Nursing Informatics

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Nursing Informatics

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Nursing Informatics

  1. 1. Nursing Informatics Dr.T.V.Rao MDTravancore Medical College, Kollam Kerala India Dr.T.V.Rao MD 1
  2. 2. Information technology• Any technology which processes and communicates data, includes: – computers, voice, data and image sensing and communications devices, graphics devices, multi- media storage, etc. – pen, paper, telephones and fax machines Dr.T.V.Rao MD 2
  3. 3. Health (Medical) InformaticsSimplistic definition:• Medical informatics is the application of computers, communications and information technology and systems to all fields of medicine - medical care, medical education and medical research. MF Collen, MEDINFO 80, Tokyo Dr.T.V.Rao MD 3
  4. 4. Nursing Informatics: The Emerging Field• In all types of health care organizations, nursing is the hub of the information flow. Developing the science and technology of nursing informatics will enhance the information available to nurses for clinical practice, management, education, and research and will facilitate the role of nurses as communicators." -Patricia F. Brennan (1996), American Medical Informatics Association Dr.T.V.Rao MD 4
  5. 5. Definitions• 1989—Graves and Corcoran defined Nursing Informatics as – ―Computer science, information science, and nursing science combined to assist in the management and processing of nursing data, information and knowledge to support the practice of nursing and the delivery of nursing care.” Dr.T.V.Rao MD 5
  6. 6. Current Trends• 1996—Turley defined Nursing Informatics as the intersection point with Nursing Science, Computer Science and Information Science.• 1995—Graves et al, began to incorporate knowledge as a product of the sciences into the definition. Dr.T.V.Rao MD 6
  7. 7. Nursing Informatics Defined• Nursing informatics is the integration of nursing, its information, and information management with information processing and communication technology, to support the health of people world wide.• International Medical Informatics Association – Nursing Informatics Special Interest Group (IMIA-NI),adopted August 1998, Seoul, Korea Dr.T.V.Rao MD 7
  8. 8. New Definition - ANA• ―Nursing Informatics is a specialty that integrates nursing science, computer science, and information science to manage and communicate date, information, and knowledge in nursing practice. Nursing informatics facilitates the integration of data, information, and knowledge to support patients, nurses, and other providers in their decision-making in all roles and settings. This support is accomplished through the use of information structures, information processes,and information technology.‖ • Dr.T.V.Rao MD ANA (2001). 8 17
  9. 9. How it all began….• Late 1960’s first computer systems were implemented in hospitals• Computer nurses began to appear in hospitals – Excellent clinicians – Technically curious and willing to try new things Dr.T.V.Rao MD 9
  10. 10. Nursing informatics• Nursing informatics is a combination of computer science, information science, and nursing science, designed to assist in the management and processing of nursing data, information, and knowledge to support nursing practice, education, research, and administration (Graves & Corcoran, 1989). "Information is an essential phenomenon of study for an information-based discipline such as nursing," Dr.T.V.Rao MD 10
  11. 11. Nursing Informatics:• Nursing informatics can be applied to model the human processing of data, information, and knowledge within a computer system in order to automate the processing of nursing data to information and the transformation of nursing information to nursing knowledge. Dr.T.V.Rao MD 11
  12. 12. Who Should Become a Nurse Informaticist?• You do not have to be a computer expert to consider a career as a nurse informaticist. Everyone must start somewhere. If you see the computer as a problem-solving tool instead of an inconvenience, then you are a prime candidate to be a nurse informaticist (Bridges, 2007). Dr.T.V.Rao MD 12
  13. 13. Nurse Informaticist? Works with WEB support • In education, the nurse informaticist works with online, hybrid, and web supported courses. This may include putting courses up on the internet and assisting faculty with determining what should go on the web support sites. MD Dr.T.V.Rao 13
  14. 14. Nursing Informatics:• . "In the current Information Age, the doubling of knowledge every five years and the increased specialization of knowledge make it imperative that nurses have access to the latest scientific information to assist in the delivery of high quality care," (Hudgings, 1992,). Dr.T.V.Rao MD 14
  15. 15. Nursing Informatics:• Health and nursing information science is the study of how health care data is acquired, communicated, stored, and managed, and how it is processed into information and knowledge. This knowledge is useful to nurses in decision- making at the operational, tactical, and strategic planning levels of health care. Dr.T.V.Rao MD 15
  16. 16. Nursing Informatics:• Information systems used in health care include the people, structures, processes, and manual as well as automated tools that collect, store, interpret, transform, and report practice and management information. Dr.T.V.Rao MD 16
  17. 17. Nursing Informatics:• The realization that health care data and information can be effectively managed and communicated using computer systems, networks, modems and telecommunications has catalyzed the emergence of the science of nursing informatics. As Virginia Saba (1992) predicted, Dr.T.V.Rao MD 17
  18. 18. Nursing Informatics:• At present, nursing informatics is an emerging field of study. National nursing organizations support the need for nurses to become computer literate and versed in the dynamics of nursing informatics. We are at a transition period. Becoming educated in nursing informatics is, for the most party, a self-directed and independent endeavor. Programs that offer basic and further education in nursing informatics are beginning to spring up around the globe, but many more are needed to provide easy access for motivated nurses. Dr.T.V.Rao MD 18
  19. 19. Nursing Informatics:• Programs that offer basic and further education in nursing informatics are beginning to spring up around the globe, but many more are needed to provide easy access for motivated nurses. Dr.T.V.Rao MD 19
  20. 20. The Benefits of Nursing Informatics • In the practice of professional nursing • In the delivery of patient care in the healthcare continuum Dr.T.V.Rao MD 20
  21. 21. Nursing Process• Communicate & coordinates care with ALL other clinical disciplines• – Coordinate discharge planning, education & teaching, transition of care• – Manages ALL information related to the nursing process and Dr.T.V.Rao MD 21 patient
  22. 22. What Does a Nurse Informaticist Do?• Nurse informaticists, also known as nurse informatics specialists, are specially trained to help manage, interpret and communicate the vital medical data and information that flows into and out of doctors offices, hospitals, clinics and other health care facility computer systems. Nurse informaticists usually work in the information systems department of a health care setting, and they are skilled in three primary areas: computer science, information technology and nursing science Dr.T.V.Rao MD 22
  23. 23. What Does a Nurse Informaticist Do?• They may also make recommendations as to how to improve the processes and uses of computer programs in order to improve patient outcomes. For this reason, many nurse informaticists work as consultants. Other nurse informaticists work in an administrative capacity, and contribute to decision-making on medical information technology. Some nurse informaticists educate nurses on how to effectively enter medical information into a computer system, as well as train nurses how to use new technology. Dr.T.V.Rao MD 23
  24. 24. Information/Database Management• Understand database architecture—how data is stored and accessed• Nursing structure – Nomenclature/vocabulary – Taxonomies and Coding Schemes • ICD-P, CPT – Nursing Minimum Data Sets Dr.T.V.Rao MD 24 • NIC,NOC, NANDA,
  25. 25. Computer Technology• Understanding of the actual technology Networks – Personal computers – Portable devices – Operating systems – Software Dr.T.V.Rao MD 25
  26. 26. Exam Focus Areas• System Analysis and Design• System Implementation and Support• System Testing and Evaluation• Human Factors• Computer Technology• Information/Database Management• Professional Practice/Trends and Issues• Dr.T.V.Rao MD 26 Theories
  27. 27. Automation of Documentation• Why automate documentation – not only for nursing but for all of patient care?• Up-to-date, accurate information of each step of the Nursing Process is the Power behind safe, high quality patient- centered care Dr.T.V.Rao MD 27
  28. 28. Successful implementation of Information Automation• Systems requires• Well designed systems that support Nursing• Process within the culture of an organization• and/or specific care providers Acceptance & integration of information systems• into the regular workflow of nursing process &• patient care Dr.T.V.Rao MD 28 Resources that can support the above
  29. 29. The Value of Nurse Informaticists• Support nursing work processes using• technology• – Design systems to match clinical workflows• Telehealth• Home health• Ambulatory care• Long-term care• Acute care – all specialties• Outpatient settings• Software development• Redesign work flows Dr.T.V.Rao MD 29
  30. 30. The Value of Nurse Informaticists• Increase the accuracy and completeness• of nursing documentation• • Improve the nurse’s workflow• – Eliminate redundant documentation• • Automate the collection and reuse of nursing data• • Facilitate analysis of clinical data• – JCAHO indicators, Core Measures, federal or state• mandated data and facility specific data Dr.T.V.Rao MD 30
  31. 31. The Benefits of Nurse Informaticists• Nurse Informaticists promote and facilitate Access to resources andreferences for nurses andthe entire interdisciplinaryteam in both clinical andadministrative settingsChange Dr.T.V.Rao MD 31
  32. 32. The Benefits of Nurse Informaticists• Benefits for nurses and the interdisciplinary team:• Support for their mission to deliver high quality, evidence-based care Support for better service by facilitating true interdisciplinary care• Promotes improvement in key relationships with• physicians• peers• interdisciplinary care team members• patients• families Dr.T.V.Rao MD 32
  33. 33. The Benefits of Nurse Informaticists • Benefits in the administrative setting • Support for cost savings and productivity goals • Facilitate change management Dr.T.V.Rao MD 33
  34. 34. What Does the Nurse Informaticist Do?• The role of the nurse informaticist is partially dependent on the place of employment. In acute and long term care, the role is to be a liaison between the IT department and nursing. This nurse assists in choosing the appropriate system for electronic health records and then works with the nursing staff to use the system in providing patient care. Dr.T.V.Rao MD 34
  35. 35. The Many Roles of a Nurse Informaticist• Vendors• Acute care - Hospital Systems• Consultant• Education/Research• Long-term care• Ambulatory• Home care Dr.T.V.Rao MD 35
  36. 36. The Many Roles of aNurse Informaticist • Vendors: Sales • Software development • Implementation • Education to train clients/users Dr.T.V.Rao MD 36
  37. 37. The Many Roles of aNurse Informaticist • Hospital Systems Analyst – Support/Implement Systems Directors/Managers of Nursing Informatics Project Managers CIO (Chief Information Dr.T.V.Rao MD 37 Officer)
  38. 38. The Many Roles of a Nurse Informaticist• Software Implementation• Software/System Solution Selection• Process Improvement• Project Management Dr.T.V.Rao MD 38
  39. 39. The Many Roles of aNurse Informaticist • Other - Education/Research • Compilation/Analysis of Data Public Policy Government HealthCare IT initiative Insurance organizations Dr.T.V.Rao MD 39
  40. 40. Online Journal of Nursing Informatics• The Online Journal of Nursing Informatics (OJNI) is a free, international, professional, refereed publication that focuses on nursing informatics in all practice settings. OJNI is committed to addressing the theoretical and practical aspects of nursing informatics as it relates to the art of nursing. CINAHL indexes the journal. Dr.T.V.Rao MD 40
  41. 41. Professional Organizations• The Alliance for Nursing Informatics is a collaboration of over 25 organizations, representing a unified voice for nursing informatics. Join one today! www.allianceni.org Dr.T.V.Rao MD 41
  42. 42. Follow me for More Articles ofInterest on Medical Informatics Dr.T.V.Rao MD 42
  43. 43. • Programme created by Dr.T.V.Rao MD for benefit of Nursing Professionals in the Developing World • Email • doctortvrao@gmail.com Dr.T.V.Rao MD 43

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