The document discusses a hospital's intention to implement an electronic health record (EHR) system and the potential hiring of an informatics nurse specialist (INS), a role that doesn't involve direct patient care, raising questions about its justification. It outlines the evolution and definitions of nursing informatics, emphasizing its integration of nursing science with information technology to enhance healthcare delivery. Additionally, it highlights the competencies required for nursing informatics professionals, the significance of evidence-based practices, and the official standards established by the American Nurses Association.

1. A hospital is looking to implement an EHR. It has been
suggested that an INS be hired. This position does not involve
direct patient care and the administration is struggling with how
to justify the position. How can this position be justified?
Using reference:
McGonigle, D., & Mastrian, K. (2015).
Nursing informatics and the foundation of knowledge
(3rd ed.)
.
Burlington, MA: Jones & Bartlett. (ISBN 978-1-284-04351-8)
>300 words, will be check for plagiarism by Turniton
HERE IS THE RESOURCES GIVEN:
Course Title: B404 Nursing Informatics
Learning Goals/Outcomes
Upon completion, the student will be able to:
Analyze the sciences underpinning nursing informatics and their
relationship to nursing informatics practice.
Discuss the evolving roles and competencies of nursing
informatics practice.
Describe how clinical information technologies are and will
impact nursing practice.
Explore how nurses can create and derive clinical knowledge
from information systems.
Speculate on the future of nursing in the context of health
informatics.
Required Resources
Read chapter 6, 7, 8 of your McGonigle and Mastrian textbook.
View Youtube video:
Interview with a Nurse Informatics Specialists
(Links to an external site.)

2. Read
Nursing Informaticist
(Links to an external site.)
RECOMMENDED RESOURCES- WEBQUESTS
http://www.allianceni.org/
(Links to an external site.)
http://www.ahima.org/
(Links to an external site.)
https://www.amia.org/
(Links to an external site.)
https://www.ania.org/
(Links to an external site.)
http://www.himss.org/
(Links to an external site.)
http://www.imia-medinfo.org/new2/
(Links to an external site.)
http://www.imia.org/ni/
(Links to an external site.)
Mini Lecture
The IMIA-NI (Nursing Informatics: Special Interest Group of
International Medical Informatics Association)definition,
agreed at their General Assembly in Stockholm in 1997, and
amended for clarity at the General Assembly in Seoul, 1998
defined Nursing Informatics as the integration of nursing, its
information, and information management with information
processing and communication technology, to support the health
of people world-wide.
Evolution
The term “medical informatics” has its foundation with the
French term “informatique” which concerns all the aspects of
the computer as a tool for use in processing of information. The
term “medical informatics” was used before “nursing
informatics” and “health informatics”. Medical informatics is
the use of computers for classification and retrieval of data and

3. for the management health care information, enabling use to
explore and better understand the informational and cognitive
foundations of medicine3 (Blois, 1986).
In 1985 Hannah defined nursing informatics as the use of
information technology by nurses carrying out their duties and
which are in relation in relation to any function in the purview
of nursing (as cited in Ball et al, 2000).
Graves and Corcoran (1989) state that nursing informatics is a
“combination of computer science, information science, and
nursing designed 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.”
Romano (as cited in Ball et al., 2000) adds a further dimension
to this definition by asserting that nursing informatics is “the
application of the principles of information science and theory
to the study, scientific analysis, and management of nursing
information for the purpose of establishing a body of nursing
knowledge”.
The ANA definition of nursing informatics. Nursing informatics
is a specialty that integrates nursing science, computer science,
and information science to manage and communicate data,
information, knowledge and wisdom in nursing practice.(ANA,
2008) Nursing informatics facilitates the integration of data,
information, and knowledge to support patients, nurses, and
other providers in their decision-making all roles and settings
(ANA, 2008 p. 1). Aiding in their roles is what makes this
definition role-oriented. Role oriented definitions seem to be
the most complete of these NI definitions. They describe how
the NI specialty functions under the broader scope of health
informatics yet has specific components such as: differentiated
practice, defined research, organizational representation,
educational development, and credentialing (2008). As the
definition has evolved, it has become more specific to nursing.
In summary, several definitions of nursing informatics have
been proposed. The definition can be categorized as:
Technology-focused (Ball)

4. Conceptual-focused (Graves and Corcoran)
Role-orientated (ANA)
While the specialty of Nursing Informatics typically requires
master’s level preparation, it is important for every nurse to
have a good understanding and awareness of the concepts
underlying nursing informatics. Both the ANA and the
Essentials for Baccalaureate Education from AACN state that
nursing students must have an understanding of nursing
informatics.
According to ANA (2008), Nursing Informatics is a discipline-
specific practice within the broader perspective of health
informatics. NI has been recognized as a specialty for registered
nurses in 1992. The focus of NI is on representation of nursing
data, information, and knowledge; and the management and
communication of nursing information within the broader
context of health informatics.
Nursing informatics:
is nursing practice
adheres nursing values and beliefs
provides a practice base of the specialty of NI
produces new nursing knowledge
distinguishes a group of nursing practitioners
focuses on the phenomena of interest to nursing (patient,
environment, health, nursing)
provide a domain-specific language, terminology and knowledge
representation system.
Nursing Informatics is a specialty in nursing through it’s:
differentiated practice. In addition to the four phenomena of
interest to the discipline of nursing, NI focuses on structure and
algorithm of data, information, and knowledge used by nurses.
defined research program. Priorities for NI research are
development of nursing languages and terminologies, databases
for clinical information, patient as users of information
technology, Telehealth, and issues of data privacy and
confidentially.
organizational representation in international (e.g., IMIA)

5. national (e.g., AMIA), regional, local level organizations
providing opportunities for networking and professional
development.
educational programs such as emerging NI graduate programs.
credentialing through ANCC
In addition the differentiation of NI as a specialty in nursing is
also supported by:
NI’s own scientific nursing underpinnings
integration of concepts and tools from information science and
computer science
application of Human computer Interaction (HCI) and
ergonomics principles
The goals of Nursing Informatics are to improve health
worldwide by optimizing nursing information management and
communication.
The Informatics Nurse Specialist has at least a master’s degree
in nursing informatics (system degree) and functions in the role
of project manager, consultant, educator, researcher,
development support, policy development or entrepreneurs
related to nursing information technology application.
Although NI is considered a specialty practice within the
discipline of nursing, some informatics competencies are
required for all nurses. So is expected that a beginning nurse
has fundamental computer literacy skills and information
literacy skills related to patient care; the experienced nurse has
proficiency in information management and communications in
their area of practice such as community health, patient
education, etc. The informatics Nurse Specialist is expected to
have all the competencies outlined in the beginning and
experienced nurse, and to demonstrate the competencies
enumerated in the Standard of Practice (ANA, 2001),
collaborate with other informaticists, and function within
interdisciplinary environments such as health care, HCI,
information science, and computer science.
Standards of Informatics
The American Nurses Association published the third iteration

6. of its nursing informatics scope and standards of practice in
2008. This work reflects the significant evolution of the
specialty from the original scope of practice statement
published in 1994 and the first nursing informatics standards of
practice in 1995. Although the definition of nursing informatics
remains essentially unchanged from that presented in 2001, the
inclusion of "wisdom" reflects today's emerging mandate for
evidence-based practice and decision support resources for the
knowledge worker and emphasizes nursing informatics
competencies and functional areas. Overall, it articulates the
essentials of nursing informatics, its accountabilities and
activities for both nursing informatics specialists and
generalists. Its standards are those by which all nurses practice
nursing informatics, and reflect and specify practice priorities
and perspectives.
References
American Nurses Association. (2008). Scope and Standards of
Nursing Informatics Practice. Washington, DC: American
Nurses Publishing.
Ball, M. J., Hanna, K. J., Newbold, S. K., Douglas, J. V., &
Donaldson, S. K. (Eds.). (2000). Nursing informatics: Where
caring and technology meet (3rd ed.). New York, NY: Springer.
Chapter 1
Graves, J. R., & Corcoran, S. (1989). The study of nursing
informatics. Journal of Nursing Scholarship, 21(4), 227–231.
Hannah, K. J., Ball, M. J., & Edwards, M. J. A. (1994).
Introduction to nursing informatics. New York, NY: Springer.
Course content is taken from NURS I630 developed by Josette
Jones, Indiana University Indianapolis.
Learning Activities
Activities for This Lesson
Forum #3.
A hospital is looking to implement an EHR. It has been
suggested that an INS be hired. This position does not involve
direct patient care and the administration is struggling with how

7. to justify the position. How can this position be justified?
SUBMIT Assignment “Database Retrieval” in the Assignments
tool.
Self-Assessment
Lesson Evaluation Graded Assessments
Forum 3 (20 points)
Database Retrieval Assignment (15 points)