have been around for the past three decades,
at least. The technology boom at the turn of
the century has helped informatics and information systems
further evolve. Enhanced delivery of care,
improved health outcomes, and advanced patient education are
just a few aspects that have improved. With
any new technology or innovation there are implications, some
foreseeable and some that come to light after
the unveiling of the new process or product: some impacts that
are most notable are clinical, managerial, and
policy implications. This paper explores the implications, (both

constructive and adverse), that are the most
notable in today's healthcare world within the healthcare and
nursing informatics fields.
Citation
Sweeney, J. (Feb, 2017). Healthcare Informatics. Online Journal
of Nursing Informatics (OJNI), 21( 1),
Available at http://www.himss.org/ojni
Introduction
care sciences, computer science, information
science, and cognitive science to assist in the management of
healthcare information" (Saba & McCormick,
2015, Pg. 232). Nursing Informatics is a subset of informatics,
specific to the field and the roll of the nurse in
the healthcare setting. The American Nurses Association (ANA)
identified nursing informatics as "a specialty
that integrates nursing, science, computer science, and
information science to manage and communicate data,
information, and knowledge in nursing practice" (ANA, 2001,
Pg.17). Healthcare and nursing informatics are
both vastly growing fields within the medical field and are
continuously incorporating new and evolving
technology. Both have been around for the past three decades,

at least. The technology boom at the turn of
the century has helped informatics and information systems
further evolve. Enhanced delivery of care,
improved health outcomes, and advanced patient education are
just a few aspects that have improved. With
any new technology or innovation there are implications, some
foreseeable and some that come to light after
the unveiling of the new process or product. Some impacts that
are most notable are clinical, managerial, and
policy implications. This paper will explore the implications,
both constructive and adverse, most notable in
today's healthcare world within the healthcare informatics and
nursing informatics fields.
Clinical Implications
The use of informatics is seen in a multitude of processes within
the clinical setting. Whether inpatient or
outpatient, clinicians and patients utilize online portal systems,
electronic medical records, data collection
devices such as vital sign machines and glucometers, as well as
personal data devices and email, to name a
few. When considering these systems and how they effect the
process and flow of the clinical setting, it is
important to not only consider the technology at hand but also
the workflow and the data collection process.

Norris, Hinrichs, & Brown, tell us "gaps are present between the
technology and the process. Informatics can
help bridge that gap. Skills needed include understanding of
data collection, storage, and extraction, in addition
to an appreciation for the power of data to drive and inform
practice" (2015, p. 11-12). Healthcare
informaticists, especially nursing informaticists, are the prime
group to help bridge that gap. Without a strong
http://www.himss.org/ojni
45b7-8c20-
clinician presence in the building and implementation process,
gaps will remain. With healthcare informaticists
involved in the development, a strong product can be delivered
that is usable to all members of the healthcare
team.

President Obama signed the American Recovery and
Reinvestment Act (ARRA) into law in 2009. This law
includes the Health Information and Technology for Economic
Clinical Health Act (HITECH). HITECH
formulated the Meaningful Use (MU) program under the Centers
for Medicare and Medicaid Services (CMS).
Meaningful Use incentivizes providers to use their Electronic
Health Records (EHR) by financially rewarding
them when demonstrating their use, but also poses a threat by
penalizing them if not used in the future (Norris,
Hinrichs, & Brown, 2015). These Acts greatly impact both
nursing and the healthcare field clinically. Providers
who do not typically use an EHR are now finding themselves in
a learning curve while still maintaining their
patient caseload, and providing comprehensive care. However
this vast amount of data collection across a
multitude of healthcare settings has provided opportunity in
enhancements of care. While the initial roll out of
these initiatives may cause chaos, the benefits of these
initiatives will allow clinicians to provide
comprehensive, safe, evidence-based care to all of their
patients. Health care staff will be able to quickly and
safely access pertinent information on their patients throughout
the health institution and beyond.

In addition to enhancements in care and improved evidence-
based practice, the increased amount of data
collected by EHRs and other data systems has created a massive
amount of data that hospitals and health
care organizations now have to manage and analyze. "This has
led to increased demand for professionals who
are well versed in both informatics and medicine. To meet this
demand, the American Medical Informatics
Association spearheaded the establishment of professional-level
education and certification for physicians in
informatics" (Simpao, Ahumada, Galvez, & Rehman, 2014, p.
45). We are now seeing a new influx of
healthcare professionals entering this sub-specialty. The needs
for these professionals to collect, interpret, and
study the data and the operation of information systems is
crucial to the success and usability of these
systems. Lehman, Shorte, & Gundlapalli (2013) stated that "it is
reasonable to predict that the number of
leadership positions in clinical informatics with titles and roles
such as chief medical informatics officer, chief
health informatics officer, directors of clinical informatics, and
lead of EHR implementation, etc., will increase in
the near future" (p. 528).
Managerial Implications

The use of healthcare informatics is not only prevalent in the
clinical setting but also in the managerial setting.
In our society, communication comes in a multitude of
applications: verbal, physical, and now electronic. We
often find that individuals can contact us by using various
applications such as telephone, fax, pager, instant
messenger, email, and so on. It is crucial for those in
managerial positions to utilize these information systems
to aid their work and the work of their staff while being mindful
to set limits and standards. Time management is
a prevalent issue in the healthcare setting, thus the use of
informatics to aid and organize and not create
barriers is essential. However, these expansive communication
tools can create stress and feelings of intake
overload. Marquis & Huston (2013) suggested "to reduce
interruptions and distractions, individuals should shut
off their email, isolate themselves, and make sure the
environment around them is working to strengthen their
willpower and focus" (p. 189). Healthcare professionals need to
ensure that they are utilizing informatics to aid
their work and time management, not impeding them. Marquis
& Huston (2013) go on to note that "creating a
workspace that has a desk with enough clear space to do your
work, good lighting, and a comfortable chair" is
crucial (p.190).

Information systems in the managerial role often consist of
interpreting information and modifying data to be
utilized in decision-making processes. Managerial programs
facilitate payroll functions, streamline material
45b7-8c20-
control, and assist with financial and administrative factors of
their role (Pacheco de Souza, Santiago & Izu,
2015, p.7284). As seen in clinical implications, Meaningful Use
also plays a role in the role of the manager. It is
important for "nurse managers to utilize information from the
EHR to show Meaningful Use and are important
to the process of determining how information is organized and
categorized within the EHR" (Biddle &
Milstead, 2016, p.12). Without nurse manager and other
administrator identification of how to best capture and

report Meaningful Use information, the healthcare organization
may not be compliant with this aspect of the
HITECH Act.
The continuously growing field of informatics is of great
benefit to healthcare managers at all levels. Using this
growing technology can greatly benefit their role and improve
the function of their staff. Pacheco de Souza,
Santiago, & Izu (2015) go on to acknowledge that this
advancing technology "should be utilized as a
management tool, giving power and autonomy to nurse
managers in more efficient use of available
technological resources" (p.7285). One example of this is where
a unit may identify incomplete documentation
on a given point of care. The nurse manager can then construct
a work group of colleagues who are involved
in the process including an IT specialist. Once this group
identifies the issues and improved processes, they
can present their recommendations to administration, ultimately
improving documentation in the EHR (Biddle &
Milstead, 2016). Thus, healthcare information systems can
improve communication, time-management, and
delivery of information amongst staff and patients.
Policy Implications

As previously noted in clinical implications and managerial
implications, the amount of data that is now
available from EHRs and other forms of information systems, is
larger than healthcare providers have ever
dealt with. Policy makers are now able to utilize this data to
inform their decision-making about public-health
issues. It is crucial now, more than ever, that epublic health
staff are available at various levels of the health
system to develop skills and knowledge to better utilize existing
datasets. Adair (2012) identified guidelines to
help public health officials understand, interpret, and best
utilize this influx of information. "These guidelines
were developed to assist public health officials assess the
quality of existing health data, and effectively utilize
such data to compute indicators to inform health sector policy-
making" (p. 53). If policymakers are not able to
thoroughly understand data derived from the utilization of
electronic health records, patient portals, and other
data sources, then people cannot expect them to make sound
judgments when voting on new laws.
In this age of technology it is important that healthcare
providers, managers, and informaticists are mindful of
adhering to HIPAA regulations to ensure that growing
technology is incorporated in current policies. With the

use of EHRs and mobile health applications there is an
increased "liability for healthcare organizations if there
is a breach in patient confidentiality or privacy, which is why
organizations must have policies in place that
guide the use of telehealth and communication" (Biddle &
Milstead, 2016). Ensuring proper policy is in place
and that changes are made as needed when new technology is
introduced is crucial.
McGowan, Cusack, and Bloomrosen (2012) wrote, "since 2006,
the American Medical Informatics Association
(AMIA) has convened an annual investigational Health Policy
meeting to examine Cutting edge issues in
healthcare and health-information technology (health IT)
policy" (p. 460). These meetings will identify and
discuss potential issues with health IT and informatics as well
as develop a plan and report to present to our
nation's policymakers so they are well informed when making
and voting for pertinent policies and laws
(McGowan, Cusack, & Bloomrosen, 2012). It is important that
health professionals, information technology
developers, and policymakers are able to communicate and work
together in the interest of delivering the most
efficient and safest patient care.

45b7-8c20-
Meaningful Use is one example of health policy and health
informatics working together. The initiative behind
Meaningful Use was to encourage the use of Electronic Health
Records in all health systems nationwide.
However with this initiative, some providers may find
themselves not being truthful in their documentation in
order to meet the incentives set by the HITECH legislation.
McGowan, Cusack, and Bloomrosen (2012),
identified that "with the mandate for meaningful use of health
IT by providers, there is ample opportunity for
inappropriate and even fraudulent or illegal activities, ranging
from lack of oversight to deliberate
misrepresentation" (p. 461). Although dishonorable, some
providers may lie to ensure their practice is able to
receive the best monetary incentive by adhering to Meaningful
Use measures and may alter their

documentation to fit the criteria.
McGowan, Cusack, and Bloomrosen (2012) also identified
policy concerns with health IT and informatics when
discussing federal and state roles. Often federal and state
regulations and health IT initiatives lack
coordination. "Without explicit guidelines, proprietary state
systems may be created, with many not being able
to connect to the national health information infrastructure and
some not acknowledging the healthcare
systems that cross state lines" (McGowan, Cusack, and
Bloomrosen, 2012, p.462). It is crucial that not only
health professionals and government coordinate their objectives
and policy, but also governing officials of the
state and federal government. Conflicting or uncoordinated
health initiatives may lead to patient and public
mistrust as well as financial complications with both the
government and health organizations.
Summary
Health informatics and Nursing Informatics are very relevant in
evolving health systems. New technology and
initiatives are constantly being developed. These new
innovations do not go without implications in the clinical
setting, managerial setting, and the policy setting. It i s crucial

that all participants whether it is the nurse,
manager, provider, politician, lobbyist, or President of the
United States remain coordinated. Multidisciplinary
unity is crucial to ensure public trust in our health systems and
to provide safe and effective patient care.
References
Adair, T. (2012). Building the evidence base for health policy:
guidelines for understanding and utilizing basic
health information. Pacific Health Dialog, 18(1), 53-62
American Nurses Association. (2001). Scope and Standards of
Nursing Informatics Practice. Washington, DC:
American Nurses Publishing.
Biddle, S. & Milstead, J. (2016). Nursing informatics. The
intersection of policy and informatics. Nursing
Management, 47(2), 12-13 2p.
doi:10.1097/01.NUMA.0000479453.73651.89
Lehmann, C. U., Shorte, V. & Gundlapalli, A. V. (2013).
Clinical informatics sub-specialty board certification.
Pediatrics In Review, 34(11), 525-530. doi:10.1542/pir.34-11-
525

Marquis, B. L. & Huston, C. J. (2012). Leadership roles and
management functions in nursing: Theory and
application (7th ed.). Philadelphia: Wolters Kluwer
Health/Lippincott Williams & Wilkins.
McGowan, J. J., Cusack, C. M. & Bloomrosen, M. (2012). The
future of health IT innovation and informatics: a
report from AMIA's 2010 policy meeting. Journal Of The
American Medical Informatics Association: JAMIA,
19(3), 460-467. doi:10.1136/amiajnl-2011-000522
Norris, B. J., Hinrichs, D. J., & Brown, D. A. (2015).
Meaningful Use Clinical Quality Measures and Beyond:
Meeting the Challenges of eMeasurement. Nursing Informatics
Today, 30(1), 8-12 5p
45b7-8c20-

Pacheco de Souza, R., Santiago, L. C., & Izu, M. (2015). Use of
an electronic information system in
professional practice nurse management. Journal Of Nursing
UFPE / Revista De Enfermagem UFPE, 9(4),
7281-7288 8p. doi:10.5205/reuol.7275-62744-1-SM.0904201513
Saba, V. K. & McCormick, K. A. (2015). Essentials of nursing
informatics (6th ed.). New York: McGraw-Hill.
Simpao, A., Ahumada, L. & Gálvez, J., & Rehman, M. (2014).
A Review of Analytics and Clinical Informatics in
Health Care. Journal Of Medical Systems, 38(4), 1-7 7p.
doi:10.1007/s10916-014-0045-x
~~~~~~~~
By Julianne Sweeney, BSN, RN
My name is Julianne Sweeney and I am a baccalaureate
prepared registered nurse who is currently enrolled in
the MSN program at Regis College: Masters of Nursing
Leadership and Informatics, located in Weston
Massachusetts. I currently work in the RN capacity at the
Department of Veteran Affairs in Jamaica Plain,
Massachusetts. At the VA I work in the primary care department
and am involved in a number of committees

and organizations that have a main focus on nursing and
healthcare informatics. 15 Virgil Rd. West Roxbury,
MA 02132 Phone: 508-397-5454 [email protected]
This article is copyrighted. All rights reserved.
Source: Online Journal of Nursing Informatics
HEALTH INFORMATICS 2
Discussion Week 1
Within the contemporary mental healthcare sector within the
psychiatric unit in hospitals, professionals have realized the
importance of availability a wide range of information in
regards to patients so as to identify the best approach to
treatment. This notion explains the main reason behind the
increased changing roles for nursing information specialists
whereby healthcare centers seek to improve the quality of care
while at the same time reducing the rising healthcare
expenditures and increased risk of chronic disease incidences
during healthcare (Nagle et al., 2017 p.215).
Some of the important data within the evidence based patient
care practice involves the patient background, family history,
and the patient’s mental health history which is normally
conducted using tools like the Mental status Examination during
diagnosis (Forrest & Blenenfeld, 2020). The data could be used
to provide personalized or individualized treatment plan since

mental problems are usually described as unique to every
patient within the psychiatry health sector. This information
could be collected via electronically recorded interviews with
the patients as well as simple questionnaires that could be sent
to the respective family members for filling. However,
accessibility to this information requires an integrative
information system of recording and reporting crucial
information related to the patient.
Some of the important information that could be derived from
the data involves the origin of the patient’s mental problems
such as delinquent behavior whereby a history of family
violence could help establish the main reason behind the
morally backward behaviors. This notion also provides a
platform for development of a treatment plan, for example,
whereby a nurse leader could use the information to determine
the most prevalent reason behind the mental problems being
exhibited by a variety of patients. The statistical analysis of the
data could help back the clinical reasoning by nursing leaders
about the best mode of treatment for mental health patients
exhibiting the same problems such as juvenile delinquents. It is
worth noting that the work of healthcare professionals involves
making sure that the informatics are effectively used to
facilitate effective time management and not slow the treatment
process hence faster identification of the patient needs, as well
as the most effective framework to use during treatment aligns

with the main purpose of incorporating informatics into the
healthcare system (Sweeney & Julianne, 2017 p.3).
References
Forrest, J. S., Shortridge, A. B., Talavera, F., & Bienenfeld, D.
(2020). History and mental status examination: Overview,
patient history, mental status examination. Medscape.
https://emedicine.medscape.com/article/293402-overview
Nagle, Sermeus, W., Junger, A., & Bloomberg. (2017).
Evolving Role of the Nursing Informatics Specialist.
Forecasting Informatics Competencies for Nurses in the Future
of Connected Health, 212-221. https://doi.org/10.3233/978-1-
61499-738-2-212
Sweeney, J. (Feb, 2017). Healthcare Informatics. Online Journal
of Nursing Informatics (OJNI), 21( 1), Available at
http://www.himss.org/ojni
Feedback
Karen Robson WALDEN INSTRUCTORMANAGER
RE: Discussion - Week 1
Top of Form
Hi Ariel, thank you for your initial post including the
information describing the role of data and clinical reasoning.

Technology may support clinical reasoning among healthcare
professionals, including nurse leaders. Chon et al. (2019)
describes the use of technology, specifically gaming, to support
sound clinical reasoning and decision making in healthcare
education. Chon et al. (2019) reminds the reader educational,
serious games support simulation of clinical workflows and
provide an opportunity for one to acquire knowledge. The
gaming experience described by Chon et al. (2019) included a
simulation exercise in an emergency department setting and
evaluated knowledge before and after participation in the
gaming experience. Overall, the study had a significant impact
on knowledge retention and the overall impression among the
medical students (who volunteered to participate) was
positive. Chon et al. (2019) concluded serious gaming is an
effective learning strategy in addition to formal teaching to gain
knowledge.
Does anyone have any thoughts regarding this? Do you think
innovative technology (such as gaming) supports clinical
reasoning in healthcare?
Chon, S. H., Timmermann, F., Dratsch, T., Schuelper, N., Plum,
P., Berlth, F., ... & Kleinert, R. (2019). Serious games in
surgical medical education: a virtual emergency department as a
tool for teaching clinical reasoning to medical students. Journal
of Medical Internet Research Serious Games, 7(1), e13028.

ARIEL CORDOVA Lopez
Top of Form
Dr. Robson,
I believe technology has an effective method of providing a safe
and risk free environment to support the development of skills
and knowledge of nurses and physicians mainly because the
simulation provides a real—time depiction of the events that
happens within the Emergency room, or example. Thus, I think
that the fact that a person can redo their mistakes helps develop
their skills by identifying errors and subsequently learning how
to handle them. This notion also supports clinical reasoning
mainly because the best practices can be identified from the
simulation. An example of this involves a simulation of the
theater whereby the best strategies for coordinating the
activities to save on time can be identified from the simulation.
Karen Robson WALDEN INSTRUCTORMANAGER
Top of Form
Hi Ariel. Thanks so much for your insight and continued

discussion. Simulation is an effective learning strategy,
especially if an experienced facilitator guides the simulation
experience. Pre/post test scores evaluating knowledge retention
is one form of data collection and analysis that can be used to
improve teaching strategies.
Thanks again for your discussion.
Dr. Robson
Bottom of Form
Deadline – Friday 3/12/2021
Assignment: The Nurse Leader as Knowledge Worker
The term “knowledge worker” was first coined by management
consultant and author Peter Drucker in his book, The Landmarks
of Tomorrow (1959). Drucker defined knowledge workers as
high-level workers who apply theoretical and analytical
knowledge, acquired through formal training, to develop
products and services. Does this sound familiar?
Nurses are very much knowledge workers. What has changed
since Drucker’s time are the ways that knowledge can be
acquired. The volume of data that can now be generated and the
tools used to access this data have evolved significantly in
recent years and helped healthcare professionals (among many

others) to assume the role of knowledge worker in new and
powerful ways.
Reference: Drucker, P. (1959). The landmarks of tomorrow.
New York, NY: HarperCollins Publishers.
To Prepare:
· Review the concepts of informatics as presented in the
Resources. (Attached articles)
References
Sweeney, J. (2017). Healthcare Informatics. Online Journal
of Nursing Informatics, 21(1), 4–1.
References
NAGLE, L. M., SERMEUS, W., & JUNGER, A. (2017).
Evolving Role of the Nursing Informatics Specialist...NI 2016,
Switzerland. Studies in Health Technology & Informatics, 232,
212–221. https://doi-org.ezp.waldenulibrary.org/10.3233/978-1-
61499-738-2-212
· Reflect on the role of a nurse leader as a knowledge worker.
· Consider how knowledge may be informed by data that is
collected/accessed.
The Assignment:
In this Assignment, you will consider the evolving role of the

nurse leader and how this evolution has led nurse leaders to
assume the role of knowledge worker:
· You will prepare a PowerPoint presentation with an
infographic (graphic that visually represents information, data,
or knowledge. Infographics are intended to present information
quickly and clearly.) to educate others on the role of nurse as
knowledge worker.
1. Explain the concept of a knowledge worker.
2. Define and explain nursing informatics and highlight the role
of a nurse leader as a knowledge worker.
3. Include one slide that visually represents the role of a nurse
leader as knowledge worker.
4. Your PowerPoint should Include (please see attached
document) the hypothetical scenario you originally shared in the
Discussion Forum. Include your examination of the data that
you could use, how the data might be accessed/collected, and
what knowledge might be derived from that data. Be sure to
incorporate feedback received from your colleagues’ responses.
** AT least 3 references**
** APA 7 Guidelines**
Deadline
–

Friday 3/12/2021
consultant and author
Peter Drucker in his book,
The Landmarks of Tomorrow
(1959)
. Drucker defined
knowledge workers as high
-
level workers who apply theoretical and analytical
products and services. Does
this sound familiar?
since Drucker’s time are

the ways that knowledge can be acquired. The volume of data
that can now be
generated and the tools used to access this data have evolved
significantly in recent
years and helped healthcare professionals (among many others)
to ass
ume the role of
knowledge worker in new and powerful ways.
Reference: Drucker, P. (1959).
The landmarks of tomorrow. New York, NY: HarperCollins
Publishers.
To Prepare:
·
Review the concepts of informatics as presented in the
Resources.
(Attached articles)
References

Sweeney, J. (2017). Healthcare Informatics.
Online
Journal
of
Nursing
Informatics
,
21
(1), 4
–
1.
References
Evolving Role of the

Nursing Informatics
Specialist...NI 2016, Switzerland.
Studies
in
Health
Technology
&
Informatics
,
232
, 212
–
221. https://doi
-
org.ezp.waldenulibrary.org/10.3233/978
-
1
-

61499
-
738
-
2
-
212
·
Reflect on the role of a nurse leader as a knowledge worker.
·
Consider how knowledge may be informed by data that is
collected/accessed.
The Assignment:
nurse leader and how this
evolution has led nurse leaders to assume the role of knowledge
worker

:
·
Y
ou will prepare a
PowerPoint presentation with an infographic
(graphic that visually
represents information, data, or knowledge. Infographics are
intended to present
information quickly and clearly.) to
educate others on the role of nurse as knowledge
worker.
1.
Explain the concept of a knowledge worker.
2.
Define and explain nursing informatics and highlight the role of

a nurse
leader as a knowledge worker.
3.
Include one slide that
visually
represents
the role of a nurse leader as
knowledge worker.
Deadline – Friday 3/12/2021
consultant and author
Peter Drucker in his book, The Landmarks of Tomorrow (1959).
Drucker defined
knowledge workers as high-level workers who apply theoretical
and analytical
products and services. Does

this sound familiar?
since Drucker’s time are
the ways that knowledge can be acquired. The volume of data
that can now be
generated and the tools used to access this data have evolved
significantly in recent
years and helped healthcare professionals (among many others)
to assume the role of
knowledge worker in new and powerful ways.
Reference: Drucker, P. (1959). The landmarks of tomorrow.
New York, NY: HarperCollins
Publishers.
To Prepare:
Resources. (Attached articles)
References
Sweeney, J. (2017). Healthcare Informatics. Online Journal
of Nursing Informatics, 21(1), 4–1.
References
Evolving Role of the
Nursing Informatics Specialist...NI 2016, Switzerland. Studies

in Health
Technology & Informatics, 232, 212–221. https://doi-
org.ezp.waldenulibrary.org/10.3233/978-1-61499-738-2-212
collected/accessed.
The Assignment:
nurse leader and how this
evolution has led nurse leaders to assume the role of knowledge
worker:
infographic (graphic that visually
represents information, data, or knowledge. Infographics are
intended to present
information quickly and clearly.) to educate others on the role
of nurse as knowledge
worker.
1. Explain the concept of a knowledge worker.
2. Define and explain nursing informatics and highlight the role
of a nurse
leader as a knowledge worker.

3. Include one slide that visually represents the role of a nurse
leader as
knowledge worker.

Evolving Role of the Nursing Informatics Specialist Ly

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