This document discusses the course Nursing Informatics. The course covers the use of information technology and data standards in nursing based on informatics principles. It deals with using clinical information systems to manage patient care and support decision making. The course objectives are to apply informatics concepts to nursing and discuss relevant issues and trends. Various topics are outlined including computers and nursing history, computer systems, issues in informatics, informatics theories, and applying informatics in different nursing practices and internationally. Students are expected to create an online nursing informatics page and do an individual or group presentation to pass the course.

1. NURSING INFORMATICSAre you into IT??Jhessie L. Abella RN.RM.MAN

2. Course Description: This course deals with the use of information technology system and data standards based on nursing informatics principles/theories. It further deals with the utilization of clinical information systems in the management and decision-making of patient care.Course Objectives:At the end of the course and given relevant actual or simulated situations/conditions, the student will be able to:1. Apply concepts, theories and principles of informatics in nursing and health care2. Discuss issues and trends in informatics relevant to nursing and health

3. A. Computers and nursing1. Computers and nursing2. Historical perspectives of nursing and the computer3. Electronic health record from a historical perspective B. Computer system1. Computer hardware2. Computer software and systems3. Open source and free software4. Data processing5. The internet: a nursing resource6. PDA and wireless devices7. Incorporating evidence: use of computer-based clinicaldecision support system for health professionals C. Issues in informatics1. Nursing informatics and healthcare policy2. The role of technology in the medication-use process3. Healthcare data standards4. Electronic health record systems: U.S. federal initiatives and public/private partnerships5. Dependable systems for quality care6. Nursing minimum data set systems D. Informatics theory1. Theories, models and frameworks2. Advanced terminology systems3. Implementing and upgrading clinical information systems

4. E. Practice application1. Practice application2. Critical care applications3. Community health applications4. Ambulatory care systems5. Internet tools for advanced nursing practice6. Informatics solutions for emergency preparedness and response7. Vendor applications F. Consumer’s use of informatics1. Consumer and patient use of computers for health2. Decision support for consumers G. International perspectives1. Nursing informatics in Canada2. Nursing informatics in Europe3. Pacific Rim4. Nursing informatics in Asia5. Nursing informatics in South America H. The future of informatics1. Future directions Course Requirement:To pass the course the students are expected to;Post their own reaction/s posted on the NURSING INFORMATICS page created by the students themselves.Individualized/Group ReportingVideo presentation

5. “Computersare incredibly fast , accurate and stupid. Human beings are incredibly slow , inaccurate and brilliant . Together they are powerful beyond imagination”Albert Einstein

6. Why do we NEED to study N.I?In the 21st Century, information is doubling every 5yrs , if not tripling in quantity and quality.Information is POWERTechnology also facilitates the creative process in nurses, affording amazing vehicles forpatient education , teaching and learning , and providing general health promotion and prevention information on a global scale.

7. “THE HIGH TECH AND THE HIGH TOUCH”This can only become a common reality if nurses are comfortable working with computers and advanced technology while providing evidence based care for their clients .The healthcare of our clients is largely dependent on information.Every action taken depends on previous information and knowledge.

8. Definition:American Nurses Association's Scope and Standards for Nursing Informatics Practice (2008) :“ 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.”

9. Standard Areas of NURSING:Nursing PracticeNursing EducationNursing R esearchNursing Administration.

10. COMPUTERS IN NURSING EDUCATIONSCOMPUTER Assisted EducationPDA (Personal Digital Assistants)LCD ProjectorsWireless RoutersDesktopsLaptopsSmartphoneVIDEOS/ANIMATIONSDistance learningTesting (NCLEX)Student and course record management

11. COMPUTERS IN NURSING PRACTICEFunctionsRecords client informationProvides access to other departmentsUsed to manage client schedulingDOCUMENTAION OF CLIENT STATUSAND MEDICAL RECORDS KEEPINGProvides access to standardized forms, policies and proceduresAccess data about client that may be somewhere in the medical record or elsewhere in health care agency.

13. BEDSIDE DATA ENTRYrecords clients assessments, medication administration, progress notes, care plan updating, client acuity and accrued chargesCOMPUTER BASED CLIENT RECORDEMRs/CPRsProvides easy retrieval of specific data such as trends in vital signs, immunization records, current problemsIt can be designed to work providers about conflicting medications or client parameters that indicate dangerous conditionsELECTRONIC ACCESS TO CLIENTSUsed extensively in health care to assess and monitor clients conditionsData accumulated from various electronic devices are stored for research purposesCan monitor clientComputerized diagnosisTelemedicinePRACTICE MANAGEMENTUsed to order supplies, tests, meals, and services, from other departmentsAllows nursing service to determine the most costly items used by a particular nursing unit.May provide information or decisions to modify budget, provide different staffing, move supplies to different locations, or make other changes for more efficient and higher quality care

15. COMPUTERS IN NURSING PRACTICEA. Human resourcesAll employers must maintain a data a database on each employeeAdministrators can use this database to communicate with employees, examine staffing patterns, and create budget programsB. Medical records managementAllow client records to be searched for trends, number of cases, most expensive cases, and client outcomes.Nurse informaticistcan assist administrators with the design and implementation of systems that allow such searches to be generated, analyzed, printed, and distributed.

16. COMPUTERS IN NURSING PRACTICE C. Facilities managementheating, air conditioning, ventilation, alarm systems are computer controlled.D. Budget and financeclaims are transmitted much more quicklyCan also effect cost-savings by reducing the desired services time needed for accounts payable and receivables.

17. COMPUTERS IN NURSING PRACTICE1. problem identificationUseful in locating current literature about the problem and related conceptsHelps in searching for existing documents, and e-mail to colleagues.2. literature reviewSoftware facilitate searches, contains thesauruses so that the most appropriate terms can be selected.

18. COMPUTERS IN NURSING PRACTICE3. research designSearch literature for instruments that have already been established or to design and test instruments that need to be developed for past study.4. Data collection and analysisHelps create form for the collection of data such as informed consent, demographic data, and recording forms.Commonly used software for quantitative data analysis: SPSS ( statistical package for social sciences), SAS ( statistical analysis system), Sys STAT, MYSTAT5. Research disseminationcomputer word processing programs are used to author the final reports of research and send research to various readerships.Help speeds completion or research projects

19. WHAT DO WE NEED TO ACHIEVE NURSING INFORMATICS?

21. “Nursing practice will be revolutionized and we will truly be a profession of nurses with our own classification systems, bibliographic systems, and payment systems .”

22. We need to think outside the box?

23. We need to use the Internet to enhance our practice and provide tele-nursing care . We need to become wireless and conduct our services using all the newer IT tools.“ We have a long way to go, but if we utilize information technology effectively, informatics will become an integral part of our profession and the health care industry. I do believe we have the knowledge and perseverance and I am convinced it will come to pass.”-Dr. Virginia Saba