Nursing informatics`


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Nursing informatics`

  1. 1. Nursing Informatics
  2. 2. Definition • 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.”
  3. 3. Definition • 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.
  4. 4. Definition Saba and McCormick • The use of technology and/or a computer system to collect, store, process, display, retrieve, and communicate timely data and information in and across health care facilities that administer nursing services and resources, manage the delivery of patient and nursing care, link research resources and findings to nursing practice, and apply educational resources to nursing education.
  5. 5. Definition ANA revised definition • Nursing informatics is a specialty that integrates nursing science, computer science, and information science to manage and communicate data, 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.
  6. 6. Possible answers • A definition is a fundamental element for shaping a specialty • A definition for nursing informatics guides role delineation for nurses interested in informatics and suggests directions for practice, education, training, and research • Also, a definition is one foundational element of national scope documents for the nursing informatics specialty.
  7. 7. • a definition of nursing informatics may be useful to other disciplines as they define informatics practice within their own specialties • a definition for nursing informatics is needed to help others, within and outside nursing, understand the legitimacy of the practice and the general competencies of a nurse who specializes in informatics.
  9. 9. • Konrad Zuse (German: [ˈkɔnʁat ˈtsuːzə]; 1910–1995) was a German civil engineer, inventor and computer pioneer. His greatest achievement was the world's first functional program-controlled Turing- complete computer, the Z3, which became operational in May 1941.
  10. 10. • Zuse was also noted for the S2 computing machine, considered the first process- controlled computer. He founded one of the earliest computer businesses in 1941, producing the Z4, which became the world's first commercial computer. From 1943[1] to 1945[2] he designed the first high-level programming language, Plankalkül.[3] In 1969, Zuse suggested the concept of a computation-based universe in his book Rechnender Raum (Calculating Space).
  11. 11. • ENIAC was designed to calculate artillery firing tables for the United States Army's Ballistic Research Laboratory.[4][5] When ENIAC was announced in 1946 it was heralded in the press as a "Giant Brain".[6] It had a speed of one thousand times that of electro-mechanical machines.
  12. 12. 6) Who is the "Father of Modern Computing"? A. Bill Gates B. Wilhelm Schickard C. Charles Babbage D. Gordon Moore
  13. 13. Historical Perspectives of Nursing and Computers
  14. 14. Historical Perspectives of Nursing and Computers
  15. 15. Historical Perspectives of Nursing and Computers Prior to the 1960s( Florence Nightingale) 1857
  16. 16. Historical Perspectives of Nursing and Computers Punch Card • Store data •Sort •Prepare data for processing
  17. 17. Historical Perspectives of Nursing and Computers • 1960s • During the 1960s the uses of computer technologies in the health care system began to be question. “ Why computers?” • “What should be computerized?” • Introduction of Cathode Ray Tube.
  18. 18. Historical Perspectives of Nursing and Computers • 1970s • Nurses began recognized the value of the computer for their profession. • Nurses recognized the computer’s potential for improving the documentation of nursing practice, the quality of patient care • During this period, several states and large community health agencies developed and/or contracted for their own computer-based management information system (MIS)
  19. 19. Historical Perspectives of Nursing and Computers • During the 1980s, the field of informatics emerged in the health care industry and nursing. • During this period, many mainframe HISs emerged with nursing subsystems, these systems documented several aspects of the patient record; naVmely, 1. Order entry emulating the kardex 2. Results reporting 3. V/S 4. Discharge planning system • In the 1980s, the microcomputer or personal computer (PC) emerged.
  20. 20. Historical Perspectives of Nursing and Computers • In 1992, NI was approved by the American Nurses Association (ANA) as a new nursing specialty. • The 1990s brought smaller and faster computers-laptops and notebooks-to the bedside and all of the point-of-care settings. • Workstations and local area networks(LANs) were developed for hospital nursing units. • Wide area networks (WANs) were developed for lingking care across health care facilities. • Electronic mail(email) • WWW protocols.
  21. 21. Historical Perspectives of Nursing and Computers Post-2000 • Electronic Patient Record • Electronic Health Record • Personal Digital Assistance • Voice over Internet protocol
  22. 22. Who are Informatics Nurses? • Expert nursing clinicians in utilizing the nursing process • Expert analytical & critical thinking skills • Understand patient care delivery workflow & integration points for • automated documentation • Clinicians with extensive clinical practice • Experienced in utilizing and implementing the nursing process • Have additional education & experience related to technology and • information systems • Are excellent project managers because of the similarity between • the project management process & the nursing process • May be board certified in Nursing Informatics by ANCC
  23. 23. How do Informatics Nurses Impact the Nursing Process? Enable the professional nurse to be the “Coordinator” of each patient’s care
  24. 24. • Communicate & coordinate care with ALL other clinical disciplines • Coordinate discharge planning, education & teaching, transitions of care • Manage ALL information related to the nursing process and patient care delivery
  25. 25. How do Informatics Nurses Impact the Nursing Process? • Because information management is integrated into nursing practice, there are now additional steps in the nursing process
  26. 26. STANDARDIZED DOCUMENTATION PROCESS RE-ENGINEERING INFORMATION MANAGEMENT RESEARCH and EVIDENCE COLLECTION Standardized Documentation Process Re-eng. Information mgt. Research and evidence collection Assessment Evaluation Implementation Planning
  27. 27. How do Informatics Nurses Impact the Nursing Process? • Standardized Documentation • The collection tool for information management • • • Information Management • Key role for Nursing Informatics • Key to research and evidence collection • • • Process Re-engineering • Key to successful implementation • • • Research and Evidence Collection • Key to repeatable, standardized care and improved outcomes
  28. 28. The Value of Nurse Informaticists • Nurse Informaticists are Bi-Lingual! • Support nursing work processes using technology • Re-Engineer clinical workflow & facilitate change management • Acute care – all specialties Home health • Ambulatory care Software development • Redesign work flows Long-term care • Outpatient setting
  29. 29. The Value of Nurse Informaticists • Analyze clinical and financial data • Promote and facilitate access to resources and references • Provide nursing content to standardized languages • Enhance continuity of care • Improve relationships between providers and recipients of health care • Enable cost savings and productivity goals
  30. 30. The Benefits of Nurse Informaticists • Nurse Informaticists promote and facilitate access to resources and references • Support for their mission to deliver high quality, evidence based care • Support for better service by facilitating true interdisciplinary care • Improvement in key relationships with • providers & care recipients • Enable cost savings and productivity goals • Facilitate change management • Enhance continuity of care
  31. 31. The Many Roles of a Nurse Informaticist • Administration, leadership, & management • Analysis • Compliance and integrity management • Consultation • Coordination, facilitation, and integration • Development • Educational and professional development • Policy development and advocacy • Research and evaluation