Nursing informatics involves the use of computer technology to support nursing practice, education, administration, and research. It has evolved from early systems that automated paperwork to more advanced applications that integrate data to support clinical decision making. Key trends include a shift toward electronic medical records and using informatics to improve care coordination and patient outcomes. Future directions may include greater use of telehealth and mobile technologies to enhance access to care. Overall, nursing informatics aims to leverage information and knowledge to enhance the quality and efficiency of nursing work.
gud evening guys
this is descrive you that this ppt is making very simple way and i hope this will help you to understand lightky about nursing theories
gud evening guys
this is descrive you that this ppt is making very simple way and i hope this will help you to understand lightky about nursing theories
Nursing informatics
What is nursing informatics?
Evolution of nursing informatics
Role of the Nurse as knowledge worker
Medical Informatics
Consumer Informatics
Nursing informatics
What is nursing informatics?
Evolution of nursing informatics
Role of the Nurse as knowledge worker
Medical Informatics
Consumer Informatics
Determine what is Health Information Technology
Explain Types of Health Information Technology & Healthcare Software System
Illuminate Telehealth Technologies And Their Contribution In Improving Teleconsultations
Give details about Potential Benefits of Telemedicine
Explain barriers that have slowed the development of telemedicine.
Explain Health Technology Assessment and its purposes
Describe types and examples of Telemedicine Technology
Nursing informatics: background and applicationjhonee balmeo
Healthcare Information System (HIM)
Electronic Medical Record System (EMR)
Electronic Health Record System (EHR)
Historical Background (Nicholas E. Davis Awards of Excellence Program)
Practice Application (CCIS, ACIS, CHIS)
Determine what is Health Information Technology
Explain Types of Health Information Technology & Healthcare Software System
Illuminate Telehealth Technologies And Their Contribution In Improving Teleconsultations
Give details about Potential Benefits of Telemedicine
Explain barriers that have slowed the development of telemedicine.
Explain Health Technology Assessment and its purposes
Describe types and examples of Telemedicine Technology
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
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NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
3. MEANING
•
Informatics comes from the French word
“informatique” which means “computer
science”.
• Informatics is defined as computer
science+information science.
4. DEFINITION
• Hebda (1998), defines nursing informatics as the
use of computers technology to support nursing,
including clinical practice, administration,
education and research.
• ANA (American Nurses Association) 1994, has
defined nursing informatics as the development
and evaluation of applications, tools, processes
and structures which assist nurses with the
management of data in taking care of patients or
supporting the practice of nursing.
5. APPLICATION OF NURSING
INFORMATICS / GENERAL PURPOSE
Nursing Clinical Practice:
• Work lists to remind staff of planned nursing interventions.
• Computer generated client documentation.
• Electronic medical record (EMR) and Computer based
Patient Record (CPR).
• Monitoring devices that record vital signs and other
measurements directly into the client record (EMR).
• Computer generated nursing care plans and critical
pathways.
• Automatic billing for supplies or procedures with nursing
documentation.
• Reminders and prompts that appear during documentation
to ensure comprehensive charting.
6. Nursing Administration (Health care
information system)
• Automated staff scheduling.
• E-mail for improved communication.
• Cost analysis and finding trends for budget
purposes.
• Quality assurance and outcomes analysis.
7. Nursing Education:
• Computerized record keeping.
• Computerized assisted instruction.
• Interactive video technology.
• Distance learning- web based courses and degree
programmes.
• Internet resources- formal nursing courses and
degree programmes.
• Presentation software for preparing slides and
handouts- power points and MS words.
8. Nursing Research:
• Computerized literature searching- CINHAL,
Medline and web sources.
• The adoption of standardized language related
to nursing terms-NANDA etc.
• The ability to find trends in aggregate data,
that is data derived from large population
groups- SPSS.
9. Patient Education:
• Nursing informatics can be used for symptom
management and patient education. The nurse can
access the information for the patient or teach the
patient where to find appropriate and helpful
information. For example, on an oncology unit, nursing
informatics can be used to teach patients effective
symptom management of the treatment modalities
which often cause pain, fatigue and poor nutritional
status. Nursing informatics can also aid in other nursing
interventions of the oncology nurse, such as analgesic
administration and stress-reduction techniques.
10. Clinical Alert System:
• The computerized clinical alert system can be
used in conjunction with the hospital
pharmacy. A system design is created to alert
both pharmacy and health staff when two or
more drug prescriptions are incompatible.
11. Patient Data:
• Nursing informatics can also be useful in a
physician’s clinic. In a managed care environment,
information systems make administrative
management more efficient. The private
practitioner, program or facility to manage every
aspect of patient care can use one data
management system. In each of these health care
settings data management systems can be
applied to treatments, diagnostics,
documentation, practice management, insurance
claims and referrals and protocols as well as
treatment and diagnostics results.
12. Telehealth:
• Telehealth includes the use of telephones and sophisticated
image transmission systems like ECG, faxes and remote
camera imaging. Telehealth places the ambulance personnel
in touch with the Emergency Department and it also operates
to put the generalist “nurses and doctors” at the ED in touch
with specialists. Telehealth is used to evaluate the stroke
victims while they are in transit so appropriate therapy can be
initiated quickly upon arrival at the ED. In similar fashion, a
nurse practitioner in a remote ED might be guided via
telephone in the proper procedure for inserting chest tubes
so a man with a collapsed lung could be stabilized for
subsequent transport to a major hospital. Finally, nursing
informatics can be useful for interdepartmental
communication such as ordering supplies from central supply,
lab work, etc.
13. Clinical Information:
• In order for the nurse to ensure the patient is receiving the
most up-to-date care for a variety of chronic conditions, the
National Institute of Health (NIH) have an agency designed
to offer such guidance. Clinical practice guidelines can be
found at http://www.nhlbi.nih.gov/guidelines/index.htm.
The practice guidelines found at this site provide
management information for asthma, cholesterol,
hypertension and obesity.
• Clinical practice guidelines for the management of diabetes
mellitus and menopause can be found at
http://www.aace.com/clinguideindex.htm. Further
information can be found through the Medscape Nurses
site and National Institute of Health- http://www.nih.gov.
14. SIGNIFICANCE OF NURSING
INFORMATICS
I. Nursing informatics facilitates
communication.
II. Nursing informatics allows articulation of
organized information.
III. Nursing informatics leads to credibility.
16. EMR
• Improved access to the medical ward: the EMR
can be accessed from several different
locations simultaneously, as well as by
different levels of providers.
• Decreased redundancy of data entry: for
example, allergies and vital signs need only be
entered once.
• Decreased time spent in documentation:
automation allows direct entry from
monitoring equipment, as well as point of care
data entry.
17. • Increased time for client care: more time is
available for client care because less time is
required for documentation and transcription of
physician orders.
• Facilitation of data collection for research:
electronically stored client records provide quick
access to clinical data for a large number of clients.
• Improved communication and decreased potential
for error: improved legibility of clinician
documentation and orders is seen with
computerized information systems.
• Creation of a lifetime clinical record facilitated by
information systems.
18. Other Benefits:
• Decision support tools as well as alerts and
reminders notify the clinician of possible
concerns or omissions. An example of this, is
the documentation of patient allergies in the
computer system. The health care providers
would be alerted to any discrepancies in the
patient medication orders.
• Effective data management and trend finding
include the ability to provide historical or
current data reports.
19. • Extensive financial information: can be
collected and analyzed for trends. An
extremely important benefit in this era of
managed care and cost cutting.
• Data related to treatment such as inpatient
length of stay and the lowest level of care
provider required can be used to decrease
costs.
21. Past Nursing Informatics
• Nursing informatics was first defined as the
use of computer technology to support
nursing, including clinical practice,
administration, education and research.
22. • The first generation of nursing information systems was
designed to speed paperwork and communication. In
general, the systems accomplished this by transferring
information to the computer, what nurses had done on
paper and by telephone. These systems replaced paper
records, filing cabinets and pneumatic tubes. Although
this was helpful and effective in reducing the time
spent on documentation and communication it did not
address many of the fundamental issues for nurses’ use
of data, information and knowledge to guide effective
care (Executive summary, 2004).
23. • Until 1948, primary care remained in the home. With the
development of Hill-Burton Act of 1948, money was
provided for the building of hospitals and promoted a
catalyst for change in healthcare. In the 1960’s, Medicare
and Medicaid provided reimbursement for services to
many individual patients and the health insurance industry
grew. This provision of funding allowed many new
innovations: new drugs, advanced surgical procedures, new
technologies and equipment, and sophisticated diagnostic
procedures. All of which led to the development of medical
specialties, each treating a different part of the patient and
creating its own records for what patient (Thede, 2003).
24. • It is not unusual to find a patient being treated
by several physicians at the same time. These
physicians share little information; they may
duplicate tests or prescribe medications that
are not compatible with those prescribed by
another physician. The current healthcare
system relies primarily on paper records that
are oriented to episodes and providers
(Thede).
25. • During the past four decades the U.S.
government has played a major role in the
development and promotion of telehealth
through various agencies. Although interest
waned as funds were depleted in the 1980’s,
technological advancements made it a more
attractive prospect. Federal monies and
Agriculture Department’s 1991 Rural
Development Act laid the groundwork for
bringing the information superhighway to rural
areas for education and telehealth purposes
(Hebda, et al, 2001).
26. • The most aggressive development of
telehealth consults for Armenian earthquake
victims in 1989, while more recently the
military has been working on several projects
to feed medical images from the battlefield to
physicians in hospitals for improved treatment
of casualties (Hebda, et al, 2001).
27. Present Nursing Informatics
• Although the history of nursing informatics
extends only some twenty years, the field is
advancing rapidly as a scientific discipline and
has significant implications for patient care
(Executive Summary, 2004).
28. • As research in nursing informatics evolves, it
has become apparent that the issues are far
more complex than reducing time spent on
paper work. The high-intensity generation,
management, processing of data and
knowledge are integral components of nursing
care. Informatics gives nurses the means to
carry out these aspects of care efficiently and
effectively to improve outcomes for patients.
29. • Nursing informatics impacts nurses today. Today,
evolving standards of practice increase the
nurse’s accountability. The malpractice crisis has
strengthened accountability and increased
emphasis on complete and detailed nursing
documentation. Changes in reimbursement
methods are affecting nursing care delivery. Cost
containment and consumerism place additional
pressures on not only the individual nurse but
also the entire nursing profession (Ball, et al.
2000).
30. Future Nursing Informatics
• Nursing informatics has arrived and the baby
has started to walk. In the process, nursing
informatics has introduced new challenges
and opportunities along with new computer
applications.
31. • Nursing informatics is a growing field for
advancement and offers many potential areas
for cost containment.
32. • Nursing informatics and managed care, make
telehealth an attractive tool to save
healthcare dollars: Telehealth may provide
savings in the following areas: improved
access to care, allowing clients to be treated
earlier and with fewer interventions.
33. • Clients may receive treatment in their own
community where services cost less,
improving quality of care and improved
continuity of care through convenient followup.
34. • Telehealth applications vary greatly and
include client monitoring, diagnostic
evaluations, decision support systems, storage
and dissemination of records for diagnostic
purposes, image compression for efficient
storage and retrieval, research, voice
recognition for dictation and education of
healthcare professionals and consumers.
35. • Many providers expect that telehealth will
revolutionize healthcare. It promises to
improve speed and accuracy of
communicating with medical providers to
gather information and address concerns.
36. • Nursing informatics and telehealth will
continue to grow and become commonplace
(Hebda, et al, 2001).
37. • Telehealth is an expansion of telemedicine and
unlike telemedicine (which more narrowly
focuses on the curative aspect) it encompasses
preventive, promotive and curative aspects.
Originally used to describe administrative or
educational functions related to telemedicine,
today telehealth stresses a myriad of technology
solutions. For example, physicians use email to
communicate with patients, order drug
prescriptions and provide other health services.
38. JOURNAL REFERENCES
• Exploring the impact of health information
technology on communication and
collaboration in acute care nursing.
• Nurses’ experiences using a nursing
information system: early stage of technology
implementation.
• The perfect role for nursing informatics:
Nursing staff development.
39. USE OF COMPUTERS IN HOSPITAL
AND COMMUNITY
CLINICAL IMPLICATION
• Assessment:
• Patient monitoring:
• Documentation:
• Nursing minimum data sheet:
• Telemedicine:
• Electronic Medical Records (EMR):
Increased efficiency:
Improved documentation:
Improved quality of care:
Improved security:
Reduced documentation expenses:
40. ADMINISTRATION:
• Provision of data required by the nurse
administrators to:
• Define the cost of nursing services.
• Evaluate quality assurance programme.
• Demonstrate the cost effectiveness of nursing
care
• Justify new roles for nursing in the health care
system
41. NURSING PRACTICE:
• Enhance documentation by the nurse.
• Provision of data to enable research directed at
examining relationship between data elements and
nursing outcomes to identify optimal nursing care
for use in practice.
• Facilitate nursing process through use of the NMDS
in practice.
• Nursing workload measurement system: The three
most widely used nursing workload measurements
are:
Project research in nursing:
Medicus.
GRASP (Grace- Reynolds application)
42. RESEARCH:
• The advent of computerized data bases of literature
helps to search rapidly and to retrieve abstracts of
literature immediately.
• Conduct online searches of data base.
• Provides online full text information on legal, news,
business and general information.
Eg: CINHAL, Medline, Science Direct.
• Preparation of research document:
• Data gathering:
There are three types of computer assisted
interviewing:
– Computer self administered interviewing:
– Computer assisted telephone interviewing:
• Data analysis:
43. EDUCATION:
The use of computer in nursing education
includes:
• Computer assisted instruction:
• Computer assisted interactive video
instruction:
• Simulation:
• Tutorials:
44. COMMUNITY SETTING:
The main uses of computers in community are:
• Gathering of epidemiological and
administrative statistics.
• Patient appointments- identification system.
• Patient assessment and data gathering.
• Monitoring.
• Documentation.
• Special need application.
45. PATIENT RECORD SYSTEM
DEFINITION
• A ‘medical record’ is a patient record, consisting
of sufficient data written in sequence of events to
justify the diagnosis and warrant treatment and
end results. It must be adequately informative,
highly scientific and legally protective.
• It may be defined as a clinical, scientific,
administrative and legal document relating to the
patient’s care.
46. IMPORTANCE OF MEDICAL RECORDS
• To the patient
It helps in the following ways:
– It serves to document the history of the patient’s illness.
– It serves to avoid omission and unnecessary repetition
of diagnosis and treatment measures.
– It assists in the continuity of care in the event that future
illness requires attention in or out of the hospital.
– It serves as evidence to support or to refute any legal
questions which may arise.
– It assists the patient and authorities concerned in fixing
disability entitlements under the Workman’s
Compensation Act.
47. • To the hospital
The medical records from the basis of many
phases of administrative efficiency:
– It provides the management with statistical
information necessary for decision making with regard
to utilization of resources, planning for administrative
control and future references.
– It also furnishes documentary evidence for purposes
of evaluation of hospital care in terms of quality,
quantity and adequacy (medical audit).
– It protects the hospital in the event of legal questions
(Torts suits).
48. • To the doctors
– It assures the doctor of the quality and adequacy
of the diagnostic and therapeutic measures
undertaken by him.
– It assures the doctor of the continuity of medical
care.
– It helps the doctor in self evaluation.
– It protects the doctor in case of legal suits.
49. • To the public health authorities
It provides a reliable mortality and morbidity
statistics and thus helps the public health
authorities to plan preventive and social
measures to meet the needs of the
community. Early warning of the incidence of
communicable diseases is often obtained from
hospital records.
50. • To medical education and research
Since recorded observations and case studies
are the basis of all clinical research, medical
records become invaluable in all research and
teaching programmes.
51. CHARACTERISTICS OF GOOD PATIENT
RECORDS
• Complete: Sufficient data to identify the
patient, justify diagnosis and warrant
treatment and outcome.
• Adequate: All necessary forms and all relevant
clinical information.
• Accurate: Capable of quantitative analysis.
52. COMPUTERIZED PATIENT RECORD
Advantages of CPR:
• Have the patient’s entire history.
• Can flag drug reaction problems.
• Can eliminate redundancy in record keeping.
• Eliminate the need for taking repeated
histories.
• Can, if utilized properly, reduce error.
53. Disadvantages of CPR:
• Are very expensive to set up.
• Are less secure.
• Require standardized coding systems, which
force all users to use entries that the
computer can understand.
54. FUNCTIONAL COMPONENTS OF A
COMPUTER-BASED PATIENT-RECORD
SYSTEM
•
•
•
•
•
•
The five functional components are:
Integrated view of patient data
Clinical decision support
Clinician order entry
Access to knowledge resources
Integrated communication support