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. It aims to improve patient safety and quality of care through generating knowledge and clinical workflows, creating uniform guidelines, and using information technology in all aspects of nursing. Nurses play a key role in nursing informatics by assessing needs, developing efficient clinical workflows, and managing and interpreting data to improve clinical practice.
Nursing informatics refers to the practice and science of integrating nursing information and knowledge with technology to manage and integrate health information. The goal of nursing informatics is to improve the health of people and communities while reducing costs.
This is a PowerPoint that helps the students understand what is Nursing Informatics at a very basic level..Everyone who reads this will understand what is Nursing informatics
Nursing informatics
What is nursing informatics?
Evolution of nursing informatics
Role of the Nurse as knowledge worker
Medical Informatics
Consumer Informatics
Delivered by Craig Brammer at CITIH 2011. Focus on discussion of regional and national initiatives and opportunities for regional partners to leverage them for driving healthcare improvements, public health and research.
This session will provide a broad perspective on the many initiatives related to HIT. Experts from the regional and national level will discuss data models, privacy concerns and adoption strategies from their different perspectives. Also addressed will be planning for NHIN direct adoption as a complimentary strategic to full HIEs.
Cis evaluation final_presentation, nur 3563 sol1SBU
An overview of a Computer Information System (CIS) and considerations that need to be taken with implementing an Electronic Health Record (EHR) in a healthcare setting.
Nursing informatics refers to the practice and science of integrating nursing information and knowledge with technology to manage and integrate health information. The goal of nursing informatics is to improve the health of people and communities while reducing costs.
This is a PowerPoint that helps the students understand what is Nursing Informatics at a very basic level..Everyone who reads this will understand what is Nursing informatics
Nursing informatics
What is nursing informatics?
Evolution of nursing informatics
Role of the Nurse as knowledge worker
Medical Informatics
Consumer Informatics
Delivered by Craig Brammer at CITIH 2011. Focus on discussion of regional and national initiatives and opportunities for regional partners to leverage them for driving healthcare improvements, public health and research.
This session will provide a broad perspective on the many initiatives related to HIT. Experts from the regional and national level will discuss data models, privacy concerns and adoption strategies from their different perspectives. Also addressed will be planning for NHIN direct adoption as a complimentary strategic to full HIEs.
Cis evaluation final_presentation, nur 3563 sol1SBU
An overview of a Computer Information System (CIS) and considerations that need to be taken with implementing an Electronic Health Record (EHR) in a healthcare setting.
The Application of Data to Problem-SolvingIn the modern era, the.docxtodd801
The Application of Data to Problem-Solving
In the modern era, there are few professions that do not to some extent rely on data. Stockbrokers rely on market data to advise clients on financial matters. Meteorologists rely on weather data to forecast weather conditions, while realtors rely on data to advise on the purchase and sale of property. In these and other cases, data not only helps solve problems, but adds to the practitioner’s and the discipline’s body of knowledge.
Of course, the nursing profession also relies heavily on data. The field of nursing informatics aims to make sure nurses have access to the appropriate date to solve healthcare problems, make decisions in the interest of patients, and add to knowledge.
In this Discussion, you will consider a scenario that would benefit from access to data and how such access could facilitate both problem-solving and knowledge formation.
To Prepare:
Reflect on the concepts of informatics and knowledge work as presented in the Resources.
Consider a hypothetical scenario based on your own healthcare practice or organization that would require or benefit from the access/collection and application of data. Your scenario may involve a patient, staff, or management problem or gap.
By Day 3 of Week 1
Post
a description of the focus of your scenario. Describe the data that could be used and how the data might be collected and accessed. What knowledge might be derived from that data? How would a nurse leader use clinical reasoning and judgment in the formation of knowledge from this experience?
By Day 6 of Week 1
Respond
to at least
two
of your colleagues
* on two different days
, asking questions to help clarify the scenario and application of data, or offering additional/alternative ideas for the application of nursing informatics principles.
Click on the
Reply
button below to reveal the textbox for entering your message. Then click on the
Submit
button to post your message.
*Note:
Throughout this program, your fellow students are referred to as colleagues.
Will be posting additional discussion replies that will require two replies which will be included in this discussion post.
Each requires at least three references and all need to be in APA format.
Monicas discussion
Discussion #1- Initial Post
All healthcare workers are trained to share the common goal of providing the best quality of care to their patients. Regardless of what role one may serve on the multidisciplinary team, they all have an obligation to accurately assess the needs of the patient, to efficiently collect and record data, to contribute to diagnosing, and to treat/ evaluate properly. “Informatics blend technology and information to blend something new that people, organizations and society can make use of” (Laureate, 2018). Advancement in technologies such as, electronic health records (EHR), electronic medication administration records (EMARS), computerized physician order entry (COPOE) and.
Antibiotic Stewardship by Anushri Srivastava.pptxAnushriSrivastav
Stewardship is the act of taking good care of something.
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
WHO launched the Global Antimicrobial Resistance and Use Surveillance System (GLASS) in 2015 to fill knowledge gaps and inform strategies at all levels.
ACCORDING TO apic.org,
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
ACCORDING TO pewtrusts.org,
Antibiotic stewardship refers to efforts in doctors’ offices, hospitals, long term care facilities, and other health care settings to ensure that antibiotics are used only when necessary and appropriate
According to WHO,
Antimicrobial stewardship is a systematic approach to educate and support health care professionals to follow evidence-based guidelines for prescribing and administering antimicrobials
In 1996, John McGowan and Dale Gerding first applied the term antimicrobial stewardship, where they suggested a causal association between antimicrobial agent use and resistance. They also focused on the urgency of large-scale controlled trials of antimicrobial-use regulation employing sophisticated epidemiologic methods, molecular typing, and precise resistance mechanism analysis.
Antimicrobial Stewardship(AMS) refers to the optimal selection, dosing, and duration of antimicrobial treatment resulting in the best clinical outcome with minimal side effects to the patients and minimal impact on subsequent resistance.
According to the 2019 report, in the US, more than 2.8 million antibiotic-resistant infections occur each year, and more than 35000 people die. In addition to this, it also mentioned that 223,900 cases of Clostridoides difficile occurred in 2017, of which 12800 people died. The report did not include viruses or parasites
VISION
Being proactive
Supporting optimal animal and human health
Exploring ways to reduce overall use of antimicrobials
Using the drugs that prevent and treat disease by killing microscopic organisms in a responsible way
GOAL
to prevent the generation and spread of antimicrobial resistance (AMR). Doing so will preserve the effectiveness of these drugs in animals and humans for years to come.
being to preserve human and animal health and the effectiveness of antimicrobial medications.
to implement a multidisciplinary approach in assembling a stewardship team to include an infectious disease physician, a clinical pharmacist with infectious diseases training, infection preventionist, and a close collaboration with the staff in the clinical microbiology laboratory
to prevent antimicrobial overuse, misuse and abuse.
to minimize the developme
The dimensions of healthcare quality refer to various attributes or aspects that define the standard of healthcare services. These dimensions are used to evaluate, measure, and improve the quality of care provided to patients. A comprehensive understanding of these dimensions ensures that healthcare systems can address various aspects of patient care effectively and holistically. Dimensions of Healthcare Quality and Performance of care include the following; Appropriateness, Availability, Competence, Continuity, Effectiveness, Efficiency, Efficacy, Prevention, Respect and Care, Safety as well as Timeliness.
Navigating Challenges: Mental Health, Legislation, and the Prison System in B...Guillermo Rivera
This conference will delve into the intricate intersections between mental health, legal frameworks, and the prison system in Bolivia. It aims to provide a comprehensive overview of the current challenges faced by mental health professionals working within the legislative and correctional landscapes. Topics of discussion will include the prevalence and impact of mental health issues among the incarcerated population, the effectiveness of existing mental health policies and legislation, and potential reforms to enhance the mental health support system within prisons.
CRISPR-Cas9, a revolutionary gene-editing tool, holds immense potential to reshape medicine, agriculture, and our understanding of life. But like any powerful tool, it comes with ethical considerations.
Unveiling CRISPR: This naturally occurring bacterial defense system (crRNA & Cas9 protein) fights viruses. Scientists repurposed it for precise gene editing (correction, deletion, insertion) by targeting specific DNA sequences.
The Promise: CRISPR offers exciting possibilities:
Gene Therapy: Correcting genetic diseases like cystic fibrosis.
Agriculture: Engineering crops resistant to pests and harsh environments.
Research: Studying gene function to unlock new knowledge.
The Peril: Ethical concerns demand attention:
Off-target Effects: Unintended DNA edits can have unforeseen consequences.
Eugenics: Misusing CRISPR for designer babies raises social and ethical questions.
Equity: High costs could limit access to this potentially life-saving technology.
The Path Forward: Responsible development is crucial:
International Collaboration: Clear guidelines are needed for research and human trials.
Public Education: Open discussions ensure informed decisions about CRISPR.
Prioritize Safety and Ethics: Safety and ethical principles must be paramount.
CRISPR offers a powerful tool for a better future, but responsible development and addressing ethical concerns are essential. By prioritizing safety, fostering open dialogue, and ensuring equitable access, we can harness CRISPR's power for the benefit of all. (2998 characters)
CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdfSachin Sharma
This content provides an overview of preventive pediatrics. It defines preventive pediatrics as preventing disease and promoting children's physical, mental, and social well-being to achieve positive health. It discusses antenatal, postnatal, and social preventive pediatrics. It also covers various child health programs like immunization, breastfeeding, ICDS, and the roles of organizations like WHO, UNICEF, and nurses in preventive pediatrics.
Navigating the Health Insurance Market_ Understanding Trends and Options.pdfEnterprise Wired
From navigating policy options to staying informed about industry trends, this comprehensive guide explores everything you need to know about the health insurance market.
Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
India Clinical Trials Market: Industry Size and Growth Trends [2030] Analyzed...Kumar Satyam
According to TechSci Research report, "India Clinical Trials Market- By Region, Competition, Forecast & Opportunities, 2030F," the India Clinical Trials Market was valued at USD 2.05 billion in 2024 and is projected to grow at a compound annual growth rate (CAGR) of 8.64% through 2030. The market is driven by a variety of factors, making India an attractive destination for pharmaceutical companies and researchers. India's vast and diverse patient population, cost-effective operational environment, and a large pool of skilled medical professionals contribute significantly to the market's growth. Additionally, increasing government support in streamlining regulations and the growing prevalence of lifestyle diseases further propel the clinical trials market.
Growing Prevalence of Lifestyle Diseases
The rising incidence of lifestyle diseases such as diabetes, cardiovascular diseases, and cancer is a major trend driving the clinical trials market in India. These conditions necessitate the development and testing of new treatment methods, creating a robust demand for clinical trials. The increasing burden of these diseases highlights the need for innovative therapies and underscores the importance of India as a key player in global clinical research.
Leading the Way in Nephrology: Dr. David Greene's Work with Stem Cells for Ki...Dr. David Greene Arizona
As we watch Dr. Greene's continued efforts and research in Arizona, it's clear that stem cell therapy holds a promising key to unlocking new doors in the treatment of kidney disease. With each study and trial, we step closer to a world where kidney disease is no longer a life sentence but a treatable condition, thanks to pioneers like Dr. David Greene.
Medical Technology Tackles New Health Care Demand - Research Report - March 2...pchutichetpong
M Capital Group (“MCG”) predicts that with, against, despite, and even without the global pandemic, the medical technology (MedTech) industry shows signs of continuous healthy growth, driven by smaller, faster, and cheaper devices, growing demand for home-based applications, technological innovation, strategic acquisitions, investments, and SPAC listings. MCG predicts that this should reflects itself in annual growth of over 6%, well beyond 2028.
According to Chris Mouchabhani, Managing Partner at M Capital Group, “Despite all economic scenarios that one may consider, beyond overall economic shocks, medical technology should remain one of the most promising and robust sectors over the short to medium term and well beyond 2028.”
There is a movement towards home-based care for the elderly, next generation scanning and MRI devices, wearable technology, artificial intelligence incorporation, and online connectivity. Experts also see a focus on predictive, preventive, personalized, participatory, and precision medicine, with rising levels of integration of home care and technological innovation.
The average cost of treatment has been rising across the board, creating additional financial burdens to governments, healthcare providers and insurance companies. According to MCG, cost-per-inpatient-stay in the United States alone rose on average annually by over 13% between 2014 to 2021, leading MedTech to focus research efforts on optimized medical equipment at lower price points, whilst emphasizing portability and ease of use. Namely, 46% of the 1,008 medical technology companies in the 2021 MedTech Innovator (“MTI”) database are focusing on prevention, wellness, detection, or diagnosis, signaling a clear push for preventive care to also tackle costs.
In addition, there has also been a lasting impact on consumer and medical demand for home care, supported by the pandemic. Lockdowns, closure of care facilities, and healthcare systems subjected to capacity pressure, accelerated demand away from traditional inpatient care. Now, outpatient care solutions are driving industry production, with nearly 70% of recent diagnostics start-up companies producing products in areas such as ambulatory clinics, at-home care, and self-administered diagnostics.
2. Definition
Medical informatics is the application of the principles of computer and information science
to the advancement of life science research, health professions education, public health, and
patient care.
Nursing informatics is a specialty that integrate nursing science, computer science, and
information science to manage and communicate data, information, knowledge and wisdom
in nursing practice.
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.”
5. •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.
6. GOALS OF INFORMATIC NURSING
• IMPROVING THE SAFETY AND QUALITY OF CARE OUTCOME.
• GENERATE KNOWLEDGE AND FLOW CHART TO BE USED IN HEALTHCARE
• CREATING A PLATFORM WITH UNIFORM GUIDELINES.
• HELPING COORDINATE ACTIVITIES OF DIFFERENT PERSONNAL.
• COLLECTING PUBLIC HEALTH AND POPULATION DATA, DIAGNOSTIC AND
LABORATORY DATAAND DATA RELATED TO IMAGING.
• PRACTICE INFORMATICS RELATED TO HEALTH CARE PERSONNEL.
• USING INFROMATION TECHNOLOGY IN ALL ASPECT OF NURSING.
7. HISTORY OF NURSING INFORMATICS
• 1980’S- ITS USED BY NURSES
• 1986-BLUM INTRODUCED CONEPTUAL FRAMEWORK FOR STUDY OF
NURSING KNOWLEDGR AND DATA.
• 1989- GRAVES AND CORCORAN MODIFIED THE FRAMEWORK. IT’S A
COMBINATION OF COMPUTER SCIENCE , INFORMATION SCIENCE
AND NURSING.
• 1996- JAMES TURELY MODIFIED BY ADDING COGNITIVE SCIENCE.
• ANA DEFINED THE SCOPE OF NURSING INFORMATICS.
8. BENEFITS OF COMPUTERAUTOMATION IN
HEALTH CARE
1)Decreased redundancy of data
entry
2)Decreased time spent in
documentation
3)Increased time for client care
9. 4) Facilitation of data collection for research
5)Improved communication and decreased potential
for error
6)Creation of a lifetime clinical record facilitated by
information systems
10. FUNCTIONS OF NURSING INFORMATICS
•Nursing informatics allows nurses to access health information
in order to develop, implement, and evaluate methods of
patient care or treatment.
11. •Nurses are able to review all information related to
particular patient, which can lead to more efficient,
which can lead to more efficient communication and
care.
12. IMPORTANCE OF NURSING
INFORMATICS
•Enables the appropriate flow of data
collected by nurses, improving access
to patient information at the point of
care, and enhancing nursing abilities
to benchmark, monitor and audit
quality measures.
13. •Aids to collect, store, process, display, retrieve and communicate
timely data and information in and across health care facilities
designed to
Administer nursing services and resource.
Manage delivery of patient and nursing care including
documentation and planning.
Link research resources and finding to nursing practice
Apply educational resources to nursing education.
14. •Facilitates the integration of data, information and knowledge to
support client, nurses and other provider in their decision making in
all roles and settings.
•Promotes the generation, management and processing of relevant
data in order to use information and develop knowledge that
supports nursing in all practice domains to improve practice and
deliver better nursing care.
17. 1) Storage of Patient Data:
Store note of the patient observe during round.
Access the right medical information at the right time.
To access information when you need to be quick, efficient and
accurate.
18. 2) Computerized Presentations:
Computerized power point presentations are much more efficient
and has more impact on the receiver when it comes to presenting
data.
Even in the field of nursing education, computers help the nursing
tutors/educators to present the large and complicated detailed form
of data, which of course is a part of the medical study, in a very
simplified and effective form.
19. 3) Teaching nurses through
Simulations:
The field of medicine involves the concept of
"hands-on work".
Nursing education therefore, must involve a lot
of practice programs to make the students
efficient to face the real life scenario.
Computer programs which enable simulate such
procedures therefore are of great use.
20. 4) Computerized Self Evaluation
Computers also contribute and help the students know their
strengths and weaknesses.
There are many computerized quiz and medical tests with
immediate feedback that can help you brush and develop your
medical facts and requirements without any delay.
21. 5) Medical Data
Every day hospitals and clinics which are attached to it churn out
enormous volumes of data regarding patients, prescriptions,
medications, medical billing details, etc.
Such medical records, are now a day‘s recorded into medical
billing software. Such mammoth databases are known as
Electronic Medical Records (EMR) and Electronic Health Records
(EHR).
23. 7) Medical Examination:
Medical monitoring which will help humans to properly
monitor their own health.
Such systems and procedures include, bone scan procedure,
prenatal ultrasound imaging, blood glucose monitors, advanced
endoscopy which is used during surgery and blood pressure
monitors.
Basically these medical tests and tools provide significant
convenience to medical practitioners.
24. Other uses of computer in hospital
•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:
25. IMPACT OF NURSING INFORMATICS IN
NURSING PROFESSION
The nursing profession is rapidly changing to keep up with
advancements and new challenges in the healthcare field.As direct
caregivers, nurses are in the front lines of patient care and
consequently often feel the impact of changes in best practices more
immediately than other healthcare professionals.
26. Disadvantages of Technology in Nursing
Set Up and Internet Access: An important disadvantage of technology in
nursing is that some patients may not be savvy with technology. Some
patients may not have mobile phones or Internet access, making applications
and video visits useless for them.
At the Mercy of the Server/Power: If either of these things goes down due
to weather, connectivity problems, or natural disasters, you’re basically
unable to do anything at all. This would be especially problematic in a
nursing classroom setting if simulations and virtual technologies are being
used as well as in a hospital when conducting video calls or procedures that
require machinery.
27. Potential Lack of Attention to Detail: While technology in nursing should
lead to fewer medical errors, there is no guarantee that it will eradicate ALL
errors. Human efficiency and thought are still important, which is why nurses,
doctors, and patients must remember that technology does not always have the
final say. There is still plenty of room for error, and all diagnoses, treatments,
and care plans should be double and triple checked to ensure safety an accuracy
overall.
Malfunctioning Equipment: One of the biggest headaches of technology is
what happens when technology just doesn’t work.
28. ROLE OF NURSE IN NURSING INFORMATICS
Nurse Informaticists are often perceived as the
“techy” nurse, “super-user”, or the “go-to” person when new
technology is implemented.
They are often referred to as “bi-lingual” nurses who can speak
the nursing process and information technology language.
Being an expert in both fields and a liaison between the two
worlds, nurses have assumed different roles and positions in the
arena of informatics.
29. A recent survey conducted by Healthcare Information and Management
Systems Society (HIMSS) revealed that 14% of nurses are in nursing informatics
role.
Nurses comprise the biggest workforce in healthcare. This being said, nurses
are the largest work-group of end-users of electronic medical record and clinical
information systems; therefore, it is imperative that nurses are well-represented
in the selection, design, implementation, and evaluation of clinical information
systems.
Evidence has shown that nurses who were involved in the clinical
information system cycle have more buy-in, user- acceptance, and positive
perception – all are precursors to successful implementation.
30. HEALTH CARE INFORMATICS NURSING INFORMATICS
FOCUS
Numerous roles within health care,
emphasizing compliance with regulations
and improving hospital finances.
RESPONSIB-
ILITIES
Work at the intersection of computer
science, information technology, and
health care administration.
Implement electronic health records and
understand how they impact
organizational, operational, and staffing
needs.
Manage, interpret, andcommunicate data
to improve patient outcomes.
Ensure compliance of data and
meaningful use initiatives.
Patient focused, emphasizing
improvement in patient care.
Work at the intersection of computer
science, information technology, and
nursing.
Assess hospital and patient needs as
well as business and IT needs.
Develop efficient clinical workflow to
assess gaps in health care delivery
system and create ways to address
them.
Manage, interpret, and
communicate data to improve
clinical practice.
31. JOB TITLES
TO EXPLORE
Coordinate hardware,
software, regulatory
requirements, and
infrastructure of a hospital or
health system.
Work with staff education to
design training programs for
staff when implementing a
new electronic health records
system.
Integrate ICD-10 into systems.
Chief clinical informatics
officer
Director of clinical informatics
Project manager
Clinical manager
Program director
Verify that electronic health records
capture information at the point of care
accurately and in a standardized
format.
Support continuity and quality of
care across caregivers.
Integrate ICD-10 into systems.
Assist in staff training programs on
electronic health record systems.
Nursing informatics specialist
Director of clinical informatics
Clinical analyst
Consultant
Clinical informatics specialist
Chief nursing
informatics officer