How Technology and
Informatics Has Influenced
Nursing Practice
Madeline Gervase RN,MSN,CCRN,FNP
Advanced Practice Nurse
Objectives:
• Identify the role of informatics in nursing.
• Identify the current uses of technology and how
technology wi...
Informatics
• The science of
information
Skills nurses need related to
informatics & technology
• Use information & communication technology
to document & evaluate...
Nursing Skills:
• Adapt the use of technologies to meet patient
needs
• Teach patients about health care technologies
• Pr...
International Medical Informatics
Association
• Forty-one
recommendations for using
informatics in health care
delivery
• ...
IMIA
www.imia.org
• Two specialized areas for development:
• Informatics and healthcare delivery
• Specialists design soft...
IMIA Nursing Evaluation
Novice Nurse Competency:
• Novice nurse: use of administrative
application, telecommunication devi...
Seasoned Nurse Competency:
• Experienced nurse: same as the beginner
with the addition of ability to use
diagnostic coding...
IMIA Competencies for the
Nursing Informatics Specialist
• Graduate education
• Able to integrate established technologies...
IMIA Competencies for the
Nursing Informatics Innovator
• Doctorate Degree
• Designs and develops new technological
system...
Components of an Integrated
Delivery System (IMIA, 1999)
• Hyperlinks to the latest information for client
care
• Nursing ...
Informatics & Technology in
Client Care
• Handheld monitors
• (e.g., pulse oximetry & peripheral blood
glucose monitors)
•...
Technology & Informatics in
Client Care :
• Computerized clinical decision-making
programs
• Nurse personal digital assist...
Informatics & Technology in
Record Keeping
• Financial reimbursement applications for
services rendered
• Nursing document...
Informatics & Technology in
Communication
• Wireless telephone systems
• Wireless paging systems
• Alphanumeric paging sys...
Components of a Health
Information System Currently
Used by Health Care Institutions
Current uses of Informatics
Applications in Healthcare:
• Admission, discharge, & transfer
• Patient Access Record
• Finan...
Informatics Applications in
Healthcare:
• Scheduling
• Pharmacy preparation
• Acuity criteria
• Specialty practice
• Decis...
The Nursing Informatics
Specialist Responsibilities
• Create systems to maximize the efficiency
of information use & compu...
Education for the Nursing
Informatics Specialist
• Thorough understanding of clinical
practice
• Detailed computer experti...
Role of the Nursing Informatics
Specialist in Technological & Health
Care Development
• Contribute specialized nursing kno...
Technological Influences to
Health Care
• In the late 1950s & early 1960s,
businesses used computers for financial
record ...
Technology Influences:
• In 1968, Lawrence Weed developed the
Weed Problem Oriented Medical Record
Information System, the...
Technological Changes to
Nursing & Health Care
• LifeView Care Station for virtual house
calls
• Telehealth
• Genetic adva...
Challenges of Managing Health-
Related Informatics & Technology
• Confidentiality of client health
information
• Ethics re...
Our Future:
• Technological advances are
advantageous only if nurses find them
useful & learn how to use them
• Nurses may...
The Future of Healthcare:
• Keeping institutional & personal systems
updated
• Impact of being dependent on electrical
or ...
Computer Networks
• Local area network (LAN)
• Wide area network (WAN)
• Internet Service Provider (ISP)
• Group e-mail or...
Access Information
Requirements:
• Accurate typing skills & knowledge of an
exact website or e-mail address
• Internet ser...
Thank you!
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Informatics

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Informatics

  1. 1. How Technology and Informatics Has Influenced Nursing Practice Madeline Gervase RN,MSN,CCRN,FNP Advanced Practice Nurse
  2. 2. Objectives: • Identify the role of informatics in nursing. • Identify the current uses of technology and how technology will affect clinical practice. • Understand the advantages and disadvantages of using technology. • Demonstrate an understanding to the techniques and tools used to protect client confidentiality in practice.
  3. 3. Informatics • The science of information
  4. 4. Skills nurses need related to informatics & technology • Use information & communication technology to document & evaluate patient care, advance patient education, & enhance the accessibility of care • Use appropriate technology to assess & monitor patients • Work on an interdisciplinary team to make ethical decisions regarding the application of technologies & the acquisition of data
  5. 5. Nursing Skills: • Adapt the use of technologies to meet patient needs • Teach patients about health care technologies • Protect the safety & privacy of patients in relation to the use of health care & information technologies • Use information technologies to enhance one’s own knowledge base
  6. 6. International Medical Informatics Association • Forty-one recommendations for using informatics in health care delivery • Identified 313 competencies for nurses with various levels of education & practice responsibilities
  7. 7. IMIA www.imia.org • Two specialized areas for development: • Informatics and healthcare delivery • Specialists design software & create integrated information systems for health care delivery
  8. 8. IMIA Nursing Evaluation Novice Nurse Competency: • Novice nurse: use of administrative application, telecommunication devices, e-mail, database management program, client care devices, & the Internet while being able to find resources to address ethical decision making related to computing
  9. 9. Seasoned Nurse Competency: • Experienced nurse: same as the beginner with the addition of ability to use diagnostic coding application, evaluate computerized assisted instruction programs, integrate selected resources into client record, & evaluate accuracy of health care information found on the Internet
  10. 10. IMIA Competencies for the Nursing Informatics Specialist • Graduate education • Able to integrate established technologies into clinical practice
  11. 11. IMIA Competencies for the Nursing Informatics Innovator • Doctorate Degree • Designs and develops new technological systems, techniques, & conceptual models for databases • Evaluates safety, effectiveness, cost, & social impacts of technological systems • Researches & develops theoretical foundations for the specialty
  12. 12. Components of an Integrated Delivery System (IMIA, 1999) • Hyperlinks to the latest information for client care • Nursing care planning programs • Specific client teaching materials • On-line clinical practice manuals with evidence- based nursing care protocols • Data collection for best health care practices • Client billing systems • Health care insurance reimbursement programs
  13. 13. Informatics & Technology in Client Care • Handheld monitors • (e.g., pulse oximetry & peripheral blood glucose monitors) • Wireless technology with automatic nurse paging capability when client measurements fall outside of normal parameters
  14. 14. Technology & Informatics in Client Care : • Computerized clinical decision-making programs • Nurse personal digital assistants • Care-planning software programs • Handheld clinical resource information devices • Intravenous pumps for medication delivery
  15. 15. Informatics & Technology in Record Keeping • Financial reimbursement applications for services rendered • Nursing documentation systems: CERNER • Integrated health record systems to denote past medical history & allergies • Electronic health records
  16. 16. Informatics & Technology in Communication • Wireless telephone systems • Wireless paging systems • Alphanumeric paging systems • Handheld computers to record & receive client information • E-mail
  17. 17. Components of a Health Information System Currently Used by Health Care Institutions
  18. 18. Current uses of Informatics Applications in Healthcare: • Admission, discharge, & transfer • Patient Access Record • Financial parameters • Physician order entry • Ancillary department • Documentation
  19. 19. Informatics Applications in Healthcare: • Scheduling • Pharmacy preparation • Acuity criteria • Specialty practice • Decision support • Communication • Critical pathways
  20. 20. The Nursing Informatics Specialist Responsibilities • Create systems to maximize the efficiency of information use & computer technology for clinical practice • Develop software programs to support nurses as they deliver client care • Keep software management updated & educate staff on its use & changes
  21. 21. Education for the Nursing Informatics Specialist • Thorough understanding of clinical practice • Detailed computer expertise • ANA certification in nursing informatics • Graduate nursing education programs in nursing informatics are available
  22. 22. Role of the Nursing Informatics Specialist in Technological & Health Care Development • Contribute specialized nursing knowledge to systems • Develop software programs & computer systems that facilitate nursing care delivery • Field test software programs • Verify that systems (hardware & software) address critical nursing considerations
  23. 23. Technological Influences to Health Care • In the late 1950s & early 1960s, businesses used computers for financial record management • Medicare & Medicaid require data for governmental reimbursement for rendered services
  24. 24. Technology Influences: • In 1968, Lawrence Weed developed the Weed Problem Oriented Medical Record Information System, the first computerized system for client care at the University of Vermont Medical Center
  25. 25. Technological Changes to Nursing & Health Care • LifeView Care Station for virtual house calls • Telehealth • Genetic advances in health promotion, disease prevention, & illness treatment • Stem cell research • On-line educational options
  26. 26. Challenges of Managing Health- Related Informatics & Technology • Confidentiality of client health information • Ethics related to new therapies • Evaluating the quality of information • Information security • Potential health & personal problems from too much technology
  27. 27. Our Future: • Technological advances are advantageous only if nurses find them useful & learn how to use them • Nurses may tend to focus on machinery rather than persons in the future • Information overload
  28. 28. The Future of Healthcare: • Keeping institutional & personal systems updated • Impact of being dependent on electrical or other sources of power to run equipment • Optical technology or other invasive methods to confirm identity
  29. 29. Computer Networks • Local area network (LAN) • Wide area network (WAN) • Internet Service Provider (ISP) • Group e-mail or list servers (Listserv) • Electronic publishing (e-books & on-line journals)
  30. 30. Access Information Requirements: • Accurate typing skills & knowledge of an exact website or e-mail address • Internet server provider • A website is a series of pages posted on the Internet • Website addresses denote the type of server • Professional chat rooms
  31. 31. Thank you!

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