Nursing informatics is a relatively new specialty recognized by the American Nurses' Association in 1992 that has grown from a specialized field to one that now permeates all areas of nursing. Nursing informatics is especially important in critical care where fast decisions, monitoring systems, wireless communication and computerized documentation are now fundamental. While informatics was once highly specialized, it now requires a basic understanding across nursing practice and continues to expand as technology grows. Education for nursing informatics ranges from bachelor's to doctoral degrees and board certification, and works in diverse settings including hospitals, education, research and administration.